Metastatic Castration-Resistant Prostate Cancer with BRCA2 Mutation: The Challenge Incorporating PARP Inhibitors and Platinum in Treatment Sequencing
  • Inês Costa
    Medical Oncology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal https://orcid.org/0000-0002-0383-8584
  • Joana Reis
    Medical Oncology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
  • Sara Meireles
    Medical Oncology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
  • Maria João Ribeiro
    Medical Oncology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
  • Isabel Augusto
    Medical Oncology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal
  • Miguel Barbosa
    Medical Oncology Department, Centro Hospitalar e Universitário de São João, Porto, Portugal

Keywords

Metastatic prostate cancer, BRCA2 germline mutation, PARP inhibitor, olaparib, carboplatin, BRCA2-mutated metastatic castration-resistant prostate cancer

Abstract

Prostate cancer is the second most frequent malignancy in men worldwide. Despite the improvement in survival achieved by increasingly early diagnosis and advances in treatment, it is still associated with high mortality. Because of its molecular heterogeneity, there is a need to identify genetic alterations in order to apply targeted therapies. Increasing evidence suggests that the PARP inhibitor olaparib could have a significant synthetic lethal effect in prostate cancer with homologous recombination defects, such as BRCA1/2 mutations. It is not yet known if, under these circumstances, platinum-based chemotherapy induces higher response rates in prostate cancer. We present the case of a patient with BRCA2-mutated metastatic castration-resistant prostate cancer whose treatment sequence included carboplatin and olaparib.

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    Published: 2022-05-24
    Issue: 2022: Vol 9 No 5 (view)

    How to cite:
    1.
    Costa I, Reis J, Meireles S, Ribeiro MJ, Augusto I, Barbosa M. Metastatic Castration-Resistant Prostate Cancer with BRCA2 Mutation: The Challenge Incorporating PARP Inhibitors and Platinum in Treatment Sequencing. EJCRIM 2022;9 doi:10.12890/2022_003331.

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