Misadjustment of post-trial life-prolonging therapies in the second interim analysis of the MAGNITUDE trial

Dear Editor, Chi et al.1 have updated the second interim analysis of the MAGNITUDE trial assessing niraparib plus abiraterone acetate with prednisone (AAP) for patients with metastatic castration-resistant prostate cancer (mCRPC). Although niraparib plus AAP as the first-line treatment significantly prolonged radiographic progression-free survival, it showed no benefit on overall survival (OS) of patients with homologous recombination repair gene mutations (HRRm) [hazard ratio (HR): 1.01; 95% confidence interval (CI): 0.75-1.36] and BRCA mutations (BRCAm) (HR: 0.88; 95% CI: 0.58-1.34).

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