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Updated: May 17, 2026

Generation of Prostate Cancer Cell Models of Resistance to the Anti-mitotic Agent Docetaxel
Published on: September 8, 2017
Management of docetaxel failures in metastatic castrate-resistant prostate cancer
Sumanta K Pal1, Brian Lewis, Oliver Sartor
1Department of Medical Oncology & Experimental Therapeutics, City of Hope Comprehensive Cancer Center, Duarte, CA 91010, USA.
Abstract:
The treatment of metastatic castration-resistant prostate cancer has evolved since the approval of docetaxel-based therapy. Since docetaxel approval, three new agents have gained approval for this indication: sipuleucel-T, cabazitaxel, and abiraterone. Recent Phase III trials have also demonstrated survival benefits for MDV-3100 and radium-223 though regulatory approval ispending. Practicing physicians face the challenge of determining the optimal sequencing of these new agents. This dilemma is particularly relevant to the post-docetaxel setting, in which the indication for several of these agents overlaps. This article details the efficacy and safety of these agents to provide a framework for their clinical use.
Insights
New treatments for metastatic castration-resistant prostate cancer (mCRPC) offer survival benefits. This review details sipuleucel-T, cabazitaxel, and abiraterone efficacy and safety for optimal sequencing post-docetaxel therapy.
Area of Science:
- Oncology
- Urology
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) treatment has advanced significantly.
- Docetaxel was a cornerstone, but new agents have emerged, improving patient outcomes.
Purpose of the Study:
- To review the efficacy and safety of newly approved agents for mCRPC.
- To provide a clinical framework for sequencing these agents, especially post-docetaxel.
Main Methods:
- Review of recent Phase III clinical trials.
- Analysis of efficacy and safety data for sipuleucel-T, cabazitaxel, abiraterone, MDV-3100, and radium-223.
Main Results:
- Sipuleucel-T, cabazitaxel, and abiraterone are approved with demonstrated benefits.
- MDV-3100 and radium-223 show survival benefits in Phase III trials, pending approval.
- Optimal sequencing in the post-docetaxel setting presents a clinical challenge due to overlapping indications.
Conclusions:
- A growing number of treatment options exist for mCRPC.
- Physicians require guidance on the best sequence of therapies for individual patients.
- Understanding the efficacy and safety profiles is crucial for informed treatment decisions.
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