DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER

Prostate cancer (PCa) is a hormonsensitive tumor. Due to the discovery of the androgen receptor (AR) it became possible to implement the antiandrogens as drugs blocking testosterone Binding to the AR into routine clinical practice. There have been discovered several generations of the antiandrogens...

Full description

Bibliographic Details
Main Authors: S. V. MISHUGIN, A. A. GRITSKEVICH, I. G. RUSAKOV
Format: Article
Language:Russian
Published: Remedium Group LLC 2016-12-01
Series:Медицинский совет
Subjects:
Online Access:https://www.med-sovet.pro/jour/article/view/1402
_version_ 1797841390043922432
author S. V. MISHUGIN
A. A. GRITSKEVICH
I. G. RUSAKOV
author_facet S. V. MISHUGIN
A. A. GRITSKEVICH
I. G. RUSAKOV
author_sort S. V. MISHUGIN
collection DOAJ
description Prostate cancer (PCa) is a hormonsensitive tumor. Due to the discovery of the androgen receptor (AR) it became possible to implement the antiandrogens as drugs blocking testosterone Binding to the AR into routine clinical practice. There have been discovered several generations of the antiandrogens over the years and the possibility of using these drugs in clinical practice has significantly changed. First generations of the antiandrogens (cyproterone, flutamid, bicalutamid) are used mainly for the treatment of advanced hormonsensitive PCa in combination with castration therapy. However these drugs do not increase survival in patients with PCa and are not indicated in terms of castration resistant PCa. Discovery of the enzalutamide (antiandrogen of 2’d generation), acting on the nuclear level of the tumor cell, allowed to increase significantly survival in patients with metastatic castration-resistant prostate cancer (mCRPC) and improve treatment results in patients with mCRPC. At the moment enzalutamide is being studied in combination with castration therapy in patients with hormonsensitive PCa.
first_indexed 2024-04-09T16:31:11Z
format Article
id doaj.art-ccc336ae36df4d01be13a8184eb76018
institution Directory Open Access Journal
issn 2079-701X
2658-5790
language Russian
last_indexed 2024-04-09T16:31:11Z
publishDate 2016-12-01
publisher Remedium Group LLC
record_format Article
series Медицинский совет
spelling doaj.art-ccc336ae36df4d01be13a8184eb760182023-04-23T06:57:07ZrusRemedium Group LLCМедицинский совет2079-701X2658-57902016-12-01010343710.21518/2079-701X-2016-10-34-371399DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCERS. V. MISHUGIN0A. A. GRITSKEVICH1I. G. RUSAKOV2City Clinical Hospital №57Vishnevsky Institute of SurgeryМНИОИ им. П.А. ГерценаProstate cancer (PCa) is a hormonsensitive tumor. Due to the discovery of the androgen receptor (AR) it became possible to implement the antiandrogens as drugs blocking testosterone Binding to the AR into routine clinical practice. There have been discovered several generations of the antiandrogens over the years and the possibility of using these drugs in clinical practice has significantly changed. First generations of the antiandrogens (cyproterone, flutamid, bicalutamid) are used mainly for the treatment of advanced hormonsensitive PCa in combination with castration therapy. However these drugs do not increase survival in patients with PCa and are not indicated in terms of castration resistant PCa. Discovery of the enzalutamide (antiandrogen of 2’d generation), acting on the nuclear level of the tumor cell, allowed to increase significantly survival in patients with metastatic castration-resistant prostate cancer (mCRPC) and improve treatment results in patients with mCRPC. At the moment enzalutamide is being studied in combination with castration therapy in patients with hormonsensitive PCa.https://www.med-sovet.pro/jour/article/view/1402metastatic castration-resistant prostate cancerandrogen receptorantiandrogenscyproteronflutamidbicalutamidnilutamidenzalutamid
spellingShingle S. V. MISHUGIN
A. A. GRITSKEVICH
I. G. RUSAKOV
DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER
Медицинский совет
metastatic castration-resistant prostate cancer
androgen receptor
antiandrogens
cyproteron
flutamid
bicalutamid
nilutamid
enzalutamid
title DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER
title_full DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER
title_fullStr DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER
title_full_unstemmed DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER
title_short DEVELOPMENT AND CLINICAL EFFECTIVENESS OF ANTIANDROGENS IN THE TREATMENT OF ADVANCED PROSTATE CANCER
title_sort development and clinical effectiveness of antiandrogens in the treatment of advanced prostate cancer
topic metastatic castration-resistant prostate cancer
androgen receptor
antiandrogens
cyproteron
flutamid
bicalutamid
nilutamid
enzalutamid
url https://www.med-sovet.pro/jour/article/view/1402
work_keys_str_mv AT svmishugin developmentandclinicaleffectivenessofantiandrogensinthetreatmentofadvancedprostatecancer
AT aagritskevich developmentandclinicaleffectivenessofantiandrogensinthetreatmentofadvancedprostatecancer
AT igrusakov developmentandclinicaleffectivenessofantiandrogensinthetreatmentofadvancedprostatecancer