Related Experiment Video
Updated: Aug 6, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Novel agents and targets in managing patients with metastatic prostate cancer
1Department of Hematology/Oncology, Mayo Clinic, Jacksonville, FL 32224, USA. tan.winston@mayo.edu
Background:
Docetaxel has recently been found to improve survival in patients with metastatic androgen-independent prostate cancer (AIPC). Chemotherapy as a first-line option leaves room for improvement, while second-line options are multiple and somewhat controversial.
Methods:
Clinically relevant articles focusing on chemotherapy drugs for metastatic prostate cancer and their mechanism of action and efficacy were reviewed from January 2004 through April 2006.
Results:
Docetaxel is the standard of care for AIPC. However, for doublets with docetaxel or second-line chemotherapy, multiple studies have shown interesting and promising results with calcitriol, thalidomide, bevacizumab, satraplatin, vaccines, ixabepilone, and atrasentan.
Conclusions:
Docetaxel should be considered for first-line treatment of metastatic AIPC. Due to its progression-free survival of only 6 months, more effective drugs and drug combinations need to be developed to treat patients with AIPC. Combination treatments with docetaxel and other new agents are promising, but adequately powered phase III trials need to be conducted with survival as the principal endpoint for these promising drug combinations.
Insights
Docetaxel improves survival for metastatic androgen-independent prostate cancer (AIPC). New drug combinations are needed to improve AIPC treatment outcomes beyond current options.
Area of Science:
- Oncology
- Pharmacology
Background:
- Docetaxel demonstrates improved survival in metastatic androgen-independent prostate cancer (AIPC).
- Current first-line chemotherapy options for AIPC offer room for improvement.
- Second-line treatment options for AIPC are varied and debated.
Purpose of the Study:
- To review chemotherapy drugs for metastatic prostate cancer.
- To evaluate the mechanism of action and efficacy of these agents.
- To identify promising treatments for advanced prostate cancer.
Main Methods:
- Literature review of clinically relevant articles.
- Focus on chemotherapy drugs for metastatic prostate cancer.
- Data collected from January 2004 to April 2006.
Main Results:
- Docetaxel is established as the standard of care for AIPC.
- Combination therapies with docetaxel show promise.
- Investigational agents like calcitriol, thalidomide, bevacizumab, satraplatin, vaccines, ixabepilone, and atrasentan exhibit potential.
Conclusions:
- Docetaxel is recommended for first-line treatment of metastatic AIPC.
- Current progression-free survival (6 months) necessitates development of more effective treatments.
- Combination therapies require further investigation in large-scale Phase III trials with survival as the primary endpoint.
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...
Targets for Drug Action: Overview
Receptors are either membrane-spanning or intracellular proteins, which upon binding a ligand, get activated and transmit the signal downstream to elicit a response. Drugs bind receptors, either mimicking the action of endogenous ligands or blocking the receptor activity to bring about a modified response. Nearly 35% of approved drugs target the G...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase
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...
Treatment for Pulmonary Arterial Hypertension: Prostacyclin Receptor Agonists
These agonists bind to the IPR receptor situated on the plasma membrane of the pulmonary artery smooth muscle cells. This binding triggers a cascade of reactions known as the GS-AC-cAMP-PKA pathway. This pathway results in the relaxation of smooth muscle...

