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In the present study, we utilized cDNA microarray analysis to measure the changes in gene expression that had occurred in the LNCaP model after treatment with Casodex to identify potential modulators of prostate cancer progression. We used low passage, androgen-dependent, LNCaP-R cells and high passage, androgen-independent, LNCaP-UR cells and treated cells with Casodex for five weeks to mimic chronic treatment in patients.
Our results indicate a set of highly expressed genes that may serve as a signature for prostate cancer progression. This study identifies for the first time the novel pathway of hypoxic gene expression that may modulate the progression of prostate cancer to the androgen-independent state and demonstrate the induction of hypoxia as a mechanism of Casodex action.
PCR amplification was performed as described under Materials and Methods. In this study, cDNA microarray analysis was performed to identify genes involved in prostate cancer cell response to chronic treatment with Casodex. With this model, it was possible to measure changes in gene expression that accompanied progression from androgen-dependence to androgen-independence in a similar genetic background in response to chronic treatment with Casodex.
Since patients with both androgen-dependent and androgen-independent prostate cancer are treated with androgen-ablation therapy, it is important to understand what changes in gene expression occur in both cases in order to identify potential therapeutic targets for more specific intervention independent of androgen-signaling status.
CASODEX is contraindicated in women, including those who are or may become pregnant. There are no studies in pregnant women using CASODEX. Cases of death or hospitalization due to severe liver injury hepatic failure have been reported post-marketing in association with the use of CASODEX. Serum transaminase levels should be measured prior to starting treatment with CASODEX, at regular intervals for the first four months of treatment, and periodically thereafter.
If at any time a patient has jaundice, or their ALT rises above two times the upper limit of normal, CASODEX should be immediately discontinued with close follow-up of liver function. Consideration should therefore be given to monitoring blood glucose in patients receiving CASODEX in combination with LHRH agonists. If PSA levels rise during CASODEX therapy, the patient should be evaluated for clinical progression.
A few cases of fatal hepatic failure have been reported. Clinical studies have shown that with co-administration of CASODEX, mean midazolam a CYP 3A4 substrate levels may be increased 1. Hence, caution should be exercised when CASODEX is co-administered with CYP 3A4 substrates.
Prothrombin times should be closely monitored in patients already receiving coumarin anticoagulants who are started on CASODEX and adjustment of the anticoagulant dose may be necessary. Based on its mechanism of action, CASODEX may cause fetal harm when administered to a pregnant woman. While there are no human data on the use of CASODEX in pregnancy and CASODEX is not for use in women, it is important to know that maternal use of an androgen receptor inhibitor could affect development of the fetus.
The safety and effectiveness of CASODEX in pediatric patients have not been established. The starting CASODEX dose was 12.
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Hormonal therapies ADT interfere with the way hormones are made or how they work in the body. In principle, apart from a fewer types, all prostate cancers need testosterone androgens to survive. However this last shot hit really hard in the second week. Now, at the end of the first month, the side effects are changing and coming and going with the day. My doctors have informed me that the bulk of the side effects will linger 4 months past the end of this last shot, and then some of the side effects will linger for up to a full year after going off the Lupron.
Such made your doctors to recommend a complete radical approach combining prostatectomy plus radiation plus ADT hormonal.
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If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist. The inactive ingredients of CASODEX bicalutamide Tablets are lactose, magnesium stearate, hypromellose, polyethylene glycol, polyvidone, sodium starch glycollate, and titanium dioxide.
CASODEX bicalutamide 50 mg daily is indicated for use in combination therapy with a luteinizing hormone-releasing hormone LHRH analog for the treatment of Stage D2 metastatic carcinoma of the prostate.
The recommended dose for CASODEX bicalutamide therapy in combination with an LHRH analog is one 50 mg tablet once daily morning or eveningwith or without food. It is recommended that CASODEX bicalutamide be taken at the same time each day.
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Unfortunately he wasn't offered the RT beforehand and once the problem moobs develop it's too late. Moobs are one of the side effects that can be permanent so in hindsight John would definitely have had the short blast if it had been available. I 'm just interested to know if anyone else has had such a good first response to casodex and whether the low PSA will last User Posted 04 September 2014 21:34:40 UTC Hi Dave,Sorry to hear that you now need Casodex.
I think that you'll find having the radiotherapy blast on your nipples will only effect the soreness, but not the swelling. I've been on Casodex now for more than 18 months and the size of my boobs has become so embarrassing that I'm booked in for a bilateral mastectomy.
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I have no sign of spread to the bones or any where else in my body, at this time.
Pharmacokinetics of the active enantiomer of CASODEX in normal males and patients with prostate cancer are presented in Table 3.
Many of these side effects can be managed, and some may go away on their own over time.
I hope this holds up on the next cycle.
Regular monitoring of your prostate cancer with your healthcare provider is important to determine if your disease is worse. What should I avoid while taking Casodex bicalutamide. What are the possible side effects of Casodex bicalutamide. Casodex bicalutamide can cause serious side effects.
Where can I get more information?
Itraconazole: Bicalutamide is metabolized by cytochrome CYP3A4.
International Journal of Transgenderism.