EMBARK Trial VL

EMBARK Trial: Treatment Options for High-Risk Biochemical Recurrence - Neal Shore

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Zachary Klaassen and Neal Shore discuss treatment options for high-risk biochemical recurrence following prostatectomy and salvage radiation, using a case presentation of a 67-year-old active patient with rapidly rising PSA. Dr. Shore reviews the EMBARK trial design, which randomized patients to enzalutamide plus leuprolide, enzalutamide monotherapy, or leuprolide alone, with treatment interruptio...

Comparing EMBARK vs EAU High-Risk Biochemical Recurrence Criteria in Prostate Cancer - Ugo Falagario

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Zachary Klassen speaks with Ugo Falagario about identifying high-risk biochemical recurrence (BCR) after prostate cancer treatment. Dr. Falagario discusses findings from an analysis of the Stockholm-0 database comparing EAU high-risk and EMBARK criteria definitions. The study reveals significant differences in the cumulative incidence of high-risk BCR depending on the definition used. After radica...

EMBARK Trial Subanalysis for High-Risk Biochemical Recurrent Prostate Cancer - Stephen Freedland

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Zachary Klaassen interviews Stephen Freedland about a subanalysis from the EMBARK trial, which transformed treatment for high-risk biochemical recurrence in prostate cancer. Dr. Freedland describes how EMBARK demonstrated that enzalutamide, either as monotherapy or combined with ADT, significantly improved metastasis-free survival in patients with conventional imaging-negative disease and PSA doub...

EMBARK Trial: Age-Stratified Analysis of Enzalutamide in High-Risk Biochemically Recurrent Prostate Cancer - Neal Shore

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Zach Klaassen interviews Neal Shore about the EMBARK trial's post hoc analysis by age. The study examines the efficacy of enzalutamide alone or combined with leuprolide for high-risk biochemical recurrence in prostate cancer patients. Dr. Shore discusses the trial design, key results, and the implications of age stratification ( 70 years) on treatment outcomes and adverse events. The analysis show...

Discussion Between Expert Clinicians and Patients on the EMBARK Trial, A Journal Club for Patients with Prostate Cancer - Matthew Cooperberg

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Matthew Cooperberg, alongside patient advocates Stan Rosenfeld, Bruce Zweig, Nathan Roundy, and Leszek Izdebski, engages in a comprehensive Q&A session with Neal Shore, Stephen Freedland, and Rana McKay. They explore the potential applications of enzalutamide for low-risk prostate cancer patients on active surveillance, referencing findings from the ENACT and EMBARK trials. Dr. Shore emphasizes th...

EMBARK Trial: Enzalutamide Monotherapy & Combination Therapy for High-Risk Prostate Cancer - Stephen Freedland, Neal Shore, & Rana McKay

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Matthew Cooperberg is joined by Steve Freedland, Neal Shore, and Rana McKay to discuss the findings from the EMBARK trial, a landmark study examining treatments for prostate cancer patients experiencing biochemical recurrence. The EMBARK trial compares traditional androgen deprivation therapy (ADT) using leuprolide alone, with the addition of enzalutamide, and enzalutamide alone. Drs. Freedland an...

EMBARK Trial: Enzalutamide Monotherapy and Combination Therapy for High-Risk Biochemical Recurrence - Neal Shore

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Alicia Morgans speaks with Neal Shore about managing biochemical recurrence (BCR) in high-risk patients, particularly following radiotherapy (RT) and radical prostatectomy (RP). Discussing findings from the EMBARK trial, Dr. Shore emphasizes that combining enzalutamide with LHRH, or using enzalutamide alone, significantly improves metastasis-free survival compared to leuprolide monotherapy. He foc...

The Impact of the EMBARK Trial on Treatment Decisions in High-Risk Biochemical Recurrent Prostate Cancer - Neal Shore

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Zach Klaassen and Neal Shore discuss the outcomes of the EMBARK trial, focusing on treatment strategies for high-risk biochemically recurrent prostate cancer. In this detailed conversation, Dr. Shore explains the trial’s structure, which tested the efficacy of enzalutamide combined with leuprolide acetate or as monotherapy. Trial findings reveal a significant improvement in metastasis-free surviva...

Advancing Prostate Cancer Care: The EMBARK Study and Implications for Clinical Practice - Stephen Freedland

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Daniel George and Stephen Freedland delve into the EMBARK study, a trial on Enzalutamide for high-risk non-metastatic biochemical recurrence of prostate cancer. They explore the approach of using Enzalutamide, both in combination with Leuprolide and as monotherapy, highlighting its significant impact on metastasis-free survival. The study reveals that combination therapy substantially reduces the...

Novel Hormone Therapy and Coordination of Care in High-Risk Biochemically Recurrent Prostate Cancer - Beyond the Abstract

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In this review, Jason Efstathiou and Alicia Morgans discuss challenges associated with Biochemical recurrence (BCR) management and explore the potential benefits and opportunities of multidisciplinary care (MDC) and treatments based on optimizing risk stratification. Biographies: Jason A. Efstathiou, MD, DPhil, Department of Radiation Oncology, Massachusetts General Hospital, Harvard Medical Schoo...