
Opinion|Videos|May 26, 2025
Safety data on Black patients from ARANOTE
Author(s)Quoc-Dien Trinh, MD, MPH
Study reveals comparable safety profiles for mHSPC treatments across races, reassuring clinicians and patients about treatment acceptability.
Advertisement
Episodes in this series

Safety Profile in Black Men
Key Themes:
- Overall safety profile was comparable between Black men and the general study population.
- Major adverse events showed similar patterns and frequencies.
- There was a slightly higher discontinuation rate in Black men, but it was not statistically significant.
- Small sample size was noted as a limitation for safety comparison.
Key Points for Physicians:
- A similar adverse event profile can be anticipated in Black patients.
- There was no evidence of race-specific toxicity concerns.
- The nonsignificant difference in discontinuation rates should be interpreted with caution due to small numbers.
Notable Insights: The comparable safety profile addresses important questions about potential race-based differences in drug tolerability that might impact treatment recommendations.
Clinical Significance: Safety data support equitable treatment recommendations without race-based concerns regarding the adverse effect profile of darolutamide.
Advertisement
Related to this article

Longer-term findings from the phase 2 ARACOG study suggest differences in objectively measured cognitive function between ARPIs.

Engy Habashy, MD, discusses key takeaways from the 2025 AUA GSM guideline, including the role of androgens and hormonal therapies in managing genitourinary syndrome of menopause.

Chad R. Ritch, MD, MBA, FACS, discusses how PSMA-PET informs staging, treatment planning, recurrence workup, and the interpretation of equivocal findings.

Michael S. Cookson, MD, MMHC, FACS, discusses how Anktiva’s expanded FDA approval may broaden bladder-preserving treatment options for BCG-unresponsive papillary-only NMIBC.

Jeffrey M. Spier, MD, discusses how fatigue may impact patient quality-of-life and when dose reduction may be an appropriate treatment strategy.

This approval expands the perioperative use of pembrolizumab plus enfortumab vedotin to all patients with MIBC, regardless of cisplatin eligibility.
Advertisement
Advertisement
Trending on Urology Times
1
How PSMA-PET shapes staging and recurrence workup in prostate cancer
2
ESMO 2026: Key presentations across genitourinary oncology
3
Engy Habashy, MD, on the role of androgens in GSM management
4
European Commission approves perioperative pembrolizumab plus enfortumab vedotin for MIBC
5


