Mature results of the PROfound study demonstrate that the poly(ADP-ribose) polymerase (PARP) inhibitor olaparib prolongs progression-free survival compared with second-generation hormonal therapies in men with metastatic castration-resistant prostate cancer harbouring BRCA1, BRCA2 or ATM mutations. However, a closer look at the efficacy of olaparib on a gene-by-gene basis suggests that its activity is most pronounced in BRCA2-mutant prostate cancers and might not be equally active in all homologous recombination repair-deficient cancers.
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Acknowledgements
The work of E.S.A. is partially supported by NIH grants P30CA006973 and R01CA238384-A1.
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E.S.A. is a paid consultant and/or advisor to Amgen, Astellas, AstraZeneca, Bayer, Bristol-Myers Squibb, Clovis, Dendreon, Janssen, Merck, Pfizer and Sanofi; has received research funding (via his institution) from AstraZeneca, Bristol Myers-Squibb, Clovis, Dendreon, Genentech, Janssen, Johnson & Johnson, Merck, Novartis and Sanofi; and is the co-inventor of an AR-V7 biomarker technology that has been licensed to Qiagen.
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Antonarakis, E.S. Olaparib for DNA repair-deficient prostate cancer — one for all, or all for one?. Nat Rev Clin Oncol 17, 455–456 (2020). https://doi.org/10.1038/s41571-020-0395-x
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DOI: https://doi.org/10.1038/s41571-020-0395-x
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