scholarly journals Differential prognostic factors in low‐ and high‐burden de novo metastatic hormone‐sensitive prostate cancer patients

2020 ◽  
Author(s):  
Masaki Shiota ◽  
Naoki Terada ◽  
Toshihiro Saito ◽  
Akira Yokomizo ◽  
Naoki Kohei ◽  
...  
In Vivo ◽  
2021 ◽  
Vol 35 (1) ◽  
pp. 373-384
Author(s):  
YOSHIYUKI MIYAZAWA ◽  
YOSHITAKA SEKINE ◽  
SEIJI ARAI ◽  
DAISUKE OKA ◽  
HIROSHI NAKAYAMA ◽  
...  

The Prostate ◽  
2020 ◽  
Vol 80 (11) ◽  
pp. 850-858
Author(s):  
Junryo Rii ◽  
Shinichi Sakamoto ◽  
Yasutaka Yamada ◽  
Nobushige Takeshita ◽  
Satoshi Yamamoto ◽  
...  

Author(s):  
MD Gil-Sierra ◽  
MDP Briceño-Casado ◽  
M Sanchez-Hidalgo ◽  
C Alarcon De La Lastra-Romero ◽  
B De La Calle-Riaguas ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (19) ◽  
pp. 4982
Author(s):  
Carlos Artigas ◽  
Romain Diamand ◽  
Qaid Ahmed Shagera ◽  
Nicolas Plouznikoff ◽  
Fabrice Fokoue ◽  
...  

Metastasis-directed therapy (MDT) in oligometastatic prostate cancer has the potential of delaying the start of androgen deprivation therapy (ADT) and disease progression. We aimed to analyze the efficacy of PSMA-PET/CT in detecting oligometastatic disease (OMD), to look for predictive factors of OMD, and to evaluate the impact of PSMA-PET/CT findings on clinical management. We retrospectively analyzed a homogeneous population of 196 hormone-sensitive prostate cancer patients (HSPC), considered potential candidates for MDT, with a PSMA-PET/CT performed at biochemical recurrence (BCR) after radical prostatectomy (RP). Multivariable logistic regression analysis was performed based on several clinico-pathological factors. Changes in clinical management before and after PSMA-PET/CT were analyzed. The OMD detection rate was 44% for a total positivity rate of 60%. PSMA-PET/CT positivity was independently related to PSA (OR (95%CI), p) (1.7 (1.3–2.3), p < 0.0001) and PSAdt (0.4 (0.2–0.8), p = 0.013), and OMD detection was independently related to PSA (1.6 (1.2–2.2), p = 0.001) and no previous salvage therapy (0.3 (0.1–0.9), p = 0.038). A treatment change was observed in 58% of patients, mostly to perform MDT after OMD detection (60% of changes). This study showed that PSMA-PET/CT is an excellent imaging technique to detect OMD early in HSPC patients with BCR after RP, changing therapeutic management mostly into MDT.


2019 ◽  
Vol 25 ◽  
pp. 9991-10007
Author(s):  
Hong Che ◽  
Yi Liu ◽  
Meng Zhang ◽  
Jialin Meng ◽  
Xingliang Feng ◽  
...  

2021 ◽  
Vol 32 ◽  
pp. S661
Author(s):  
J. Thouvenin ◽  
V. Colinet ◽  
P. Barthelemy ◽  
S. Sideris ◽  
M. Van Eycken ◽  
...  

2020 ◽  
Vol 10 ◽  
Author(s):  
Samantha S. Sigurdson ◽  
Francisco E. Vera-Badillo ◽  
Fabio Ynoe de Moraes

2020 ◽  
pp. 882-897 ◽  
Author(s):  
Clare Gilson ◽  
Fiona Ingleby ◽  
Duncan C. Gilbert ◽  
Marina A. Parry ◽  
Nafisah B. Atako ◽  
...  

PURPOSE The STAMPEDE trial recruits men with newly diagnosed, high-risk, hormone-sensitive prostate cancer. To ascertain the feasibility of targeted next-generation sequencing (tNGS) and the prevalence of baseline genomic aberrations, we sequenced tumor and germline DNA from patients with metastatic prostate cancer (mPCa) starting long-term androgen-deprivation therapy (ADT). METHODS In a 2-stage approach, archival, formalin-fixed, paraffin-embedded (FFPE) prostate tumor core biopsy samples were retrospectively subjected to 2 tNGS assays. Prospective enrollment enabled validation using tNGS in tumor and germline DNA. RESULTS In stage 1, tNGS data were obtained from 185 tumors from 287 patients (65%); 98% had de novo mPCa. We observed PI3K pathway aberrations in 43%, due to PTEN copy-number loss (34%) and/or activating mutations in PIK3 genes or AKT (18%) and TP53 mutation or loss in 33%. No androgen receptor ( AR) aberrations were detected; RB1 loss was observed in < 1%. In stage 2, 93 (92%) of 101 FFPE tumors (biopsy obtained within 8 months) were successfully sequenced prospectively. The prevalence of DNA damage repair (DDR) deficiency was 14% (somatic) and 5% (germline). BRCA2 mutations and mismatch repair gene mutations were exclusive to high-volume disease. Aberrant DDR (22% v 15%), Wnt pathway (16% v 4%), and chromatin remodeling (16% v 8%) were all more common in high-volume compared with low-volume disease, but the small numbers limited statistical comparisons. CONCLUSION Prospective genomic characterization is feasible using residual diagnostic tumor samples and reveals that the genomic landscapes of de novo high-volume mPCa and advanced metastatic prostate cancer have notable similarities (PI3K pathway, DDR, Wnt, chromatin remodeling) and differences ( AR, RB1). These results will inform the design and conduct of biomarker-directed trials in men with metastatic hormone-sensitive prostate cancer.


2015 ◽  
Vol 45 (8) ◽  
pp. 780-784
Author(s):  
Takahiro Inoue ◽  
Hidefumi Kinoshita ◽  
Naoki Terada ◽  
Takashi Kobayashi ◽  
Toshinari Yamasaki ◽  
...  

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