Drug Intensification in Future Postoperative Radiotherapy Practice in Biochemically-Relapsing Prostate Cancer Patients.

PARP inhibitors androgen receptor (AR) antagonist combined treatment radiosensitizing agents salvage prostate bed radiotherapy

Journal

Frontiers in oncology
ISSN: 2234-943X
Titre abrégé: Front Oncol
Pays: Switzerland
ID NLM: 101568867

Informations de publication

Date de publication:
2021
Historique:
received: 21 09 2021
accepted: 30 11 2021
entrez: 10 1 2022
pubmed: 11 1 2022
medline: 11 1 2022
Statut: epublish

Résumé

Although salvage prostate bed radiotherapy is highly effective in biochemically-relapsing prostate cancer patients following prostatectomy, relapses remain frequent and improvements are needed. Randomized phase 3 trials have shown the benefit of adding androgen-depriving therapy to irradiation, but not all patients benefit from this combination. Preclinical studies have shown that novel agents targeting the androgen receptor, DNA repair, PI3K/AKT/mTOR pathways, or the hypoxic microenvironment may help increase the response to prostate bed irradiation while minimizing potential side effects. This perspective review focuses on the most relevant molecules that may have an impact when combined with salvage radiotherapy, and underlines the strategies that need to be developed to increase the efficacy of salvage post-prostatectomy radiotherapy in prostate cancer patients.

Identifiants

pubmed: 35004302
doi: 10.3389/fonc.2021.780507
pmc: PMC8739777
doi:

Types de publication

Journal Article

Langues

eng

Pagination

780507

Informations de copyright

Copyright © 2021 Cailleteau, Sargos, Saad, Latorzeff and Supiot.

Déclaration de conflit d'intérêts

SS: coordinating investigator of the GETUG 33 CARLHA 2 study funded by Janssen. The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

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Auteurs

Axel Cailleteau (A)

Department of Radiation Oncology, Institut de Cancérologie de l'Ouest, Nantes Saint-Herblain, France.

Paul Sargos (P)

Department of Radiation Oncology, Institut Bergonié, Bordeaux, France.

Fred Saad (F)

Department of Urology, Université de Montréal, Montreal, QC, Canada.

Igor Latorzeff (I)

Department of Radiation Oncology, Oncorad Clinique Pasteur, Toulouse, France.

Stéphane Supiot (S)

Department of Radiation Oncology, Institut de Cancérologie de l'Ouest, Nantes Saint-Herblain, France.
University of Nantes, CRCINA (CNRS, Inserm), Nantes, France.

Classifications MeSH