Systemic Therapy in Patients With Metastatic Castration-Resistant Prostate Cancer: ASCO Living Guideline, Version 2026.1

M Mary-Ellen Taplin (Dana–Farber Cancer Institute, Boston) I Irbaz Bin Riaz (Irbaz Bin Riaz, MD, PhD; R. Bryan Rumble, MSc; Thomas A. Hope, MD; Giuseppe Procopio, MD; and Neha Vapiwala, MD; Mayo Clinic, Phoenix, AZ; American Society of Clinical Oncology, Alexandria, VA; University of California, San Francisco, San Francisco, CA; Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy; and University of Pennsylvania Abramson Cancer Center, Philadelphia, PA) R R. Bryan Rumble (Irbaz Bin Riaz, MD, PhD; R. Bryan Rumble, MSc; Thomas A. Hope, MD; Giuseppe Procopio, MD; and Neha Vapiwala, MD; Mayo Clinic, Phoenix, AZ; American Society of Clinical Oncology, Alexandria, VA; University of California, San Francisco, San Francisco, CA; Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy; and University of Pennsylvania Abramson Cancer Center, Philadelphia, PA) S Syed Arsalan Ahmed Naqvi (Mayo Clinic, Phoenix, AZ) T Thomas A. Hope (Irbaz Bin Riaz, MD, PhD; R. Bryan Rumble, MSc; Thomas A. Hope, MD; Giuseppe Procopio, MD; and Neha Vapiwala, MD; Mayo Clinic, Phoenix, AZ; American Society of Clinical Oncology, Alexandria, VA; University of California, San Francisco, San Francisco, CA; Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy; and University of Pennsylvania Abramson Cancer Center, Philadelphia, PA) M Mariane Fontes Dias (Oncoclinicas&Co - Medica Scientia Innovation Research (MEDSIR), Latin America Cooperative Group (LACOG)- Genito-Urinary, Rio de Janeiro, Brazil) H Huan He (National Engineering Laboratory for Druggable Gene and Protein Screening, College of Life Science, Northeast Normal University) S Sebastien J. Hotte (McMaster University, Hamilton, Ontario, Canada) H Hamid Emamekhoo M M. Hassan Murad (5Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, MN) P Paul Celano (Greater Baltimore Medical Center (GBMC), Towson, MD) T Terry M. Kungel (Woolwich, ME) S Steve Hentzen (Leawood, KS) M Michael Thomas Serzan (Dana-Farber Cancer Institute, Boston, MA) R Rahul A. Parikh (University of Kansas Medical Center, Westwood, KS)

Abstract

This guideline has been updated. This ASCO Living Guideline is reviewed on an eight-week cycle. Please see the online dynamic version for the latest updates. Living guidelines are developed for selected topic areas with rapidly evolving evidence that drives frequent change in recommended clinical practice. Living guidelines are updated on a regular schedule by a standing expert panel that systematically reviews the health literature on a continuous basis, as described in the ASCO Guidelines Methodology Manual . ASCO Living Guidelines follow the ASCO Conflict of Interest Policy Implementation for Clinical Practice Guidelines . Living Guidelines and updates are not intended to substitute for independent professional judgment of the treating clinician and do not account for individual variation among patients. See appendix for disclaimers and other important information ( Appendix 1 and Appendix 2 ). Updates are published regularly and can be found at www.asco.org/genitourinary-cancer-guidelines .

Article Details

Volume / Issue Vol. 44, Issue 6
Published February 20, 2026
ISSN 0732-183X
Publisher Lippincott Williams & Wilkins

Journal Info

Journal of Clinical Oncology

Lippincott Williams & Wilkins

ISSN: 0732-183X Health Sciences

Authors (15)

M

Mary-Ellen Taplin

Dana–Farber Cancer Institute, Boston

I

Irbaz Bin Riaz

Irbaz Bin Riaz, MD, PhD; R. Bryan Rumble, MSc; Thomas A. Hope, MD; Giuseppe Procopio, MD; and Neha Vapiwala, MD; Mayo Clinic, Phoenix, AZ; American Society of Clinical Oncology, Alexandria, VA; University of California, San Francisco, San Francisco, CA; Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy; and University of Pennsylvania Abramson Cancer Center, Philadelphia, PA

R

R. Bryan Rumble

Irbaz Bin Riaz, MD, PhD; R. Bryan Rumble, MSc; Thomas A. Hope, MD; Giuseppe Procopio, MD; and Neha Vapiwala, MD; Mayo Clinic, Phoenix, AZ; American Society of Clinical Oncology, Alexandria, VA; University of California, San Francisco, San Francisco, CA; Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy; and University of Pennsylvania Abramson Cancer Center, Philadelphia, PA

S

Syed Arsalan Ahmed Naqvi

Mayo Clinic, Phoenix, AZ

T

Thomas A. Hope

Irbaz Bin Riaz, MD, PhD; R. Bryan Rumble, MSc; Thomas A. Hope, MD; Giuseppe Procopio, MD; and Neha Vapiwala, MD; Mayo Clinic, Phoenix, AZ; American Society of Clinical Oncology, Alexandria, VA; University of California, San Francisco, San Francisco, CA; Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milan, Italy; and University of Pennsylvania Abramson Cancer Center, Philadelphia, PA

M

Mariane Fontes Dias

Oncoclinicas&Co - Medica Scientia Innovation Research (MEDSIR), Latin America Cooperative Group (LACOG)- Genito-Urinary, Rio de Janeiro, Brazil

H

Huan He

National Engineering Laboratory for Druggable Gene and Protein Screening, College of Life Science, Northeast Normal University

S

Sebastien J. Hotte

McMaster University, Hamilton, Ontario, Canada

H

Hamid Emamekhoo

M

M. Hassan Murad

5Division of Public Health, Infectious Diseases and Occupational Medicine, Mayo Clinic, Rochester, MN

P

Paul Celano

Greater Baltimore Medical Center (GBMC), Towson, MD

T

Terry M. Kungel

Woolwich, ME

S

Steve Hentzen

Leawood, KS

M

Michael Thomas Serzan

Dana-Farber Cancer Institute, Boston, MA

R

Rahul A. Parikh

University of Kansas Medical Center, Westwood, KS