Next-generation androgen receptor inhibitors in non-metastatic castration-resistant prostate cancer

Author:

Lavaud Pernelle1,Dumont Clément2,Thibault Constance3,Albiges Laurence1,Baciarello Giulia1,Colomba Emeline1,Flippot Ronan1,Fuerea Alina1,Loriot Yohann14,Fizazi Karim5

Affiliation:

1. Department of Cancer Medicine, Gustave Roussy Cancer Campus, University of Paris Saclay, Villejuif, France

2. Department of Cancer Medicine, Hôpital Saint Louis, Paris, France

3. Department of Medical Oncology, Hôpital Européen Georges-Pompidou, Paris, France

4. INSERM U981, Gustave Roussy Cancer Campus, University of Paris-Sud, University of Paris Saclay, Villejuif, France

5. Department of Cancer Medicine, University of Paris Saclay, Gustave Roussy, 114 Rue Edouard Vaillant, Villejuif, 94805, France

Abstract

Until recently, continuing androgen deprivation therapy (ADT) and closely monitoring patients until evolution towards metastatic castration-resistant prostate cancer (CRPC) were recommended in men with non-metastatic CRPC (nmCRPC). Because delaying the development of metastases and symptoms in these patients is a major issue, several trials have investigated next-generation androgen receptor (AR) axis inhibitors such as apalutamide, darolutamide, and enzalutamide in this setting. This review summarizes the recent advances in the management of nmCRPC, highlighting the favourable impact of next-generation AR inhibitors on metastases-free survival, overall survival and other clinically meaningful endpoints.

Publisher

SAGE Publications

Subject

Oncology

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