Evidence mapPaperPMID 41235005Full record

ReviewCureus2025

Advances in Prostate Cancer Treatment: Exploring Molecular Targets and New Strategies in Castration-Resistant Disease.

Praveen Gopi, Muhammed Ishfaq, Shopon K Das, Zakaria W Shkoukani, Altaf Q Khattak, Hosea B Gana, Rahul Mistry, Richard Jones, Alaa Chamsin, Kaylie E Hughes

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Praveen GopiDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Muhammed IshfaqDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Shopon K DasDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Zakaria W ShkoukaniDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Altaf Q KhattakDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Hosea B GanaDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Rahul MistryDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Richard JonesDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Alaa ChamsinDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.
Kaylie E HughesDepartment of Urology, Mersey and West Lancashire Teaching Hospitals NHS Trust, Prescot, GBR.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Castration-resistant prostate cancer represents a major clinical challenge, emerging when tumors progress despite standard androgen deprivation therapy. The development of resistance is complex, driven by diverse molecular mechanisms, including androgen receptor (AR) gene amplification and splice variants, as well as AR-independent bypass pathways such as the PI3K/AKT/mTOR and immune checkpoint pathways. These mechanisms involve alternative growth factor signaling, neuroendocrine differentiation, and genetic or epigenetic alterations. This review synthesizes recent advances in understanding these resistance pathways and highlights emerging therapeutic strategies designed to overcome them. Key developments include next-generation AR pathway inhibitors, such as darolutamide, with improved safety profiles; PARP inhibitors for patients with DNA repair gene mutations; and PSMA-targeted radioligand therapy. The therapeutic landscape is also expanding to include novel targets such as the heat shock response, with HSF1 inhibitors like NXP800 in clinical trials for treatment-refractory disease. By targeting this molecular heterogeneity, ongoing research aims to deliver more effective, personalized treatments to improve survival and quality of life for men with advanced prostate cancer.

Indexed as

androgen receptor (ar)androgen receptor inhibitorandrogen receptor splice variant 7 (ar-v7)castrate-resistant prostate cancerparp inhibitorsprostate cancer (pca)radioligand therapytargeted therapeuticstumour vaccine

Identifiers

PMID41235005
PMCPMC12605458

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.