
Opinion|Videos|May 26, 2025
Efficacy outcomes in Black patients from the ARANOTE trial
Author(s)Quoc-Dien Trinh, MD, MPH
New analysis reveals promising outcomes for black men with mHSPC, showing comparable survival rates and significant PSA suppression in treatment responses.
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ARANOTE Subanalysis Results
Key Themes:
- Ten percent of the ARANOTE study population were Black men.
- Radiologic progression-free survival was similar in Black men (HR, 0.51) vs the overall population (HR, 0.54).
- Time to metastatic castrate-resistant prostate cancer showed a comparable response.
- Complete PSA suppression rates showed 3-fold improvement (59.5% vs 18.2%) with darolutamide.
Key Points for Physicians:
- Darolutamide plus ADT shows comparable efficacy in Black men.
- All major efficacy end points demonstrate consistent benefit across racial groups.
- PSA suppression rate was particularly impressive with the addition of darolutamide.
Notable Insights: The consistency of benefit across multiple clinically meaningful end points provides robust evidence supporting darolutamide’s efficacy in Black men.
Clinical Significance: This subanalysis provides race-specific evidence supporting the use of darolutamide in Black men with metastatic hormone-sensitive prostate cancer, addressing an important gap in prostate cancer treatment evidence.
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