Given several PARP inhibitors approved or with emerging positive data in castrate resistant prostate cancer, how do you decide which one and when to use?
How do you differentiate between olaparib, rucaparib, niraparib, talazoparib?
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What is your preferred PARP inhibitor for HRD+ metastatic castrate resistant prostate cancer post-chemo?
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2 Answers
Mednet Member
Medical Oncology · Va Portland Health Care System
Answered on
At this point, it's easy. In the prechemo mCRPC state, the answer is olaparib, but it is expected that rucaparib will be an alternative. In the mCRPC state post chemo, could be either olaparib or rucaparib. The others are not yet approved. We are participating in the trial AMPLITUDE, which is lookin...
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Mednet MemberInvited Expert
Medical Oncology · UTSouthwestern Medical Center
Answered on
The only two approved PARP inhibitors in mCRPC are olaparib and rucaparib. These have different labels (Olaparib has approval for a larger panel of gene mutations and is approved in pre-chemotherapy settings, while rucaparib is approved only for BRCA1, BRCA2, and ATM, and approved in post-chemothera...
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