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Updated: Jun 24, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Development of a second-generation antiandrogen for treatment of advanced prostate cancer
Chris Tran1, Samedy Ouk, Nicola J Clegg
1Human Oncology and Pathogenesis Program, Memorial Sloan-Kettering Cancer Center, New York, NY 10065, USA.
Abstract:
Metastatic prostate cancer is treated with drugs that antagonize androgen action, but most patients progress to a more aggressive form of the disease called castration-resistant prostate cancer, driven by elevated expression of the androgen receptor. Here we characterize the diarylthiohydantoins RD162 and MDV3100, two compounds optimized from a screen for nonsteroidal antiandrogens that retain activity in the setting of increased androgen receptor expression. Both compounds bind to the androgen receptor with greater relative affinity than the clinically used antiandrogen bicalutamide, reduce the efficiency of its nuclear translocation, and impair both DNA binding to androgen response elements and recruitment of coactivators. RD162 and MDV3100 are orally available and induce tumor regression in mouse models of castration-resistant human prostate cancer. Of the first 30 patients treated with MDV3100 in a Phase I/II clinical trial, 13 of 30 (43%) showed sustained declines (by >50%) in serum concentrations of prostate-specific antigen, a biomarker of prostate cancer. These compounds thus appear to be promising candidates for treatment of advanced prostate cancer.
Insights
New antiandrogen compounds, RD162 and MDV3100, effectively treat advanced prostate cancer. They target castration-resistant prostate cancer by inhibiting androgen receptor activity, showing promising results in preclinical and early clinical studies.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Metastatic prostate cancer treatment often fails due to resistance mechanisms.
- Castration-resistant prostate cancer (CRPC) is driven by elevated androgen receptor (AR) expression.
- Existing anti-androgen therapies become ineffective against CRPC.
Purpose of the Study:
- To characterize novel nonsteroidal anti-androgens, RD162 and MDV3100.
- To evaluate their efficacy in preclinical models of CRPC.
- To assess their safety and preliminary efficacy in a Phase I/II clinical trial.
Main Methods:
- Compounds RD162 and MDV3100 were optimized from a screen for nonsteroidal anti-androgens.
- AR binding affinity, nuclear translocation, DNA binding, and coactivator recruitment were assessed.
- In vivo efficacy was tested in mouse models of CRPC.
- A Phase I/II clinical trial was conducted to evaluate MDV3100 in patients with advanced prostate cancer.
Main Results:
- RD162 and MDV3100 demonstrated higher AR binding affinity than bicalutamide.
- Both compounds inhibited AR nuclear translocation, DNA binding, and coactivator recruitment.
- RD162 and MDV3100 induced tumor regression in CRPC mouse models.
- In the clinical trial, 43% of patients treated with MDV3100 showed significant prostate-specific antigen (PSA) declines.
Conclusions:
- RD162 and MDV3100 are potent nonsteroidal anti-androgens active against CRPC.
- These compounds represent promising therapeutic candidates for advanced prostate cancer.
- MDV3100 warrants further investigation in larger clinical trials for CRPC treatment.
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