Overcoming castration resistance in prostate cancer
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Updated: May 23, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Che-Kai Tsao1, Alexander C Small, Matthew D Galsky
1Division of Hematology and Medical Oncology, The Tisch Cancer Institute, Mount Sinai School of Medicine, New York, New York, USA.
Purpose Of Review:
Recent advances in our understanding of the androgen axis signaling pathway have led to the development of therapeutic strategies to overcome the state of 'castration resistance' in prostate cancer. In this review, we examine the mechanisms of castration resistance, as well as recently reported and ongoing clinical studies, which will further identify therapeutic opportunities for novel therapeutics targeting the androgen-signaling axis in advanced prostate cancer.
Recent Findings:
As evidenced by recently reported positive phase III clinical trials, secondary hormonal agents such as abiraterone and MDV3100 may still be very effective in the treatment of castration-resistant prostate cancer, even after the use of docetaxel chemotherapy.
Summary:
Novel agents targeting this pathway have demonstrated a proof of principle that overcoming castration resistance is possible, leading to significant changes in the landscape of treatment in this disease. The optimal combination, sequence, and pattern of use in these novel therapies will be the focus of clinical research in the near future.
Insights
New treatments targeting the androgen axis are effective against castration-resistant prostate cancer. Further research will optimize the use of these novel therapies for advanced prostate cancer.
Area of Science:
- Oncology
- Endocrinology
Background:
- Prostate cancer treatment has advanced with new understanding of the androgen axis signaling pathway.
- Castration resistance remains a significant challenge in advanced prostate cancer management.
Purpose of the Study:
- To review mechanisms of castration resistance in prostate cancer.
- To examine clinical studies of novel therapeutics targeting the androgen-signaling axis.
- To identify therapeutic opportunities for advanced prostate cancer.
Main Methods:
- Review of recent advances in understanding androgen axis signaling.
- Analysis of published and ongoing clinical trials for castration-resistant prostate cancer.
- Examination of therapeutic strategies for advanced prostate cancer.
Main Results:
- Secondary hormonal agents like abiraterone and MDV3100 show efficacy in castration-resistant prostate cancer, even post-docetaxel chemotherapy.
- Phase III clinical trials support the effectiveness of these novel agents.
Conclusions:
- Novel agents targeting the androgen pathway demonstrate the possibility of overcoming castration resistance.
- These therapies are transforming treatment paradigms for advanced prostate cancer.
- Future research will focus on optimal combinations, sequencing, and usage patterns of these novel therapies.
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