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Prostate cancer

CYP17A1 inhibitor failure—lessons for future drug development

The ELM-PC 5 phase III randomized, double blind, multicentre trial comparing treatment with orteronel plus prednisone with placebo plus prednisone failed to show an overall survival benefit for orteronel therapy. Several possible reasons exist for the lack of a positive result in this study.

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References

  1. Fizazi, K. et al. Phase III, randomized, double-blind, multicenter trial comparing Orteronel (TAK-700) plus prednisone with placebo plus prednisone in patients with metastatic castration-resistant prostate cancer that has progressed during or after docetaxel-based therapy: ELM-PC 5. J. Clin. Oncol. 33, 723–731 (2015).

    Article  CAS  Google Scholar 

  2. Sharifi, N. Mechanisms of androgen receptor activation in castration-resistant prostate cancer. Endocrinology 154, 4010–4017 (2013).

    Article  CAS  Google Scholar 

  3. de Bono, J. S. et al. Abiraterone and increased survival in metastatic prostate cancer. N. Engl. J. Med. 364, 1995–2005 (2011).

    Article  CAS  Google Scholar 

  4. Ryan, C. J. et al. Abiraterone in metastatic prostate cancer without previous chemotherapy. N. Engl. J. Med. 368, 138–148 (2012).

    Article  Google Scholar 

  5. Yamaoka, M. et al. Orteronel (TAK-700), a novel non-steroidal 17, 20-lyase inhibitor: effects on steroid synthesis in human and monkey adrenal cells and serum steroid levels in cynomolgus monkeys. J. Steroid Biochem. Mol. Biol. 129, 115–128 (2012).

    Article  CAS  Google Scholar 

  6. Dreicer, R. et al. Phase I/II trial of orteronel (TAK-700)—an investigational 17, 20-lyase inhibitor—in patients with metastatic castration-resistant prostate cancer. Clin. Cancer Res. 20, 1335–1344 (2014).

    Article  CAS  Google Scholar 

  7. Ryan, C. J. et al. Androgen dynamics and serum PSA in patients treated with abiraterone acetate. Prostate Cancer Prostatic Dis. 17, 192–198 (2014).

    Article  CAS  Google Scholar 

  8. Li, R. et al. Abiraterone inhibits 3beta-hydroxysteroid dehydrogenase: a rationale for increasing drug exposure in castration-resistant prostate cancer. Clin. Cancer Res. 18, 3571–3579 (2012).

    Article  CAS  Google Scholar 

  9. Richards, J. et al. Interactions of Abiraterone, eplerenone, and prednisolone with wild-type and mutant androgen receptor: a rationale for increasing abiraterone exposure or combining with MDV3100. Cancer Res. 72, 2176–2182 (2012).

    Article  CAS  Google Scholar 

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Correspondence to Nima Sharifi.

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Sharifi, N. CYP17A1 inhibitor failure—lessons for future drug development. Nat Rev Urol 12, 245–246 (2015). https://doi.org/10.1038/nrurol.2015.66

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