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Updated: Aug 9, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Prostate cancer and novel pharmacological treatment options-what's new for 2022?
Andrea Marchetti1,2, Elisa Tassinari1,2, Matteo Rosellini1,2
1Medical Oncology, IRCCS Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Introduction:
Androgen deprivation therapy (ADT) plus Androgen Receptor Target Agents (ARTAs) or docetaxel are the actual standard of care in prostate cancer (PC). Several therapeutic options are available for pretreated patients: cabazitaxel, olaparib, and rucaparib for BRCA mutations, Radium-223 for selected patients with symptomatic bone metastasis, sipuleucel T, and 177 LuPSMA-617.
Areas Covered:
This review the new potential therapeutic approaches and the most impacting recent published trials to provide an overview on the future management of PC.
Expert Opinion:
Currently, there is a growing interest in the potential role of triplet therapies encompassing ADT, chemotherapy, and ARTAs. These strategies, explored in different settings, appeared to be particularly promising in metastatic hormone-sensitive PC. Recent trials investigating ARTAs plus poly(adenosine diphosphate-ribose) polymerase (PARPi) inhibitor provided helpful insights for patients with metastatic castration resistant disease, regardless of homologous recombination genes status. Otherwise, the publication of the complete data is awaited, and more evidence is required. In advanced settings, several combination approaches are under investigation, to date with contradictory results, such as immunotherapy plus PARPi or chemotherapy. The radionuclide 177Lu-PSMA-617 proved successful outcomes in pretreated mCRPC patients. Additional studies will better clarify the appropriate candidates to each strategy and the correct treatments' sequence.
Insights
New prostate cancer (PC) therapies include triplet regimens and targeted agents. Radionuclide therapy shows promise for metastatic castration-resistant PC, but further research is needed to optimize sequencing and patient selection.
Area of Science:
- Oncology
- Medical Science
Background:
- Androgen deprivation therapy (ADT) combined with androgen receptor-targeted agents (ARTAs) or docetaxel represents the current standard of care for prostate cancer (PC).
- Established treatment options for pretreated patients include cabazitaxel, olaparib, rucaparib (for BRCA mutations), Radium-223 (for bone metastases), sipuleucel T, and 177 LuPSMA-617.
Approach:
- This review synthesizes recent clinical trial data and explores emerging therapeutic strategies for advanced prostate cancer management.
- Focuses on novel treatment combinations and their potential impact on patient outcomes.
Key Points:
- Triplet therapies (ADT, chemotherapy, ARTAs) show promise, particularly in metastatic hormone-sensitive PC.
- ARTAs combined with PARP inhibitors offer insights for metastatic castration-resistant PC, irrespective of homologous recombination status.
- 177Lu-PSMA-617 demonstrates efficacy in pretreated metastatic castration-resistant PC.
Conclusions:
- Ongoing research into combination therapies like immunotherapy plus PARPi or chemotherapy yields varied results, necessitating further investigation.
- Future research will clarify optimal patient selection and treatment sequencing for various advanced PC strategies.
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