Efficacy and Safety of Neoadjuvant Therapies for High-Risk and Locally Advanced Prostate Cancer in Older Adults: A Systematic Review and Network Meta-Analysis - Summary - MDSpire

Efficacy and Safety of Neoadjuvant Therapies for High-Risk and Locally Advanced Prostate Cancer in Older Adults: A Systematic Review and Network Meta-Analysis

  • By

  • Yuan, Wenling

  • Wang, Yu

  • Liu, Qi

  • Tian, Fangyuan

  • Guo, Mengran

  • May 8, 2026

  • 0 min

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Objective:

To compare the efficacy and safety profiles of various neoadjuvant treatments in improving pathological outcomes in older adults with high-risk or locally advanced prostate cancer.

Key Findings:
  • Novel neoadjuvant hormonal therapy (NNHT) ranked highest for improving key pathological outcomes.
  • NNHT achieved the highest pathological response rates but was associated with the most frequent and severe adverse events.
Interpretation:

NNHT is the most effective neoadjuvant approach for optimizing pathological endpoints, despite a significant toxicity burden.

Limitations:
  • The analysis is limited to studies published until April 2025, which may not include the latest research.
  • Potential biases in the included studies may affect the reliability of the findings.
Conclusion:

NNHT should be prioritized in future trials aimed at evaluating long-term survival and comprehensive safety outcomes in elderly patients with high-risk prostate cancer.

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