Novel androgen receptor inhibitors in prostate cancer: What do we know so far?

Francesca Rifaldi1, Paolo Pedrazzoli1, Anna Tortorella1

  • 1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy; Radiation Oncology, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.

Insights

Androgen-receptor signaling inhibitors (ARSIs) are advancing prostate cancer (PC) treatment by targeting tumor growth pathways. This review explores current ARSI therapies, their clinical impact, and future directions in PC management.

Area of Science:

  • Oncology
  • Urology
  • Pharmacology

Background:

  • Prostate cancer (PC) is a leading malignancy in males, often diagnosed at advanced stages.
  • Effective early screening methods for PC remain a significant clinical challenge.
  • Androgen signaling pathway inhibition is a cornerstone of PC therapy.

Purpose of the Study:

  • To provide an overview of current prostate cancer treatment options.
  • To focus on novel androgen-receptor signaling inhibitors (ARSIs) and their therapeutic implications.
  • To discuss the future developments in ARSI-based prostate cancer treatment.

Main Methods:

  • Systematic literature search of PubMed and Embase databases.
  • Keywords included 'prostate cancer', 'ARSI', 'androgen receptor inhibitors', 'enzalutamide', 'apalutamide', and 'Darolutamide'.
  • Review of original full-text articles published in English between 2019 and 2025.

Main Results:

  • Identified 185 potentially relevant articles, with 75 excluded based on initial screening.
  • Focused review on the role and efficacy of ARSIs in prostate cancer treatment.
  • Analysis of current clinical implications and future prospects of ARSIs.

Conclusions:

  • Androgen-receptor signaling inhibitors (ARSIs) represent a significant advancement in prostate cancer therapy.
  • ARSIs offer improved treatment outcomes by targeting key tumor growth mechanisms.
  • Ongoing research and development promise further refinements in ARSI-based treatment strategies for PC.

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