Abiraterone (Zytiga, Yonsa)

Other Medications · Approved since 2011

US Off-label EU EMA Approved ES Funded by SNS off-label in CRC Oral 2 Clinical Trials
CYP17A1

Description

Abiraterone acetate is an androgen biosynthesis inhibitor primarily approved for metastatic castration-resistant prostate cancer treatment. In colorectal cancer, abiraterone is used off-label in select cases, particularly in research settings exploring hormone pathway involvement in CRC progression. The drug's inclusion in solid tumor trials suggests potential activity beyond its established prostate cancer indication.

Mechanism of Action

Abiraterone irreversibly inhibits CYP17A1 (17 -hydroxylase/C17,20-lyase), a key enzyme in androgen biosynthesis that converts pregnenolone and progesterone to their 17 -hydroxy derivatives and subsequently to dehydroepiandrosterone (DHEA) and androstenedione. By blocking this enzyme, abiraterone depletes circulating and intratumoral androgens, potentially disrupting androgen receptor signaling pathways that may contribute to tumor growth in certain solid tumors including colorectal cancer.

Molecular Targets

Side Effects

Hypertension Hypokalemia Fluid retention Fatigue Joint swelling Hot flashes Diarrhea Urinary tract infection

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT07620574 Phase 3
Not yet recruiting
Long-Term Extension Study for Participants Previously Enrolled in an Exelixis-Sponsored Study
NCT05551117 Phase 2
Completed
A Study of Vobramitamab Duocarmazine in Participants With Metastatic Castration Resistant Prostate Cancer and Other Solid Tumors
United States, Australia, Belgium, France, Italy, Poland, South Korea, Spain, Un