Metastatic hormone-sensitive prostate cancer (mHSPC)

Active Ingredient: Darolutamide

Indication for Darolutamide

Population group: men, only adults (18 years old or older)
Therapeutic intent: Curative procedure

Darolutamide is indicated for the treatment of adult men with metastatic hormone-sensitive prostate cancer (mHSPC) in combination with docetaxel and androgen deprivation therapy.

For this indication, competent medicine agencies globally authorize below treatments:

600 mg twice daily

For:

Dosage regimens

Oral, 600 milligrams darolutamide, 2 times daily to meals.

Detailed description

The recommended dose is 600 mg darolutamide taken twice daily, equivalent to a total daily dose of 1200 mg.

mHSPC patients should start darolutamide in combination with docetaxel. The first of 6 cycles of docetaxel should be administered within 6 weeks after the start of darolutamide treatment. The recommendation in the product information of docetaxel should be followed. Treatment with darolutamide should be continued until disease progression or unacceptable toxicity even if a cycle of docetaxel is delayed, interrupted, or discontinued.

Missed dose

If a dose is missed, the dose should be taken as soon as the patient remembers prior to the next scheduled dose. The patient should not take two doses together to make up for a missed dose.

Dose modification

If a patient experiences a ≥ Grade 3 toxicity or an intolerable adverse reaction related to darolutamide, dosing should be withheld or reduced to 300 mg twice daily until symptoms improve. Treatment may then be resumed at a dose of 600 mg twice daily.

Dose reduction below 300 mg twice daily is not recommended, because efficacy has not been established.

Dosage considerations

It should be taken with food.

Active ingredient

Darolutamide

Darolutamide is an androgen receptor (AR) inhibitor with a flexible polar-substituted pyrazole structure that binds with high affinity directly to the receptor ligand binding domain. Darolutamide competitively inhibits androgen binding, AR nuclear translocation, and AR mediated transcription. Darolutamide treatment decreases prostate tumour cell proliferation leading to potent antitumour activity.

Read more about Darolutamide

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