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Updated: Jun 6, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Management of castration-resistant prostate cancer: bisphosphonates and emerging therapies
1Centre Hospitalier de l'Université de Montréal, Hôpital Notre-Dame, Canada. fred.saad@umontreal.ca
Abstract:
Approximately 70% of patients with prostate cancer will develop bone metastases that often lead to bone pain and skeletal-related events. Several bisphosphonates have shown promising activity for palliating pain. Only zoledronic acid has significantly delayed the onset and reduced the incidence of skeletal-related events in men with castration-resistant prostate cancer. In addition, studies suggest that bisphosphonates have anticancer activity that may prevent disease progression and improve survival. Clodronate was shown to improve survival in a study of men with metastatic androgen-sensitive prostate cancer. Emerging therapies are being investigated for their ability to maintain bone health. The findings presented herein highlight the importance of bone-targeted therapies for patients with bone metastases from prostate cancer.
Insights
Bone metastases are common in prostate cancer, causing pain and skeletal events. Bone-targeted therapies like zoledronic acid and clodronate show promise in managing pain, preventing skeletal events, and improving survival.
Area of Science:
- Oncology
- Bone Metastasis Research
- Prostate Cancer Treatment
Background:
- Prostate cancer frequently metastasizes to bone, affecting approximately 70% of patients.
- Bone metastases lead to significant complications, including pain and skeletal-related events.
- Current treatments aim to palliate pain and manage skeletal complications.
Purpose of the Study:
- To review the role of bone-targeted therapies in managing prostate cancer bone metastases.
- To highlight the efficacy of bisphosphonates in reducing skeletal-related events and improving survival.
- To discuss emerging therapies for maintaining bone health in prostate cancer patients.
Main Methods:
- Literature review of studies on bisphosphonates and prostate cancer bone metastases.
- Analysis of clinical trial data on zoledronic acid and clodronate efficacy.
- Examination of emerging bone-targeted therapies.
Main Results:
- Zoledronic acid demonstrated significant reduction in skeletal-related events for castration-resistant prostate cancer.
- Clodronate improved survival in metastatic androgen-sensitive prostate cancer.
- Bisphosphonates exhibit potential anticancer activity, possibly preventing disease progression.
Conclusions:
- Bone-targeted therapies are crucial for managing prostate cancer bone metastases.
- Bisphosphonates offer benefits beyond pain palliation, including improved survival.
- Continued research into novel bone health therapies is essential for patient outcomes.
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