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Updated: Apr 8, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
A profile of enzalutamide for the treatment of advanced castration resistant prostate cancer
Rosa Greasley1, Mohammad Khabazhaitajer1, Derek J Rosario2
1The Department of Oncology, The University of Sheffield, Sheffield, UK.
Abstract:
Recent advances in understanding the mechanisms underlying the development and progression of castration resistant prostate cancer from androgen-sensitive prostate cancer have provided new avenues exploring efficacious therapies in a disease which is the second leading cause of cancer deaths among men in the western world. In the evolution of second generation anti-androgens, enzalutamide, a novel androgen-receptor signaling inhibitor, has emerged targeting multiple steps within the androgenic stimulation pathway. This review discusses what is currently known of the mechanisms surrounding castration resistant prostate cancer development and the current human clinical trials to determine whether enzalutamide presents a new hope for men with advanced prostate cancer. The issues of therapy resistance, withdrawal effects and cross-resistance are briefly touched upon.
Insights
Enzalutamide, a new anti-androgen therapy, targets multiple steps in prostate cancer progression. Clinical trials are evaluating its efficacy for advanced, castration-resistant prostate cancer, offering potential new hope.
Area of Science:
- Oncology
- Urology
Background:
- Prostate cancer is a leading cause of cancer death in men.
- Castration-resistant prostate cancer (CRPC) presents a significant therapeutic challenge.
- Understanding CRPC development mechanisms is crucial for new treatment strategies.
Purpose of the Study:
- To review the mechanisms of CRPC development.
- To evaluate enzalutamide as a novel androgen-receptor signaling inhibitor.
- To discuss the potential of enzalutamide in treating advanced prostate cancer.
Main Methods:
- Review of current scientific literature on CRPC.
- Analysis of data from human clinical trials of enzalutamide.
- Exploration of androgen receptor signaling pathways.
Main Results:
- Enzalutamide targets multiple steps in androgenic stimulation.
- Clinical trials are investigating enzalutamide's efficacy in advanced prostate cancer.
- Potential therapeutic benefits and challenges like resistance are being studied.
Conclusions:
- Enzalutamide represents a promising second-generation anti-androgen therapy.
- Further research and clinical trials are essential to establish its role in CRPC treatment.
- Addressing therapy resistance and cross-resistance is critical for optimal patient outcomes.
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