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Updated: Jul 27, 2025

Pre-clinical Orthotopic Murine Model of Human Prostate Cancer
Published on: August 29, 2016
Molecular Targeted Therapies in Metastatic Prostate Cancer: Recent Advances and Future Challenges
Carlo Sorrentino1,2, Emma Di Carlo1,2
1Department of Medicine and Sciences of Aging, "G. d'Annunzio" University of Chieti-Pescara, 66100 Chieti, Italy.
Abstract:
Prostate cancer is the most frequent malignant tumor in men, and, despite the great improvements in survival in patients with localized cancer, the prognosis for metastatic disease remains poor. Novel molecular targeted therapies, which block specific molecules or signaling pathways in tumor cells or in their microenvironment, have shown encouraging results in metastatic castration-resistant prostate cancer. Among these therapeutic approaches, prostate-specific membrane antigen-targeted radionuclide therapies and DNA repair inhibitors represent the most promising ones, with some therapeutic protocols already approved by the FDA, whereas therapies targeting tumor neovascularization and immune checkpoint inhibitors have not yet demonstrated clear clinical benefits. In this review, the most relevant studies and clinical trials on this topic are illustrated and discussed, together with future research directions and challenges.
Insights
Novel targeted therapies show promise for metastatic prostate cancer, particularly prostate-specific membrane antigen-targeted radionuclide therapies and DNA repair inhibitors. Further research is needed for other approaches like anti-angiogenesis and immune checkpoint inhibitors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Prostate cancer is a leading malignancy in men, with poor prognosis for metastatic disease despite advances in localized treatment.
- Metastatic castration-resistant prostate cancer (mCRPC) presents significant therapeutic challenges.
Purpose of the Study:
- To review novel molecular targeted therapies for mCRPC.
- To discuss the efficacy and challenges of emerging prostate cancer treatments.
- To highlight future research directions in prostate cancer therapy.
Main Methods:
- Comprehensive review of relevant studies and clinical trials on targeted therapies for prostate cancer.
- Analysis of therapeutic approaches including radionuclide therapies, DNA repair inhibitors, anti-angiogenesis, and immune checkpoint inhibitors.
Main Results:
- Prostate-specific membrane antigen-targeted radionuclide therapies and DNA repair inhibitors show significant promise in mCRPC, with some FDA-approved protocols.
- Therapies targeting tumor neovascularization and immune checkpoint inhibitors have not yet shown clear clinical benefits in mCRPC.
Conclusions:
- Targeted therapies represent a promising frontier for treating metastatic prostate cancer, especially mCRPC.
- Continued research and clinical trials are essential to overcome challenges and improve outcomes for advanced prostate cancer patients.
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