Optimizing targeted therapy and developing novel outcome measures for patients with advanced prostate cancer at Memorial Sloan-Kettering Cancer Center

2003 ◽  
Vol 46 ◽  
pp. 21-31 ◽  
Author(s):  
Michael J. Morris ◽  
Howard I. Scher
2014 ◽  
Vol 11 (6) ◽  
pp. 365-376 ◽  
Author(s):  
Yien Ning Sophia Wong ◽  
Roberta Ferraldeschi ◽  
Gerhardt Attard ◽  
Johann de Bono

2015 ◽  
Vol 33 (15_suppl) ◽  
pp. e16126-e16126
Author(s):  
Michael John Fabricius ◽  
Angela Cottrell ◽  
Rahul Gujadhur ◽  
Ala'a Sharaf ◽  
Robert Pickard ◽  
...  

2015 ◽  
Vol 33 (7_suppl) ◽  
pp. 282-282
Author(s):  
Alicia Katherine Morgans ◽  
Annelotte van Bommel ◽  
Caleb Stowell ◽  
David F. Penson ◽  

282 Background: Clinical trials and international registries assess outcomes considered relevant to men with advanced prostate cancer (CaP). However, we lack a single standardized set of outcomes, making direct comparisons between populations and quality of care assessments challenging. We sought to create a minimum standardized set of outcomes relevant to men with advanced CaP. Methods: The International Consortium for Health Outcomes Measurement assembled a multi-disciplinary working group to create a minimum set of measures to collect for men with advanced CaP. We used a modified Delphi method to establish pertinent measures and case-mix characteristics. Results: Approximately 24 experts, including clinicians and patient advocates, from North America, Europe, and Australia participated. We defined the included population as men with metastatic prostate cancer or biochemical recurrence who failed or were ineligible for salvage therapy. Outcomes important to all men with advanced CaP, such as overall survival, and measures specific to subgroups, such as time to metastasis, were identified. Measures gathered from clinical data include risk-stratification characteristics and measures of disease control. Patient-reported outcome measures, like pain control, depression, and erectile, urinary, and bowel dysfunction, were also identified. Conclusions: Standardized outcome measures are necessary to assess quality of care across different populations, and are critical to ensure value in health care. Our international, multi-disciplinary team identified clinical data and patient-reported outcomes to provide a basis for international health outcome comparisons and future assessments of quality of care for men with advanced CaP.


2020 ◽  
Vol 252 (2) ◽  
pp. 101-113
Author(s):  
Dong‐E Tang ◽  
Yong Dai ◽  
Jia‐Xi He ◽  
Lie‐Wen Lin ◽  
Qi‐Xin Leng ◽  
...  

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 242-242 ◽  
Author(s):  
Steven Yip ◽  
Daniel Khalaf ◽  
Werner J. Struss ◽  
Katherine Sunderland ◽  
Gillian Vandekerkhove ◽  
...  

242 Background: Germline mutations in homologous recombination repair (HRR) genes, including BRCA2, are present in 6-12% of pts with metastatic castration-resistant prostate cancer (mCRPC). BRCA2 germline mutations are associated with high-grade and poor-prognosis localized disease, while outcomes in pts with advanced prostate cancer continue to be defined. Methods: Germline DNA from 536 consecutive mCRPC pts in our liquid biopsy program were screened for BRCA2 and ATM gene mutations using targeted sequencing. Kaplan-Meier curves were used to estimate the median time from androgen deprivation therapy (ADT) initiation to mCRPC, progression free survival (PFS) on first-line androgen receptor (AR) targeted therapy, and overall survival (OS). Outcomes in BRCA2 or ATM germline mutation carriers and a subset of the total sample of HRR wild-type (WT) pts, who had clinical data available (n = 113), were compared using the log-rank test. Results: 26/536 (4.9%) of pts had germline BRCA2 (n = 22) or ATM mutations (n = 4). After ADT initiation, HRR mutated pts progressed to mCRPC with a median time of 13.4 mo compared to 19.0 mo in WT pts (HR = 1.6, [95% CI 1.0-2.5], p = 0.03). HRR mutated pts had a median PFS on first-line AR-targeted therapy in the mCRPC setting of 3.3 mo versus 7.9 mo in WT pts (HR = 2.2, [95% CI 1.3-3.5], p = 0.002). OS for HRR mutated pts from the time of ADT was 57.7 mo in contrast to 104.9 mo in WT pts (HR = 1.8, [95% CI 1.0-3.4], p = 0.07). OS from time of CRPC was 29.7 mo in HRR mutated pts versus 50.3 mo in WT pts (1.6, [95% CI 0.8-2.9], p = 0.16). Conclusions: Germline HRR mutated pts perform poorly with shorter PFS on first-line AR-targeted therapy and time to mCRPC, in contrast to WT pts. These findings support the hypothesis that BRCA2 and ATM gene mutated pts have poor outcomes with current AR-targeted treatments and should be evaluated for alternate regimens.


2010 ◽  
Vol 105 (6) ◽  
pp. 748-767 ◽  
Author(s):  
Karim Fizazi ◽  
Cora N. Sternberg ◽  
John M. Fitzpatrick ◽  
R. William Watson ◽  
Majid Tabesh

Author(s):  
Peter H. J. Slootbeek ◽  
Iris S. H. Kloots ◽  
Minke Smits ◽  
Inge M. van Oort ◽  
Winald R. Gerritsen ◽  
...  

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Chengfei Liu ◽  
Wei Lou ◽  
Joy C. Yang ◽  
Liangren Liu ◽  
Cameron M. Armstrong ◽  
...  

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