Real-world genetic testing patterns in metastatic castration-resistant prostate cancer

Author:

Shore Neal1ORCID,Ionescu-Ittu Raluca2ORCID,Yang Lingfeng3,Laliberté François2ORCID,Mahendran Malena2ORCID,Lejeune Dominique2ORCID,Yu Louise4ORCID,Burgents Joseph3,Duh Mei Sheng4ORCID,Ghate Sameer R3

Affiliation:

1. Carolina Urologic Research Center, Myrtle Beach, SC 29572, USA

2. Analysis Group, Inc., Montreal, QC, H3B 0G7, Canada

3. Merck & Co., Inc., Kenilworth, NJ 07033, USA

4. Analysis Group, Inc., Boston, MA 02199, USA

Abstract

Aim: To assess the patterns of genetic testing for homologous recombination repair mutations in patients with metastatic castration-resistant prostate cancer (mCRPC) pre-PARP inhibitors approval. Patients & methods: mCRPC patients were selected in an oncology electronic medical records database. Patterns and predictors of testing for ATM, BRCA1/2, CDK12, PALB2 and FANCA gene alterations were assessed. Results: Of 5213 mCRPC patients, 674 (13%) had a documented genetic test. The number of tested patients increased from 1 in 2013 to 313 in 2018 (out of 3161 and 3010 clinically active patients, respectively). Receiving care in an academic oncology center (versus a community-based center) strongly predicted genetic testing (hazard ratio = 2.41). Conclusion: The use of and access to genetic testing pre-PARP inhibitor approval was suboptimal.

Funder

Merck Sharp & Dohme Corp.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

Reference28 articles.

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2. Referenced with permission from the NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines®) for Prostate Cancer V.1.2021. © National Comprehensive Cancer Network, Inc. 2021. All rights reserved. Accessed [February 10, 2021]. NCCN makes no warranties of any kind whatsoever regarding their content, use or application and disclaims any responsibility for their application or use in any way.

3. AR-V7 and Resistance to Enzalutamide and Abiraterone in Prostate Cancer

4. Integrative Clinical Genomics of Advanced Prostate Cancer

5. Review of the real-world prevalence of mHSPC, nmCRPC, mCRPC, and gene alterations associated with HRR in prostate cancer (PC).

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