• Hematol. Oncol. Clin. North Am. · Dec 2013

    Review

    Management of hormone-sensitive metastatic prostate cancer.

    • Neeraj Agarwal and Maha Hussain.
    • Division of Medical Oncology, Huntsman Cancer Institute, University of Utah, 2000 Circle of Hope, Suite 2123, Salt Lake City, UT 84112, USA.
    • Hematol. Oncol. Clin. North Am. 2013 Dec 1; 27 (6): 1221-41, viii.

    AbstractTargeting gonadal androgen synthesis (often in conjunction with blockade of androgen receptor) is the cornerstone of treatment of hormone-sensitive metastatic prostate cancer (HSPC). Despite the failure of androgen deprivation therapy, most tumors maintain some dependence on androgen or androgen receptor signaling for proliferation. This article reviews the current standard of care for metastatic HSPC, mechanisms of treatment resistance, novel drugs targeting the androgen signaling pathway, biomarkers predicting response to treatment and survival, future directions, and ongoing clinical trials in HSPC. Copyright © 2013 Elsevier Inc. All rights reserved.

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