PARP Inhibitors in Prostate and Urothelial Cancers

Rohan Garje1, Raju Kumar Vaddepally2, Yousef Zakharia1

  • 1Division of Hematology, Oncology, and Blood and Marrow Transplant, Holden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, United States.

Frontiers in Oncology
|March 3, 2020
PubMed

Insights

Poly(ADP-ribose) polymerase (PARP) inhibitors show promise for treating advanced prostate and urothelial cancers with DNA repair gene mutations. Ongoing trials are evaluating PARP inhibitors alone and in combination therapies.

Area of Science:

  • Oncology
  • Genetics
  • Pharmacology

Background:

  • Poly(ADP-ribose) polymerase (PARP) inhibitors are effective in ovarian and breast cancers with DNA repair gene mutations.
  • Approximately 20% of metastatic prostate cancers harbor DNA repair gene mutations, indicating potential for PARP inhibitor therapy.

Purpose of the Study:

  • To review the rationale, efficacy, and safety of PARP inhibitors in prostate and urothelial cancers.
  • To summarize current clinical trial data for PARP inhibitors in these cancer types.

Main Methods:

  • Comprehensive literature review of preclinical and clinical studies.
  • Analysis of efficacy and safety data from PARP inhibitor trials.

Main Results:

  • Early phase studies demonstrate clinical activity of PARP inhibitors in prostate cancer.
  • Numerous clinical trials are investigating PARP inhibitors in monotherapy and combination regimens for prostate cancer.

Conclusions:

  • PARP inhibitors represent a promising therapeutic strategy for prostate and urothelial cancers with specific DNA repair gene alterations.
  • Further clinical investigation is warranted to establish the role of PARP inhibitors in these malignancies.

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