2004
DOI: 10.1158/1078-0432.ccr-04-0077
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Combination of Somatostatin Analog, Dexamethasone, and Standard Androgen Ablation Therapy in Stage D3 Prostate Cancer Patients with Bone Metastases

Abstract: Purpose: Androgen ablation-refractory prostate cancer patients (stage D3) develop painful bone metastases and limited responsiveness to conventional therapies, hence the lack of universally accepted "gold standard" treatment for this poor prognosis clinical setting. We tested the safety and efficacy in stage D3 patients of the combination hormonal therapy, which combines administration of somatostatin analog and dexamethasone with standard androgen ablation monotherapy (luteinizing-hormone releasing-hormone an… Show more

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Cited by 42 publications
(31 citation statements)
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References 36 publications
(29 reference statements)
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“…combining sms with other drugs, aiming at suppressing the bioavailability of IGF-1 and downstream biological effectors. A potential mechanism for the efficacy of this combination regimen involves the abrogation of the protective effect of IGF-I on prostate cancer cells (14,15). Activation of phosphotyrosine phosphatases (PTPs) by somatostatin receptors (SSTRs) represents one of the main intracellular mechanisms involved in the antiproliferative effect of sms analogues (16).…”
Section: 0 ---------------------------------------------------------mentioning
confidence: 99%
“…combining sms with other drugs, aiming at suppressing the bioavailability of IGF-1 and downstream biological effectors. A potential mechanism for the efficacy of this combination regimen involves the abrogation of the protective effect of IGF-I on prostate cancer cells (14,15). Activation of phosphotyrosine phosphatases (PTPs) by somatostatin receptors (SSTRs) represents one of the main intracellular mechanisms involved in the antiproliferative effect of sms analogues (16).…”
Section: 0 ---------------------------------------------------------mentioning
confidence: 99%
“…The cause of androgen refractoriness and chemotherapy resistance is explained by different molecular processes which involve either genetic alterations present in specific cancer cell clones seeded into bones and/or non-genetic events, such as the role of bone metastasis microenviromentrelated growth factors which are activated locally (10,(48)(49)(50). In a bone metastasis microenvironment, the most important local mediators for the development of chemotherapy resistance and androgen ablation refractoriness involve bone morphogenetic proteins (BMPs), heparin-binding fibroblast growth factor (bFGFs), IGFs, TGFβ1, IL-6, PTHrP, and ET-1, which are all able to act as survival factors, thus inhibiting chemotherapyinduced apoptosis (5,10,(44)(45)(46)(47)(48)(49)(50). In a bone metastasis microenvironment of prostate cancer cell metastasis, locally activated stimuli can activate mitogenactivated protein kinases (MAPKs), especially ERK1/2 and AKT/NFκB/Bcl-2 (11-13,51).…”
Section: Discussionmentioning
confidence: 99%
“…To our knowledge, there are no data with respect to the PSA response rate after the use of dexamethasone on this schedule (4 mg every day ϫ 4, weekly). Glucocorticoids have been extensively studied in AIPC as single agents in relatively small Phase II trials, 29 -31 as important (and often overlooked) agents, in combination with other agents, including those that inhibit adrenal steroidogenesis (ketoconazole) [32][33][34] and as the control arm in trials of cytotoxic agents. 36 -38 There are few, if any, data that have established the PSA response rate of various glucocorticoids preparations and schedules.…”
Section: Discussionmentioning
confidence: 99%