prostate cancer
Prostate cancer trials now span the full disease spectrum from localized low-risk disease (active surveillance vs. focal therapy) to metastatic castration-resistant prostate cancer (mCRPC), where novel AR pathway inhibitors, PARP inhibitors for BRCA-mutated tumors, and radioligand therapies (PSMA-lutetium) have changed the treatment landscape.
Current trials evaluate darolutamide combinations, PSMA-directed radioligand therapy (177Lu-PSMA-617) in earlier disease settings, bispecific antibodies targeting PSMA and CD3, and CRISPR-based gene editing approaches. PSA decline, rPFS, and overall survival remain primary endpoints, with ctDNA and PSMA-PET emerging as early response biomarkers.