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Abiraterone acetate + prednisone is an oral combination therapy used primarily for the treatment of metastatic castration-resistant prostate cancer (mCRPC). Abiraterone acetate is a prodrug of abiraterone, a selective and irreversible inhibitor of Cytochrome P450 17A1 (CYP17A1), an enzyme critical to androgen biosynthesis. By inhibiting CYP17A1, abiraterone reduces androgen production in the testes, adrenal glands, and tumor tissue. Prednisone is co-administered as glucocorticoid replacement therapy to counteract mineralocorticoid excess and adrenal insufficiency caused by CYP17A1 inhibition. This combination improves overall survival and progression-free survival in men with mCRPC[2][3][5].
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