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Updated: Dec 27, 2025

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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.
Abstract:
Poly(ADP-ribose) polymerase (PARP) inhibitors targeting DNA repair gene mutations have shown significant clinical benefit in patients with ovarian and breast cancers. In metastatic prostate cancers, the prevalence of DNA repair gene mutations is up to 20%, and early phase studies have shown clinical activity of PARP inhibitors. Numerous clinical trials with either PARP monotherapy or in combination with other therapeutic agents are ongoing in prostate cancer. In this comprehensive review, we provide the rationale, efficacy, and safety data of PARP inhibitors in prostate as well as urothelial cancers.
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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