Enzalutamide therapy for advanced prostate cancer: efficacy, resistance and beyond

Simon Linder1, Henk G van der Poel2, Andries M Bergman3,4

  • 1Division of Oncogenomics, Oncode Institute, The Netherlands Cancer Institute, Amsterdam, The Netherlands.

Endocrine-Related Cancer
|November 2, 2018
PubMed

Insights

Enzalutamide treats advanced prostate cancer by targeting the androgen receptor. Research explores optimizing its use and developing new strategies for enzalutamide-resistant metastatic castration-resistant prostate cancer.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Androgen receptor (AR) signaling drives metastatic castration-resistant prostate cancer (mCRPC) growth.
  • Novel drugs like enzalutamide target AR, but survival benefits are limited.
  • Optimal sequencing and novel therapies are needed for advanced prostate cancer.

Purpose of the Study:

  • To review enzalutamide's clinical use in advanced prostate cancer.
  • To discuss translational research on enzalutamide response and resistance.
  • To highlight novel treatment strategies for enzalutamide-resistant mCRPC.

Main Methods:

  • Literature review of clinical trials and translational studies.
  • Analysis of enzalutamide's efficacy and resistance mechanisms.
  • Synthesis of emerging therapeutic approaches for mCRPC.

Main Results:

  • Enzalutamide is a key treatment for advanced prostate cancer.
  • Understanding AR pathway resistance is crucial for treatment efficacy.
  • Several novel strategies are emerging for resistant prostate cancer.

Conclusions:

  • Optimizing enzalutamide use and combination therapies is essential.
  • Further research into resistance mechanisms will guide future mCRPC treatments.
  • Novel therapeutic strategies show promise for improving outcomes in advanced prostate cancer.

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