The Prognostic Significance of Radiographic Progression Without PSA Progression in Patients With Metastatic Hormone‐Sensitive Prostate Cancer Treated With First‐Line ARPI Therapy

RP alone progression occurred in approximately one-fifth of patients and was associated with significantly poorer survival despite excellent PSA responses, underscoring the limitation of PSA-based monitoring and supporting routine imaging for early detection of PSA-incongruent disease progression in mHSPC.

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Publication Details

Journal
The Prostate
Published
2026-03-15
DOI
https://doi.org/10.1002/pros.70157
Primary Topic
Prostate Cancer Treatment and Research
Type
article
Field-Weighted Citation Impact
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article

The Prognostic Significance of Radiographic Progression Without PSA Progression in Patients With Metastatic Hormone‐Sensitive Prostate Cancer Treated With First‐Line ARPI Therapy

Tomohisa Matsunaga, Kiyoshi Takahara, Shogo Yamazaki, Yuki Yoshikawa et al.
The Prostate
Prostate Cancer Treatment and Research
article

The Prognostic Significance of Radiographic Progression Without PSA Progression in Patients With Metastatic Hormone‐Sensitive Prostate Cancer Treated With First‐Line ARPI Therapy

Tomohisa Matsunaga, Kiyoshi Takahara, Shogo Yamazaki, Yuki Yoshikawa, Keita Nakamori, Kyosuke Nishio, TAKUYA TSUJINO, Ko Nakamura, Takeshi Tsutsumi, Kazumasa Komura, Tatsuo Fukushima, Moritoshi Sakamoto, Taizo Uchimoto, Shingo Toyoda, Saizo Fujimoto, Wataru Fukuokaya, Takafumi Yanagisawa, Kazuki Nishimura, Haruhito Azuma, Kazutoshi Fujita, Keiichiro Mori, Takahiro Kimura, Masanobu Saruta, Takuya Matsuda, Atsuhiko Yoshizawa, Ryoichi Maenosono, Fumihiko Urabe, Teruo Inamoto
article en

Abstract

RP alone progression occurred in approximately one-fifth of patients and was associated with significantly poorer survival despite excellent PSA responses, underscoring the limitation of PSA-based monitoring and supporting routine imaging for early detection of PSA-incongruent disease progression in mHSPC.

The Prostate
Jikei University School of Medicine (JP), Fujita Health University (JP), Kawasaki Medical School (JP), Hamamatsu University School of Medicine (JP), Kindai University Hospital (JP), Osaka University of Pharmaceutical Sciences (JP), Kindai University (JP)
Openalex Percentile: Top 21%
Prostate Cancer Treatment and Research
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