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NEW YORK (Reuters Health) - Two non-steroidal antiandrogens, designated MDV3100 and RD162, may be useful treatment for castration-resistant prostate cancer, according to a report in the April 10th online issue of Science.
Current antiandrogen drugs are effective treatments for metastatic prostate cancer, yet most patients will progress to castration-resistant disease, the result of an increase in androgen receptors, senior researcher Dr. Charles L. Sawyers, from Memorial Sloan-Kettering Cancer Center, New York, and colleagues explain.
In screening for new prostate cancer drugs, Dr. Sawyers' team identified MDV3100 and RD162, diarylthiohydantoin compounds that remain active against the malignancy even in the face of elevated androgen receptor expression.
Both of these agents were found to bind to androgen receptors with greater affinity than bicalutamide (Casodex), a first-generation antiandrogen. Further analysis showed that the drugs reduced internalization of androgen receptors and related transcriptional activity.
Testing in murine models of human castration-resistant prostate cancer, the authors found that RD162 and MDV3100 promoted tumor regression. Moreover, in a phase I/II trial of MDV3100 in 30 patients with castration-resistant disease, use of the drug induced sustained reductions in PSA levels in 13 patients (43%).
"While preliminary, these clinical data appear promising and validate the persistent role of androgen receptor in driving castration-resistant disease," the authors conclude.
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