Advances in Prostate Cancer Therapeutics

A special issue of Pharmaceuticals (ISSN 1424-8247). This special issue belongs to the section "Pharmacology".

Deadline for manuscript submissions: 30 October 2025 | Viewed by 123

Special Issue Editor


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Guest Editor
Department of Pharmacology, Case Western Reserve University, Cleveland, OH 44106, USA
Interests: function and regulation of TGF-beta expression and signaling in prostate and renal cancers; androgen receptor signaling; cross-talk of TGF-beta with IGF-I, AKT, mTOR, androgen receptor, and Hic-5; survivin in cancer; Notch/Jagged1 signaling; drug discovery; YM155; mTOR inhibitors; TGF-beta signaling inhibitors; apoptosis; hypoxia and hypoxia-inducible pathways; AMPKs; chemoprevention; polyphenols
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Special Issue Information

Dear Colleagues,

Prostate cancer (PCa), the second most frequently diagnosed malignancy in men, is a leading cause of cancer mortality worldwide. Although localized PCa is often managed effectively with surgery and radiation therapy, metastatic PCa presents significant therapeutic challenges. Androgen deprivation therapy (ADT) remains the cornerstone of treatment; nonetheless, resistance frequently develops, leading to castration-resistant PCa (CRPC). The past decade has seen remarkable advancement in therapeutic strategies, including next-generation androgen receptor signaling inhibitors, poly(ADP-ribose) polymerase (PARP) inhibitors, radiotherapies, immunotherapies, and combination regimens. Despite such progress, treatment resistance, biomarker-driven patient selection, and the optimal sequencing of therapies remain critical areas of ongoing research.

This Special Issue of Pharmaceuticals seeks to highlight the latest developments in PCa therapeutics, with a focus on novel drug discovery, mechanisms of resistance, biomarkers for treatment response, and personalized medicine approaches. We invite original articles, reviews, and preclinical and clinical studies that explore cutting-edge treatment strategies, translational research, and emerging therapeutic modalities aimed at improving patient outcomes.

Researchers, clinicians, and industry experts are encouraged to submit their work to this Special Issue. For further details, please visit www.mdpi.com.

Dr. David Danielpour
Guest Editor

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Keywords

  • prostate cancer
  • androgen deprivation therapy (ADT)
  • castration-resistant prostate cancer (CRPC)
  • androgen receptor signaling inhibitors
  • PARP inhibitors
  • ionizing radiation therapy
  • radiopharmaceuticals
  • immunotherapy
  • biomarkers
  • personalized medicine
  • therapeutic resistance
  • targeted therapy
  • combination therapy
  • hormone-sensitive prostate cancer (HSPC)
  • next-generation therapeutics
  • translational oncology

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Published Papers (1 paper)

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12 pages, 560 KiB  
Systematic Review
Safety and Efficacy of Reduced Dose of Enzalutamide in Patients with Castration-Resistant Prostate Cancer: A Systematic Review
by Zineddine Belabaci, Lucas Mose, Omar El-Taji, Zina Otmani, Zein Alabdin Hannouneh, Issa Mohamad, Thomas Zilli, Osama Mohamad, Nadeem Pervez, Waleed Arafat, Ursula Vogl and Mohamed Shelan
Pharmaceuticals 2025, 18(5), 732; https://doi.org/10.3390/ph18050732 - 16 May 2025
Abstract
Objective: To review the efficacy and safety of reduced dose compared to standard dose Enzalutamide treatment for patients with castration-resistant prostate cancer (CRPC). Methods: PubMed, Scopus, Web of Science, and Cochrane databases were searched for randomized controlled trials and cohort studies reporting the [...] Read more.
Objective: To review the efficacy and safety of reduced dose compared to standard dose Enzalutamide treatment for patients with castration-resistant prostate cancer (CRPC). Methods: PubMed, Scopus, Web of Science, and Cochrane databases were searched for randomized controlled trials and cohort studies reporting the use of Enzalutamide in reduced and standard doses in patients with castration-resistant prostate cancer. Searches were limited to articles published in the English language. Outcome assessments included progression-free survival (PFS), overall survival (OS), adverse events, and serum prostate-specific antigen (PSA) response. Results: Ten studies met the inclusion criteria, including 2481 patients treated with Enzalutamide. Seven studies were retrospective cohorts, two were prospective trials, and one was a prospective cohort. No consistent relationship was identified between OS and PFS and the Enzalutamide dosage. Reduced doses of Enzalutamide decreased the incidence of adverse events, particularly among elderly patients. Conclusions: This systematic review suggests that reduced doses of Enzalutamide in CRPC may maintain therapeutic efficacy in selected patients while improving tolerability. However, inconsistent findings and methodological limitations highlight the need for prospective randomized trials to define optimal and individualized dosing strategies. Full article
(This article belongs to the Special Issue Advances in Prostate Cancer Therapeutics)
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