Treatment FAQ

which of the following agents is used for the treatment of cancer of the prostate

by Prof. Imani Predovic DVM Published 3 years ago Updated 2 years ago
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Treatments for castration-resistant prostate cancer include: Complete androgen blockade, that is, androgen receptor blockers (flutamide, bicalutamide, nilutamide, apalutamide, or enzalutamide) plus ADT Androgen synthesis inhibition with abiraterone plus ADT Immunotherapy using a cell-based vaccine called sipuleucel-T.

Abiraterone acetate (Zytiga).
This pill stops prostate cancer cells (and other cells) from making androgens. It's approved for men with advanced prostate cancer who have tried other hormone therapies.
Oct 8, 2021

Full Answer

What drugs are used to treat prostate cancer?

Drugs Approved for Prostate Cancer. Abiraterone Acetate. Apalutamide. Bicalutamide. Cabazitaxel. Casodex (Bicalutamide) Degarelix.

Can chemotherapy be used to treat prostate cancer?

Chemo is not, however, a standard treatment for early prostate cancer. For prostate cancer, chemo drugs are typically used one at a time. Some of the chemo drugs used to treat prostate cancer include: In most cases, the first chemo drug given is docetaxel, combined with the steroid drug prednisone.

What is prostate hormone therapy used for?

It's most often used to treat men just diagnosed with advanced prostate cancer who have a lot of cancer in the body, as it offers a quick way to lower testosterone levels. It can also be tried if other forms of hormone therapy are no longer working.

How do agonists and antagonists work in prostate cancer treatment?

LHRH agonists and antagonists can stop the testicles from making androgens, but cells in other parts of the body, such as the adrenal glands, and prostate cancer cells themselves, can still make male hormones, which can fuel cancer growth. Some drugs can block the formation of androgens made by these cells.

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Which of the following is used for prostate cancer?

Early-stage prostate cancer (stages I and II) Radiation therapy (external-beam or brachytherapy) or surgery may also be suggested, as well as treatment in clinical trials. For those with a higher Gleason score, the cancer may be faster growing, so radical prostatectomy and radiation therapy are often recommended.

What medication is given for prostate?

Names: Your doctor might suggest one of these alpha blockers:Alfuzosin (Uroxatral)Doxazosin (Cardura)Prazosin (Minipress)Silodosin (Rapaflo)Tamsulosin (Flomax)Terazosin (Hytrin)

What is the most recent treatment for prostate cancer?

Several newer forms of hormone therapy have been developed in recent years. Some of these may be helpful when standard forms of hormone therapy are no longer working. Some examples include abiraterone (Zytiga), enzalutamide (Xtandi), and apalutamide (Erleada), which are described in Hormone Therapy for Prostate Cancer.

What is Finasteride used for?

Finasteride is used to treat men with an enlarged prostate (benign prostate enlargement). It can help ease your symptoms if: it's difficult to start peeing.

What is atorvastatin used for?

Atorvastatin is used together with a proper diet to lower cholesterol and triglyceride (fats) levels in the blood. This medicine may help prevent medical problems (eg, chest pain, heart attack, or stroke) that are caused by fats clogging the blood vessels.

Is chemotherapy used for prostate cancer?

Types of Chemotherapy Drugs The most common chemotherapy drug for prostate cancer is docetaxel (Taxotere), which is usually given with prednisone, a steroid medicine. After starting docetaxel, many men experience the improvements in disease-related symptoms, including pain, fatigue and loss of energy.

What is the treatment for advanced prostate cancer?

Hormone (endocrine) therapy, known as androgen ablation or androgen suppression therapy, is the main treatment for advanced prostate cancer.

Is hormone treatment for prostate cancer chemotherapy?

Hormone therapy blocks or lowers the amount of testosterone in the body. Hormone therapy on its own doesn't cure prostate cancer. But it can lower the risk of an early prostate cancer coming back when you have it with other treatments. Or it can shrink an advanced prostate cancer or slow its growth.

When Is Chemotherapy used?

Chemo is sometimes used if prostate cancer has spread outside the prostate gland and hormone therapy isn’t working. Recent research has also shown...

Chemo Drugs Used to Treat Prostate Cancer

For prostate cancer, chemo drugs are typically used one at a time. Some of the chemo drugs used to treat prostate cancer include: 1. Docetaxel (Tax...

Possible Side Effects of Chemotherapy

Chemo drugs attack cells that are dividing quickly, which is why they work against cancer cells. But other cells in the body, such as those in the...

What is the oldest treatment for cancer?

Cytotoxic chemotherapy, the oldest and most commonly used type of cancer treatment, halts cell division and kills rapidly growing cells. For a full list of chemotherapy drugs, click here.

What is provenge cancer?

Provenge is a personalized cancer vaccine approved for metastatic prostate cancer that does not respond to hormone therapy (known as castration-resistant).

What is Trelstar used for?

Trelstar is a GnRH agonist approved for palliative treatment of advanced prostate cancer.

Is Zoladex a GnRH agonist?

Zoladex is a GnRH agonist approved for palliative treatment of advanced prostate cancer and, treatment of localized prostate cancer in combination with Eulexin (flutamide) and palliative treatment of breast cancer in premenopausal women. It is also used to treat ovarian cancer, though it is not FDA-approved for this indication.

Is Xtandi a castration inhibitor?

Xtandi is an androgen receptor inhibitor approved for metastatic or nonmetastatic prostate cancer that progresses despite low testosterone levels ( known as castration-resistant), as well as cancer that remains sensitive to testosterone-blocking therapy.

Is Rozlytrek approved for lung cancer?

Rozlytrek is approved for the treatment of solid tumors anywhere in the body that have NTRK gene fusions and for ROS1-positive non-small-cell lung cancer.

Is Zytiga a CYP17 inhibitor?

Zytiga is a CYP17 inhibitor approved for metastatic prostate cancer that progresses despite low testosterone levels (known as castration-resistant) and for high-risk castration-sensitive prostate cancer.

What are the Side effects of Drugs used in Prostate Cancer?

The side effects of prostate cancer drugs depend on the type of drug being administered, the dose prescribed and the length of the treatment.

What is systemic treatment for prostate cancer?

Systemic treatments - This involves prescribing drugs for prostate cancer. The drugs could be administered orally, intravenously or topically. Medications for prostate cancer could be in the form of chemotherapy or hormonal therapy. Generally, hormone therapy is prescribed for advanced stages of prostate cancer.

What is Prostate Gland and What are the Symptoms of Prostate Cancer?

The prostate is a small gland in the pelvic region, found in only males. It makes prostatic fluid, which is part of the semen.

What is the best medicine for cancer?

This helps in the strengthening of the bones. Radium-223, Strontium-89, Samarium-153: These drugs are called radiopharmaceuticals; when administered, they get concentrated on the cancer-affected bone sites and release radiation, which reduces pain caused by the cancer in the bones.

What is the name of the drug that blocks the effect of androgen?

These include flutamide, bicalutamide and nilutamide. Enzalutamide is a newer drug under this category. It blocks the effect of the androgen at a point beyond its binding to its receptor or site of action on the cancer cells. It is prescribed for castration-resistant prostate cancer.

What are the drugs that stop androgens from working?

These include flutamide, bicalutamide and nilutamide.

What is a CYP17 inhibitor?

CYP17 inhibitor - The CYP17 inhibitor prevents the prostate cancer cells and other cells from making androgens by inhibiting the enzyme CYP17. It is prescribed for men with advanced castration-resistant prostate cancer.

What types of hormone therapy are used for prostate cancer?

Hormone therapy for prostate cancer can block the production or use of androgens ( 4 ). Currently available treatments can do so in several ways:

What can be done to reduce the side effects of hormone therapy for prostate cancer?

Men who lose bone mass during long-term hormone therapy may be prescribed drugs to slow or reverse this loss. The drugs zoledronic acid (Zometa) and alendronate (Fosamax) (both of which belong to a class of drugs called bisphosphonates) can be used to increase bone mineral density in men who are undergoing hormone therapy ( 29, 30 ), as can a newer drug, denosumab (Prolia), which increases bone mass through a different mechanism ( 31 ). However, drugs to treat bone loss are associated with a rare but serious side effect called osteonecrosis of the jaw ( 20 ).

How is hormone therapy used to treat hormone-sensitive prostate cancer?

Hormone therapy may be used in several ways to treat hormone-sensitive prostate cancer , including:

What are male sex hormones?

Hormones are substances that are made by glands in the body. Hormones circulate in the bloodstream and control the actions of certain cells or organs.

How is castration-resistant prostate cancer treated?

Complete androgen blockade —that is, androgen receptor blockers ( flutamide, bicalutamide, nilutamide, apalutamide, darolutamide, or enzalutamide ).

What is intermittent ADT?

With intermittent androgen deprivation, hormone therapy is given in cycles with breaks between drug administrations, rather than continuously. An additional potential benefit of this approach is that the temporary break from the side effects of hormone therapy may improve a man’s quality of life.

What hormones are released when androgen levels are low?

Normally, when androgen levels in the body are low, the hypothalamus releases LHRH. This stimulates the pituitary gland to produce luteinizing hormone, which in turn stimulates the testicles to produce androgens. LHRH agonists, like the body’s own LHRH, initially stimulate the production of luteinizing hormone.

What are the drugs that help prostate cancer grow?

Anti-androgens. For most prostate cancer cells to grow, androgens have to attach to a protein in the prostate cancer cell called an androgen receptor. Anti-androgens are drugs that also connect to these receptors, keeping the androgens from causing tumor growth.

What hormones are used to remove testicles?

Estrogens (female hormones) were once the main alternative to removing the testicles (orchiectomy) for men with advanced prostate cancer. Because of their possible side effects (including blood clots and breast enlargement), estrogens have been replaced by other types of hormone therapy.

How does LHRH affect prostate cancer?

Men whose cancer has spread to the bones may have bone pain. Men whose prostate gland has not been removed may have trouble urinating . If the cancer has spread to the spine, even a short-term increase in tumor growth as a result of the flare could press on the spinal cord and cause pain or paralysis. A flare can be avoided by giving drugs called anti-androgens (discussed below) for a few weeks when starting treatment with LHRH agonists.

What is the goal of hormone therapy?

The goal is to reduce levels of male hormones, called androgens, in the body, or to stop them from fueling prostate cancer cells. Androgens stimulate prostate cancer cells to grow. The main androgens in the body are testosterone ...

What is castrate resistant?

Castrate-resistant (cancer that is still growing despite low testosterone levels from an LHRH agonist, LHRH antagonist, or orchiectomy)

What is apalutamide used for?

Apalutamide can also be used for metastatic castrate-sensitive prostate cancer.

Where is androgen made?

Most androgen is made by the testicles, but the adrenal glands (glands that sit above your kidneys) as well as the prostate cancer itself, can also make a fair amount. Lowering androgen levels or stopping them from getting into prostate cancer cells often makes prostate cancers shrink or grow more slowly for a time.

What is the most commonly used chemo drug for prostate cancer?

A 2018 research review. Trusted Source. showed that docetaxel (developed in 2004) is the first chemotherapy drug that improved the survival rate of men with prostate cancer. Today, it’s the most commonly used chemotherapy drug to treat prostate cancer.

What is the treatment for prostate cancer?

Chemotherapy is a drug therapy that’s sometimes used to treat prostate cancer. It’s most commonly used to treat aggressive tumors or advanced prostate cancer that hasn’t responded well to other treatments.

What does chemotherapy kill?

Chemicals in chemotherapy drugs kill cancer cells and other cells in your body that rapidly divide such as cells in your hair follicles and digestive system. Your doctor can help you determine if you may benefit from chemotherapy.

How many men will be diagnosed with prostate cancer in 2021?

Chemotherapy Treatment for Prostate Cancer. The American Cancer Society says that nearly 250,000 American men are expected to be diagnosed with prostate cancer in 2021. And about 1 in 8 men will be diagnosed with prostate cancer at some point in their lives. Prostate cancers tend to grow slowly and have a fairly good outlook compared ...

What is the name of the drug that blocks the production of testosterone?

Abiraterone is in a class of drugs called androgen biosynthesis inhibitors. They work by blocking the production of testosterone.

How is chemotherapy administered?

Chemotherapy drugs are typically administered intravenously (through an IV) by a doctor who specializes in cancer treatment. The medications can be administered at a:

What is the name of the drug that blocks cancer cells from dividing?

Docetaxel falls into a group of drugs called taxanes. These drugs block cellular processes cancer cells need to divide.

Why are solid tumors not as responsive to cytotoxic drugs?

Solid tumors are not as responsive to cytotoxic drugs because they have a low growth fraction. A tissue that is said to have a "low growth fraction" has a lot of cells in the G0 (resting) phase. Leukemias and lymphomas are more responsive to cytotoxic drugs because they have a high growth fraction. False.

What is the best choice of a medication for a patient who has experienced a tragic loss of a family?

She asks the physician for something to help her. The best choice of a medication for this patient would be Fluoxetine (Prozac).

Which is more toxic, chemotherapeutic or a high growth fraction?

As a rule, chemotherapeutic drugs are more toxic to tissues that have a low growth fraction than they are to tissues that have a high growth fraction.

What is the best way to treat acne?

A well balanced diet will assist in the treatment of acne.

What is the name of the tricyclic antidepressant?

A patient is prescribed Amitriptyline (Elavil), a tricyclic antidepressant. Which of the following are expected side effects for this drug? Mark all that apply

Can anticancer drugs cause myelosuppression?

Anticancer drugs frequently lead to the adverse effect of "myelosuppression". This means...

Is Filgrastim a colony stimulating factor?

The nurse should know that Filgrastim, a colony stimulating factor, is an absolute contraindication for this patient and should be discontinued if prescribed.

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