DRUG INTENSIFICATION IN FUTURE POSTOPERATIVE RADIOTHERAPY PRACTICE IN BIOCHEMICALLY-RELAPSING PROSTATE CANCER PATIENTS

Drug Intensification in Future Postoperative Radiotherapy Practice in Biochemically-Relapsing Prostate Cancer Patients

Drug Intensification in Future Postoperative Radiotherapy Practice in Biochemically-Relapsing Prostate Cancer Patients

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Although salvage prostate bed radiotherapy is highly effective in biochemically-relapsing prostate cancer patients following prostatectomy, relapses remain frequent and improvements are needed.Randomized phase 3 trials have shown the benefit of adding androgen-depriving therapy Purses to irradiation, but not all patients benefit from this combination.Preclinical studies have shown that novel agents targeting the androgen receptor, DNA repair, PI3K/AKT/mTOR pathways, or the hypoxic microenvironment may help increase the response to prostate bed irradiation while minimizing potential side effects.

This perspective review focuses on the Bike Parts - Tires - 27" most relevant molecules that may have an impact when combined with salvage radiotherapy, and underlines the strategies that need to be developed to increase the efficacy of salvage post-prostatectomy radiotherapy in prostate cancer patients.

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