Oligoprogression During First-Line Treatment of Metastatic Hormone-Sensitive Prostate Cancer: Comparative Outcomes of Metastasis-Directed Radiotherapy and Systemic Treatment Change

In patients with mHSPC who developed oligoprogression during first-line systemic therapy, metastasis-directed RT with continuation of the same regimen and immediate change in systemic treatment were associated with comparable post-oligoprogression outcomes in our cohort. These findings suggest that both strategies may be feasible in selected patients. Prospective studies may help clarify which patients are more likely to benefit from each strategy.

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Publication Details

Journal
Journal of Clinical Medicine
Published
2026-04-17
DOI
https://doi.org/10.3390/jcm15083067
Primary Topic
Prostate Cancer Treatment and Research
Type
article
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article

Oligoprogression During First-Line Treatment of Metastatic Hormone-Sensitive Prostate Cancer: Comparative Outcomes of Metastasis-Directed Radiotherapy and Systemic Treatment Change

Murat Günaltılı, Özkan Alan, Hamza Abbasov, Murad Guliyev et al.
Journal of Clinical Medicine
Prostate Cancer Treatment and Research
article

Oligoprogression During First-Line Treatment of Metastatic Hormone-Sensitive Prostate Cancer: Comparative Outcomes of Metastasis-Directed Radiotherapy and Systemic Treatment Change

Murat Günaltılı, Özkan Alan, Hamza Abbasov, Murad Guliyev, Seda Jeral, Emir Çerme, Nebi Serkan Demirci, Süheyla Atak, Halil Cumhur Yıldırım, Zeliha Birsin, FO Dinçbas, Vali Aliyev, Selin Cebeci, Ebru Çiçek
article en

Abstract

In patients with mHSPC who developed oligoprogression during first-line systemic therapy, metastasis-directed RT with continuation of the same regimen and immediate change in systemic treatment were associated with comparable post-oligoprogression outcomes in our cohort. These findings suggest that both strategies may be feasible in selected patients. Prospective studies may help clarify which patients are more likely to benefit from each strategy.

Journal of Clinical MedicineVol. 15(8)
Istanbul University-Cerrahpaşa (TR)
Good health and well-being
Openalex Percentile: Top 19%
Prostate Cancer Treatment and Research
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Oligoprogression During First-Line Treatment of Metastatic Hormone-Sensitive Prostate Cancer: Comparative Outcomes of Metastasis-Directed Radiotherapy and Systemic Treatment Change — Murat Günaltılı, Özkan Alan, et al. · Journal of Clinical Medicine (2026) | TGRS Research Map | TGRS