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Updated: May 4, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Novel drugs targeting the androgen receptor pathway in prostate cancer
Joaquin Mateo1, Alan Smith, Michael Ong
1Drug Development Unit, Division of Cancer Therapeutics and Division of Clinical Studies, The Royal Marsden NHS Foundation Trust - The Institute of Cancer Research, Downs Road, Sutton, Surrey, SM2 5PT, UK.
Abstract:
After decades of limited success in the treatment of castration-resistant prostate cancer (CRPC), five novel therapeutics were granted Food and Drug Administration regulatory approval in the last 4 years based on several randomized phase III studies that have reported a survival benefit. Among them, two drugs targeting the androgen receptor pathway, namely abiraterone acetate and enzalutamide, have demonstrated that targeting androgen signalling following progression to classical androgen blockade continues to be an effective strategy despite the emergence of resistance mechanisms to sequential treatments. In addition to these two approved drugs, several other promising agents that block steroidogenesis interact with the androgen receptor or modulate post-receptor signal transduction that are undergoing clinical evaluation. This issue reviews the current data and the state of development of novel androgen receptor-targeting drugs and further discusses how this revolution in therapeutic armamentarium for the treatment of CRPC has raised challenges for clinicians about the optimal usage of these compounds.
Insights
Novel therapeutics for castration-resistant prostate cancer (CRPC) show survival benefits. Androgen receptor pathway drugs like abiraterone acetate and enzalutamide offer effective strategies despite resistance, improving CRPC treatment outcomes.
Area of Science:
- Oncology
- Pharmacology
- Urology
Background:
- Castration-resistant prostate cancer (CRPC) treatment has historically faced limited success.
- Recent years have seen significant advancements with five novel therapeutics approved by the Food and Drug Administration.
- These approvals are based on randomized phase III studies demonstrating a survival benefit for patients.
Purpose of the Study:
- To review current data on novel androgen receptor (AR)-targeting drugs for CRPC.
- To discuss the developmental status of these promising agents.
- To explore the clinical challenges posed by the expanding therapeutic options for CRPC.
Main Methods:
- Review of randomized phase III studies for novel CRPC therapeutics.
- Analysis of drug mechanisms targeting the androgen receptor pathway, steroidogenesis, and post-receptor signaling.
- Evaluation of clinical trial data for agents in development.
Main Results:
- Abiraterone acetate and enzalutamide, targeting the AR pathway, have shown efficacy in CRPC.
- These drugs demonstrate that targeting androgen signaling remains effective even with resistance mechanisms.
- Several other agents targeting AR or related pathways are in clinical evaluation, showing promise.
Conclusions:
- The development of novel AR-targeting drugs represents a revolution in CRPC treatment.
- These advancements offer significant survival benefits for patients with advanced prostate cancer.
- Optimal clinical utilization of these new agents presents challenges for healthcare providers.
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