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Updated: Jan 27, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
[The modern treatment of metastatic castration-resistant prostate cancer]
Zsófia Küronya1, Krisztina Biró1, Anikó Maráz2
1Urogenitális Tumorok és Klinikai Farmakológiai Osztály, Országos Onkológiai Intézet, Budapest, Hungary. kuronyaz@gmail.com.
Abstract:
The basic therapy of metastatic prostate carcinoma is androgen deprivation therapy. Unfortunately, almost all patients develop resistance to treatment that leads to castration-resistant prostate cancer. From 2010, 6 new active substances were registered for the treatment of metastatic castration-resistant prostate cancer, which dramatically improved the overall survival of patients. Two of these are treatments for the androgenic axis, the other drugs or therapeutic methods are immunotherapy, chemotherapy, isotope treatment and RANK-ligand inhibition. The year 2018 was a major success in the treatment of nonmetastatic castration-resistant prostate carcinoma, with the FDA authorizing both apalutamide and enzalutamide at this stage. The aim of this review is to present the standard of care of metastatic castration-resistant prostate cancer by disease stage, and to introduce the emerging treatment modalities presently assessed in clinical trials and discuss the open questions.
Insights
Androgen deprivation therapy is standard for metastatic prostate cancer, but resistance leads to castration-resistant prostate cancer. New treatments have improved survival, with advancements for both metastatic and nonmetastatic stages.
Area of Science:
- Oncology
- Urology
- Medical Therapeutics
Background:
- Androgen deprivation therapy (ADT) is the cornerstone for metastatic prostate carcinoma.
- Therapy resistance frequently emerges, progressing to castration-resistant prostate cancer (CRPC).
- Significant advancements have been made in CRPC treatment since 2010.
Purpose of the Study:
- To review the current standard of care for metastatic CRPC based on disease stage.
- To introduce emerging treatment modalities currently under clinical investigation.
- To discuss unresolved questions in CRPC management.
Main Methods:
- Review of recent therapeutic advancements and clinical trial data for CRPC.
- Analysis of treatment strategies for different stages of CRPC.
- Synthesis of information on novel agents and therapeutic approaches.
Main Results:
- Six new active substances registered since 2010 have significantly improved overall survival in metastatic CRPC.
- Treatments targeting the androgenic axis, immunotherapy, chemotherapy, isotope therapy, and RANK-ligand inhibition are key modalities.
- 2018 marked a milestone with FDA authorization of apalutamide and enzalutamide for nonmetastatic CRPC.
Conclusions:
- The management of CRPC has evolved substantially, offering improved outcomes for patients.
- Emerging therapies hold promise for further enhancing treatment efficacy and patient survival.
- Continued research and clinical trials are crucial to address remaining challenges in CRPC care.
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