Abiraterone acetate, a novel adrenal inhibitor in metastatic castration-resistant prostate cancer

Mohamed Salem1, Jorge A Garcia

  • 1Department of Solid Tumor Oncology, Cleveland Clinic Taussig Cancer Institute, 9500 Euclid Avenue/R35, Cleveland, OH 44195, USA.

Current Oncology Reports
|January 19, 2011
PubMed

Insights

Abiraterone acetate improves survival in men with castration-resistant prostate cancer (CRPC). This drug, which inhibits androgen biosynthesis, showed significant benefits in clinical trials for CRPC patients.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • The androgen receptor is central to castration-resistant prostate cancer (CRPC) progression.
  • Current treatments for adrenal androgen production have limitations in efficacy and tolerability.

Purpose of the Study:

  • To review the rationale and clinical development of abiraterone acetate for CRPC.
  • To highlight abiraterone acetate's efficacy and safety in treating metastatic CRPC.

Main Methods:

  • Review of clinical trials investigating abiraterone acetate in CRPC.
  • Analysis of a randomized phase 3 trial in docetaxel-refractory CRPC patients.

Main Results:

  • Abiraterone acetate demonstrated a survival improvement in metastatic CRPC patients (14.8 vs 10.9 months).
  • The compound irreversibly inhibits CYP17, a key enzyme in androgen biosynthesis.

Conclusions:

  • Abiraterone acetate is a safe and effective treatment for men with CRPC.
  • Further trials are evaluating abiraterone acetate in earlier treatment settings for prostate cancer.

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