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Updated: Nov 7, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Expanding armamentarium in advanced prostate cancer management: are all novel antiandrogens the same?
Emre Yekedüz1, Güngör Utkan1, Ravindran Kanesvaran2
1Department of Medical Oncology, Ankara University School of Medicine, Ankara, Turkey.
Abstract:
Prostate cancer (PCa) is the most common cancer in men. Androgen receptor axis plays a crucial role in the carcinogenesis of PCa. The mainstay treatment of prostate cancer is blockage of androgen receptor axis but in a vast majority of patient resistance to androgen deprivation therapy is inevitable. After using enzalutamide, the first new generation anti-androgen (AA), two new generation AA drugs were synthesized. New generation anti-androgen drugs are used especially in castration resistance prostate cancer. But recently, there are new publications regarding using new generation anti-androgens in castration sensitive prostate cancer patients. In this review, we will compare structure, mechanisms of effect and clinical outcomes in phase 3 trials of these new generation AA drugs.
Insights
New anti-androgen drugs show promise for prostate cancer (PCa) treatment. This review compares new generation anti-androgen (AA) drugs, including their use in castration-sensitive prostate cancer.
Area of Science:
- Oncology
- Urology
Background:
- Prostate cancer (PCa) is a leading cancer in men, driven by the androgen receptor (AR) axis.
- Androgen deprivation therapy (ADT) is standard, but resistance is common.
- Newer anti-androgen (AA) drugs offer advanced treatment options.
Purpose of the Study:
- To review and compare the structure, mechanism of action, and clinical outcomes of novel second-generation anti-androgen drugs.
- To evaluate the efficacy of these agents in both castration-resistant and castration-sensitive prostate cancer settings.
Main Methods:
- Comparative review of phase 3 clinical trial data.
- Analysis of drug structures and mechanisms of action.
- Synthesis of recent scientific literature on new generation AAs.
Main Results:
- Newer AAs demonstrate varying efficacy and safety profiles across different patient populations.
- Emerging data suggests potential benefits of these agents in earlier stages of prostate cancer (castration-sensitive).
Conclusions:
- Second-generation anti-androgens represent a significant advancement in prostate cancer management.
- Further research is warranted to optimize treatment strategies and expand the use of these drugs.
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