OncoGenex announces second Phase III trial of custirsen in mCRPC

OncoGenex Pharmaceuticals and Teva Pharmaceutical Industries have just announced the initiation of a new, randomized, controlled, global Phase III trial to evaluate the effectiveness and safety of custirsen ( OGX-011) as first-line therapy for the treatment of metastatic, castration-resistant prostate cancer (mCRPC).

External validation of the CAPRA scoring system

The Cancer of the Prostate Risk Assessment or CAPRA scoring system was developed by a group at the University of California at San Francisco (UCSF) as a tool that uses clinical variables to generate a prostate cancer risk-stratification score ranging from 0 to 10.

Second Phase III clinical trial of MDV3100 in mCRPC

According to a media release issued earlier today, Medivation and Astellas Pharma have enrolled the first patient into a new Phase III clinical trial of MDV3100.

Another new test that might be able to limit need for biopsies

Reports on Reuters and on HealthDay state that a company called Oxford Gene Technology has developed a new type of test with the potential to distinguish indolent forms of prostate disease from prostate cancer.

Psychosocial distress at diagnosis and 12 months later

Every prostate cancer patient (and many patients subsequently found not to have prostate cancer) have been through the psychological and social distress associated with the risk of a diagnosis of prostate cancer. It’s no fun.

Radiation therapy for localized prostate cancer

The Centers for Medicare & Medicaid Services (CMS) and the Agency for Healthcare Research and Quality (AHRQ) have now released the final, updated version of a report on the comparative evaluation of various available types of radiation therapy for the treatment of localized prostate cancer. This entire report is available on line.

Is free, circulating DNA a useful marker for prostate cancer?

Elevated levels of free, circulating DNA (fcDNA) have previously been been found in the serum of prostate cancer patients compared with the levels in the serum of patients with benign prostate conditions.

Pfizer discontinues Phase III clinical trial of Sutent in CRPC

An announcement yesterday has made it clear that sunitinib malate (Sutent) is unlikely to ever show significant clinical activity in the management of patients with advanced, castration-resistant prostate cancer (CRPC) after initial chemotherapy.

Pity the innocent pomegranate

Those who have been assiduously drinking their pomegranate juice will want to be aware of actions taken today by the Federal Trade Commission (the FTC).

Does alcohol consumption cause prostate cancer? … revisited yet again

There have been multiple attempts over the years to try and establish a clear relationship between alcohol consumption and risk for prostate cancer, but despite the multiple attempts there is still no clear picture to work from.

Zibotentan not effective when used alone in treatment of mCRPC

According to a media release this morning from AstraZeneca, the company’s investigational drug zibotentan (also known as ZD4054) was not effective in extending the overall survival of patients with metastatic castration-resistant prostate cancer (mCRPC) in a randomized, double-blind, placebo-controlled Phase III trial.

The prostate cancer screening controversy: an evolving, risk-based perspective

WARNING: This commentary may not be suitable reading for those who are firmly convinced that annual, mass, population-based screening of all men over (say) 40 or 50 years of age is the right way to manage prostate cancer risk.

GTx says selective estrogen receptor agonist induces medical castration

According to a Reuters report based on a recent media release from GTx, the investigational agent GTx-758 is able to induce temporary medical castration in healthy volunteers, making this agent yet another possible candidate for the hormonal management of progressive prostate cancer.

Predicting risk for Gleason score upgrades in non-surgical patients

The ability to predict risk for Gleason score upgrading in patients who have any form of treatment other than radical prostatectomy can be important, because it may help treating physicians and their patients to optimize first-line therapy.

Older (and newer) drugs in the management of CRPC

On his Advanced Prostate Cancer blog site, Joel Nowak has just published a series of five brief articles on the opportunities offered by some older agents that are available for use as second-line therapies in the management of patients who have a rising PSA after treatment with standard forms of androgen deprivation therapy (ADT).

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