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Updated: Jul 5, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
The benefits of early androgen blockade
Paul D Maroni1, E David Crawford
1The University of Colorado at Denver and Health Sciences Center, Academic Office One Bldg, Aurora, CO 80045, USA. paul.maroni@uchsc.edu
Abstract:
Altering the effects of testosterone on prostate cancer cells by blocking androgen production or action is a critical part of treating this malignancy. The appropriate timing of androgen blockade for advanced prostate cancer is controversial. Despite many phase-III studies, gaps in clinical information still remain, and some questions are still not conclusively answered. This review concentrates on high-level evidence to address common clinical situations in advanced and metastatic prostate cancer. Additionally, the side-effects of androgen blockade have become increasingly visible and relevant.
Insights
Androgen blockade is key for advanced prostate cancer treatment. This review examines high-level evidence on optimal timing and side effects for managing this malignancy.
Area of Science:
- Oncology
- Endocrinology
Background:
- Testosterone's role in prostate cancer necessitates androgen blockade.
- The optimal timing for androgen blockade in advanced prostate cancer remains debated.
- Clinical information gaps persist despite numerous phase-III studies.
Purpose of the Study:
- To review high-level evidence on androgen blockade timing in advanced prostate cancer.
- To address common clinical scenarios and unanswered questions.
- To highlight the increasing relevance of androgen blockade side effects.
Main Methods:
- Review of high-level evidence from phase-III studies.
- Analysis of clinical information regarding advanced and metastatic prostate cancer.
- Focus on practical clinical situations.
Main Results:
- Evidence synthesis to address clinical controversies in androgen blockade.
- Identification of persistent gaps in clinical knowledge.
- Increased recognition of treatment-related side effects.
Conclusions:
- Androgen blockade is a critical therapeutic strategy for advanced prostate cancer.
- Further clarification on optimal timing and management of side effects is needed.
- High-level evidence is crucial for guiding clinical practice.
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