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Updated: Jun 12, 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: current and emerging treatment strategies
Giuseppe Di Lorenzo1, Carlo Buonerba, Riccardo Autorino
1Cattedra di Oncologia Medica, Dipartimento di Endocrinologia e Oncologia Molecolare e Clinica, Università degli Studi Federico II, Naples, Italy. giuseppedilorenzoncol@hotmail.com
Abstract:
Until very recently, docetaxel was the only approved agent in castration-resistant prostate cancer (CRPC) and other effective therapeutic options are urgently needed. In recent years, several new agents with promising activity and a favourable toxicity profile have been developed and clinically investigated in the fields of hormonal, cytotoxic, targeted and immune therapy. In particular, recent results from two large phase III trials of sipuleucel-T and cabazitaxel show that these two agents significantly prolong overall survival in CRPC. Indeed, sipuleucel-T has recently been approved by the US FDA for the treatment of CRPC. Many other pharmaceuticals, which are presented in this review, have been investigated recently or are being investigated in phase III trials and might prove to be effective in the future. Reviewed articles are discussed in light of the innovations in study design brought by the Prostate Cancer Clinical Trials Working Group (PCWG2), which updated the Prostate-Specific Antigen Working Group (PCWG1) guidelines, in order to allow better identification of potentially active drugs in clinical trials.
Insights
New therapies are emerging for castration-resistant prostate cancer (CRPC), offering hope beyond docetaxel. Sipuleucel-T and cabazitaxel show significant survival benefits, with sipuleucel-T now FDA-approved.
Area of Science:
- Oncology
- Urology
Background:
- Docetaxel was the sole approved treatment for castration-resistant prostate cancer (CRPC).
- There is an urgent need for novel therapeutic options for CRPC patients.
- Recent advancements include hormonal, cytotoxic, targeted, and immune therapies.
Purpose of the Study:
- To review recent therapeutic advancements in castration-resistant prostate cancer.
- To discuss the impact of new drug development on CRPC treatment.
- To highlight the role of updated clinical trial guidelines in drug evaluation.
Main Methods:
- Review of recent clinical trials and pharmaceutical investigations in CRPC.
- Analysis of data from large phase III trials, including sipuleucel-T and cabazitaxel.
- Discussion of innovations in study design by the Prostate Cancer Clinical Trials Working Group (PCWG2).
Main Results:
- Sipuleucel-T and cabazitaxel demonstrated significant prolongation of overall survival in CRPC.
- Sipuleucel-T received US FDA approval for CRPC treatment.
- Numerous other pharmaceuticals are under investigation in phase III trials for potential efficacy.
Conclusions:
- The therapeutic landscape for CRPC is rapidly evolving with new effective agents.
- Updated clinical trial methodologies enhance the identification of promising CRPC drugs.
- Future treatments for CRPC are expected to improve patient outcomes significantly.
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