Corticosteroid switch after progression on abiraterone acetate plus prednisone

  • Giandomenico RovielloEmail author
  • Navid Sobhani
  • Silvia Paola Corona
  • Alberto D’Angelo
Review Article



Abiraterone acetate plus prednisone is approved in metastatic castration-resistant prostate cancer. There is some evidence in favour of the steroid switch from prednisone to dexamethasone in patients who progressed whilst on abiraterone acetate plus prednisone or prednisolone.

Materials and Methods

The aim of this review is to discuss the results from the clinical studies available, examining potential mechanisms of action and patient selection criteria for this treatment option.


A total of four studies were evaluated. Among possible eligibility criteria for steroid switch, we found: PSA progression without any radiological or clinical progression during abiraterone acetate + prednisone; no high-grade adverse events related to CYP-17 inhibition; and unfitness for chemotherapy or radium-223.


Although large randomized prospective trials are warranted, steroid switch seems to offer a good option for certain patients treated with abiraterone acetate plus prednisone or prednisolone.


Dexamethasone Prednisone Abiraterone Switch 



No Funding.

Compliance with ethical standards

Conflict of interest

The authors declare that there is no conflict of interest that could be perceived as prejudicing the impartiality of this review.


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Copyright information

© Japan Society of Clinical Oncology 2019

Authors and Affiliations

  • Giandomenico Roviello
    • 1
    Email author
  • Navid Sobhani
    • 2
    • 3
  • Silvia Paola Corona
    • 2
  • Alberto D’Angelo
    • 4
  1. 1.Department of Health SciencesUniversity of FlorenceFlorenceItaly
  2. 2.Department of Medical, Surgical and Health SciencesUniversity of Trieste, Cattinara HospitalTriesteItaly
  3. 3.Breast Cancer UnitASST CremonaCremonaItaly
  4. 4.Department of Biology and BiochemistryUniversity of BathBathUK

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