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Updated: May 13, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
[New treatments for castration-resistant prostate cancer]
1Service d'Oncologie Médicale, CHU de Liège, Belgique. brieuc.sautois@chu.ulg.ac.be
Abstract:
Docetaxel chemotherapy is a standard treatment for fit men with symptomatic castration-resistant prostate cancer. Unfortunately docetaxel resistant disease will systematically develop and second-line treatment may be appropriate. Until recently no standard treatment was approved in this setting and mitoxantrone was commonly used. Three new drugs have shown benefit in randomised phase 3 multicenter clinical trials published since 2010. Cabazitaxel, abiraterone and enzalutamide were shown to prolong overall survival of men with metastatic castration-resistant prostate cancer previously treated with chemotherapy. Although still modest these results were deemed clinically significant and led to the reimbursement of Jevtana (cabazitaxel) and Zytiga (abiraterone) in Belgium in 2012.
Insights
New chemotherapy options like cabazitaxel, abiraterone, and enzalutamide improve survival for men with castration-resistant prostate cancer after docetaxel treatment.
Area of Science:
- Oncology
- Medical Research
Background:
- Docetaxel chemotherapy is standard for symptomatic castration-resistant prostate cancer.
- Docetaxel resistance is common, necessitating effective second-line treatments.
- Historically, mitoxantrone was a common but suboptimal choice for resistant disease.
Purpose of the Study:
- To review new therapeutic options for metastatic castration-resistant prostate cancer (mCRPC) post-docetaxel therapy.
- To highlight recent advancements in second-line treatment for prostate cancer.
Main Methods:
- Analysis of randomized phase 3 multicenter clinical trials published since 2010.
- Review of data on cabazitaxel, abiraterone, and enzalutamide efficacy.
Main Results:
- Cabazitaxel, abiraterone, and enzalutamide demonstrated improved overall survival in mCRPC patients previously treated with chemotherapy.
- These modest survival benefits were considered clinically significant.
Conclusions:
- New agents offer improved outcomes for patients with docetaxel-resistant castration-resistant prostate cancer.
- Reimbursement of cabazitaxel and abiraterone in Belgium in 2012 reflects their clinical significance.
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