Chemotherapy for androgen-independent prostate cancer

DP Petrylak - World journal of urology, 2005 - Springer
DP Petrylak
World journal of urology, 2005Springer
The evolution of taxanes as treatment for androgen-independent prostate cancer hes
emerged from both the laboratory and clinic. Docetaxel is a potent in vitro inhibitor of Bcl-2,
an antiapoptotic gene. Phase I and II studies with docetaxel alone or in combination with
estramustine demonstrated promissing median survivals of 14--23 months, higher than what
would have been expected for historic controls. Two randomized trials have proven the
superiority of docetaxel based treatment in improving survival in men with androgen …
Abstract
The evolution of taxanes as treatment for androgen-independent prostate cancer hes emerged from both the laboratory and clinic. Docetaxel is a potent in vitro inhibitor of Bcl-2, an antiapoptotic gene. Phase I and II studies with docetaxel alone or in combination with estramustine demonstrated promissing median survivals of 14--23 months, higher than what would have been expected for historic controls. Two randomized trials have proven the superiority of docetaxel based treatment in improving survival in men with androgen-independent prostate cancer. SWOG 99-16 and TAX 327 found that docetaxel-based therapy reduced the risk of death by 20--24% when compared to mitoxantrone-based therapy. Future trials will build on docetaxel-based combinations with novel targeted agents.
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