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Differential treatment outcomes in BRCA1/2-, CDK12-, and ATM-mutated metastatic castration-resistant prostate cancer.

Daniel H KwonJonathan ChouSteven M YipMelissa A ReimersLi ZhangFrancis WrightMallika S DhawanHala T BornoArpita DesaiRahul R AggarwalAlexander W WyattEric J SmallAjjai S AlvaKim N ChiFelix Y FengVadim S Koshkin
Published in: Cancer (2021)
Responses to standard therapies were generally superior in patients with BRCA1/2 mutations and inferior in patients with ATM or CDK12 mutations. The DDRm type did not independently predict OS. After progression on first-line abiraterone or enzalutamide, carboplatin-based chemotherapy was associated with the longest OS. These findings may inform treatment discussions and clinical trial design and require prospective validation.
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