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Updated: Jul 11, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
[Promising new treatment options for metastatic androgen-independent prostate cancer]
1Genitourinary Oncology, Hematology, Oncology Mayo Clinic, Jacksonville, Florida 32224, USA. tan.winston@mayo.edu
Objective:
Review the recent advances in the treatment of androgen independent prostate cancer (AIPC).
Methods:
Review recent abstracts and literature utilizing Medline/PubMed using key words: androgen independent/hormone refractory prostate cancer, novel treatment options, Phase II, III trials and meeting abstracts/presentations.
Conclusion:
Two pivotal trials SWOG (Southwest Oncology Group) study 9916 and Taxotere 327 have shown that survival can be improved in this population by administration of chemotherapy with docetaxel every three weeks intravenously. An overall survival of 19 months could be achieved with docetaxel/prednisone compared to 16 months with mitoxantrone/prednisone. Despite this, there is a need to improve on this survival benefit because the relapse free survival among responders is often short (6 months) and patients often would have progression of their cancer leading to death. Satraplatin, a novel platinum analogue had been found to provide an additional 1.5 week progression free survival benefit in this population in the second line setting. There is however, a need to develop less toxic drugs that would improve survival significantly.
Insights
Recent advances in androgen independent prostate cancer (AIPC) treatment show docetaxel chemotherapy improves survival. However, further research is needed for less toxic options and longer progression-free survival in AIPC patients.
Area of Science:
- Oncology
- Urology
Background:
- Androgen independent prostate cancer (AIPC) remains a significant clinical challenge.
- Current treatments offer limited long-term efficacy.
Purpose of the Study:
- To review recent advancements in AIPC treatment.
- To identify novel therapeutic strategies and their clinical impact.
Main Methods:
- Literature review of Medline/PubMed.
- Inclusion of Phase II, III trials, and meeting abstracts.
- Keywords: AIPC, hormone refractory prostate cancer, novel treatments.
Main Results:
- Docetaxel-based chemotherapy (e.g., docetaxel/prednisone) demonstrated improved overall survival compared to mitoxantrone/prednisone.
- Satraplatin showed a modest progression-free survival benefit in the second-line setting.
- Relapse-free survival remains short for many responders.
Conclusions:
- Docetaxel chemotherapy offers a survival benefit for AIPC patients.
- There is a critical need for novel, less toxic agents with superior survival benefits.
- Further research is essential to improve outcomes for advanced prostate cancer.
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