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Perioperative Apalutamide in High-Risk Localized Prostate Cancer | Synapse
June 1, 2026
Perioperative Apalutamide in High-Risk Localized Prostate Cancer
MT
Mary-Ellen Taplin
Dana-Farber Cancer Institute
MG
Martin Gleave
University of British Columbia
NS
Neal D. Shore
Carolina Urologic Research Center
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Key Points
To evaluate the efficacy of perioperative apalutamide in improving outcomes for patients with high-risk localized prostate cancer.
Randomized trial design with a focus on perioperative administration of apalutamide
Inclusion of high-risk localized prostate cancer patients
Assessment of clinical outcomes including survival rates and biomarkers.
Apalutamide significantly improved disease-free survival at 36 months compared to control (HR 0.65, 95% CI 0.50-0.85, p=0.002)
Lower rates of progression observed in the apalutamide group with significant reductions in adverse events.
Positive changes noted in biomarkers associated with tumor response.
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Taplin et al. (Sun,) studied this question.
synapsesocial.com/papers/6a1da2facea678e719a6ee27
https://doi.org/https://doi.org/10.1056/nejmoa2603878
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