Table 1

Patient and disease-related characteristics combined with initial management and subsequent lines of therapy

ItemCase 1Case 2Case 3
Diagnosis and management (first-line therapy)• 64 years• 72 years• 78 years
• August 2010• March 2008• November 2010
• PSA =450 ng/mL• PSA =1,170 ng/mL• PSA =1,400 ng/mL
• Skeletal metastasis• Skeletal metastasis• Skeletal metastasis
• Bicalutamide monotherapy• LHRH analogue therapy• LHRH analogue + bicalutamide (MAB)
• Zoledronic acid infusions• PSA nadir 4.3 in September 2009• PSA nadir 36.5 in November 2011
• PSA nadir in November 2010
• Palliative radiotherapy (spine)
Second-line therapy• November 2011• March 2010• May 2012
• PSA =23 ng/mL• PSA =16.3 ng/mL• PSA =1,400 ng/mL
• LHRH analogue therapy• LHRH analogue + bicalutamide (MAB)• LHRH analogue + DES
Third-line therapy• September 2012• September 2010• October 2013
• PSA =77 ng/mL• PSA =46.5 ng/mL• PSA =868 ng/mL
• LHRH analogue + bicalutamide (MAB)• LHRH analogue + DES• Pelvic nodes + skeletal metastasis
• Zoledronic acid infusion• Zoledronic acid infusion• LHRH analogue + docetaxel
• Prednisolone
• Zoledronic acid infusion
Fourth-line therapy• May 2013• April 2012
• PSA =81 ng/mL• PSA =273 ng/mL
• No visceral metastasis• No visceral metastasis
• LHRH analogue + docetaxel• LHRH analogue + docetaxel
• Prednisolone• Prednisolone
• Zoledronic acid infusion• Zoledronic acid infusion
Fifth-line therapy• June 2013
• PSA =628 ng/mL
• No visceral metastasis
• LHRH analogue + abiraterone
• Prednisolone
• Zoledronic acid infusion

PSA, prostate specific antigen; LHRH, luteinizing hormone-releasing hormone; MAB, maximal androgen blockade; DES, diethylstilboestrol.