Table 1.
Approved Therapies for the Treatment of Metastatic Castration-Resistant Prostate Cancer
Drug | Target | Effect |
---|---|---|
Abiraterone acetate | CYP17A1 | Reduces circulating testosterone levels23,24 |
Cabazitaxel | Microtubules | Microtubule stabilization, interrupts cell cycle31 |
Denosumab | RANKL | Decreases bone resorption34 |
Docetaxel | Microtubules | Microtubule stabilization, interrupts cell cycle15,36 |
Enzalutamide | AR | AR antagonism, prevents signaling27,28 |
Radium-223 | Bone | Localized radiation35 |
Sipuleucel-T | Ex vivo activation of PBMCs via GM-CSF and PAP | T-cell activation32 |
Zoledronic acid | Osteoclasts | Decreases bone resorption33 |
AR = androgen receptor, GM-CSF = granulocyte-macrophage colony-stimulating factor, PAP = prostatic acid phosphatase, PBMC = peripheral blood mononucleated cell, RANKL = receptor activator of nuclear κB ligand.