Hormone therapyFDA-approvedSecond-line

Zytiga

Generic name: abiraterone

How it works

Blocks production of androgens, hormones that fuel prostate cancer growth.

Cancer types

Prostate Cancer— All patients

Efficacy

In clinical trials, around 65% of men with metastatic prostate cancer achieved an objective response, with median overall survival of approximately 15 months.

Side effects

Severe

This treatment carries a higher risk of serious side effects. Close medical monitoring is required throughout treatment.

Evidence from research

StudyCancer typeStageEfficacy
Comparing Two Treatments for Advanced Prostate CancerProstate Cancerphase-3Median prostate cancer-specific survival from the initiation of DTX was 16.1 months in the ENZ-DTX group and 25.3 months in the ABI-DTX group.Source →
Olaparib + Abiraterone for Metastatic Prostate Cancer: Real-World StudyProstate Cancerpreclinical—Source →
Olaparib and Abiraterone Combination Therapy for Prostate CancerProstate Cancerphase-2The 1-year radiographic progression-free survival rate was 77.7% (95% CI: 63.4-95.3%).Source →
Study Examines Effectiveness of Prostate Cancer Treatments in Patients with History of Other CancersProstate Cancerphase-3Within the HOC+ group, OS was significantly worse with ENZ than with ABI (median 16.0 vs. 30.5 months; HR 3.27; 95% CI 1.08-9.89; p = 0.0354)Source →
Evaluating a New Medicine for Men with Advanced Prostate CancerProstate Cancerphase-3—Source →
Testing Combination Therapy for Advanced Prostate CancerProstate Cancerphase-2—Source →
Abiraterone, Apalutamide, and Prednisone in Treating Hormone-Naive Metastatic Prostate CancerProstate Cancerphase-2—Source →
Combination Therapy for Advanced Prostate CancerProstate Cancerphase-2—Source →
New Treatment Combination Shows Promise for Men with Advanced Prostate CancerProstate Cancerphase-3Median radiographic progression-free survival was 38.6 months in the niraparib + AAP group versus 8.3 months in the placebo + AAP group.Source →
Testing Xaluritamig Plus Abiraterone for Metastatic Prostate CancerProstate Cancerphase-3—Source →
Low-Dose Abiraterone May Be a Feasible Alternative for Prostate Cancer TreatmentProstate Cancerphase-3Median PSA-PFS was 5.7 months with low-dose versus 3.8 months with standard-dose AA.Source →
Capivasertib and Abiraterone for Prostate Cancer with PTEN DeficiencyProstate Cancerphase-3—Source →
Abiraterone and Antiandrogen Therapy for Metastatic Prostate CancerProstate Cancerphase-2—Source →
Combination Therapy for Advanced Prostate CancerProstate Cancerphase-3—Source →
Testing a New Treatment for Advanced Prostate CancerProstate Cancerphase-1—Source →
Olaparib and Abiraterone Combination Therapy for Advanced Prostate CancerProstate Cancerphase-3—Source →
Abiraterone Acetate May Help Fight Prostate Cancer by Triggering Stress ResponseProstate Cancerlab-studyAA induced concentration/time-dependent cytotoxicity in LNCaP cells (24 h IC₅₀ = 4.8 μM) and 22Rv1 cells (24 h IC₅₀ = 15.2 μM) and proliferation decreased by 54.1% and 7.3% at 4.8 μM, respectively.Source →
Genetic Link to Abiraterone Dosage Identified in Prostate Cancer StudyProstate Cancerphase-3—Source →
Abiraterone and Enzalutamide Show Similar Outcomes in Prostate CancerProstate CancerobservationalMedian overall survival was 36.2 months for both abiraterone and enzalutamide.Source →
Combining Medications May Help Prostate Cancer PatientsProstate Cancerphase-3The primary endpoint was met, with a significant improvement in radiographic progression-free survival observed, with a hazard ratio of 0.63.Source →
Combining Trastuzumab Deruxtecan and Abiraterone Shows Promise in Prostate CancerProstate Cancerobservational—Source →
Enzalutamide May Offer Better Survival for Prostate Cancer PatientsProstate CancerobservationalEnzalutamide-treated patients had longer overall survival in the first-line setting (HR: 0.84) and the second-line setting (HR: 0.88).Source →
New Delivery System for Prostate Cancer Treatment Shows PromiseProstate Cancerlab-studyThe dissolution study demonstrated significantly higher ABT release from ABT-ssSNEDDS in comparison to free ABT after 2 h in pH 1.2 and 6.8 pH buffer.Source →
Comorbidities Affect Abiraterone Treatment in Prostate CancerProstate Cancermeta-analysis—Source →
Modified Monitoring of Abiraterone May Reduce Liver Damage in Prostate Cancer PatientsProstate Cancerobservational—Source →
Comparing Prostate Cancer Treatments: Abiraterone, Enzalutamide, and ApalutamideProstate CancerobservationalAbiraterone was significantly better in 99% PSA decline achievement compared to apalutamide (72% vs. 57%, p = 0.003).Source →
Abiraterone Resistance in Prostate Cancer Linked to CENPK Splice VariantProstate Cancerlab-study—Source →
Olaparib and Abiraterone Combination Therapy for Prostate CancerProstate Cancerreview—Source →
Abiraterone Treatment in Prostate Cancer: Early Response MattersProstate Cancerphase-2Those patients with hetero-responding disease had significantly different PFS compared to the responding and non-responding groups (hazard ratio: responding group = reference, hetero-responding group = 4.0, non-responding group = 5.8; p < 0.0001).Source →
Comparing Treatments for Advanced Prostate CancerProstate CancerobservationalPatients initiating enzalutamide had a 0.90-month longer overall survival compared to those initiating abiraterone acetate at 4 years.Source →
Long-term effects of prostate cancer treatment studiedProstate Cancerphase-2A significant association between higher abiraterone acetate concentrations and better clinical benefit was observed (p = 0.041).Source →
Abiraterone Efficacy Predicted by Prostate Cancer BiomarkerProstate CancerobservationalThe median PSA-PFS was 11.43 months versus 26.43 months in patients with KI67 ≥ 30% versus those with KI67 < 30%.Source →
Abiraterone May Cause Heart Rhythm Problem in Some PatientsProstate Cancerobservational—Source →
New Treatment Combination for Advanced Prostate CancerProstate Cancerphase-3The median radiographic progression-free survival was 25 months for olaparib plus abiraterone versus 17 months for placebo plus abiraterone.Source →
New Study Compares Effectiveness of Two Cancer Drugs for Prostate CancerProstate Cancerphase-3The median PSA response rate was -65.4% with abiraterone and -78.8% with enzalutamide.Source →
Genetic variant linked to poorer prostate cancer treatment outcomesProstate CancerobservationalA total of 54 patients (20%) had the variant, which was associated with a significantly worse overall survival (HR = 1.71, 95% CI 1.09 - 2.68, p = 0.019) and time to progression (HR = 1.50, 95% CI 1.08 - 2.09, p = 0.016), and was related with a significantly less frequent PSA response (OR = 0.48, 95% CI 0.24 - 0.96, p = 0.038).Source →
Radiation Therapy and Medication Combination Shows Promise for Prostate CancerProstate Cancerphase-2Biochemical response was detected in 79.6% of patients in the experimental arm, compared to 68.3% in the control arm.Source →
Abiraterone Acetate May Be Better Than Docetaxel for Prostate CancerProstate CancerobservationalThe abiraterone acetate group demonstrated significantly better progression-free survival (PFS) than the docetaxel group (not reached vs. 15.1 months: hazard ratio = 0.37; 95% confidence interval = 0.28-0.50; P < .001).Source →
New Study Links Certain Prostate Cancer Drugs to Cardiovascular RisksProstate Cancerobservational—Source →
New Hormonal Agents May Help Some Prostate Cancer PatientsProstate Cancerphase-3AAP seems to be effective in improving OS among patients with VM (hazard ratio, HR: 0.58, 95% CI, 0.40-0.84, P = .004 for AAP).Source →
Abiraterone Alone May Be as Effective as Combination Therapy for Prostate CancerProstate CancerobservationalPatients receiving abiraterone alone had a median PSA reduction of 80.2%.Source →
Apalutamide May Help Prostate Cancer Patients Faster Than AbirateroneProstate CancerobservationalPatients initiated on apalutamide were 53% more likely to achieve PSA90 than those initiated on abiraterone acetate within 6 months.Source →
New Combination Therapy Shows Promise for Advanced Prostate CancerProstate Cancerphase-3Median radiographic progression-free survival was 16.6 months in the niraparib + AAP group compared with 10.9 months in the placebo + AAP group.Source →
Comparing Treatments for Advanced Prostate CancerProstate Cancerphase-3The median time to castration-resistant prostate cancer in patients treated with ABI was significantly longer compared to those treated with DOC (42 vs. 22 months; p = 0.006).Source →
Combining Cancer Drugs May Be More Effective Than Using Them AloneProstate Cancerlab-study—Source →
Rare Side Effect of Abiraterone Treatment in Prostate Cancer PatientsProstate Cancerobservational—Source →
Traditional Chinese Medicine Enhances Prostate Cancer TreatmentProstate Cancerlab-study—Source →
Combining Two Treatments for Advanced Prostate CancerProstate Cancerphase-1Nine participants (33%) showed a 20% or greater decrease in prostate-specific antigen during study treatment.Source →
Triplet Therapy Shows Promise for Prostate Cancer TreatmentProstate Cancermeta-analysisTriplet therapy with darolutamide or abiraterone with docetaxel and ADT improved overall survival, with a hazard ratio of 0.70 (95%CI 0.61-0.80) compared to docetaxel+ADT.Source →
Radiotherapy and Abiraterone Combination for Prostate CancerProstate Cancerphase-2—Source →
New Approach to Treatment Prolongs Effectiveness in Prostate CancerProstate Cancerphase-2The study cohort had significantly improved median time to progression (TTP; 33.5 months; p<0.001) and median overall survival (OS; 58.5 months; hazard ratio, 0.41, 95% confidence interval (CI), 0.20-0.83, p<0.001) compared to 14.3 and 31.3 months in the SOC cohort.Source →
Abiraterone and Docetaxel Compared in Prostate Cancer TreatmentProstate CancerobservationalThe ABI group had a significantly better castration-resistant prostate cancer (CRPC)-free survival than the DOC group [hazard ratio (HR), 0.53; 95% confidence interval (CI), 0.34-0.82].Source →
Prolactin Levels May Predict Response to Prostate Cancer TreatmentProstate CancerobservationalPatients with lower baseline PRL levels responded better to AA than those with higher baseline PRL levels, with a PSA reduction of 66.7% vs. 25.8% (p = 0.001).Source →
Adding Docetaxel or Abiraterone to Prostate Cancer Treatment May Improve SurvivalProstate Cancerphase-3Patients receiving upfront ABI had significantly better CRPCFS than those receiving ADT/CAB or upfront DOC [hazard ratio (HR) 0.39; 95% CI 0.27-0.56].Source →
Combining Two Compounds May Help Treat Prostate CancerProstate Cancerlab-studyThe combination of abiraterone acetate and apigenin significantly inhibited LNCaP and PC3 cell survival in a manner more marked than observed with either single treatment.Source →
Abiraterone May Be More Effective Than Other Treatments for Advanced Prostate CancerProstate Cancerphase-3The median time to castration resistance was not reached in the abiraterone group, but it was significantly longer than in the other groups.Source →
Combination Therapy Improves Survival in High-Risk Prostate CancerProstate Cancermeta-analysis6-year metastasis-free survival was 82% in the combination-therapy group and 69% in the control group.Source →
Comparing Costs and Adherence to Abiraterone Treatment for Prostate CancerProstate Cancerphase-3—Source →
Comparing Two Cancer Drugs for Advanced Prostate CancerProstate Cancerobservational—Source →
Comparing Heart Risks of Two Prostate Cancer TreatmentsProstate Cancerobservational—Source →
Gene Changes in Blood May Predict Prostate Cancer Treatment OutcomesProstate Cancerphase-2Plasma tumor DNA detection was associated with shorter overall survival (hazard ratio (HR): 2.89, 95% confidence intervals (CI): 1.77-4.73, P ≤ 0.0001) and progression-free survival (HR: 2.05; 95% CI: 1.36-3.11, P < 0.001).Source →

This information is provided for general education only and is not medical advice. Always consult a qualified healthcare professional before making treatment decisions.