New treatments

You may hear stories in the news about new treatments for prostate cancer. New treatments you may have heard about include:

Cabazitaxel (Jetvana®). A new type of chemotherapy treatment for men with advanced prostate cancer that has stopped responding to hormone therapy and the chemotherapy medicine docetaxel (Taxotere®). Cabazitaxel is licensed for use in the UK but is not yet widely available on the NHS.

Enzalutamide®, also called MDV3100. A new type of hormone therapy for men with advanced prostate cancer that is no longer responding to hormone therapy or chemotherapy. This has not yet been licensed.

Abiraterone (Zytiga®): A new type of hormone therapy for men whose prostate cancer has spread to other parts of the body (advanced prostate cancer) and has stopped responding to other hormone therapy and chemotherapy treatments. Abiraterone has now been approved for use in these men in UK. 

Abiraterone has also been licensed for men whose prostate cancer has stopped responding to other hormone therapy but have not yet had chemotherapy. However, it is not widely available for these men in the UK. Read more about abiraterone.

Contents

 

What is cabazitaxel (Jetvana ®)?

Cabazitaxel is a new type of chemotherapy treatment for men with prostate cancer that has spread to other parts of the body (advanced prostate cancer) and has stopped responding to hormone therapy and the chemotherapy medicine docetaxel (Taxotere®). It is used to help control symptoms and not to cure prostate cancer.

For more information on cabazitaxel, speak to your specialist team or call our confidential helpline.

Back to contents

 

How does cabazitaxel treat prostate cancer?

Cabazitaxel is a chemotherapy treatment. Chemotherapy uses anti-cancer (cytotoxic) medicines to kill cancer cells. It is used to help control symptoms and not to cure prostate cancer.

Cabazitaxel is given through a drip. This involves running a liquid containing the medicine through a small tube (cannula) into a vein in your arm.

In a recent clinical trial, men who were given cabazitaxel lived about two and a half months longer than men who were given a different type of chemotherapy.

Back to contents

 

Who can have cabazitaxel?

Cabazitaxel is suitable for men whose prostate cancer has spread to other parts of the body (advanced prostate cancer) and has stopped responding to hormone therapy and the chemotherapy medicine docetaxel (Taxotere®).

Cabazitaxel is licensed for use in the UK, but it is not yet widely available on the NHS. This is because the National Institute for Health and Clinical Excellence (NICE) and the Scottish Medicines Consortium (SMC) have recently decided not to fund this medicine. You can read our comment on this decision on our research news page.

If your doctor tells you that cabazitaxel is suitable for you and you decide you want to have it, but your local healthcare provider does not provide it free on the NHS, you may still be able to get treatment. You can read our page Getting new medicines for more information on how to get access to medicines.

Back to contents

 

What is enzalutamide®?

Enzalutamide is a new type of hormone therapy for men whose prostate cancer has spread to other parts of the body (advanced prostate cancer) and has stopped responding to other hormone therapy and chemotherapy treatments. You may also have heard it called MDV3100.

Enzalutamide is a very new medicine and has not yet been licensed for use. Unfortunately, it is no longer available through a named patient programme, and is not available in the UK.

Back to contents

 

How does enzalutamide treat prostate cancer?

Enzalutamide is taken as a tablet and works by stopping the hormone testosterone from reaching the prostate cancer cells. Without testosterone, the cancer cells are not able to grow, wherever they are in the body.

In a recent clinical trial, men who received enzalutamide lived for about four months longer than those who were given a placebo.

For more information on enzalutamide, speak to your doctor or nurse, or call our Specialist Nurses.

Back to contents

+

References

"In a recent clinical trial, men who were given cabazitaxel lived about two and a half months longer than men who were given a different type of chemotherapy."

This comes from:

De Bono JS, Oudard S, Ozguroglu M, Hansen S, Machiels JP, Kocak I et al. Prednisone plus cabazitaxel or mitoxantrone for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: a randomised open-label trial. The Lancet 201;376:1147- 1154.

"In a recent clinical trial, men who received abiraterone lived about four months longer than those who were given a placebo."

This comes from:

de Bono JS, Logothetis CJ, Molina A, Fizazi K, North S, Chu L et al.. Abiraterone and increased survival in metastatic prostate cancer. N Engl J Med. 2011;364:1995-2005.

"In a recent clinical trial, men who received enzalutamide lived for about four months longer than those who were given a placebo."

This comes from:

Scher HI, Fizazi K, Saad F et al. Effect of MDV3100, an androgen receptor signaling inhibitor (ARSI), on overall survival in patients with prostate cancer postdocetaxel: Results from the phase III AFFIRM study. Presented at ACSO 2012 Genitourinary Cancers Symposium.