Pulse Brain · Growing Health Evidence Index
Tier 4 — Narrative / commentaryPeer-reviewed

Resistance to second-generation androgen receptor antagonists in prostate cancer

Keith T. Schmidt, Alwin D. R. Huitema, Cindy H. Chau, William D. Figg

Nature Reviews Urology · 2021

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Summary

This Nature Reviews Urology article examines the mechanisms underlying resistance to second-generation androgen receptor antagonists in advanced prostate cancer. As suggested by the 2021 publication date and journal scope, the review synthesises evidence on molecular and clinical drivers of treatment failure, including androgen receptor mutations, altered receptor expression, and activation of bypass signalling pathways. The work appears intended to inform clinical understanding of disease progression and potential therapeutic strategies in castration-resistant prostate cancer.

UK applicability

Findings on androgen receptor antagonist resistance are directly relevant to UK clinical oncology and urology practice, as enzalutamide and abiraterone are approved treatments within the NHS for castration-resistant prostate cancer. Understanding resistance mechanisms may inform treatment sequencing and patient stratification in UK cancer centres.

Key measures

Treatment resistance phenotypes, androgen receptor mutations, alternative signalling pathways, progression-free survival outcomes

Outcomes reported

The study examined mechanisms of resistance to second-generation androgen receptor antagonists (enzalutamide, abiraterone) in patients with castration-resistant prostate cancer. It likely reviewed clinical and molecular evidence for treatment failure and disease progression.

Theme
Nutrition & health
Subject
Other / interdisciplinary
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
United States
System type
Human clinical
DOI
10.1038/s41585-021-00438-4
Catalogue ID
SNmoh0dslh-2aoqv6

Topic tags

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