New drugs in prostate cancer
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Updated: Aug 8, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Andrew J Armstrong1, Michael A Carducci
1Prostate Cancer Research Program, Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins School of Medicine, 1650 Orleans Street, Baltimore, MD 21231, USA.
Purpose Of Review:
The survival of hormone-refractory metastatic prostate cancer patients has improved with the use of docetaxel-based chemotherapy. The survival benefits, however, are modest suggesting that rationally designed therapeutic approaches are needed. We discuss recent developments in the therapeutic approach to advanced metastatic hormone-refractory prostate cancer, including molecularly targeted therapy, signal transduction inhibitors, stem-cell targeted therapy, anti-angiogenic compounds, vaccines and immunomodulating agents, differentiation agents, cytotoxics, and pro-apoptotic agents.
Recent Findings:
Over 200 compounds have entered clinical development for use in advanced prostate cancer, alone or in combination with cytotoxic agents such as docetaxel, or in other combinations. This article will review the results of emerging targets since the approval of docetaxel in 2004, concentrating on some of those compounds that, in our opinion, have the greatest potential and rationale for use.
Summary:
The growing field of targeted molecular therapy of prostate cancer has opened up numerous opportunities for therapeutic impact. Knowledge of the molecular determinants of progression, relapse after local therapy, chemotherapeutic resistance, and hormone refractoriness remains essential in the rational design of clinical trials of these agents. Given the complexity, heterogeneity, and crosstalk of molecular pathways and the molecular lesions in prostate cancer, combination or sequential therapy may be a necessary step towards significant therapeutic progress. Novel translational clinical trial methodologies may assist in a more rapid identification of active compounds at biologically active doses for phase-III testing.
Insights
New therapeutic strategies are needed for hormone-refractory metastatic prostate cancer. This review covers emerging molecularly targeted therapies and combination approaches to improve patient survival beyond docetaxel chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Hormone-refractory metastatic prostate cancer (HRMPC) survival has improved with docetaxel chemotherapy.
- However, modest survival benefits necessitate rationally designed therapeutic strategies.
- Advanced HRMPC treatment requires novel approaches beyond current standards of care.
Purpose of the Study:
- To review recent developments in the therapeutic approach to advanced metastatic hormone-refractory prostate cancer.
- To discuss emerging molecularly targeted therapies, signal transduction inhibitors, stem-cell targeted therapy, anti-angiogenic compounds, vaccines, immunomodulating agents, differentiation agents, cytotoxics, and pro-apoptotic agents.
- To focus on compounds with the greatest potential and rationale for use since docetaxel's 2004 approval.
Main Methods:
- Review of clinical development of over 200 compounds for advanced prostate cancer.
- Concentration on emerging targets and compounds with significant therapeutic potential.
- Analysis of data from clinical trials and scientific literature.
Main Results:
- Over 200 compounds are in clinical development for advanced prostate cancer, used alone or in combination.
- Emerging therapies include molecularly targeted agents, signal transduction inhibitors, and immunomodulating compounds.
- Several novel agents show promise for improving outcomes in HRMPC.
Conclusions:
- Targeted molecular therapy offers significant opportunities for treating prostate cancer.
- Understanding molecular determinants of progression and resistance is crucial for rational drug design.
- Combination or sequential therapies may be necessary for substantial therapeutic progress in HRMPC.
- Novel clinical trial methodologies can accelerate the identification of effective compounds.
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