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Updated: Aug 6, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
ROLE OF ANDROGEN RECEPTOR-TARGETED AGENTS IN LOCALIZED PROSTATE CANCER
Jure Murgić1, Ana Fröbe1,2, Amarnath Challapalli3
1Department of Oncology and Nuclear Medicine, Sestre Milosrdnice University Hospital Center, Zagreb, Croatia.
Abstract:
Anti-androgen therapy continues to be a basic pilar of treatment for both localized and metastatic prostate cancer. The advent of new generation of androgen receptor targeted agents (ARTA) transformed the care of patients with advanced disease. After such a success, the steps were taken to incorporate a new generation of ARTAs into the treatment landscape of localized prostate cancer. High-risk prostate cancer represents the most aggressive form of localized disease with significant metastatic potential and poor outcome. Here, the impact of novel therapies will likely be profound and transforming. This clinical space has already been a showcase for multidisciplinary treatment where the combination of local therapies with systemic treatment gradually improved patient outcomes and the chances of cure. The most recent step in redefining the treatment of localized disease is the adoption of novel ARTAs moving forward the multidisciplinary platform. In this narrative review, we discuss current clinical evidence supporting the use of novel ARTAs in patients with localized high-risk prostate cancer and cover recent developments in biomarker-driven strategies for treatment individualization in this clinical context.
Insights
Novel androgen receptor targeted agents (ARTAs) are transforming localized high-risk prostate cancer treatment. This review explores current evidence and biomarker strategies for personalized therapy in this aggressive disease.
Area of Science:
- Oncology
- Urology
Background:
- Anti-androgen therapy is a cornerstone for prostate cancer, both localized and metastatic.
- Newer androgen receptor targeted agents (ARTAs) have significantly improved outcomes in advanced prostate cancer.
- The integration of novel ARTAs into localized prostate cancer treatment, particularly high-risk disease, is a rapidly evolving area.
Purpose of the Study:
- To review the current clinical evidence for novel ARTAs in localized high-risk prostate cancer.
- To discuss the evolving role of these agents within a multidisciplinary treatment approach.
- To highlight recent advancements in biomarker-driven strategies for personalized treatment.
Main Methods:
- Narrative review of existing clinical studies and literature.
- Analysis of data on novel androgen receptor targeted agents.
- Examination of biomarker research in prostate cancer treatment individualization.
Main Results:
- Novel ARTAs show promise in improving outcomes for localized high-risk prostate cancer.
- Multidisciplinary treatment combined with systemic therapies enhances patient results.
- Biomarker-driven strategies are crucial for tailoring treatment to individual patients.
Conclusions:
- Novel ARTAs represent a significant advancement in the management of localized high-risk prostate cancer.
- Personalized medicine approaches, guided by biomarkers, are key to optimizing treatment efficacy.
- The integration of novel ARTAs into multidisciplinary care paradigms is redefining treatment standards.
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