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An up-to-date evaluation of abiraterone for the treatment of prostate cancer.

Abstract
Introduction: Abiraterone acetate, an oral 17-alpha-hydroxylase inhibitor, effectively prevents the synthesis of androgens from steroid precursors. Abiraterone has become a standard of care in patients with metastatic prostate cancer due to its efficacy in both castrate-sensitive and castrate-resistant disease when given in combination with androgen deprivation therapy (ADT). Abiraterone may have a role in additional aspects of prostate cancer treatment in the future.Areas covered: The present article focuses on the development and establishment of abiraterone among the available treatment options for prostate cancer. A literature search was performed in PubMed/Medline for prior studies and reviews of the drug. Current clinical trials were examined in the Clinicaltrials.gov database.Expert opinion: Abiraterone has shown efficacy in castrate-resistant metastatic prostate cancer, providing an additional degree of hormonal sensitivity for tumors resistant to ADT. Impressively, abiraterone in conjunction with ADT as a first-line treatment for castrate-sensitive prostate cancer also confers a significant overall survival benefit compared to ADT alone. With minimal additional toxicity, abiraterone has established itself as a well-tolerated, convenient, and effective treatment option. Ongoing studies are expected to broaden the drug's indications as well as its preference among other prostate cancer therapies.
AuthorsJason Shpilsky, Julia Stevens, Glenn Bubley
JournalExpert opinion on pharmacotherapy (Expert Opin Pharmacother) Vol. 22 Issue 10 Pg. 1227-1234 (Jul 2021) ISSN: 1744-7666 [Electronic] England
PMID33856289 (Publication Type: Journal Article)
Chemical References
  • Androgen Antagonists
  • Androstenes
  • Abiraterone Acetate
  • abiraterone
Topics
  • Abiraterone Acetate (therapeutic use)
  • Androgen Antagonists (therapeutic use)
  • Androstenes (therapeutic use)
  • Antineoplastic Combined Chemotherapy Protocols
  • Humans
  • Male
  • Prostatic Neoplasms, Castration-Resistant (drug therapy)
  • Treatment Outcome

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