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Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 18, 2019
New therapeutic strategies for castration-resistant prostate cancer
Tomoaki Tanaka1, Tatsuya Nakatani
1Department of Urology, Osaka City University Graduate School of Medicine, Osaka 545-8585, Japan. tomoaki826@msic.med.osaka-cu.ac.jp
Abstract:
Docetaxel has until recently been the only agent with a small survival benefit for metastatic castration-resistant prostate cancer (CRPC). To improve clinical outcome in CRPC, numerous classes of drugs targeting specific pathways involved in hormone action, bone metabolism, angiogenesis, apoptosis and immune response have currently been investigated concerning the efficacies of either single agents or combinations with docetaxel. Noteworthy, current two phase III trials of cabazitaxel and sipuleucel-T have demonstrated significant improvements of overall survival in CRPC. From the viewpoint of complexity of mechanisms implicated in prostate cancer progression, effective therapeutic strategies should be developed by multifaceted approaches, such as the composition of novel agents targeting for key molecules, cytotoxic chemotherapy, and immunotherapy. The recent patented molecules (e.g., hyaluronidase, caveolin, Bag1-L, N-cadherin, AR splicing variants, PCGEM-1) have a strong potential as therapeutic options for CRPC. Here, we review the newest evidence of novel agents and patented compounds and methods for the purpose of the future use in CRPC.
Insights
Newer treatments for metastatic castration-resistant prostate cancer (CRPC) show promise. Novel agents and multifaceted approaches, including chemotherapy and immunotherapy, are improving survival outcomes for CRPC patients.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic castration-resistant prostate cancer (CRPC) has limited treatment options, with docetaxel offering only a modest survival benefit.
- Research is exploring novel drug classes targeting various pathways like hormone action, bone metabolism, angiogenesis, apoptosis, and immune response to improve CRPC outcomes.
Purpose of the Study:
- To review the latest evidence on novel agents and patented compounds for treating CRPC.
- To discuss multifaceted therapeutic strategies combining novel agents, chemotherapy, and immunotherapy for advanced prostate cancer.
Main Methods:
- Literature review of recent clinical trials and patented molecules.
- Analysis of therapeutic strategies for castration-resistant prostate cancer.
Main Results:
- Cabazitaxel and sipuleucel-T have demonstrated significant improvements in overall survival in CRPC.
- Several patented molecules (e.g., hyaluronidase, caveolin, Bag1-L, N-cadherin, AR splicing variants, PCGEM-1) show potential for CRPC treatment.
Conclusions:
- Effective CRPC treatment requires multifaceted approaches, including novel targeted agents, chemotherapy, and immunotherapy.
- Emerging patented molecules offer promising therapeutic options for the future management of CRPC.
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