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clinical / clinicalLATITUDE PI, abiraterone+prednisone mCRPC, European prostate cancer trials

Karim Fizazi

卡里姆·菲扎齐

MD, PhD

🏢Institut Gustave Roussy(古斯塔夫·鲁西研究所)🌐France

Head of Department of Cancer Medicine, Institut Gustave Roussy; Professor of Oncology, University of Paris-Saclay古斯塔夫·鲁西研究所癌症医学部主任;巴黎-萨克雷大学肿瘤学教授

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h-index
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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Karim Fizazi, MD, PhD is Head of the Department of Cancer Medicine at Institut Gustave Roussy in Villejuif, France, and Professor of Oncology at the University of Paris-Saclay, where he leads one of Europe's most prolific genitourinary oncology research programs. Prof. Fizazi is the principal investigator of the landmark LATITUDE trial (NEJM 2017), in which he designed and led the global phase III study that randomized 1,199 men with high-risk metastatic hormone-sensitive prostate cancer to abiraterone plus prednisone versus placebo added to ADT. LATITUDE demonstrated an OS HR of 0.62 (p<0.001) and was simultaneously published with STAMPEDE in the same NEJM issue, together establishing combination intensification as the new mHSPC standard of care worldwide. He also served as a key European investigator in the COU-AA-301 trial establishing abiraterone in post-docetaxel mCRPC, and led the CARD trial (NEJM 2019) demonstrating that cabazitaxel is superior to a second AR-targeted agent (enzalutamide or abiraterone) in mCRPC patients who have progressed after docetaxel and one prior AR-targeted therapy — a finding that transformed sequencing decisions in mCRPC. Prof. Fizazi has additionally made seminal contributions to understanding prostate cancer bone metastasis biology, characterizing the osteoblastic bone-forming lesion as distinct from other cancer bone metastases, and investigating the role of DKK1, endothelin axis, and RANKL in prostate cancer–bone interactions.

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🧪Research Fields 研究领域

LATITUDE Trial — Principal Investigator, Abiraterone in High-Risk mHSPCLATITUDE试验——首席研究员,阿比特龙用于高危mHSPC
COU-AA-301 Trial — Abiraterone plus Prednisone Post-Docetaxel mCRPCCOU-AA-301试验——阿比特龙联合泼尼松用于多西他赛治疗后mCRPC
CARD Trial — Cabazitaxel versus Enzalutamide/Abiraterone After Sequence FailureCARD试验——卡巴他赛与恩扎鲁胺/阿比特龙在序贯治疗失败后的比较
European Prostate Cancer Drug Development — Multicenter Trial Leadership欧洲前列腺癌药物开发——多中心试验领导
Bone Metastasis Biology — Osteoblastic and Osteolytic Mechanisms in Prostate Cancer骨转移生物学——前列腺癌中的成骨和溶骨机制

🎓Key Contributions 主要贡献

LATITUDE Trial — Principal Investigator, Abiraterone plus ADT in High-Risk mHSPC

Designed and led as global principal investigator the phase III LATITUDE trial (NEJM 2017) randomizing 1,199 newly diagnosed high-risk metastatic hormone-sensitive prostate cancer patients to abiraterone acetate (1000 mg) plus prednisone (5 mg) or placebo added to ADT. LATITUDE demonstrated OS HR 0.62 (p<0.001) and rPFS HR 0.47 (p<0.001), with updated 4-year data confirming durable OS benefit. Simultaneously published with STAMPEDE, LATITUDE changed the standard of care for mHSPC globally and led to abiraterone receiving FDA and EMA approvals in the mHSPC setting in 2018.

CARD Trial — Cabazitaxel Superiority Over Second AR-Targeted Agent in mCRPC

Led the phase III CARD trial (NEJM 2019) randomizing 255 mCRPC patients who had received docetaxel and one prior AR-targeted agent (enzalutamide or abiraterone) to cabazitaxel versus the alternative AR-targeted agent. CARD demonstrated cabazitaxel produced superior rPFS (8.0 vs. 3.7 months; HR 0.54; p<0.001) and OS (13.6 vs. 11.0 months; HR 0.64; p=0.008), establishing that cross-resistance between AR-targeted agents renders sequential AR targeting largely ineffective and that chemotherapy is the preferred next line. CARD fundamentally reshaped mCRPC treatment sequencing.

COU-AA-301 — Abiraterone Post-Chemotherapy mCRPC (European Leadership)

Served as a leading European investigator and co-author of the COU-AA-301 phase III trial (NEJM 2011) randomizing 1,195 post-docetaxel mCRPC patients to abiraterone plus prednisone versus placebo, demonstrating OS HR 0.65 (p<0.001), PSA response (29% vs. 6%), and radiographic PFS benefit. Contributed patient accrual from Gustave Roussy and provided key translational correlative analyses of CYP17 pathway biology and response biomarkers.

Prostate Cancer Bone Metastasis Biology

Conducted foundational research on the biology of prostate cancer bone metastases, characterizing the osteoblastic (bone-forming) phenotype that distinguishes prostate cancer from other solid tumor bone metastases. Investigated the roles of endothelin-1, Wnt pathway activation, RANKL/OPG imbalance, and DKK1 suppression in prostate cancer-induced osteoblastogenesis, and translated these findings into early-phase clinical trials of bone-targeted agents including endothelin receptor antagonists and anti-DKK1 antibodies.

Representative Works 代表性著作

[1]

Abiraterone plus Prednisone in Metastatic, Castration-Sensitive Prostate Cancer (LATITUDE)

New England Journal of Medicine (2017)

Landmark LATITUDE phase III trial (Fizazi as PI) establishing abiraterone plus ADT as superior to ADT alone in high-risk mHSPC, simultaneously published with STAMPEDE and transforming mHSPC standard of care.

[2]

Cabazitaxel versus Abiraterone or Enzalutamide in Metastatic Prostate Cancer (CARD)

New England Journal of Medicine (2019)

Phase III CARD trial demonstrating cabazitaxel superiority over second AR-targeted agent in mCRPC after docetaxel and one AR-targeted agent, reshaping mCRPC sequencing and establishing chemotherapy over AR-axis re-targeting.

[3]

Abiraterone acetate for treatment of metastatic castration-resistant prostate cancer (COU-AA-301)

New England Journal of Medicine (2011)

Phase III COU-AA-301 establishing abiraterone plus prednisone as post-docetaxel mCRPC standard of care with significant OS benefit versus placebo.

[4]

Prostate cancer bone metastases biology and clinical implications

Annals of Oncology (2011)

Comprehensive review of the biology of osteoblastic prostate cancer bone metastases and therapeutic targets in the bone microenvironment, synthesizing preclinical and clinical evidence.

🏆Awards & Recognition 奖项与荣誉

🏆ESMO Award for Distinguished Research in Genitourinary Cancers
🏆ASCO Genitourinary Cancers Symposium Keynote Award
🏆French National Cancer Institute (INCa) Research Award
🏆Société Française d'Urologie Award for Prostate Cancer Research
🏆Prostate Cancer Foundation Innovation Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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