Targeted Inhibition of CYP11A1 in Castration-Resistant Prostate Cancer

NEJM Evid. 2024 Jan;3(1):EVIDoa2300171. doi: 10.1056/EVIDoa2300171. Epub 2023 Dec 26.

Abstract

Targeted Inhibition of CYP11A1 in Prostate CancerIn this single-arm, multicenter, combined phase 1 and phase 2 study, patients with metastatic prostate adenocarcinoma with progression on prior androgen receptor pathway inhibitors and taxane-based chemotherapy were treated with ODM-208. A decrease in prostate-specific antigen levels of 50% or more occurred in 16/42 (38.1%) and 24/45 (53.3%) in phase 1 and 2 respectively. Responses mainly occurred in patients with androgen receptor mutations. Adrenal insufficiency was the dose-limiting toxicity.

Publication types

  • Multicenter Study

MeSH terms

  • Androgen Receptor Antagonists / pharmacology
  • Cholesterol Side-Chain Cleavage Enzyme
  • Humans
  • Male
  • Prostate-Specific Antigen / therapeutic use
  • Prostatic Neoplasms, Castration-Resistant* / drug therapy
  • Receptors, Androgen* / therapeutic use
  • Treatment Outcome

Substances

  • Receptors, Androgen
  • Cholesterol Side-Chain Cleavage Enzyme
  • Prostate-Specific Antigen
  • Androgen Receptor Antagonists