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What could explain the discordant results between PARP/abiraterone combinations in MAGNITUDE and PROpel in non-HRRm prostate cancer?

Is the benefit in PROpel driven by BRCA1/2 or ATM mutated tumors vs all comers?
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Do the contradictory results of PROPEL and MAGNITUDE trials raise concerns about the efficacy of PARP inhibition in CRPC?

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1 Answer
Mednet Member
Mednet MemberInvited Expert
Medical Oncology · Duke University School of Medicine
Answered on

This is an important question. I would summarize this below:

1. Differences in study design and patient populations

  • MAGNITUDE allowed prior ARSI (5%), prior exposure to abiraterone for up to 4 mo which could have been selected for patients less sensitive to abiraterone where PARPi combination syner...

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