Lloyd Jennifer L E, Batten Julia
Intermountain Medical Center Oncology Clinic, Intermountain Health, Murray, UT, USA.
Huntsman Cancer Institute, University of Utah, Salt Lake City, UT, USA.
Oncol Ther. 2025 Sep 15. doi: 10.1007/s40487-025-00376-w.
Homologous recombination repair (HRR) is a DNA repair pathway that helps maintain genomic stability. About one quarter of patients with metastatic castration-resistant prostate cancer (mCRPC) have alterations in HRR genes. For adult patients in the USA with mCRPC harboring HRR gene alterations, the combination of talazoparib plus enzalutamide is an approved treatment option. The objective of this podcast, featuring two nurse practitioners, is to provide information for oncology nurses and advanced practice providers (APPs) on the use of talazoparib plus enzalutamide and its practical implementation aspects in the clinic. We discuss the importance of testing for HRR gene alterations in mCRPC, appropriate dosing and administration, and our clinical experiences of adverse event monitoring and dose modifications as illustrative examples of the role of oncology nurses and APPs in the treatment of mCRPC with talazoparib plus enzalutamide. Podcast and Infographic are available for this article. Podcast Video (MP4 172565 KB).
同源重组修复(HRR)是一种有助于维持基因组稳定性的DNA修复途径。约四分之一的转移性去势抵抗性前列腺癌(mCRPC)患者存在HRR基因改变。对于美国患有mCRPC且携带HRR基因改变的成年患者,他拉唑帕尼联合恩杂鲁胺是一种已获批的治疗方案。本期播客由两名执业护士参与,旨在为肿瘤学护士和高级执业医疗人员(APP)提供有关他拉唑帕尼联合恩杂鲁胺的使用及其在临床实际应用方面的信息。我们讨论了在mCRPC中检测HRR基因改变的重要性、合适的剂量和给药方法,以及我们在不良事件监测和剂量调整方面的临床经验,以此作为肿瘤学护士和APP在使用他拉唑帕尼联合恩杂鲁胺治疗mCRPC中所起作用的示例。本文配有播客和信息图表。播客视频(MP4格式,172565KB)。