Optimizing outcomes of advanced prostate cancer: drug sequencing and novel therapeutic approaches

E David Crawford1, Thomas W Flaig

  • 1University of Colorado Cancer Center, University of Colorado School of Medicine, Aurora CO 80045, USA. david.crawford@ucdenver.edu

Insights

New therapies are transforming advanced prostate cancer care. Recent approvals and ongoing drug development offer novel treatment options and optimism for patients with castration-resistant prostate cancer.

Area of Science:

  • Oncology
  • Pharmacology
  • Medical Therapeutics

Background:

  • Advanced prostate cancer treatment has been limited, particularly for castration-resistant cases.
  • Recent advancements have introduced novel therapeutic agents offering new hope.

Purpose of the Study:

  • To review recently approved and investigational agents for advanced prostate cancer.
  • To highlight the evolving treatment landscape and future directions in prostate cancer therapy.

Main Methods:

  • Review of recently approved medical therapies for castration-resistant prostate cancer.
  • Overview of promising agents in late-stage development for advanced prostate cancer.

Main Results:

  • Three novel agents—sipuleucel-T (Provenge), cabazitaxel (Jevtana), and abiraterone acetate (Zytiga)—have been approved based on prolonged overall survival.
  • Several other agents with novel mechanisms of action, including MDV3100, PROSTVAC-VF (Prostvac), orteronel (TAK-700), and radium-223 chloride (Alpharadin), are in late-stage development.

Conclusions:

  • The field of advanced prostate cancer care is experiencing accelerated drug development and optimism.
  • Future research is essential to determine optimal sequencing and combinations of these new therapeutic agents.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against specific...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Combination Therapies and Personalized Medicine02:50

Combination Therapies and Personalized Medicine

Combining two or more treatment methods increases the life span of cancer patients while reducing damage to vital organs or tissue from the overuse of a single treatment. Combination therapy also targets different cancer-inducing pathways, thus reducing the chances of developing resistance to treatment.
The combination of the drug acetazolamide and sulforaphane is a good example of combination therapy to treat cancer. The cells in the interior of a large tumor often die due to the hypoxic and...
Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase01:11

Pharmacogenetics of Drug Targets: β₂-Adrenergic Receptors, Apo E, Thymidylate Synthase

Genetic polymorphisms in drug targets have emerged as critical determinants of interindividual variability in drug response and toxicity. Pharmacogenomic investigations increasingly focus on identifying these variations to personalize and optimize therapeutic interventions. A drug target may be a receptor, enzyme, or signaling protein involved in pharmacologic responses or disease-related pathways. While early pharmacogenetic studies focused primarily on drug metabolism, current research...
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...