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This is a combination therapy consisting of multiple anti-androgen agents (abiraterone, enzalutamide, apalutamide, rezvilutamide) plus prednisone. Abiraterone acetate is a CYP17A1 inhibitor that blocks androgen biosynthesis and is typically administered with prednisone to prevent mineralocorticoid excess-related adverse events. Enzalutamide, apalutamide, and rezvilutamide are androgen receptor inhibitors. This combination represents an intensive approach to androgen deprivation therapy for prostate cancer treatment.
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