Novel agents and targets in managing patients with metastatic prostate cancer

Winston W Tan1

  • 1Department of Hematology/Oncology, Mayo Clinic, Jacksonville, FL 32224, USA. tan.winston@mayo.edu

Abstract

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.

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