Germline DNA-repair Gene Mutations and Outcomes in Men with Metastatic Castration-resistant Prostate Cancer Receiving First-line Abiraterone and Enzalutamide

  • Emmanuel S. Antonarakis
  • , Changxue Lu
  • , Brandon Luber
  • , Chao Liang
  • , Hao Wang
  • , Yan Chen
  • , John L. Silberstein
  • , Danilo Piana
  • , Zhao Lai
  • , Yidong Chen
  • , William B. Isaacs
  • , Jun Luo

Research output: Contribution to journalArticlepeer-review

159 Scopus citations

Abstract

To determine whether and how germline DNA-repair gene mutations influence clinical outcomes to abiraterone or enzalutamide in patients with castration-resistant prostate cancer (CRPC), we performed germline genotyping for 50 DNA-repair genes using blood samples from 172 patients with CRPC beginning first-line systemic therapy with abiraterone or enzalutamide. We discovered that the presence of germline DNA-repair gene defects (particularly mutations in the BRCA1/2 and ATM genes) were associated with better outcomes to abiraterone and enzalutamide.

Original languageEnglish (US)
Pages (from-to)218-225
Number of pages8
JournalEuropean Urology
Volume74
Issue number2
DOIs
StatePublished - Aug 2018

Keywords

  • Abiraterone
  • DNA repair
  • Enzalutamide
  • Germline
  • Mutation

ASJC Scopus subject areas

  • Urology

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