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Updated: Jun 16, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Angiogenesis inhibitors in the treatment of prostate cancer
Paul G Kluetz1, William D Figg, William L Dahut
1National Cancer Institute, Medical Oncology Branch, Building 10, Room 12N226, 9000 Rockville Pike Bethesda, MD 20892, USA.
Importance Of The Field:
Prostate carcinoma is the most common non-cutaneous malignancy in U.S. men. The efficacy of docetaxel and prednisone in metastatic castrate-resistant prostate cancer (mCRPC) has been shown to improve overall survival; however, its effect is not durable, highlighting the need for new therapies.
Areas Covered In This Review:
We will review the development of some of the leading compounds with direct and indirect antiangiogenic activity in prostate cancer including antibodies to VEGF and its receptors, small-molecule inhibitors of downstream signaling, immunomodulatory drugs with antiangiogenic activity, and compounds thought to directly inhibit or destroy vascular endothelial cells.
What The Reader Will Gain:
The reader will gain a basic understanding of the role of angiogenesis in prostate cancer growth and metastasis. Current and potential targets of angiogenesis and their corresponding drugs under development for prostate cancer are discussed.
Take Home Message:
There are now multiple early-phase clinical trials of antiangiogenic agents alone or in combination in prostate cancer. Several of these agents are now in Phase III development. Combined therapy with two antiangiogenic compounds may improve the activity of either compound alone. Multiple targets in the angiogenesis pathway continue to be elucidated and should remain an active area of investigation for the treatment of prostate cancer.
Insights
New antiangiogenic therapies are crucial for treating metastatic castrate-resistant prostate cancer (mCRPC) as current treatments lack durability. Research explores novel compounds targeting tumor angiogenesis for improved patient outcomes.
Area of Science:
- Oncology
- Vascular Biology
- Drug Development
Background:
- Prostate cancer is a leading non-cutaneous malignancy in U.S. men.
- Current treatments like docetaxel and prednisone offer limited durability for metastatic castrate-resistant prostate cancer (mCRPC).
- There is a critical need for novel therapeutic strategies to overcome treatment resistance.
Purpose of the Study:
- To review the development of antiangiogenic compounds for prostate cancer.
- To discuss agents targeting tumor angiogenesis, including VEGF inhibitors and vascular-disrupting agents.
- To provide an understanding of the role of angiogenesis in prostate cancer progression.
Main Methods:
- Review of literature on antiangiogenic agents in prostate cancer.
- Discussion of compounds targeting VEGF, its receptors, and downstream signaling pathways.
- Inclusion of immunomodulatory drugs and vascular-disrupting agents.
Main Results:
- Angiogenesis plays a significant role in prostate cancer growth and metastasis.
- Various antiangiogenic drugs are in development, targeting multiple points in the angiogenesis pathway.
- Early-phase clinical trials are evaluating these agents alone and in combination.
Conclusions:
- Antiangiogenic agents represent a promising therapeutic avenue for prostate cancer.
- Combination therapy with antiangiogenic compounds may enhance treatment efficacy.
- Continued investigation into novel angiogenesis targets is essential for advancing prostate cancer treatment.
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