12/08/2026
Congratulations to the authors and the DE-ESCALATE consortium on this new publication in European Urology.
Revisiting an important question in metastatic prostate cancer care, the paper presents the rationale and design of EORTC 2238 DE-ESCALATE, a phase III trial evaluating intermittent maximal androgen blockade in the era of modern intensified treatment.
We are pleased to support this important international research effort.
📢 New publication from the De-Escalate Project!
Advances in treatment mean that metastatic prostate cancer can increasingly be managed as a long-term condition for some patients. As people live longer with the disease, reducing the cumulative toxicity and burden of continuous treatment becomes increasingly important.
For metastatic hormone-sensitive prostate cancer (mHSPC), contemporary treatments can significantly extend progression-free and overall survival.
However, treatment is usually continued until the cancer progresses, potentially exposing patients to prolonged toxicity, including cardiovascular and metabolic complications, fatigue, cognitive difficulties, falls, fractures, and sexual dysfunction.
Intermittent androgen deprivation therapy was investigated as a strategy to reduce treatment-related toxicity while maintaining oncologic efficacy. Three randomized trials in metastatic disease suggested similar survival outcomes with intermittent and continuous therapy, although non-inferiority was not consistently demonstrated. That is why the DE-ESCALATE trial is necessary.
EORTC 2238 DE-ESCALATE is a first-of-its-kind international, pragmatic phase 3 trial that revisits intermittent treatment in the modern era of intensified therapy. It is investigating whether selected patients who achieve a deep prostate-specific antigen (PSA) response can safely pause maximal androgen blockade.
The goal is to determine whether intermittent treatment can preserve survival while reducing toxicity and treatment burden, extending treatment-free time, improving quality of life, and lowering healthcare costs.
Our new publication in European Urology presents the trial design and its potential to reshape the long-term management of mHSPC.
🔗 Read the publication: https://lnkd.in/d6NCfYhx
EORTC European Commission Cancer Trials Ireland Europa Uomo - The European Prostate Cancer Coalition SOGUG - Grupo Español de Oncologia Genitourinaria