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Management of docetaxel failures in metastatic castrate-resistant prostate cancer.

Abstract
The treatment of metastatic castration-resistant prostate cancer has evolved since the approval of docetaxel-based therapy. Since docetaxel approval, three new agents have gained approval for this indication: sipuleucel-T, cabazitaxel, and abiraterone. Recent Phase III trials have also demonstrated survival benefits for MDV-3100 and radium-223 though regulatory approval ispending. Practicing physicians face the challenge of determining the optimal sequencing of these new agents. This dilemma is particularly relevant to the post-docetaxel setting, in which the indication for several of these agents overlaps. This article details the efficacy and safety of these agents to provide a framework for their clinical use.
AuthorsSumanta K Pal, Brian Lewis, Oliver Sartor
JournalThe Urologic clinics of North America (Urol Clin North Am) Vol. 39 Issue 4 Pg. 583-91 (Nov 2012) ISSN: 1558-318X [Electronic] United States
PMID23084533 (Publication Type: Journal Article, Research Support, N.I.H., Extramural, Review)
CopyrightCopyright © 2012 Elsevier Inc. All rights reserved.
Chemical References
  • Androstenes
  • Androstenols
  • Antineoplastic Agents
  • Benzamides
  • Nitriles
  • Receptors, Androgen
  • Taxoids
  • Docetaxel
  • Phenylthiohydantoin
  • cabazitaxel
  • enzalutamide
  • Steroid 17-alpha-Hydroxylase
  • abiraterone
  • Radium
Topics
  • Androstenes
  • Androstenols (pharmacology, therapeutic use)
  • Antineoplastic Agents (administration & dosage, chemistry, pharmacology, therapeutic use)
  • Benzamides
  • Docetaxel
  • Humans
  • Male
  • Neoplasms, Hormone-Dependent
  • Nitriles
  • Phenylthiohydantoin (analogs & derivatives, pharmacology)
  • Prostatic Neoplasms (drug therapy, secondary)
  • Radium (therapeutic use)
  • Receptors, Androgen (drug effects)
  • Steroid 17-alpha-Hydroxylase (drug effects)
  • Taxoids (administration & dosage, chemistry, therapeutic use)
  • Treatment Failure

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