Publication|Articles|October 19, 2026

Pharmacy Practice in Focus: Oncology

  • October 2026
  • Volume 8
  • Issue 7

Capivasertib Plus Abiraterone and Prednisone for PTEN-Deficient mCSPC: Practical Considerations for Oncology Pharmacists

Fact checked by: Ron Panarotti

FDA-approved capivasertib triplet improves rPFS in PTEN-deficient mCSPC; learn dosing, key drug interactions, and managing diarrhea, hyperglycemia, and rash.

Prostate cancer is the most commonly diagnosed cancer in the United States.1 Although patients with localized prostate cancer have an excellent prognosis, those with metastatic disease can have a poor prognosis, especially those with adverse biomarkers such as RB1, TP53, BRCA1/2, and/or PTEN.2 Over the past decade, the standard of care for metastatic castration-sensitive prostate cancer (mCSPC, also called androgen pathway modulation-sensitive/naive prostate cancer) has evolved from androgen deprivation therapy (ADT) alone to treatment intensification with ADT plus an androgen receptor pathway inhibitor (ARPI), with docetaxel added for selected patients as part of triplet therapy.3 Recently, triplet approaches have emerged, namely ADT plus docetaxel and abiraterone (PEACE-1 trial; NCT01957436)/darolutamide (ARASENS trial; NCT02799602) or ADT plus niraparib and abiraterone/prednisone for BRCA2-mutated mCSPC (AMPLITUDE trial; NCT04497844).4-6

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