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Updated: Jun 22, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Castration-resistant prostate cancer: from new pathophysiology to new treatment targets
Kim N Chi1, Anders Bjartell, David Dearnaley
1BC Cancer Agency, Vancouver, British Columbia, Canada. kchi@bccancer.bc.ca
Context:
Castration-resistant prostate cancer (CRPC) refers to patients who no longer respond to surgical or medical castration. Standard treatment options are limited.
Objective:
To review the concepts and rationale behind targeted agents currently in late-stage clinical testing for patients with CRPC.
Evidence Acquisition:
Novel targeted therapies in clinical trials were identified from registries. The MEDLINE database was searched for all relevant reports published from 1996 to October 2009. Bibliographies of the retrieved articles and major international meeting abstracts were hand-searched to identify additional studies.
Evidence Synthesis:
Advances in our understanding of the molecular mechanisms underlying prostate cancer (PCa) progression has translated into a variety of treatment approaches. Agents targeting androgen receptor (AR) activation and local steroidogenesis, angiogenesis, immunotherapy, apoptosis, chaperone proteins, the insulin-like growth factor (IGF) pathway, RANK-ligand, endothelin receptors, and the Src family kinases are entering or have recently completed accrual to phase 3 trials for patients with CRPC.
Conclusions:
A number of new agents targeting mechanisms of PCa progression with early promising results are in clinical trials and have the potential to provide novel treatment options for CRPC in the near future.
Insights
New targeted therapies are emerging for castration-resistant prostate cancer (CRPC), offering hope for patients with limited options. These agents target various molecular pathways driving cancer progression, with many in late-stage clinical trials.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Castration-resistant prostate cancer (CRPC) presents a significant clinical challenge due to limited standard treatment options.
- Understanding the molecular underpinnings of prostate cancer (PCa) progression is crucial for developing novel therapeutic strategies.
Purpose of the Study:
- To review the concepts and rationale behind targeted agents in late-stage clinical testing for CRPC.
- To provide an overview of emerging therapies for advanced prostate cancer.
Main Methods:
- Systematic literature search of MEDLINE (1996-2009) and clinical trial registries.
- Hand-searching bibliographies of retrieved articles and conference abstracts.
- Identification of novel targeted therapies in phase 3 trials for CRPC.
Main Results:
- Advances in understanding PCa molecular mechanisms have led to diverse targeted treatment approaches.
- Agents targeting androgen receptor (AR) activation, angiogenesis, immunotherapy, and other pathways are in late-stage trials.
- Multiple novel agents show early promise for CRPC treatment.
Conclusions:
- Several new agents targeting PCa progression mechanisms are in clinical trials.
- These targeted therapies demonstrate promising early results for CRPC.
- Novel treatment options for CRPC are anticipated in the near future.
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