Non-metastatic castration-resistant prostate cancer: current status and future directions.

Document Type

Article

Publication Date

6-1-2020

Publication Title

Expert Review of Anticancer Therapy

Abstract

INTRODUCTION: The emergence of novel hormonal therapies and the increase availability of sensitive next-generation imaging techniques has significantly changed the management of recurrent prostate cancer.

AREAS COVERED: In this review, we summarize the definition, diagnosis, treatment, and ongoing clinical trials in non-metastatic castration resistant prostate cancer (M0CRPC). We have also discussed the role of newer imaging modalities in the detection of advanced prostate cancer.

EXPERT OPINION: M0CRPC is a disease state in prostate cancer when serologic progression (PSA only disease) occurs despite castrated levels of testosterone and imaging shows no evidence of metastasis. With the availability of next-generation imaging, more patients are migrating from M0CRPC to mCRPC space. This stage migration impacts the treatment options currently available in clinical practice and requires the integration of novel imaging in prospective studies moving forward. Until that data become available men with M0CRPC should be considered for therapy with any of these three novel oral AR inhibitors, with a positive impact in metastasis-free and overall survival. Treatment selection should be based on Quality of Life, side effects, and drug-drug interactions.

Volume

20

Issue

6

First Page

513

Last Page

522

DOI

10.1080/14737140.2020.1772759

ISSN

1744-8328

PubMed ID

32508166

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