Research Article

Prostate-Specific Antigen Kinetics Effects on Outcomes of Low-Volume Metastatic Prostate Cancer Patients Receiving Androgen Deprivation Therapy

Table 1

Baseline characteristics.

Patient demographicsHVD (n = 352, 54.3%)LVD (n = 296, 45.7%) value

Age, median, year (IQR)75 (68–80)74 (68–80)0.2242
M stage, n (%)<0.0001
1A072 (24.3%)
1B268 (76.1%)224 (75.7%)
1C84 (23.9%)0
Gleason grade group, n (%)0.0013
108 (3.3%)
26 (2.1%)12 (4.9%)
326 (9.1%)34 (13.9%)
464 (22.3%)47 (19%)
5191 (66.5%)145 (58.9%)
Initial PSA level, ng/ml, median (IQR)511.5 (181.25–1234.47)98.2 (45–256.6)<0.0001
Hb, g/dL, median (IQR)11.5 (9.7–13.2)12.7 (11.6–13.9)<0.0001
Ca, g/dL, median (IQR)8.7 (8.2–9.1)8.8 (8.3–9.1)0.9528
ALP, U/L, median (IQR)146 (94–324)74 (60–101)<0.0001
CRPC, n (%)<0.0001
Yes232 (65.9%)143 (48.3%)
No120 (34.1%)153 (51.7%)
PSA kinetics after ADT
TTN, month, median (IQR)7.15 (3.7–13.3)11.9 (6.25–20.9)<0.0001
Nadir PSA level, ng/ml, median (IQR)2.2 (0.23–17.18)0.23 (0.02–1.7)0.0015
PSARR, %/month, median (IQR)12.5 (6.8–22.04)7.99 (4.38–14.9)0.0002
TFNTC, month, median (IQR)3.25 (2.5–7.9)8.3 (2.7–26.1)<0.0001
PSADT, month, median (IQR)2.3 (1.4–4.15)3.6 (1.9–7)<0.0001

CRPC: castration-resistant prostate cancer, TTN: time to PSA nadir, PSARR: PSA reduction rate, TFNTC: time from PSA nadir to CRPC, and PSADT: PSA doubling time.