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Androgen Signaling Inhibition Therapy Development




                          2006                                                            2012-2020
                                                            2009



                             Endocrine mediated                    Paracrine                       Genomic/ Non
                                  progression                     /Intracrine                     Genomic Driven
                                                                 Progression                    Resistance mCRPC

                                                                                              Abiraterone     Enzalutami                Unmet Needs:
                                                                                                                   de
                                                                                         testosterone    testosterone ➢Effective therapeutic strategies for

                             Endocri                                                                                           Localized High Risk Disease
                               ne
                             organs
                                                                                                                         ➢ Predictors of Outcome to guide
                                                                                                  2017 -2019 mHNPC
                                      Progress Report:                                                Abiraterone                     therapy selection

                            Androgen Signaling Inhibition                        2011-2012           Enzalutamide
                                                                                                      Apalutamide
                            prevailing therapeutic strategy                        mCRPC                 2018 -2019
                                                                                 Abiraterone
                            in advanced Prostate Cancer                        Enzalutamide               nmCRPC
                            ✓ Reproducible outcomes                                                    Enzalutamide
                                                                                                        Apalutamide
                            ✓ Earlier is better                                                        Darolutamide

                            ✓ ..more may be less..
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