Low-Dose Apalutamide in Nonmetastatic Castration-Resistant Prostate Cancer: A Case Report
Minh Dung Nguyen, Gilles Natchagande, Olena Gorobets, Vincent Vinh-Hung

TL;DR
This case report explores the use of a low dose of apalutamide in an elderly patient with prostate cancer, showing a three-year survival without metastasis.
Contribution
The novelty lies in suggesting low-dose apalutamide as a potential treatment option for elderly patients with nonmetastatic prostate cancer.
Findings
A patient survived three years without metastasis on 25% of the recommended apalutamide dose.
Treatment discontinuation during lockdowns did not lead to disease progression.
The case suggests low-dose apalutamide may be effective in elderly patients.
Abstract
The effect of low-dose apalutamide in nonmetastatic castration-resistant prostate cancer is unknown. We report the observation of therapy being administered at 25% of the recommended dose in an 80-year-old patient. Despite treatment discontinuation during COVID lockdowns, he survived three years without evidence of metastasis. This case gently invites us to reflect on the possibility of low-dose apalutamide in the elderly.
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Taxonomy
TopicsProstate Cancer Treatment and Research · Cancer, Lipids, and Metabolism · Multiple Myeloma Research and Treatments
