Advances in systemic therapies for metastatic castration-resistant prostate cancer

Manish K Pant1, Ahmed Abughaban, Jeanny B Aragon-Ching

  • 1Department of Medicine, Division of Hematology & Oncology, George Washington University Medical Center, 2150 Pennsylvania Avenue, NW Washington, DC 20037, USA.

Insights

Recent advances in treating metastatic castration-resistant prostate cancer (mCRPC) have improved patient outcomes. This review covers standard therapies and novel agents, including anti-androgens, chemotherapy, and immunotherapy, highlighting pivotal trial data.

Area of Science:

  • Oncology
  • Urology

Background:

  • Metastatic castration-resistant prostate cancer (mCRPC) treatment has seen significant evolution.
  • Standard therapies and novel agents are critical for managing advanced prostate cancer.

Purpose of the Study:

  • To review recent advances in the systemic treatment of prostate cancer.
  • To summarize pivotal trial data for various therapeutic classes.

Main Methods:

  • Literature review of standard therapies and recent advances.
  • Analysis of pivotal trial data for anti-androgen drugs, androgen-biosynthesis inhibitors, chemotherapy, immunotherapy, and bone-targeted agents.

Main Results:

  • The treatment landscape for mCRPC has rapidly evolved in the last five years.
  • Clinical, biochemical, and radiographic outcomes are improving with novel agents.

Conclusions:

  • Several promising novel agents are improving outcomes for men with mCRPC.
  • Continued research and application of new therapies are essential for advancing prostate cancer care.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.2K
Targeted Cancer Therapies02:57

Targeted Cancer Therapies

1.8K
Treatment Resistent Cancers02:56

Treatment Resistent Cancers

1.5K
Treatment Resistant Cancers02:56

Treatment Resistant Cancers

Cancer is the second leading cause of death in the United States. A cancer cell is genetically unstable and hence can mutate faster. They can also modify their microenvironment and escape immune surveillance. The difficulties in treating cancer are further compounded by the emergence of rapid resistance to anticancer drugs. The most common ways to attain resistance in cancer cells include alteration in drug transport and metabolism, modification of drug target, elevated DNA damage response, or...
3.9K
Cancer Therapies02:49

Cancer Therapies

Cancer therapies are various modes of treatment, such as surgery, radiation therapy, and chemotherapy that are administered to cancer patients.
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
10.9K