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<article article-type="research-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">medsovet</journal-id><journal-title-group><journal-title xml:lang="ru">Медицинский Совет</journal-title><trans-title-group xml:lang="en"><trans-title>Meditsinskiy sovet = Medical Council</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">2079-701X</issn><issn pub-type="epub">2658-5790</issn><publisher><publisher-name>REMEDIUM GROUP Ltd.</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.21518/2079-701X-2019-10-146-154</article-id><article-id custom-type="elpub" pub-id-type="custom">medsovet-3066</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>Онкоурология</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>Oncourology</subject></subj-group></article-categories><title-group><article-title>Кабазитаксел в лечении кастрационно-резистентного рака: как найти баланс эффективности и безопасности?</article-title><trans-title-group xml:lang="en"><trans-title>Cabazitaxel in the treatment of castration-resistant cancer: hitting the balance of efficacy and safety</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-7754-6624</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Волкова</surname><given-names>М. И.</given-names></name><name name-style="western" xml:lang="en"><surname>Volkova</surname><given-names>M. I.</given-names></name></name-alternatives><bio xml:lang="ru"><p>отделения урологии Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Dr. of Sci. (Med.), Lead Researcher, Department of Urology, Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">mivolkova6@gmail.com</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Гриднева</surname><given-names>Я. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Gridneva</surname><given-names>Ya. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>к.м.н., научный сотрудник отделения урологии Федерального государственного бюджетного учреждения «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Cand. of Sci. (Med.), Researcher, Department of Urology, Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">gridnevyana@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0389-564X</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Ольшанская</surname><given-names>А. С.</given-names></name><name name-style="western" xml:lang="en"><surname>Olshanskaya</surname><given-names>A. S.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр  онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации; аспирант кафедры онкологии факультета дополнительного профессионального образования Федерального государственного бюджетного образовательного учреждения высшего образования «Российский национальный исследовательский медицинский университет имени Н.И. Пирогова» Министерства здравоохранения Российской Федерации.</p></bio><bio xml:lang="en"><p>Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Moscow Department of Health»; postgraduate student, Chair for Oncology, Faculty of Additional Professional Education, Federal State Budgetary Educational Institution of Higher Education «Pirogov Russian National Research Medical University» of the Ministry of Health of the Russian Federation.</p></bio><email xlink:type="simple">anny9191@rambler.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Федеральное государственное бюджетное учреждение «Национальный медицинский исследовательский центр онкологии имени Н.Н. Блохина» Министерства здравоохранения Российской Федерации.</institution><country>Россия</country></aff><aff xml:lang="en"><institution>Federal State Budgetary Institution «Blokhin Russian Cancer Research Center» of the Ministry of Health of the Russian Federation.</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2019</year></pub-date><pub-date pub-type="epub"><day>24</day><month>06</month><year>2019</year></pub-date><volume>0</volume><issue>10</issue><fpage>146</fpage><lpage>154</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Волкова М.И., Гриднева Я.В., Ольшанская А.С., 2019</copyright-statement><copyright-year>2019</copyright-year><copyright-holder xml:lang="ru">Волкова М.И., Гриднева Я.В., Ольшанская А.С.</copyright-holder><copyright-holder xml:lang="en">Volkova M.I., Gridneva Y.V., Olshanskaya A.S.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.med-sovet.pro/jour/article/view/3066">https://www.med-sovet.pro/jour/article/view/3066</self-uri><abstract><p>Кабазитаксел – противоопухолевое средство из группы таксанов третьего поколения, продемонстрировавшее эффективность при метастатическом кастрационно-резистентном раке предстательной железы (мКРРПЖ), рефрактерном к доцетакселу. Данная статья посвящена критическому анализу исследований результатов применения кабазитаксела у этой категории пациентов и ключевым аспектам управления токсичностью, связанной с лечением. Также проанализированы возможные сценарии использования кабазитаксела в последовательной терапии мКРРПЖ, включающей ингибиторы андрогенного сигнала и системную радиотерапию.</p></abstract><trans-abstract xml:lang="en"><p>Cabazitaxel, an antineoplastic agent from the third generation taxan group, has demonstrated efficacy in the treatment of metastatic castration-resistant prostate cancer (mCRPC) refractory to docetaxel. This article is devoted to a critical analysis of studies on the use of cabazitaxel in this category of patients and key aspects of management of treatment-related toxicity. The authors also reviewed possible scenarios for the use of cabazitaxel in the sequential therapy of mCRPC, including androgen receptor signalling inhibitors and systemic radiotherapy.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>метастатический кастрационно-резистентный рак предстательной железы</kwd><kwd>рефрактерность</kwd><kwd>доцетаксел</kwd><kwd>кабазитаксел</kwd><kwd>токсичность</kwd></kwd-group><kwd-group xml:lang="en"><kwd>metastatic castration-resistant prostate cancer</kwd><kwd>refractoriness</kwd><kwd>docetaxel</kwd><kwd>cabazitaxel</kwd><kwd>toxicity</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">State of oncological care in Russia in 2018. Eds.: А.D. Kaprin, V.V. Starinskiy, G.V. Petrova. Moscow: MNIOI im. P.A. Gertsena – filial FGBU NMIRTS Minzdrava Rossii, 2019. 236 p. 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