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Prostate Cancer Working Group (PCWG) 3
• PCWG3 defines castrate as ≤1.73 nmol/L
• For nmCRPC, PCWG3 defines as testosterone ≤ 1.7 nmol/L and 2 rises in PSA
above nadir (must be PSA >2 ng/mL)
• If there is clinical progression or metastatic progression in the face of castration,
then it is metastatic CRPC.
Prostate cancer clinical states model Noncastrate Castration-resistant
Clinical
Metastases:
Noncastrate
Clinically Rising
Localized PSA mCRPC: mCRPC: mCRPC:
nd
2
Line X
line
st
1 line
Disease Noncastrate
nmCRPC
th
rd
mCRPC: 3 Line, 4 Line, etc.
52 Cher HI et al. The Prostate Cancer Clinical Trials Working Group 3. J Clin Oncol 2016;34:1402-1418