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PARP 抑制剂在治疗转移性去势抵抗性前列腺癌中的临床开发。

Clinical Development of PARP Inhibitors in Treating Metastatic Castration-Resistant Prostate Cancer.

机构信息

Department of Internal Medicine, University of South Florida, H. Lee Moffitt Cancer Center & Research Institute, Tampa, FL 33612, USA.

Department of Genitourinary Oncology, H. Lee Moffitt Cancer Center & Research Institute, 12902 USF Magnolia Drive, Tampa, FL 33612, USA.

出版信息

Cells. 2019 Aug 9;8(8):860. doi: 10.3390/cells8080860.


DOI:10.3390/cells8080860
PMID:31404966
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6721701/
Abstract

The approval of upfront abiraterone for castration-sensitive prostate cancer and the approval of enzalutamide and apalutamide for non-metastatic castration-resistant prostate cancer have led to early utilization of potent androgen receptor (AR) signaling inhibitors in treating advanced prostate cancer. There is an unmet need to develop novel therapies beyond targeting AR signaling for metastatic castration-resistant prostate cancer (mCRPC). Poly (ADP-ribose) polymerase inhibitors (PARPi) belong to a class of targeted agents being developed for the treatment of homologous recombination repair (HRR) deficient tumors. Olaparib, rucaparib, niraparib, veliparib, and talazoparib were evaluated in early phase trials as a monotherapy for HRR-deficient mCRPC. Among them, olaparib and rucaparib have breakthrough designations for -mutated mCRPC. Phase II studies also reported clinical activity of the PARPi and abiraterone combination and the PARPi checkpoint inhibitor combination in HRR-intact mCRPC. Ongoing phase III trials are testing these combinations as frontline or later line treatments for mCRPC. This review summarizes the critical clinical data as well as ongoing clinical trials for developing PARPi in treating mCRPC.

摘要

阿比特龙用于治疗去势敏感型前列腺癌的批准,以及恩杂鲁胺和阿帕鲁胺用于治疗非转移性去势抵抗性前列腺癌的批准,导致在治疗晚期前列腺癌时早期使用强效雄激素受体 (AR) 信号抑制剂。对于转移性去势抵抗性前列腺癌 (mCRPC),除了靶向 AR 信号之外,还需要开发新的治疗方法。多聚(ADP-核糖)聚合酶抑制剂 (PARPi) 属于一类正在开发用于治疗同源重组修复 (HRR) 缺陷肿瘤的靶向药物。奥拉帕利、鲁卡帕利、尼拉帕利、维利帕利和他拉唑帕利在早期单药治疗 HRR 缺陷 mCRPC 的临床试验中进行了评估。其中,奥拉帕利和鲁卡帕利因 - 突变 mCRPC 获得了突破性的指定。II 期研究还报告了 PARPi 和阿比特龙联合以及 PARPi 检查点抑制剂联合在 HRR 完整的 mCRPC 中的临床活性。正在进行的 III 期试验正在测试这些联合疗法作为 mCRPC 的一线或二线治疗。这篇综述总结了开发 PARPi 治疗 mCRPC 的关键临床数据和正在进行的临床试验。

相似文献

[1]
Clinical Development of PARP Inhibitors in Treating Metastatic Castration-Resistant Prostate Cancer.

Cells. 2019-8-9

[2]
Poly(ADP-ribose) polymerase inhibitors in prostate cancer: a cornerstone in precision oncology.

Pharmacogenomics. 2021-12

[3]
First-line combination treatment with PARP and androgen receptor-signaling inhibitors in HRR-deficient mCRPC: Applying clinical study findings to clinical practice in the United States.

Cancer Treat Rev. 2024-5

[4]
The emerging role of PARP inhibitors in prostate cancer.

Expert Rev Anticancer Ther. 2020-8

[5]
When and How to Use PARP Inhibitors in Prostate Cancer: A Systematic Review of the Literature with an Update on On-Going Trials.

Eur Urol Oncol. 2020-10

[6]
Emerging Role of PARP Inhibitors in Metastatic Prostate Cancer.

Curr Oncol Rep. 2022-11

[7]
Feasibility of Indirect Treatment Comparisons Between Niraparib Plus Abiraterone Acetate and Other First-Line Poly ADP-Ribose Polymerase Inhibitor Treatment Regimens for Patients with BRCA1/2 Mutation-Positive Metastatic Castration-Resistant Prostate Cancer.

Adv Ther. 2024-8

[8]
The efficacy and safety of PARP inhibitors in mCRPC with HRR mutation in second-line treatment: a systematic review and bayesian network meta-analysis.

BMC Cancer. 2024-6-8

[9]
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Expert Opin Pharmacother. 2024-9

[10]
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Pharmacotherapy. 2017-11

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[1]
FUT8 Is a Critical Driver of Prostate Tumour Growth and Can Be Targeted Using Fucosylation Inhibitors.

Cancer Med. 2025-5

[2]
Role of PARP inhibitors in prostate cancer.

Cent European J Urol. 2024

[3]
Sialylation Inhibition Can Partially Revert Acquired Resistance to Enzalutamide in Prostate Cancer Cells.

Cancers (Basel). 2024-8-24

[4]
PARP Inhibitors in the Treatment of Prostate Cancer: From Scientific Rationale to Clinical Development.

World J Mens Health. 2024-4

[5]
Use of PARP inhibitors in prostate cancer: from specific to broader application.

Front Endocrinol (Lausanne). 2023

[6]
Targeting Mitochondria to Control Ageing and Senescence.

Pharmaceutics. 2023-1-20

[7]
Tryptophan metabolism and disposition in cancer biology and immunotherapy.

Biosci Rep. 2022-11-30

[8]
Understanding what matters to metastatic castration-resistant prostate cancer (mCRPC) patients when considering treatment options: A US patient preference survey.

Cancer Med. 2023-3

[9]
Drug resistance in metastatic castration-resistant prostate cancer: an update on the status quo.

Cancer Drug Resist. 2022-6-22

[10]
Comparison of Homologous Recombination Repair Gene Next-Generation Sequencing Analysis in Patients With Metastatic Castration-Resistant Prostate Cancer Between Local and Central Laboratories in Korea.

Ann Lab Med. 2023-1-1

本文引用的文献

[1]
PARP inhibition enhances tumor cell-intrinsic immunity in ERCC1-deficient non-small cell lung cancer.

J Clin Invest. 2019-2-11

[2]
Activity of durvalumab plus olaparib in metastatic castration-resistant prostate cancer in men with and without DNA damage repair mutations.

J Immunother Cancer. 2018-12-4

[3]
Long-term efficacy, tolerability and overall survival in patients with platinum-sensitive, recurrent high-grade serous ovarian cancer treated with maintenance olaparib capsules following response to chemotherapy.

Br J Cancer. 2018-10-24

[4]
Maintenance Olaparib in Patients with Newly Diagnosed Advanced Ovarian Cancer.

N Engl J Med. 2018-10-21

[5]
Talazoparib in Patients with Advanced Breast Cancer and a Germline BRCA Mutation.

N Engl J Med. 2018-8-15

[6]
Olaparib combined with abiraterone in patients with metastatic castration-resistant prostate cancer: a randomised, double-blind, placebo-controlled, phase 2 trial.

Lancet Oncol. 2018-6-4

[7]
A PET imaging agent for evaluating PARP-1 expression in ovarian cancer.

J Clin Invest. 2018-4-16

[8]
Targeting Androgen Receptor and DNA Repair in Metastatic Castration-Resistant Prostate Cancer: Results From NCI 9012.

J Clin Oncol. 2017-12-20

[9]
Rucaparib maintenance treatment for recurrent ovarian carcinoma after response to platinum therapy (ARIEL3): a randomised, double-blind, placebo-controlled, phase 3 trial.

Lancet. 2017-9-12

[10]
Niraparib Maintenance Therapy in Platinum-Sensitive, Recurrent Ovarian Cancer.

N Engl J Med. 2016-10-7

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