Systemic therapy after first-line docetaxel in metastatic castration-resistant prostate cancer

Emma Kate Beardsley, Kim N Chi

Research output: Contribution to journalArticleResearchpeer-review

19 Citations (Scopus)


Purpose of review There is an urgent need for systemic treatment options for patients with castration- resistant prostate cancer who have progressed after receiving first-line docetaxel chemotherapy. The purpose of this article is to review recent developments in this area. Recent findingsRetreatment with docetaxel has been employed with evidence of activity in selected populations. Mitoxantrone, the previous first-line standard based on its palliative effect, has also been used with clinical responses observed; however, the symptom benefit in this setting has not been established. Several classes of cytotoxic agents have been tested including platinum agents (satraplatin), epothilones (ixabepilone and patupilone) and taxanes (XRP-6258). A number of targeted therapies have also been clinically evaluated including inhibitors of cytoprotective chaperones (OGX-011) and the vascular endothelial growth factor receptor (sorafenib, sunitinib, and cediranib). An area generating great interest has been the development of agents that target the androgen receptor axis more effectively (MDV3100 and abiraterone) with encouraging early phase trial results. Summary There is no accepted standard systemic treatment for patients with castration resistant prostate cancer and progressive disease after docetaxel. Novel agents are in phase II and III clinical testing in this setting
Original languageEnglish
Pages (from-to)161 - 166
Number of pages6
JournalCurrent Opinion in Supportive and Palliative Care
Issue number3
Publication statusPublished - 2008
Externally publishedYes

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