Related Experiment Video
Updated: Sep 23, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
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
Abstract:
Hormonal therapy and chemotherapy, though active treatments for prostate cancer, are not curative for patients with metastatic disease. Targeted therapy has the potential to control, if not eradicate, cells resistant to castration and chemotherapy. Despite several years of development, however, a biologic approach with clear clinical benefits has yet to emerge from a crowded field. This review outlines the approaches being studied at Memorial Sloan-Kettering Cancer Center to optimize biologic therapy. Trials of targeted therapy are designed on the basis of a clinical states model that describes both patient clinical risks and tumor biology. Drugs that act on multiple pathways are being developed, and targets that are expressed across all phases of the disease are selected. New molecular imaging techniques permit assessments of the target before, during, and after treatment. High-throughput preclinical assays of gene expression are being developed to enhance selection of drug sequences and combinations for clinical testing.
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 Therapies
There are several types of targeted therapies against specific...
Targeted Cancer Therapies
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine
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 Analysis
Kaplan-Meier Approach
