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Updated: Jun 1, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Emerging therapeutic approaches in the management of metastatic castration-resistant prostate cancer
E S Antonarakis1, A J Armstrong
1Prostate Cancer Research Program, Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD 21231-1000, USA. eantona1@jhmi.edu
Abstract:
Although treatment options for men with castration-resistant prostate cancer (CRPC) have improved with the recent and anticipated approvals of novel immunotherapeutic, hormonal, chemotherapeutic and bone-targeted agents, clinical benefit with these systemic therapies is transient and survival times remain unacceptably short. Thus, we devote the second section of this two-part review to discussing emerging therapeutic paradigms and research strategies that are entering phase II and III clinical testing for men with metastatic CRPC. We will discuss a range of emerging hormonal, immunomodulatory, antiangiogenic, epigenetic and cell survival pathway inhibitors in current clinical trials, with an emphasis on how these therapies may complement our existing treatment options.
Insights
New treatments for metastatic castration-resistant prostate cancer (CRPC) show promise but offer transient benefits. This review explores emerging therapies in phase II/III trials to improve patient survival times.
Area of Science:
- Oncology
- Urology
- Pharmacology
Background:
- Metastatic castration-resistant prostate cancer (CRPC) has limited treatment options with transient clinical benefits.
- Current systemic therapies for CRPC offer limited survival advantages, necessitating novel therapeutic strategies.
Purpose of the Study:
- To review emerging therapeutic paradigms and research strategies for metastatic CRPC.
- To discuss novel agents in phase II and III clinical testing for advanced prostate cancer.
- To evaluate how new therapies may complement existing treatment options for CRPC.
Main Methods:
- Literature review of emerging treatments for metastatic CRPC.
- Analysis of ongoing phase II and III clinical trials.
- Discussion of novel hormonal, immunomodulatory, antiangiogenic, epigenetic, and cell survival pathway inhibitors.
Main Results:
- Several novel agents targeting various pathways are under investigation.
- Emerging therapies aim to overcome treatment resistance and prolong survival in CRPC.
- Combinatorial approaches are being explored to enhance clinical benefit.
Conclusions:
- Emerging therapies hold potential to improve outcomes for men with metastatic CRPC.
- Further research and clinical trials are crucial to validate the efficacy of novel agents.
- Personalized treatment strategies may enhance the effectiveness of future CRPC therapies.
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