Bambury Richard M, Rathkopf Dana E
GU Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
GU Oncology Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY.
Urol Oncol. 2016 Aug;34(8):348-55. doi: 10.1016/j.urolonc.2015.05.025. Epub 2015 Jul 7.
The approval of abiraterone and enzalutamide for the treatment of advanced castration-resistant prostate cancer heralded a paradigm shift in the management of this disease. Nevertheless, new and improved treatments are needed since the disease remains incurable for the majority of these patients. In this article, we review the biology of castration-resistant disease as well as emerging therapeutic compounds directed at the androgen receptor, including galeterone, VT-464, ARN-509, and ODM-201. Mechanisms of action, early clinical data, and ongoing clinical studies for these compounds are all reviewed. The need to find optimal sequencing and combination strategies as well as the need for predictive biomarkers of response to these agents is discussed.
阿比特龙和恩杂鲁胺被批准用于治疗晚期去势抵抗性前列腺癌,这标志着该疾病的治疗模式发生了转变。然而,由于大多数患者的疾病仍然无法治愈,因此需要新的和改进的治疗方法。在本文中,我们回顾了去势抵抗性疾病的生物学特性以及针对雄激素受体的新型治疗化合物,包括加列酮、VT - 464、ARN - 509和ODM - 201。本文还综述了这些化合物的作用机制、早期临床数据以及正在进行的临床研究。文中讨论了寻找最佳序贯和联合策略的必要性,以及对这些药物反应的预测性生物标志物的需求。