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Updated: Feb 24, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Novel androgen axis systemic therapies for metastatic hormone-sensitive prostate cancer
Andrew W Hahn1, Peter Hale, Nityam Rathi
1Division of Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, Salt Lake City, Utah, USA.
Purpose Of Review:
Upfront docetaxel and androgen deprivation therapy (ADT) has improved outcomes over ADT alone in men with metastatic hormone-sensitive prostate cancer (mHSPC). Here in, we review the emerging role of novel androgen axis inhibitors in the treatment of men with mHSPC.
Recent Findings:
Recently two studies, LATITUDE and STAMPEDE arm G, showed improved survival with addition of abiraterone acetate with prednisone or prednisolone to ADT in men with hormone-naïve advanced prostate cancer.
Summary:
Upfront docetaxel in addition to ADT has been shown to improve survival outcomes in men with high-volume mHSPC. Recently, abiraterone acetate and prednisone or prednisolone and ADT have been shown to improve survival outcomes compared with ADT alone in men with mHSPC. Multiple other novel androgen axis inhibitors are being investigated in this setting, and expected to garner regulatory approval in the near future. Biomarkers predicting response to these agents are urgently needed to optimize treatment selection, not only to improve outcomes but to also minimize cost and toxicities.
Insights
Upfront docetaxel and androgen deprivation therapy (ADT) improve outcomes for metastatic hormone-sensitive prostate cancer (mHSPC). Novel androgen axis inhibitors also show survival benefits, highlighting the need for biomarkers to guide treatment selection.
Area of Science:
- Oncology
- Urology
- Pharmacology
Background:
- Metastatic hormone-sensitive prostate cancer (mHSPC) treatment has evolved.
- Androgen deprivation therapy (ADT) is a standard treatment.
- Upfront docetaxel combined with ADT improves outcomes.
Purpose of the Study:
- To review the emerging role of novel androgen axis inhibitors in mHSPC.
- To discuss the impact of these new agents on treatment strategies.
- To highlight the need for predictive biomarkers.
Main Methods:
- Review of recent clinical trials and studies.
- Analysis of survival data from key studies like LATITUDE and STAMPEDE.
- Discussion of emerging therapeutic agents and their mechanisms.
Main Results:
- Upfront docetaxel plus ADT improves survival in high-volume mHSPC.
- Abiraterone acetate with prednisone/prednisolone plus ADT improves survival.
- Novel androgen axis inhibitors are under investigation and show promise.
Conclusions:
- Upfront combination therapies (docetaxel or abiraterone acetate with ADT) enhance survival in mHSPC.
- New androgen axis inhibitors are expected to gain approval.
- Biomarkers are crucial for optimizing treatment selection, minimizing costs, and reducing toxicity.
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