Abstract

Hormone therapy of metastatic prostate cancer (mPC) has been the “golden standard” of treatment since 1941. However, survival rates in patients with this pathology have remained low. Based on the results of newer studies, early start of docetaxel chemotherapy or antiandrogen abiraterone therapy in combination with standard hormone therapy allows to significantly increase survival of patients with mPC. In this review, data from these studies and advisability of docetaxel and abiraterone at the 1st line therapy of mPC are discussed.

Highlights

  • Current approaches to selection of the 1st line therapy in patients with metastatic hormone-sensitive prostate cancer B.Ya

  • Данные ряда доклинических исследований показывают, что таксаны влияют и на андрогензависимые сигнальные пути за счет блокировки транслокации рецепторов в ядра клеток и последующей экспрессии их генов-эффекторов [10,11,12]

  • Последовательность терапии На основании данных рандомизированных исследований как доцетаксел, так и абиратерон в комбинации со стандартной антиандрогенной терапии (ААТ) являются «золотым стандартом» лечения больных мГЧРПЖ

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Summary

Introduction

Current approaches to selection of the 1st line therapy in patients with metastatic hormone-sensitive prostate cancer B.Ya. Анализ результатов лечения 80 больных мРПЖ в клинических исследованиях National Cancer Institute показал, что медиана времени до развития кастрационно-рефрактерного мРПЖ (мКРРПЖ) у больных с наличием метастазов на момент начала антиандрогенной терапии (ААТ) и без них составила 13,1 и 19,3 мес соответственно [5].

Results
Conclusion
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