
Understanding treatment resistance in prostate cancer @uclcancer. Tweets by Gert & team.
Joined January 2018
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Publication of CAPItello-281 Ph 3 trial in @Annals_Oncology at end of @fizazi_karim #ESMO25 👍annalsofoncology.org/article…
Prostate tumours classified as high Decipher and PTEN inactive have a 45% reduction in hazard of death when Doce is added to ADT. This biomarker should be tested in pts considered for triplet therapy.
There was minimal overlap between the Decipher and PTEN classifiers, which enriched for different KEGG pathways.
In exploratory analyses, PTEN inactivity in prostate tumours from patients with metastatic disease associated with shorter survival on hormone therapy and predicted survival benefit from docetaxel, as compared to those classified as PTEN active.
In pre-specified analysis, high Decipher classifier score was prognostic and predicted survival benefit from docetaxel for metastatic cancers (biomarker-docetaxel interaction p=0.039). Direction of effect maintained in both high- and low-volume disease.
Tumour AR signaling associated with longer survival, whilst increased proliferation associated with shorter survival.
We established a resource of clinical-grade micro-array expression data and IHC markers (Ki-67, PTEN) on prostate tumours from 1523 pts randomised in practice-changing phase 3 trials #STAMPEDE @MRCCTU (testing docetaxel or abiraterone), linking with survival data.
It's a #STAMPEDE double bill kicking off the prostate proffered paper session at #ESMO22 with Gert presenting LBA62 and @marina_parry with 1358O. Hope to see you there, Sunday 11th, 8.30am Antibes auditorium.












