Optimizing targeted therapy and developing novel outcome measures for patients with advanced prostate cancer at

Michael J Morris1, Howard I Scher

  • 1Genitourinary Oncology Service, Department of Medicine, Memorial Sloan-Kettering Cancer Center, 1275 York Avenue, Box 444, 10021, New York, NY, USA. morrism@mskcc.org

Insights

Targeted therapy offers potential for advanced prostate cancer, but clinical benefits are still emerging. Research focuses on optimizing biologic treatments by integrating tumor biology, molecular imaging, and gene expression assays for better patient outcomes.

Area of Science:

  • Oncology
  • Pharmacology
  • Biotechnology

Background:

  • Hormonal therapy and chemotherapy are not curative for metastatic prostate cancer.
  • Targeted therapy shows promise for controlling castration- and chemotherapy-resistant cells.
  • A clear clinical benefit from biologic approaches in prostate cancer remains elusive.

Purpose of the Study:

  • To review and outline optimized biologic therapy approaches for prostate cancer.
  • To describe strategies for developing targeted therapies with clear clinical benefits.
  • To highlight innovative research at Memorial Sloan-Kettering Cancer Center.

Main Methods:

  • Designing targeted therapy trials based on a clinical states model incorporating patient risk and tumor biology.
  • Developing multi-pathway drugs and selecting targets expressed across all disease phases.
  • Utilizing new molecular imaging for target assessment and high-throughput preclinical gene expression assays for drug sequencing.

Main Results:

  • Approaches are being studied to optimize biologic therapy for prostate cancer.
  • Integration of clinical and biological data guides trial design.
  • Advanced imaging and gene expression profiling enhance treatment selection.

Conclusions:

  • Optimized biologic therapies, guided by integrated data, hold potential for advanced prostate cancer.
  • Targeted approaches aim to overcome resistance to conventional treatments.
  • Continued research in molecular profiling and imaging is crucial for clinical advancement.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Cancer Survival Analysis01:21

Cancer Survival Analysis

Cancer survival analysis focuses on quantifying and interpreting the time from a key starting point, such as diagnosis or the initiation of treatment, to a specific endpoint, such as remission or death. This analysis provides critical insights into treatment effectiveness and factors that influence patient outcomes, helping to shape clinical decisions and guide prognostic evaluations. A cornerstone of oncology research, survival analysis tackles the challenges of skewed, non-normally...
Kaplan-Meier Approach01:24

Kaplan-Meier Approach

The Kaplan-Meier estimator is a non-parametric method used to estimate the survival function from time-to-event data. In medical research, it is frequently employed to measure the proportion of patients surviving for a certain period after treatment. This estimator is fundamental in analyzing time-to-event data, making it indispensable in clinical trials, epidemiological studies, and reliability engineering. By estimating survival probabilities, researchers can evaluate treatment effectiveness,...