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Updated: Apr 17, 2026

Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
[Tasquinimod: How to act on microenvironment in metastatic prostate cancer]
1Oncologie médicale, CHU Caremeau, place du Pr-Robert-Debré, 30029 Nîmes cedex 9, France.
Abstract:
Despite the recent introduction of new drugs, castration-resistant metastatic prostate cancer, (mCRPC) remains a poor prognosis disease, with a crucial need for new therapeutic approaches. Tasquinimod is a newly developed molecule, orally administered, currently evaluated in phase III studies. Tasquinimod targets the tumor microenvironment, focusing on the angiogenic and immune components. Its specific action on the S100A9 protein restores immunity and reduces angiogenesis. A phase II double-blind randomized study against placebo showed an improvement of more than 50% of progression free survival in the group of mCRPC patients treated with tasquinimod, as compared to the placebo group. At a dose of 1mg/day, the tolerance of tasquinimod appeared acceptable. This review presents the available preclinical and clinical results of tasquinimod, with a particular focus on the originality of its mode of action.
Insights
Tasquinimod shows promise for castration-resistant metastatic prostate cancer (mCRPC) by targeting tumor microenvironment. Phase II trials indicate over 50% improvement in progression-free survival with acceptable tolerance.
Area of Science:
- Oncology
- Pharmacology
- Immunology
Background:
- Castration-resistant metastatic prostate cancer (mCRPC) presents a significant therapeutic challenge with a poor prognosis.
- Existing treatments have limitations, highlighting the urgent need for novel therapeutic strategies.
Purpose of the Study:
- To review the preclinical and clinical data of tasquinimod, an orally administered drug.
- To emphasize the unique mechanism of action of tasquinimod in targeting the tumor microenvironment.
Main Methods:
- Review of preclinical studies and clinical trial data for tasquinimod.
- Focus on a phase II double-blind randomized study comparing tasquinimod to placebo in mCRPC patients.
Main Results:
- Tasquinimod targets both angiogenic and immune components of the tumor microenvironment.
- Specifically, it modulates S100A9 protein to restore immunity and reduce angiogenesis.
- Phase II study demonstrated over 50% improvement in progression-free survival for mCRPC patients treated with tasquinimod compared to placebo.
- Tasquinimod exhibited acceptable safety and tolerability at a 1mg/day dose.
Conclusions:
- Tasquinimod represents a novel therapeutic approach for mCRPC.
- Its dual action on angiogenesis and immunity offers a promising strategy for improving patient outcomes.
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