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Is there adequate evidence for the use of PARPi in combination with ARSI for BRCA+/HRR mutated mCRPC as compared to sequential therapy?

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When treating BRCA+/HRR mutated mCRPC, what primarily guides your decision to use PARPi and ARSI in combination vs in sequence?

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3 Answers
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Medical Oncology · Beth Israel Deaconess Medical Center
Answered on · Updated on

This question is phrased perfectly: the important consideration is whether sequential therapy would be just as good, i.e. the "old" standard of care. Unfortunately, this is not how the three trials cited above were designed. Control-arm HRRm patients were assumed to have access to PARPi post-protoco...

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Medical Oncology · The University of Texas Health Science Center at San Antonio
Answered on · Updated on

Updated answer:

Recently the BRCAAway trial was published evaluating olaparib vs abiraterone vs olaparib/abiraterone in patients with mCRPC (n=165). This study published the results of the BRCA1 and BRCA2 populations (n=46) as well as other mutations. Cross-over was allowed in the study. The median ...

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Urology · Atlantic Urology Clinics
Answered on

Absolutely, three very well conducted trials: PROPEL, MAGNITUDE, and TALAPRO-2 have now enriched our treatment armamentarium.

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