INTRODUCTION: Rapid progress has recently been made in understanding the biology of advanced prostate cancer.
This has translated into the development of a number of novel agents to treat metastatic castration resistant prostate cancer (mCRPC).
MATERIALS AND METHODS: The relevant literature was retrieved from a search of MEDLINE with appropriate key words.
RESULTS: Therapeutic approaches to mCRPC include chemotherapy, hormonal manipulation, immunotherapy and radioisotope therapy. Docetaxel and cabazitaxel are cytotoxic agents which have demonstrated a modest impact on survival. Hormonal manipulation with abiraterone and enzalutamide have also been reported to be beneficial in mCRPC. The radioisotope radium 223 utilizes a novel approach in treating mCRPC and was recently described in a positive phase III trial. Finally, sipuleucel-T is an immunotherapy that has a demonstrated overall survival benefit in mCRPC.
CONCLUSIONS: A number of phase III trials have been published that describe agents which are beneficial in treating mCRPC. Future research will focus on sequencing these agents in a clinically rational and economically viable manner.
Written by:
Dreicer R. Are you the author?
Cleveland Clinic, Cleveland, Ohio, USA.
Reference: Can J Urol. 2014 Apr;21(2 Supp 1):93-7.
PubMed Abstract
PMID: 24775730
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