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**cabazitaxel + abiraterone acetate + prednisone** is a multi-drug regimen combining a microtubule inhibitor (*cabazitaxel*), a CYP17A1 inhibitor (*abiraterone acetate*), and a synthetic glucocorticoid (*prednisone*). This combination targets metastatic castration-resistant prostate cancer (mCRPC) after progression on docetaxel and abiraterone acetate. - **Cabazitaxel** inhibits microtubule depolymerization, disrupting cell division and inducing death in rapidly proliferating cancer cells. - **Abiraterone acetate** blocks CYP17A1, a crucial enzyme in androgen biosynthesis, suppressing testosterone production that fuels prostate cancer growth. - **Prednisone** is given to reduce mineralocorticoid excess caused by abiraterone acetate and provides additional anti-inflammatory / immunosuppressive effects. Clinical trials show the combination is well-tolerated and achieves higher PSA response rates and radiographic objective responses than monotherapy with either drug alone in heavily pre-treated mCRPC patients[1][3][5].
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