Stellenwert der Chemotherapie bei Patienten mit einem metastasierten kastrationsresistenten Prostatakarzinom (mCRPC): noch Standard oder Ausnahme?

Research output: Contribution to journalEditorial (Lead article)Contributedpeer-review

Contributors

Abstract

Background: Taxanes have been used as monotherapy for metastatic prostate cancer for two decades. Objectives: The current status of docetaxel and cabazitaxel in the treatment sequence for metastatic prostate cancer needs to be clarified. Materials and methods: Overview of the existing literature regarding approval, dosage and new combination options for metastatic castration-resistant prostate cancer (mCRPC). Results: Taxanes represent one, but no longer the only treatment option for mCRPC. Previously, monotherapy was standard of care in the first and second line for mCRPC; nowadays taxanes are thrusted in the background due to new encouraging drug options. Based on the promising data of docetaxel in triple therapy setting for hormone-sensitive stage, its role as monotherapy in mCRPC needs to be clarified. Cabazitaxel is an alternative to PSMA radioligand therapy after failure of novel hormonal therapy (NHT) and docetaxel. Therapy adherence for taxanes can be significantly improved by dosage adjustments. Both treatment-related neuroendocrine prostate cancer (t-NEPC) and aggressive variant of prostate cancer (AVPC) represent a challenge for experienced uro-oncologists. Here, the combination of taxane plus platinum represents a promising option. Conclusions: Taxanes are indicated in different stages of metastatic prostate cancer. Their use, particularly in combination with other drugs, appears to be promising. Traditional sequential taxane monotherapy regimens will be challenged by novel systemic therapy approaches.

Translated title of the contribution
Role of chemotherapy in metastatic castration-resistant prostate cancer (mCRPC) treatment
still standard or exception?

Details

Original languageGerman
Pages (from-to)1281-1288
Number of pages8
JournalUrologie
Volume62
Issue number12
Publication statusPublished - Dec 2023
Peer-reviewedYes

External IDs

PubMed 37904040

Keywords

Sustainable Development Goals

ASJC Scopus subject areas

Keywords

  • Castration resistance, Drug dosage, Neuroendocrine prostate cancer, Platinum compounds, Taxanes