Page 12 - FLIPBOOK
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Maximal Suppression of T is Clinically Meaningful







                • ADT effect is androgen deprivation of the


                   tumour


                • Block stimulation of tumour



                       • lower T to castrate levels                                                                                              MED


                       • add antiandrogen to block AR


                • Newer targeting agents lower


                   T activity at the AR by                                                                                 LOW                                     HIGH



                       • Inhibition of T synthesis

                       • Inhibition of receptor binding                                                                      Testosterone Levels




                    Androgen deprivation of the tumour requires a strong foundation of ADT









                                                                                                                            Crawford ED, et al. Prostate Cancer Prostatic Dis 2019;22:24–38
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