INVITED REVIEW
Year : 2014  |  Volume : 16  |  Issue : 4  |  Page : 505-510

Improving intermittent androgen deprivation therapy: lessons learned from basic and translational research


1 Division of Hematology/Oncology, University of Pittsburgh School of Medicine, Hillman Cancer Centre, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
2 Department of Urology, University of Pittsburgh School of Medicine, Hillman Cancer Centre, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA
3 Division of Hematology/Oncology; Department of Urology; Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Hillman Cancer Centre, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

Correspondence Address:
Zhou Wang
Division of Hematology/Oncology; Department of Urology; Department of Pharmacology and Chemical Biology, University of Pittsburgh School of Medicine, Hillman Cancer Centre, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1008-682X.125410

Rights and Permissions

Intermittent androgen deprivation therapy (IADT) is an alternative to continuous androgen deprivation therapy (ADT) in prostate cancer patients with nonmetastatic disease. ADT is associated with numerous side effects such as hot flashes, sexual dysfunction, anemia, fatigue, loss of muscle mass, osteoporosis, metabolic syndrome and premature cardiovascular disease. IADT was developed with the intention of improving the quality of life and to delay progression of prostate cancer to castration resistance. The benefits of slightly improved quality of life by IADT compared to ADT were demonstrated in multiple clinical trials. IADT was noted to be noninferior to ADT in patients with biochemical recurrence of prostate cancer but in studies performed in patients with metastatic prostate cancer, the results were inconclusive. Our recent studies suggested that the administration of 5 alpha-reductase inhibitors during the off-cycle of IADT can significantly prolong the survival of mice bearing androgen-sensitive prostate tumors when off-cycle duration was short. This review discusses the survival benefit of 5 alpha-reductase inhibition in IADT in animal models and the potential translation of this finding into clinic.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2912    
    Printed61    
    Emailed0    
    PDF Downloaded479    
    Comments [Add]    
    Cited by others 2    

Recommend this journal