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ARAT Retreatment and Switching to an Agent with a Different



     Mechanism of Action Are Options





        • Non-hormonal treatments may be                                                                            Cabazitaxel vs anti-androgen (CARD) *
                                                                                                                                                                            1

            preferred after use of ARAT                          1

                                                                                                          100

                                                                                                                                                HR: 0.64 (95% CI, 0.46-0.89)
                • In the Phase IV CARD study, cabazitaxel was                                              80                                                P=0.008

                   superior to an ARAT in third-line mCRPC                                                 60

                   previously treated with docetaxel and a                                               Probability OS (%)

                                           1
                   different ARAT *                                                                        40



                                                                                                           20
        • Phase 3 PROfound study of olaparib


            provides additional evidence for this                                                           0

                                                                                                               0                10               20               30               40
            concept         2                                                                                                              Time (months)



                                                                                                                          Cabazitaxel             Enzalutamide or abiraterone







      *Study of 255 patients with mCRPC who had previously received docetaxel and an ARAT (abiraterone or enzalutamide)
      ARAT, androgen receptor-axis-targeted therapies; mCRPC, metastatic castration-resistant prostate cancer
      1. de Wit R et al. NEJM 2019;381:2506-18. 2. de Bono J et al. NEJM 2020;382:2091-102.
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