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Prostate cancer

AR aberrations and resistance to abiraterone or enzalutamide

Resistance to abiraterone or enzalutamide is a major medical burden — the duration of benefit is highly variable and cross-resistance often occurs when these two agents are given sequentially. Blood-based analysis of androgen receptor splice variants and AR copy number gain or mutations could enhance understanding of the mechanisms of resistance and improve management of patients with castration-resistant prostate cancer.

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Correspondence to Gerhardt Attard or Emmanuel S. Antonarakis.

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Competing interests

G.A. has received honoraria, consulting fees or travel support from Astellas, Medivation, Janssen, Millennium Pharmaceuticals, Ipsen, Ventana, Bayer, Essa Pharma, Abbott Labs, Novartis, Veridex and Sanofi-Aventis, and grant support from Janssen, AstraZeneca, Innocrin and Arno. The Institute of Cancer Research (ICR) developed abiraterone and, therefore, has a commercial interest in this agent. G.A. is on the ICR list of rewards to inventors for abiraterone. E.S.A. has served as a paid consultant and/or adviser for Janssen, Astellas, Essa, and Medivation; has received research funding to his institution from Janssen, Johnson & Johnson, Medivation, and Tokai; and is a coinventor of a biomarker technology that has been licensed to Tokai.

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Attard, G., Antonarakis, E. AR aberrations and resistance to abiraterone or enzalutamide. Nat Rev Urol 13, 697–698 (2016). https://doi.org/10.1038/nrurol.2016.212

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