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Updated: May 26, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
Targeted therapy in prostate cancer
Niall M Corcoran1, Martin E Gleave
1Department of Surgery, University of Melbourne, Royal Melbourne Hospital, Parkville, Victoria, Australia. niallmcorcoran@gmail.com
Abstract:
The therapeutic approach to advanced prostate cancer has seen greater changes in the last 7 years than it did in the preceding 70. Although only one of the newly approved agents that improve overall survival is a targeted agent, it is a validation of the method of pathway analysis and drug design in delivering novel, clinically usable agents. As our knowledge of the molecular circuitry of tumour invasion, metastases and treatment resistance has become more refined, the number of new, potentially useful, targets has grown exponentially. This is reflected in the vast array of diverse targeted agents that are currently being evaluated in human trials. In this review, we briefly describe some of the key pathways that are involved in the evolution of the prostate cancer 'lethal phenotype', and review the clinical activity of some of the newly approved targeted therapies or those in advanced phases of clinical development.
Insights
Recent advances in advanced prostate cancer therapy include novel targeted agents, validating pathway analysis and drug design. This review covers key pathways and clinical activity of new targeted therapies for the lethal prostate cancer phenotype.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Advanced prostate cancer treatment has undergone significant evolution in the past decade.
- Molecular understanding of tumor invasion, metastasis, and resistance has rapidly advanced.
- This has led to the identification of numerous novel therapeutic targets.
Purpose of the Study:
- To review key molecular pathways driving the lethal prostate cancer phenotype.
- To summarize the clinical activity of newly approved and investigational targeted therapies for advanced prostate cancer.
Main Methods:
- Literature review of recent advancements in prostate cancer therapeutics.
- Analysis of molecular pathways implicated in prostate cancer progression.
- Evaluation of clinical trial data for targeted agents.
Main Results:
- The last 7 years have seen more therapeutic changes than the previous 70.
- Targeted agents, validated through pathway analysis and drug design, are improving overall survival.
- A wide range of targeted agents are currently in clinical development.
Conclusions:
- Targeted therapies represent a promising frontier in advanced prostate cancer treatment.
- Continued research into molecular circuitry is crucial for developing effective therapies.
- New agents are showing clinical activity and improving outcomes for patients with advanced prostate cancer.
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