{"id":887,"date":"2023-11-03T00:19:52","date_gmt":"2023-11-03T00:19:52","guid":{"rendered":"https:\/\/accord-prostata.se\/hcp\/?page_id=887"},"modified":"2025-02-20T09:06:47","modified_gmt":"2025-02-20T09:06:47","slug":"esmo-behandlingsriktlinjer","status":"publish","type":"page","link":"https:\/\/accord-prostata.se\/hcp\/esmo-behandlingsriktlinjer\/","title":{"rendered":"ESMO guidelines"},"content":{"rendered":"\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-middle  has-none-background-color\"><div class=\"block-container--background-image\" style=\"background-image:url(https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Background.png);opacity:1\"><\/div>\n<div class=\"wp-block-columns has-2-columns\">\n<div class=\"wp-block-column\">\n<h2 class=\"wp-block-heading has-white-color has-text-color\" id=\"esmo-behandlingsriktlinjer\"><strong>ESMO behandlingsriktlinjer<\/strong><\/h2>\n<\/div>\n\n\n\n<div class=\"wp-block-column\">\n\n<div class=\"responsive-image--container\">\n  <img decoding=\"async\" src=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-gloves.png\" \n       class=\"responsive-image\" \n       alt=\"\" \n       loading=\"lazy\"       srcset=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-gloves-480x259.png 480w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-gloves-960x518.png 782w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-gloves-960x518.png 1366w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-gloves.png 2048w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-gloves.png 2500w\"\n       sizes=\"(max-width: 2500px) 100vw, 2500px\">\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  block-container--spacer-top block-container--spacer-bottom has-none-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column full-size\">\n\n<div class=\"responsive-image--container\">\n  <img decoding=\"async\" src=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Thumbnail3.png\" \n       class=\"responsive-image\" \n       alt=\"\" \n       loading=\"lazy\"       srcset=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Thumbnail3-480x197.png 480w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Thumbnail3-960x394.png 782w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Thumbnail3-960x394.png 1366w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Thumbnail3-2048x841.png 2048w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/Thumbnail3.png 2500w\"\n       sizes=\"(max-width: 2500px) 100vw, 2500px\">\n<\/div><\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<h3 class=\"wp-block-heading\" id=\"esmo-eupdate-rekommendationer-for-behandling-av-prostatacancer\"><strong>ESMO eUpdate Rekommendationer f\u00f6r behandling av prostatacancer<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">European Society for Medical Oncology (ESMO) har publicerat kliniska riktlinjer f\u00f6r prostatacancer. Dessa riktlinjer inkluderar rekommendationer f\u00f6r screening, diagnos och behandlingsstrategier baserat p\u00e5 stadieindelning.<sup>1<\/sup><\/p>\n\n\n\n<div class=\"button-container button-container--left-align\">\n              <a class=\"custom-button custom-button--text\" href=\"https:\/\/www.esmo.org\/guidelines\/guidelines-by-topic\/esmo-clinical-practice-guidelines-genitourinary-cancers\/clinical-practice-guidelines-prostate-cancer\/eupdate-prostate-cancer-treatment-recommendations\" target=\"_self\">\n                        <span class=\"icon-before icon-height\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 21.6895 19.1543\"><path d=\"m17.1738,19.1543H3c-1.6543,0-3-1.3457-3-3V5.1548c0-1.6543,1.3457-3,3-3h9.2256c.5527,0,1,.4478,1,1s-.4473,1-1,1H3c-.5513,0-1,.4487-1,1v10.9995c0,.5518.4487,1,1,1h14.1738c.5518,0,1-.4482,1-1v-5.4995c0-.5522.4473-1,1-1s1,.4478,1,1v5.4995c0,1.6543-1.3457,3-3,3Zm4.5156-12.4634V1c0-.5522-.4473-1-1-1h-4.6201c-.5527,0-1,.4478-1,1s.4473,1,1,1h3.6201v4.6909c0,.5522.4473,1,1,1s1-.4478,1-1Zm-11.4888,6.0229L21.3252,1.7939c.3945-.3872.4004-1.02.0137-1.4146-.3887-.395-1.0215-.4004-1.4141-.0132l-11.1255,10.9199c-.394.3867-.3999,1.0205-.0132,1.4141.1958.2002.4551.2998.7139.2998.2529,0,.5059-.0957.7007-.2861Z\"\/><\/svg><\/span>                                                <span>L\u00e4s mer<\/span>\n                                  <\/a>\n          <\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-indigo-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<h3 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" id=\"orgovyx-relugolix-har-fatt-en-esmo-mcbs-poang-pa-4-av-5-som-en-icke-botande-behandling2\">ORGOVYX<sup>\u00ae<\/sup> (relugolix) har f\u00e5tt en ESMO-MCBS-po\u00e4ng p\u00e5 4 av 5 som en icke-botande behandling<sup>2<\/sup><\/h3>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  block-container--spacer-top block-container--spacer-bottom has-none-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<h2 class=\"wp-block-heading\" id=\"esmo-mcbs-poangkort\"><strong>ESMO-MCBS Po\u00e4ngkort<\/strong><\/h2>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-2-columns\">\n<div class=\"wp-block-column pyramide-image full\">\n\n<div class=\"responsive-image--container\">\n  <img decoding=\"async\" src=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2024\/10\/ESMO-MCBS-scorecard@2x.png\" \n       class=\"responsive-image\" \n       alt=\"\" \n       loading=\"lazy\"       srcset=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2024\/10\/ESMO-MCBS-scorecard@2x-480x325.png 480w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2024\/10\/ESMO-MCBS-scorecard@2x-960x649.png 782w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2024\/10\/ESMO-MCBS-scorecard@2x-960x649.png 1366w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2024\/10\/ESMO-MCBS-scorecard@2x.png 2048w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2024\/10\/ESMO-MCBS-scorecard@2x.png 2500w\"\n       sizes=\"(max-width: 2500px) 100vw, 2500px\">\n<\/div>\n\n\n<p class=\"has-small-print-font-size wp-block-paragraph\">Anpassat fr\u00e5n ESMO-MCBS utv\u00e4rdering<sup>7<\/sup><\/p>\n\n\n\n<p class=\"has-small-print-font-size wp-block-paragraph\">*Finns f\u00f6r cancerl\u00e4kemedel som \u00e4r godk\u00e4nda av Europeiska l\u00e4kemedelsmyndigheten (sedan januari 2016) och amerikanska Food and Drug Administration (sedan januari 2020).<sup>3<\/sup><br><sup>\u2020<\/sup>Niv\u00e5erna av kastrattestosteron definierades som &lt;50 ng\/dL.<sup>5<\/sup> <br><sup>\u00a7<\/sup>\u00d6verl\u00e4gsenhetsanalyserna var inte specificerade i f\u00f6rv\u00e4g. Analys utf\u00f6rd post hoc.<sup>5<\/sup> <br><sup>\u00b6<\/sup>Ytterligare analyser av kardiovaskul\u00e4r s\u00e4kerhet utf\u00f6rdes post hoc.<sup>6<\/sup><\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column\">\n<p class=\"wp-block-paragraph\">European Society for Medical Oncology-Magnitude of Clinical Benefit Scale (ESMO-MCBS) \u00e4r ett v\u00e4rdefullt verktyg som bed\u00f6mer och m\u00f6jligg\u00f6r rankning av kliniskt meningsfulla f\u00f6rdelar som h\u00e4rr\u00f6r fr\u00e5n anticancerbehandlingar.*<sup>3<\/sup><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ORGOVYX<sup>\u00ae<\/sup> erh\u00f6ll en ESMO-MCBS-po\u00e4ng p\u00e5 4 av 5 efter en granskning av HERO-studien d\u00e4r effekt och s\u00e4kerhet av ORGOVYX<sup>\u00ae<\/sup> utv\u00e4rderades j\u00e4mf\u00f6rt med leuprolid hos m\u00e4n med avancerad prostatacancer:<sup>2,4,5<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ORGOVYX<sup>\u00ae<\/sup> uppvisade ih\u00e5llande testosteronsuppression under kastreringsniv\u00e5erna<sup>\u2020<\/sup> fr\u00e5n dag 29 till och med 48 veckor hos 96,7 % av patienterna (95 % KI, 94,9\u201397,9) j\u00e4mf\u00f6rt med 88,8 % av patienterna som fick leuprorelin (95 % KI, 84,6\u201391,8), och uppfyllde d\u00e4rmed studiens prim\u00e4ra effektm\u00e5tt (nedre gr\u00e4nsen f\u00f6r 95 % KI i ORGOVYX<sup>\u00ae<\/sup>\u2011gruppen \u226590 %)<sup>2,4,5<\/sup><\/li>\n\n\n\n<li>ORGOVYX<sup>\u00ae<\/sup> visade icke-underl\u00e4gsenhet j\u00e4mf\u00f6rt med leuprorelin i ih\u00e5llande testosteronsuppressionsfrekvens fr\u00e5n dag 29 till och med 48 veckor (viktigt sekund\u00e4rt effektm\u00e5tt). Skillnaden mellan grupperna p\u00e5 7,9 % (95 % KI, 4,1\u201311,8) visade icke-underl\u00e4gsenhet f\u00f6r ORGOVYX<sup>\u00ae<\/sup> j\u00e4mf\u00f6rt med leuprorelin (den nedre gr\u00e4nsen f\u00f6r 95 % KI f\u00f6r skillnaden mellan grupperna var st\u00f6rre \u00e4n den f\u00f6rspecificerade icke-underl\u00e4gsenhetsmarginalen p\u00e5 \u221210 %). p&lt;0,001 f\u00f6r \u00f6verl\u00e4gsenhet; inte i f\u00f6rv\u00e4g specificerat<sup>2,4,5\u00a7<\/sup><\/li>\n<\/ul>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<ul class=\"wp-block-list\">\n<li>En l\u00e4gre incidens av allvarliga kardiovaskul\u00e4ra h\u00e4ndelser observerades hos patienter som behandlades med ORGOVYX<sup>\u00ae<\/sup> (2,9 %; 95 % KI, 1,7\u20134,5) j\u00e4mf\u00f6rt med leuprorelin (6,2 %; 95 % KI, 3,8\u20139,5) (HR, 0,46; 95 % KI, 0,24\u20130,88)<sup>2,5\u00b6<\/sup><\/li>\n\n\n\n<li>V\u00e4rmevallningar var den vanligaste biverkningen i b\u00e5da grupperna (54,3 % i ORGOVYX-gruppen<sup>\u00ae<\/sup> och 51,6 % i leuprorelin-gruppen)<sup>5<\/sup><\/li>\n<\/ul>\n\n\n\n<div class=\"button-container button-container--left-align\">\n              <a class=\"custom-button custom-button--text\" href=\"https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-for-solid-tumours\/esmo-mcbs-scorecards\/scorecard-321-1\" target=\"_self\">\n                        <span class=\"icon-before icon-height\"><svg xmlns=\"http:\/\/www.w3.org\/2000\/svg\" viewBox=\"0 0 21.6895 19.1543\"><path d=\"m17.1738,19.1543H3c-1.6543,0-3-1.3457-3-3V5.1548c0-1.6543,1.3457-3,3-3h9.2256c.5527,0,1,.4478,1,1s-.4473,1-1,1H3c-.5513,0-1,.4487-1,1v10.9995c0,.5518.4487,1,1,1h14.1738c.5518,0,1-.4482,1-1v-5.4995c0-.5522.4473-1,1-1s1,.4478,1,1v5.4995c0,1.6543-1.3457,3-3,3Zm4.5156-12.4634V1c0-.5522-.4473-1-1-1h-4.6201c-.5527,0-1,.4478-1,1s.4473,1,1,1h3.6201v4.6909c0,.5522.4473,1,1,1s1-.4478,1-1Zm-11.4888,6.0229L21.3252,1.7939c.3945-.3872.4004-1.02.0137-1.4146-.3887-.395-1.0215-.4004-1.4141-.0132l-11.1255,10.9199c-.394.3867-.3999,1.0205-.0132,1.4141.1958.2002.4551.2998.7139.2998.2529,0,.5059-.0957.7007-.2861Z\"\/><\/svg><\/span>                                                <span>L\u00e4s mer<\/span>\n                                  <\/a>\n              <\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-indigo-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<h3 class=\"wp-block-heading has-text-align-center has-white-color has-text-color\" id=\"orgovyx-ar-ett-nytt-systemiskt-lakemedel-som-bor-overvagas-for-patienter-med-metastaserad-hormonkanslig-prostatacancer8\">ORGOVYX<sup>\u00ae<\/sup> \u00e4r ett nytt systemiskt l\u00e4kemedel som b\u00f6r \u00f6verv\u00e4gas f\u00f6r patienter med metastaserad hormonk\u00e4nslig prostatacancer<sup>8<\/sup><\/h3>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-none-background-color\">\n<div class=\"wp-block-columns has-2-columns yellow-right-border\">\n<div class=\"wp-block-column\" style=\"flex-basis:80%\">\n<h2 class=\"wp-block-heading\" id=\"esmo-rekommendationer\"><strong>ESMO rekommendationer<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">ESMO-MCBS Scorecards f\u00f6r behandlingar och indikationer inom prostatacancer har uppdaterats i 3 sjukdomsstadier:<sup>8<\/sup><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Metastaserande hormonk\u00e4nslig prostatacancer (mHSPC)<\/li>\n\n\n\n<li>Icke-metastaserad kastrationsresistent prostatacancer (nmCRPC)<\/li>\n\n\n\n<li>Metastaserad kastrationsresistent prostatacancer (mCRPC)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">ORGOVYX<sup>\u00ae<\/sup> (relugolix) \u00e4r ett alternativ vid behandling av mHSPC, med dess exakta indikation<sup>\u2021<\/sup>, bevisniv\u00e5, resultatdata och po\u00e4ng.<sup>8<\/sup><\/p>\n\n\n\n<p class=\"has-small-print-font-size wp-block-paragraph\"><sup>\u2021<\/sup>ORGOVYX<sup>\u00ae<\/sup> \u00e4r indicerat f\u00f6r behandling av vuxna patienter med avancerad hormonk\u00e4nslig prostatacancer.<sup>4<\/sup><\/p>\n\n\n\n<figure class=\"wp-block-table is-style-regular border-none\"><table class=\"has-indigo-color has-text-color\"><tbody><tr><td><strong>Terap<\/strong>i<\/td><td>Relugolix<\/td><\/tr><tr><td><strong>Sjukdom<\/strong><\/td><td><strong>Vuxna patienter med avancerad HSPC<\/strong><\/td><\/tr><tr><td><strong>Studie<\/strong><\/td><td>HERO. Fas III. NCT03085095<\/td><\/tr><tr><td><strong>kontroll<\/strong><\/td><td>Leuprorelin<\/td><\/tr><tr><td><strong>Absolut \u00f6verlevnadsvinst <\/strong><\/td><td>Icke-underl\u00e4gsenhet och \u00f6verl\u00e4gsen kastreringshastighet. Skillnad mellan grupper: 7,9 procentenheter (95 % KI, 4,1\u201311,8)<\/td><\/tr><tr><td><strong>Qol\/toxicitet<\/strong><\/td><td>QoL data v\u00e4ntar. Signifikant l\u00e4gre risk f\u00f6r allvarliga kardiovaskul\u00e4ra h\u00e4ndelser (HR, 0,46; 95 % KI, 0,24\u20130,88)<\/td><\/tr><tr><td><strong>ESMO-MCBS po\u00e4ng<\/strong><\/td><td><strong>4 (Form 2c)<\/strong><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-small-print-font-size wp-block-paragraph\">Tabellen \u00e4r anpassad fr\u00e5n ESMO-MCBS Scorecards.<sup>2,8<\/sup><br>Tabellen omfattar inte mellan eller h\u00f6g risk f\u00f6r stadierna lokal eller lokalt avancerad.<\/p>\n<\/div>\n\n\n\n<div class=\"wp-block-column kravata\">\n\n<div class=\"responsive-image--container\">\n  <img decoding=\"async\" src=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-1.png\" \n       class=\"responsive-image\" \n       alt=\"\" \n       loading=\"lazy\"       srcset=\"https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-1.png 480w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-1.png 782w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-1.png 1366w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-1.png 2048w, \n               https:\/\/accord-prostata.se\/hcp\/wp-content\/uploads\/sites\/2\/2023\/11\/image-1.png 2500w\"\n       sizes=\"(max-width: 2500px) 100vw, 2500px\">\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  block-container--spacer-bottom has-pine-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<h3 class=\"wp-block-heading has-text-align-left has-white-color has-text-color\" id=\"las-mer-om-effektiviteten-och-sakerheten-hos-orgovyx\">L\u00e4s mer om effektiviteten och s\u00e4kerheten hos ORGOVYX<sup>\u00ae<\/sup><\/h3>\n\n\n\n<div class=\"button-container button-container--left-align\">\n              <a class=\"custom-button custom-button--primary\" href=\"https:\/\/accord-prostata.se\/hcp\/kliniska-data\/\" target=\"_self\">\n                                                                        <span>L\u00e4r dig mer<\/span>\n                                  <\/a>\n          <\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  block-container--spacer-top has-ocean-background-color\">\n<div class=\"wp-block-columns has-2-columns\">\n<div class=\"wp-block-column references\">\n<h5 class=\"wp-block-heading has-white-color has-text-color\" id=\"referenser\"><strong>Referenser<\/strong><\/h5>\n\n\n\n<ol class=\"wp-block-list has-white-color has-text-color\">\n<li>Europeiska s\u00e4llskapet f\u00f6r medicinsk onkologi. Riktlinjer f\u00f6r klinisk praxis \u2013 Prostatacancer. Tillg\u00e4nglig p\u00e5: <a href=\"http:\/\/www.esmo.org\/guidelines\/guidelines-by-topic\/genitourinary-cancers\/prostate-cancer\">http:\/\/www.esmo.org\/guidelines\/guidelines-by-topic\/genitourinary-cancers\/prostate-cancer<\/a> (\u00c5tkomst november 2024).<\/li>\n\n\n\n<li>Europeiska s\u00e4llskapet f\u00f6r medicinsk onkologi. Relugolix. Tillg\u00e4nglig p\u00e5: <a href=\"https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-for-solid-tumours\/esmo-mcbs-scorecards\/scorecard-321-1\">https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-for-solid-tumours\/esmo-mcbs-scorecards\/scorecard-321-1<\/a> <br>(\u00c5tkomst november 2024).<\/li>\n\n\n\n<li>Europeiska s\u00e4llskapet f\u00f6r medicinsk onkologi. Om ESMO-MCBS. Tillg\u00e4nglig p\u00e5: <a href=\"https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/about-the-esmo-mcbs\">https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/about-the-esmo-mcbs<\/a> (\u00c5tkomst november 2023).<\/li>\n\n\n\n<li>ORGOVYX<sup>\u00ae<\/sup> Produktresum\u00e9.<\/li>\n\n\n\n<li>Shore ND, <em>et al. N Engl J Med<\/em>. 2020;382(4):2187\u20132196.<\/li>\n\n\n\n<li>Europeiska l\u00e4kemedelsmyndigheten. 2022. Utv\u00e4rderingsrapport. Orgovyx. Tillg\u00e4nglig p\u00e5: <a href=\"https:\/\/www.ema.europa.eu\/en\/documents\/assessment-report\/orgovyx-epar-public-assessment-report_en.pdf\">https:\/\/www.ema.europa.eu\/en\/documents\/assessment-report\/orgovyx-epar-public-assessment-report_en.pdf<\/a> <br>(\u00c5tkomst november 2024).<\/li>\n\n\n\n<li>European Society for Medical Oncology. ESMO-MCBS Evaluation Forms. Tillg\u00e4nglig p\u00e5: <a href=\"https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-for-solid-tumours\/esmo-mcbs-evaluation-forms\">https:\/\/www.esmo.org\/guidelines\/esmo-mcbs\/esmo-mcbs-for-solid-tumours\/esmo-mcbs-evaluation-forms<\/a> <br>(\u00c5tkomst november 2024).<\/li>\n\n\n\n<li>Fizazi K, <em>et al. Ann Oncol.<\/em> 2023;34(6):557\u2013563.<\/li>\n<\/ol>\n<\/div>\n\n\n\n<div class=\"wp-block-column\">\n<h5 class=\"wp-block-heading has-white-color has-ocean-background-color has-text-color has-background\" id=\"akronymer\"><strong>Akronymer<\/strong><\/h5>\n\n\n\n<p class=\"has-white-color has-text-color wp-block-paragraph\"><strong>KI<\/strong>, Konfidensintervall.<br><strong>CV<\/strong>, kardiovaskul\u00e4r.<br><strong>ESMO<\/strong>, European Society for Medical Oncology.&nbsp;<br><strong>HR<\/strong>, Hazardkvot.<br><strong>MCBS<\/strong>, Magnitude of Clinical Benefit Scale.&nbsp;<br><strong>mCRPC<\/strong>, metastaserad kastrationsresistant prostatacancer.&nbsp;<br><strong>mHSPC<\/strong>, metastaserad hormonk\u00e4nslig prostatacancer.&nbsp;<br><strong>nmCRPC<\/strong>, icke-metastaserad kastrationsresistent prostatacancer.&nbsp;<br><strong>QoL<\/strong>, livskvalitet.<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-ocean-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<div class=\"adverse-event-reporting--container\">\n  <div class=\"adverse-event-reporting--container---box\">\n    <p><span style=\"color:black\">\u25bc<\/span> Detta l\u00e4kemedel \u00e4r f\u00f6rem\u00e5l f\u00f6r ut\u00f6kad \u00f6vervakning. F\u00f6r fullst\u00e4ndig SPC Orgovyx klicka <a href=\"https:\/\/www.fass.se\/LIF\/product?userType=0&amp;nplId=20210308000013&amp;docType=6\">h\u00e4r<\/a>.<\/p>\n  <\/div>\n<\/div><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-ocean-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\">\n<p class=\"has-text-align-right has-white-color has-text-color has-small-print-font-size wp-block-paragraph\">SE-Onc-Org-01427 | Senast uppdaterad november 2024<\/p>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-none-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\"><\/div>\n<\/div>\n<\/div>\n\n\n\n<div class=\"wp-block-custom-blocks-container block-container block-container--full-width block-container--align-top  has-none-background-color\">\n<div class=\"wp-block-columns has-1-columns\">\n<div class=\"wp-block-column\"><\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-887","page","type-page","status-publish","hentry"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>ESMO behandlingsriktlinjer | ORGOVYX\u00ae | F\u00f6r h\u00e4lso- och sjukv\u00e5rdspersonal<\/title>\n<meta name=\"description\" content=\"Denna webbsida \u00e4r endast avsedd f\u00f6r h\u00e4lso- och sjukv\u00e5rdspersonal bosatt i Sverige.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta 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