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Urological cancer

Enzalutamide in metastatic CRPC—old dog, new tricks

Two novel agents targeting the androgen receptor signalling axis, even after chemotherapy treatment, have been demonstrated to be effective in patients with metastatic castration-resistant prostate cancer (CRPC). Enzalutamide is the newest approved treatment that improves survival in this lethal and morbid disease.

Key Points

  • Enzalutamide, a selective competitive androgen receptor antagonist with multiple inhibitory effects on the androgen signalling axis, has been approved by the FDA for the treatment of patients with metastatic castration-resistant prostate cancer after chemotherapy treatment by demonstrating significant clinical activity in a randomized phase III study

  • Androgen signalling remains an important driver of prostate cancer, even in the castration-resistant setting; a pipeline of novel treatments further targeting this pathway has entered various stages of development and clinical testing

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Correspondence to William K. Oh.

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Competing interests

W. K. Oh has acted as a consultant for the following companies: Astellas Pharma, Janssen and Medivation. C.-K. Tsao declares no competing interests.

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Tsao, CK., Oh, W. Enzalutamide in metastatic CRPC—old dog, new tricks. Nat Rev Clin Oncol 9, 613–614 (2012). https://doi.org/10.1038/nrclinonc.2012.181

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