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Updated: Apr 12, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
New treatment options in castration-resistant prostate cancer
1Presented by Andrew J. Armstrong, MD, ScM, Associate Professor of Medicine, Co-Director of Clinical Research Program, Duke Cancer Institute, Durham, North Carolina.
Abstract:
Most of the updates in the 2015 NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines) for Prostate Cancer center on the systemic therapy front, with a host of newer agents in the mix. At the NCCN 20th Annual Conference, Dr. Andrew J. Armstrong discussed some of the key developments in metastatic castration-resistant and castration-sensitive prostate cancer, particularly the conflicting results on repurposing docetaxel in castration-sensitive disease, the specific population who may experience greater survival benefit from immunotherapy in castration-resistant disease, updated data on the use of androgen receptor and biosynthesis inhibitors, and the emerging role of AR-V7 (androgen-receptor splice variant 7 messenger RNA) as a biomarker of treatment response.
Insights
The 2015 NCCN Guidelines for prostate cancer highlight new systemic therapies for metastatic castration-resistant and castration-sensitive prostate cancer. Key developments include novel agents, immunotherapy insights, and AR-V7 as a predictive biomarker.
Area of Science:
- Oncology
- Urology
- Medical Guidelines
Background:
- The 2015 NCCN Clinical Practice Guidelines for Prostate Cancer address significant updates in systemic therapy.
- Focus areas include metastatic castration-resistant prostate cancer (mCRPC) and castration-sensitive prostate cancer (mCSPC).
Purpose of the Study:
- To summarize key developments in prostate cancer systemic therapy presented at the NCCN 20th Annual Conference.
- To highlight advancements in treatment strategies for advanced prostate cancer.
Main Methods:
- Review of updates to the 2015 NCCN Guidelines for Prostate Cancer.
- Discussion of recent clinical findings and emerging biomarkers by Dr. Andrew J. Armstrong.
Main Results:
- Conflicting data exists regarding docetaxel repurposing in castration-sensitive disease.
- Immunotherapy may offer survival benefits in specific mCRPC populations.
- Updated data on androgen receptor (AR) and biosynthesis inhibitors are available.
- Androgen-receptor splice variant 7 messenger RNA (AR-V7) is an emerging biomarker for treatment response.
Conclusions:
- The 2015 NCCN Guidelines reflect progress in systemic treatments for advanced prostate cancer.
- Emerging biomarkers like AR-V7 are crucial for personalizing treatment strategies.
- Continued research is essential to optimize outcomes for patients with metastatic prostate cancer.
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