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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Curr+Opin+Endocrinol+Diabetes+Obes
2016 ; 23
(3
): 279-90
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Novel mechanism-based therapeutics for androgen axis blockade in
castration-resistant prostate cancer
#MMPMID26978733
Teply BA
; Antonarakis ES
Curr Opin Endocrinol Diabetes Obes
2016[Jun]; 23
(3
): 279-90
PMID26978733
show ga
PURPOSE OF REVIEW: Understanding the mechanisms by which castration-resistant
prostate cancer (CRPC) progresses provides an opportunity to identify novel
therapeutic strategies to treat this disease. This understanding has led to
approaches to attack prostate cancer's androgen axis in unique ways. This review
will examine the classes of novel therapies for androgen axis blockade in CRPC,
with a particular focus on the unique characteristics of drugs in various stages
of clinical development. RECENT FINDINGS: The success of abiraterone and
enzalutamide has stimulated multiple investigations into novel approaches to
attack the androgen-signaling pathway. Drugs under development include cytochrome
P17 inhibitors with 17,20-lyase specificity, androgen receptor antagonists that
are active against mutated and constitutively active splice variant forms of the
protein, androgen receptor degraders, and bromodomain/bromodomain extra-terminal
inhibitors that prevent chromatin binding of activated receptors. The clinical
development of several of these experimental agents is reviewed. SUMMARY: Given
the unique mechanisms of action for drugs in development, and the possibility
that the novel agents may be active in the setting of common resistance
mechanisms, treatment options for patients are likely to expand greatly in the
coming years. Future studies should prioritize combinations of agents with unique
mechanisms of action to optimize outcomes for patients, and should rely on
precision-medicine approaches to target known molecular alterations.
|Androgen Receptor Antagonists/*therapeutic use
[MESH]