[New drugs in metastatic castration-resistant prostate cancer].
Despite that greater knowledge of prostate cancer biology has led to the isolation of many new and promising targets, treatment of metastatic prostate cancer is still challenging. New agents targeting these molecules are currently under development in large randomized phase III trials, to improve overall survival and the quality of life of patients with metastatic castrate-resistant prostatic cancer (CRPC). Cytotoxic chemotherapy (docetaxel-based chemotherapy) demonstrated clinical benefit on overall survival, but could be improved. Drugs targeting directly or not the androgen receptor such as abiraterone or new specific peripheral anti-androgens (MDV3100) are very promising. Bone targeted therapies (endothelin1 receptor A inhibitor, RANK ligant, metabolic irradiation) are also very promising and are in development in large phase III trials. Antiangiogenic therapies could also be effective in CRPC. Autologous vaccin against prostatic acid phosphatase seems to prolong overall survival and other vaccin and immunotherapy strategies are in development (anti-CTLA4 antibody). A recent analogue of thalidomide, probably more efficient, lenalidomide is also in development.
Albiges
L
L
Institut Gustave-Roussy, Département de Médecine, 39 Rue Camille-Desmoulins, 94800 Villejuif, France.
Loriot
Y
Y
Gross-Goupil
M
M
de La Motte Rouge
T
T
Blesius
A
A
Escudier
B
B
Massard
C
C
Fizazi
K
K
D000726:Androgen Antagonists / Q000627:therapeutic use*; D000736:Androstenes; D000737:Androstenols / Q000627:therapeutic use; D020533:Angiogenesis Inhibitors / Q000627:therapeutic use; D000911:Antibodies, Monoclonal / Q000627:therapeutic use; D061067:Antibodies, Monoclonal, Humanized; D018931:Antineoplastic Agents, Hormonal / Q000627:therapeutic use*; D001859:Bone Neoplasms / Q000188:drug therapy / Q000556:secondary; D002369:Castration; D000069448:Denosumab; D034261:Epothilones / Q000627:therapeutic use; D066246:ErbB Receptors / Q000037:antagonists & inhibitors; D005663:Furans / Q000627:therapeutic use; D006801:Humans; D007167:Immunotherapy / Q000379:methods; D007659:Ketones / Q000627:therapeutic use; D008297:Male; D009919:Orchiectomy; D011471:Prostatic Neoplasms / Q000188:drug therapy*; D011759:Pyrrolidines / Q000627:therapeutic use; D053245:RANK Ligand / Q000627:therapeutic use; D000095662:Polyether Polyketides
D000726:Androgen Antagonists; D000736:Androstenes; D000737:Androstenols; D020533:Angiogenesis Inhibitors; D000911:Antibodies, Monoclonal; D061067:Antibodies, Monoclonal, Humanized; D018931:Antineoplastic Agents, Hormonal; D000069448:Denosumab; D034261:Epothilones; D066246:ErbB Receptors; D005663:Furans; D007659:Ketones; D011759:Pyrrolidines; D053245:RANK Ligand; C511404:ZD4054; C089740:abiraterone; C490954:eribulin; D000095662:Polyether Polyketides