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Oncotarget

Using Early On-treatment ctDNA Measurements as Response Assessment in mCRPC

Jul 17, 2024
Researchers from Radboud University Medical Center discuss the importance of early on-treatment ctDNA measurements in mCRPC, identifying patients who benefit from specific therapies like PARPi or LuPSMA in first-line treatment with ARPIs.
02:34

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Quick takeaways

  • Using early on-treatment ctDNA measurements can predict response durability to first-line ARPIs in mCRPC patients.
  • Identifying patients who benefit from ARPI monotherapy assists in determining treatment adjustments or switching therapies for optimal outcomes.

Deep dives

MCRPC Treatments and Drug Classes

Metastatic castration-resistant prostate cancer, MCRPC, is discussed in this editorial, noting the expanded options for life-prolonging systemic treatments. The researchers highlight the use of androgen receptor pathway inhibitors, ARPIs, like N-zalutamide and abiraterone, as common first-line therapies. Recent data suggest potential benefits of adding PARP inhibitors or LUPSMA to first-line MCRPC treatment with ARPIs, emphasizing the need to identify patients who benefit from monotherapy and those who may need treatment intensification.

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