The results from two large, prospective, randomized, controlled trials examining the role of 5-α reductase inhibitors in the prevention of prostate cancer have been published. Initial results from the Prostate Cancer Prevention Trial (PCPT) were met with both enthusiasm and skepticism. The recently published REDUCE trial seems to corroborate the findings of the PCPT and reinforce the chemopreventive potential of 5-α reductase inhibitors. This article will assess the REDUCE trial and place the results of the 5-α reductase inhibitor trials in the context of clinical practice.
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References
Nelson, W. G., De Marzo, A. M. & Isaacs, W. B. Prostate cancer. N. Engl. J. Med. 349, 366–381 (2003).
Thompson, I. M. et al. The influence of finasteride on the development of prostate cancer. N. Engl. J. Med. 349, 215–249 (2003).
Lucia, M. S. et al. Pathologic characteristics of cancers detected in the Prostate Cancer Prevention Trial: implications for prostate cancer detection and chemoprevention. Cancer Prev. Res. 1, 167–173 (2008).
Stephenson, A. J., Abouassaly, R. & Klein, E. A. Chemoprevention of prostate cancer. Urol. Clin. N. Am. 37, 11–21 (2010).
Andriole, G. L. et al. Effect of dutasteride on the risk of prostate cancer. N. Engl. J. Med. 362, 1192–1202 (2010).
Walsh, P. C. Three considerations before advising 5-alpha reductase inhibitors for chemoprevention. J. Clin. Oncol. 27, e22 (2009).
Thompson, I. M. et al. Effect of finasteride on the sensitivity of PSA for detecting prostate cancer. J. Natl Cancer Inst. 98, 1128–1133 (2006).
Kramer, B. S. et al. Use of 5 alpha reductase inhibitors for prostate cancer chemoprevention: American Society of Clinical Oncology/American Urological Association 2008 Clinical Practice Guideline. J. Urol. 181, 1642–1657 (2009).
Svatek, R. S., Lee, J. J., Roehrborn, C. G., Lippman, S. M. & Lotan, Y. Cost-effectiveness of prostate cancer chemoprevention. Cancer 112, 1058–1065 (2008).
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E. D. Kim has acted on an advisory board for Eli Lilly and received honoraria from the following companies: Astellas, Sanofi-Aventis and Watson Pharmaceuticals. W. M. White declares no competing interests.
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White, W., Kim, E. Evolving role of 5-α reductase inhibitors in chemoprevention. Nat Rev Clin Oncol 7, 487–488 (2010). https://doi.org/10.1038/nrclinonc.2010.114
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DOI: https://doi.org/10.1038/nrclinonc.2010.114