DNA damage repair gene mutation testing and genetic counseling in men with/without prostate cancer: a systematic

Nigel Armstrong1, Ruben Gw Quek2, Steve Ryder1

  • 1Kleijnen Systematic Reviews Ltd, York, UK.

Insights

DNA damage repair (DDR) mutation testing and genetic counseling rates are largely unknown in men with or at risk for prostate cancer. More research is needed to understand current testing practices and guide clinical trial eligibility.

Area of Science:

  • Oncology
  • Genetics
  • Clinical Trials

Background:

  • PARP inhibitors are under investigation for prostate cancer, targeting the DNA damage repair (DDR) pathway.
  • DDR mutation screening is crucial for guiding treatment and assessing clinical trial eligibility.

Purpose of the Study:

  • To systematically review the rate of DDR mutation testing or genetic counseling in men with or at risk of prostate cancer.

Main Methods:

  • Systematic review of medical literature.
  • Inclusion criteria focused on studies assessing DDR mutation testing or genetic counseling in men with prostate cancer or at risk.

Main Results:

  • Only one study met the inclusion criteria from 6856 records.
  • The included study identified men with undiagnosed prostate cancer and a family history of BRCA1/2 mutation who underwent DDR mutation testing.

Conclusions:

  • This systematic review highlights a significant lack of research on DDR mutation testing and genetic counseling rates in the target population.
  • Further research is urgently needed to establish baseline rates and inform clinical practice and trial recruitment.

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