Experimental therapeutics in prostate cancer: where are we now and where do we need to go
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摘要:
The explosion of new therapeutics in metastatic castrate-resistant prostate cancer (mCRPC) is unprecedented,but much more work needs to be done before we are satisfied.Six phase Ⅲ trials with an overall survival impact have now been reported (Table 1).1-6 Four of these trials were exclusively or predominantly in the mCRPC post-docetaxel space (MDV3100,abiraterone, 223radium and cabazitaxel).The 223radium trial also uniquely offered therapy to patients who were unsuitable for or refused docetaxel.The sipuleucel-T trial focused on mCRPC patients who were asymptomatic or minimally symptomatic; most of these patients were chemotherapy naive.