In the recent MAINSAIL trial, addition of lenalidomide to docetaxel for metastatic castration-resistant prostate cancer (mCRPC) was associated with inferior overall survival and more toxicity; thus, lenalidomide joins a long line of agents that failed to improve the efficacy of docetaxel. The process by which new therapies are advanced to phase III studies, particularly in combination with docetaxel, should be re-examined.
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W.K.O. has served in a consultancy or advisory relationship with Bayer, Dendreon, Janssen and Sanofi, and has received research funding from Sotio. B.C.L. declares no competing interests.
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Liaw, B., Oh, W. Is docetaxel the 'black widow' of mCRPC drugs?. Nat Rev Clin Oncol 12, 316–318 (2015). https://doi.org/10.1038/nrclinonc.2015.79
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DOI: https://doi.org/10.1038/nrclinonc.2015.79