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Updated: May 15, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
The changing landscape in the treatment of metastatic castration-resistant prostate cancer
Joelle El-Amm1, Jeanny B Aragon-Ching
1Division of Hematology and Oncology, Department of Medicine, George Washington University Medical Center, Washington, DC, USA.
Abstract:
The past few years have brought increasing advances in the therapeutic management of metastatic castration-resistant prostate cancer with the approval of several agents, including vaccine therapy with sipuleucel-T, second-line chemotherapy with cabazitaxel, the bone-targeted pharmaceutical denosumab, and the novel antiandrogen therapy abiraterone acetate. There are ongoing developments with other agents in the pipeline such as MDV3100 and alpharadin that have shown promising results. This review describes the clinical trials that brought about the drug approvals of various agents and offers some insights regarding a rational approach to optimal treatment sequencing for these drugs since national guidelines are currently lacking.
Insights
Recent advances offer new treatments for metastatic castration-resistant prostate cancer. This review covers clinical trials and suggests optimal sequencing strategies for these novel therapies.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) management has evolved with new therapeutic approvals.
- Several agents, including sipuleucel-T, cabazitaxel, denosumab, and abiraterone acetate, are now available.
- Emerging therapies like MDV3100 and alpharadin show promising results.
Purpose of the Study:
- To review clinical trials leading to recent drug approvals for mCRPC.
- To provide insights into rational treatment sequencing due to a lack of national guidelines.
Main Methods:
- Review of clinical trial data for approved mCRPC agents.
- Analysis of emerging drug pipeline data.
- Synthesis of information to propose treatment sequencing strategies.
Main Results:
- Multiple therapeutic options now exist for mCRPC, including immunotherapy, chemotherapy, bone-targeted agents, and novel antiandrogens.
- Ongoing research and development are yielding promising new agents.
- Clinical trial evidence supports the efficacy of these diverse treatment modalities.
Conclusions:
- The therapeutic landscape for mCRPC has significantly expanded.
- Optimal sequencing of these agents is crucial for patient outcomes.
- Further research is needed to establish definitive treatment guidelines.
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