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Updated: Sep 21, 2026

Murine Prostate Micro-dissection and Surgical Castration
Published on: May 11, 2016
Antiandrogenic therapy for the treatment of early stage prostatic cancer
Abstract:
The goal of this study was to achieve clinical application of antiandrogens for the treatment of carcinoma of the prostate. Based on the results obtained from animal experiments and from a pilot clinical trial on prostatic cancer patients using various antiandrogenic compounds, chlormadinone acetate (CMA) was selected for a clinical trial in patients with carcinoma of the prostate. With nine universities and their affiliated hospitals participating, the therapeutic effect of CMA for carcinoma of the prostate was investigated nationwide. Highly satisfactory antitumor effects with CMA were observed in stage A and B patients of the primary treatment group. For stage C patients in the primary treatment group, good antitumor effects were obtained with CMA treatment. For stage D patients, however, results were poor. No serious side effects were observed in spite of the long period (as long as 6.3 years) and relatively large doses (100 mg daily) of CMA. Therefore, it was concluded that CMA can be recommended as a first choice drug for patients with carcinoma of the prostate.
Insights
Chlormadinone acetate (CMA) shows significant antitumor effects in early-stage prostate cancer. This antiandrogen is recommended as a first-choice treatment due to its efficacy and safety profile in clinical trials.
Area of Science:
- Oncology
- Pharmacology
Background:
- Prostate cancer treatment often involves managing hormone-dependent tumor growth.
- Antiandrogens are a key therapeutic class for advanced prostate cancer.
Purpose of the Study:
- To evaluate the clinical efficacy and safety of chlormadinone acetate (CMA) for treating prostate cancer.
- To determine the optimal stage for CMA application in prostate cancer therapy.
Main Methods:
- A nationwide clinical trial involving nine universities and affiliated hospitals.
- Administration of chlormadinone acetate (CMA) at 100 mg daily for up to 6.3 years.
- Assessment of therapeutic effects across different stages (A, B, C, D) of prostate cancer.
Main Results:
- Highly satisfactory antitumor effects observed in stages A and B prostate cancer patients.
- Good antitumor effects noted in stage C prostate cancer patients.
- Limited efficacy reported for stage D prostate cancer patients.
Conclusions:
- Chlormadinone acetate (CMA) demonstrates significant efficacy in early to mid-stage prostate cancer.
- CMA is well-tolerated, with no serious side effects reported despite long-term use and high dosage.
- CMA is recommended as a first-choice drug for prostate cancer treatment, particularly in earlier stages.
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