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Published on: April 27, 2018
Clinical experience with gene therapy for the treatment of prostate cancer
Matthew A Stanizzi1, Simon J Hall
1Department of Urology, The Barbara and Maurice A. Deane Prostate Health and Research Center, Mount Sinai School of Medicine New York, NY.
Abstract:
Localized prostate cancer can be treated effectively with radical prostatectomy or radiation therapy. The treatment options for metastatic prostate cancer are limited to hormonal therapy; hormone-refractory cancer is treated with taxane-based chemotherapy, which provides only a modest survival benefit. New treatments are needed. The gene for the initiation of prostate cancer has not been identified; however, gene therapy can involve tumor injection of a gene to kill cells, systemic gene delivery to target and kill metastases, or local gene expression intended to generate a systemic response. This review will provide an overview of the various strategies of cancer gene therapy, focusing on those that have gone to clinical trial, detailing clinical experience in prostate cancer patients.
Insights
New prostate cancer treatments are needed, especially for advanced stages. Gene therapy offers promising strategies, including direct tumor injection and systemic delivery, to combat prostate cancer and its metastases effectively.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Localized prostate cancer is treatable with surgery or radiation.
- Metastatic prostate cancer options are limited to hormonal therapy.
- Hormone-refractory prostate cancer has a modest survival benefit with chemotherapy, necessitating novel treatments.
Purpose of the Study:
- To review various cancer gene therapy strategies for prostate cancer.
- To focus on gene therapy approaches that have entered clinical trials.
- To detail clinical experiences with gene therapy in prostate cancer patients.
Main Methods:
- Overview of gene therapy strategies for prostate cancer.
- Focus on clinical trial data.
- Review of clinical outcomes in prostate cancer patients undergoing gene therapy.
Main Results:
- Gene therapy strategies include direct tumor injection, systemic delivery for metastases, and local expression for systemic response.
- Several gene therapy approaches have progressed to clinical trials for prostate cancer.
- Clinical experience provides insights into the efficacy and safety of these novel treatments.
Conclusions:
- Gene therapy represents a promising avenue for treating prostate cancer, particularly advanced and refractory forms.
- Clinical trials are crucial for evaluating the effectiveness of different gene therapy modalities.
- Further research and development in gene therapy are essential for improving patient outcomes in prostate cancer.
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