TY - JOUR T1 - Practical implications of androgen receptor inhibitors for prostate cancer treatment AU - Campodonico, Fabio AU - Foppiani, Luca AU - Campodonico, Vittoria AU - Introini, Carlo Y1 - 2024/// JO - Exploration of Targeted Anti-tumor Therapy VL - 5 IS - 3 SP - 543 EP - 550 DO - 10.37349/etat.2024.00234 UR - https://www.explorationpub.com/Journals/etat/Article/1002234 AB - Antiandrogens have been used for the treatment of prostate cancer as a single agent or in combination with hormone deprivation therapy. New generation antiandrogens act like androgen receptor inhibitors (ARIs). Their binding complex blocks the pathways of cellular proliferation and differentiation of the prostate. Enzalutamide, apalutamide and darolutamide are the new ARIs that demonstrated acceptable tolerability and toxicity, both active in hormone-sensitive and castration-resistant prostate cancer (CRPC). There is no evidence of superiority of one drug over the other, therefore the therapeutic choice depends on the safety profile in relation to the individual patient, their comorbidities and clinical condition. ARIs have also shown promising results in association with new drugs that are active on patients with metastatic CRPC carrying the mutated breast cancer gene (BRCA). Before undergoing new antiandrogenic therapies, patients should be evaluated for cardiological and metabolic risk and possible drug interactions. ER -