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Published on: March 6, 2018
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.
Abstract:
Background: Ongoing clinical trials are investigating PARP inhibitors to target the DNA damage repair (DDR) pathway in prostate cancer. DDR mutation screening will guide treatment strategy and assess eligibility for clinical trials. Materials & methods: This systematic review estimated the rate of DDR mutation testing or genetic counseling among men with or at risk of prostate cancer. Results: From 6856 records, one study fulfilled the inclusion criteria and described men undiagnosed with prostate cancer with a family history of BRCA1/2 mutation who received DDR mutation testing. Conclusion: With only one study included in this first systematic review of DDR mutation testing or genetic counseling in men with or at risk of prostate cancer, more research is warranted.
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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