A changing landscape in castration resistant prostate cancer treatment

Prostate cancer (PC) is the leading cause of cancer and the second leading cause of cancer-death among men in the Western world. About 10%-20% of men with PC present with metastatic disease at diagnosis, while 20%-30% of patients diagnosed with localized disease will eventually develop metastases. A...

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Main Authors: Alessandra eFelici, Maria Simona Pino, Paolo eCarlini
Format: Article
Language:English
Published: Frontiers Media S.A. 2012-07-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:http://journal.frontiersin.org/Journal/10.3389/fendo.2012.00085/full
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author Alessandra eFelici
Maria Simona Pino
Paolo eCarlini
author_facet Alessandra eFelici
Maria Simona Pino
Paolo eCarlini
author_sort Alessandra eFelici
collection DOAJ
description Prostate cancer (PC) is the leading cause of cancer and the second leading cause of cancer-death among men in the Western world. About 10%-20% of men with PC present with metastatic disease at diagnosis, while 20%-30% of patients diagnosed with localized disease will eventually develop metastases. Although most respond to initial androgen deprivation therapy (ADT), progression to castration resistant PC (CRPC) is universal. In 2004 the docetaxel/prednisone regimen was approved for the management of patients with metastatic CRPC, becoming the standard first-line therapy. Recent advances have now led to an unprecedented number of new drug approvals within the past years, providing many new treatment options for patients with metastatic CRPC. Four new drugs have received U.S. Food and Drug Administration (FDA)-approval in 2010 and 2011: sipuleucel-T, an immunotherapeutic agent; cabazitaxel, a novel microtubule inhibitor; abiraterone acetate, a new androgen biosynthesis inhibitor; and denosumab, a bone-targeting agent. The data supporting the approval of each of these agents are described in this review, as are current approaches in the treatment of metastatic CRPC and ongoing clinical trials of novel treatments and strategies.
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spelling doaj.art-d0bf527874564693bf07a1dd76c261442022-12-22T02:00:05ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922012-07-01310.3389/fendo.2012.0008525300A changing landscape in castration resistant prostate cancer treatmentAlessandra eFelici0Maria Simona Pino1Paolo eCarlini2Department of Medical OncologyMedical Oncology Unit, Department of Oncology, Azienda Sanitaria FirenzeDepartment of Medical OncologyProstate cancer (PC) is the leading cause of cancer and the second leading cause of cancer-death among men in the Western world. About 10%-20% of men with PC present with metastatic disease at diagnosis, while 20%-30% of patients diagnosed with localized disease will eventually develop metastases. Although most respond to initial androgen deprivation therapy (ADT), progression to castration resistant PC (CRPC) is universal. In 2004 the docetaxel/prednisone regimen was approved for the management of patients with metastatic CRPC, becoming the standard first-line therapy. Recent advances have now led to an unprecedented number of new drug approvals within the past years, providing many new treatment options for patients with metastatic CRPC. Four new drugs have received U.S. Food and Drug Administration (FDA)-approval in 2010 and 2011: sipuleucel-T, an immunotherapeutic agent; cabazitaxel, a novel microtubule inhibitor; abiraterone acetate, a new androgen biosynthesis inhibitor; and denosumab, a bone-targeting agent. The data supporting the approval of each of these agents are described in this review, as are current approaches in the treatment of metastatic CRPC and ongoing clinical trials of novel treatments and strategies.http://journal.frontiersin.org/Journal/10.3389/fendo.2012.00085/fullprostate cancerabirateroneCabazitaxelCastration-resistanceDenosumabSipuleucel-T
spellingShingle Alessandra eFelici
Maria Simona Pino
Paolo eCarlini
A changing landscape in castration resistant prostate cancer treatment
Frontiers in Endocrinology
prostate cancer
abiraterone
Cabazitaxel
Castration-resistance
Denosumab
Sipuleucel-T
title A changing landscape in castration resistant prostate cancer treatment
title_full A changing landscape in castration resistant prostate cancer treatment
title_fullStr A changing landscape in castration resistant prostate cancer treatment
title_full_unstemmed A changing landscape in castration resistant prostate cancer treatment
title_short A changing landscape in castration resistant prostate cancer treatment
title_sort changing landscape in castration resistant prostate cancer treatment
topic prostate cancer
abiraterone
Cabazitaxel
Castration-resistance
Denosumab
Sipuleucel-T
url http://journal.frontiersin.org/Journal/10.3389/fendo.2012.00085/full
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