The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday

While the overall survival of patients with castration-resistant prostate cancer (CRPC) has been prolonged by enzalutamide, a considerable number of patients suffer from enzalutamide-induced nausea and fatigue. An 86-year-old male patient who started enzalutamide (160 mg) for CRPC treatment, experie...

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Main Authors: Takashi Kawahara, Yasuhide Miyoshi, Masahiro Yao, Hiroji Uemura
Format: Article
Language:English
Published: Karger Publishers 2019-07-01
Series:Case Reports in Oncology
Subjects:
Online Access:https://www.karger.com/Article/FullText/501849
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spelling doaj-19ab5700311b4aa2a92410d04757d2432020-11-24T20:40:21ZengKarger PublishersCase Reports in Oncology1662-65752019-07-0112256857210.1159/000501849501849The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug HolidayTakashi KawaharaYasuhide MiyoshiMasahiro YaoHiroji UemuraWhile the overall survival of patients with castration-resistant prostate cancer (CRPC) has been prolonged by enzalutamide, a considerable number of patients suffer from enzalutamide-induced nausea and fatigue. An 86-year-old male patient who started enzalutamide (160 mg) for CRPC treatment, experienced nausea and vomiting approximately 2 weeks after the start of treatment. Enzalutamide treatment was stopped for two weeks, then restarted enzalutamide at a half-dose (80 mg); the dose was then increased to 120 mg. He remained free from any adverse events and showed good CRPC control for 53 months. We herein report the case of a patient with enzalutamide-induced nausea and vomiting, whose symptoms were overcome and in whom long-term CRPC control was achieved following a temporary drug holiday.https://www.karger.com/Article/FullText/501849EnzalutamidXtandiDrug holiday
collection DOAJ
language English
format Article
sources DOAJ
author Takashi Kawahara
Yasuhide Miyoshi
Masahiro Yao
Hiroji Uemura
spellingShingle Takashi Kawahara
Yasuhide Miyoshi
Masahiro Yao
Hiroji Uemura
The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
Case Reports in Oncology
Enzalutamid
Xtandi
Drug holiday
author_facet Takashi Kawahara
Yasuhide Miyoshi
Masahiro Yao
Hiroji Uemura
author_sort Takashi Kawahara
title The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
title_short The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
title_full The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
title_fullStr The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
title_full_unstemmed The Achievement of Long-Term CRPC Control in a Patient with Enzalutamide-Induced Nausea and Fatigue after Overcoming the Adverse Events with a Temporary Drug Holiday
title_sort achievement of long-term crpc control in a patient with enzalutamide-induced nausea and fatigue after overcoming the adverse events with a temporary drug holiday
publisher Karger Publishers
series Case Reports in Oncology
issn 1662-6575
publishDate 2019-07-01
description While the overall survival of patients with castration-resistant prostate cancer (CRPC) has been prolonged by enzalutamide, a considerable number of patients suffer from enzalutamide-induced nausea and fatigue. An 86-year-old male patient who started enzalutamide (160 mg) for CRPC treatment, experienced nausea and vomiting approximately 2 weeks after the start of treatment. Enzalutamide treatment was stopped for two weeks, then restarted enzalutamide at a half-dose (80 mg); the dose was then increased to 120 mg. He remained free from any adverse events and showed good CRPC control for 53 months. We herein report the case of a patient with enzalutamide-induced nausea and vomiting, whose symptoms were overcome and in whom long-term CRPC control was achieved following a temporary drug holiday.
topic Enzalutamid
Xtandi
Drug holiday
url https://www.karger.com/Article/FullText/501849
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