“…To ensure full blockade of T production, adrenal androgen inhibitors, including corticosteroids, ketoconazole, and aminoglutethimide, may also be used [ 61 ], though the toxicities of ketoconazole often outweigh its benefits [ 17 ]. Regardless of the form of ADT, however, within 2–3 years, most PCa patients develop resistance to ADT monotherapy and progress to CRPC [ 9 , 15 , 16 , 17 , 18 , 19 ]. In addition to the above, competitive inhibitors of ligand binding to the AR-LBD, the first generation antiandrogens such as bicalutamide, nilutamide, and flutamide, were also developed; these anti-androgens allow the AR to enter the nucleus and bind to target DNA but recruits co-repressors [ 66 ] and repels co-activators [ 66 , 67 ] to halt AR transcriptional activity.…”