Title |
Management of Metastatic Castration-Resistant Prostate Cancer
|
---|---|
Published in |
Drugs, December 2012
|
DOI | 10.2165/11633360-000000000-00000 |
Pubmed ID | |
Authors |
Deborah Mukherji, Andrew Eichholz, Johann S. De Bono |
Abstract |
Metastatic prostate cancer remains a considerable therapeutic challenge; however, advances in clinical research have resulted in five new treatments in the last 2 years. The immunotherapy sipuleucel-T, the cytotoxic cabazitaxel, the androgen biosynthesis inhibitor abiraterone acetate, the radioisotope alpharadin and the anti-androgen MDV3100 have all been shown to improve overall survival in randomized phase III studies for patients with metastatic castration-resistant prostate cancer. The therapeutic strategies of targeting androgen-receptor signalling and other key intracellular pathways involved in tumour progression and treatment resistance are yielding promising results. Agents such as the dual vascular endothelial growth factor receptor/MET inhibitor cabozantinib, the clusterin inhibitor custirsen and the Src inhibitor dasatinib have shown encouraging results in phase II studies. Novel immunotherapeutics such as prostate-specific membrane antigen-directed therapy and the anti-cytotoxic T lymphocyte-associated receptor 4 (CTLA4) antibody ipilimumab are also under investigation. Optimal methods of treatment selection, combination and sequencing have yet to be determined. |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
United Kingdom | 1 | 2% |
Korea, Republic of | 1 | 2% |
Canada | 1 | 2% |
Unknown | 62 | 95% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Student > Ph. D. Student | 11 | 17% |
Researcher | 10 | 15% |
Student > Postgraduate | 7 | 11% |
Student > Bachelor | 6 | 9% |
Other | 5 | 8% |
Other | 15 | 23% |
Unknown | 11 | 17% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 22 | 34% |
Pharmacology, Toxicology and Pharmaceutical Science | 7 | 11% |
Agricultural and Biological Sciences | 7 | 11% |
Biochemistry, Genetics and Molecular Biology | 3 | 5% |
Nursing and Health Professions | 3 | 5% |
Other | 8 | 12% |
Unknown | 15 | 23% |