PMID- 33135506 OWN - NLM STAT- MEDLINE DCOM- 20210317 LR - 20211204 IS - 1744-7666 (Electronic) IS - 1465-6566 (Linking) VI - 22 IP - 4 DP - 2021 Mar TI - An up-to-date evaluation of darolutamide for the treatment of prostate cancer. PG - 397-402 LID - 10.1080/14656566.2020.1845650 [doi] AB - Introduction: Currently, in prostate cancer, an increasing number of novel drugs are being used to delay its advancement to metastatic castration-resistant prostate cancer (mCRPC). Apalutamide, enzalutamide, and most recently, darolutamide (novel androgen receptor antagonists) have been approved for nonmetastatic castration-resistant prostate cancer (nmCRPC).Areas covered: The authors have evaluated darolutamide, covering all aspects of the clinical development, competence, and safety profile of the drug.Expert opinion: The unique structure of darolutamide is characterized by a high affinity for androgen receptors and detainment of antagonist activity in mutant isoforms of androgen receptors. In clinical practice, this is the main reason that makes darolutamide exceptional in terms of safety and efficacy compared to other drugs in this category. Darolutamide is considered to have the lowest probability for adverse events (AEs) compared to apalutamide and enzalutamide. Future studies, along with real-world clinical data are warranted to improve personalized treatment strategies as well as sequencing treatment between approved novel drugs. FAU - Moussa, Mohamad AU - Moussa M AD - Department of Urology, Al Zahraa Hospital, University Medical Center, Lebanese University, Beirut, Lebanon. FAU - Lazarou, Lazaros AU - Lazarou L AD - 2nd Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece. FAU - Dellis, Athanasios AU - Dellis A AD - 2nd Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece. AD - Department of Surgery, School of Medicine, Aretaieion Hospital, National and Kapodistrian University of Athens, Athens, Greece. FAU - Abou Chakra, Mohamed AU - Abou Chakra M AD - Department of Urology, Al Zahraa Hospital, University Medical Center, Lebanese University, Beirut, Lebanon. FAU - Papatsoris, Athanasios AU - Papatsoris A AD - 2nd Department of Urology, School of Medicine, Sismanoglio Hospital, National and Kapodistrian University of Athens, Athens, Greece. LA - eng PT - Comparative Study PT - Journal Article DEP - 20201109 PL - England TA - Expert Opin Pharmacother JT - Expert opinion on pharmacotherapy JID - 100897346 RN - 0 (Androgen Receptor Antagonists) RN - 0 (Benzamides) RN - 0 (Nitriles) RN - 0 (Pyrazoles) RN - 0 (Receptors, Androgen) RN - 0 (darolutamide) RN - 2010-15-3 (Phenylthiohydantoin) RN - 93T0T9GKNU (enzalutamide) SB - IM MH - Androgen Receptor Antagonists/*therapeutic use MH - Benzamides MH - Humans MH - Male MH - Nitriles MH - Phenylthiohydantoin/analogs & derivatives/therapeutic use MH - Prostatic Neoplasms, Castration-Resistant/*drug therapy MH - Pyrazoles/*therapeutic use MH - Receptors, Androgen/drug effects OTO - NOTNLM OT - Darolutamide OT - apalutamide OT - castration resistant OT - enzalutamide OT - metastatic OT - non-metastatic OT - prostate cancer EDAT- 2020/11/03 06:00 MHDA- 2021/03/18 06:00 CRDT- 2020/11/02 08:40 PHST- 2020/11/03 06:00 [pubmed] PHST- 2021/03/18 06:00 [medline] PHST- 2020/11/02 08:40 [entrez] AID - 10.1080/14656566.2020.1845650 [doi] PST - ppublish SO - Expert Opin Pharmacother. 2021 Mar;22(4):397-402. doi: 10.1080/14656566.2020.1845650. Epub 2020 Nov 9.