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Published 11 August 2008, doi:10.1136/bmj.a1249
Cite this as: BMJ 2008;337:a1249
| The first 150 words of the full text of this article appear below. |
Recently we and others have studied different anti-cancer drugs in patients with castration resistant prostate cancer (CRPC), including HER2 targeting drugs, pan-ErbB inhibitors, histone deacetylase inhibitors, anti-angiogenics, a survivin antisense, and several new cytotoxics.1 2 In none of these trials have we observed anything like the biochemical, radiological, and, importantly, symptomatic benefit reported with abiraterone acetate.
The results of our phase I study have been confirmed by a second phase I study in North America and four phase II studies run by our team and several North American investigators. These studies were recently presented at the American Society of Clinical Oncology annual meeting held in Chicago3 4 5 and will be published over the next year. The results remain preliminary and require confirmation in an ongoing 1180 patient phase III study, but they are very encouraging and anticipate that further therapeutic targeting of the androgen receptor signalling axis in CRPC can achieve disease
Gerhardt Attard, clinical research fellow1, Alison H Reid, clinical research fellow1, David Dearnaley, consultant clinical oncologist1, Johann S De Bono, consultant medical oncologist1
1 Institute for Cancer Research, Royal Marsden NHS Foundation Trust, Sutton SM2 5PT
gerhardt.attard@icr.ac.uk