Pharmacologic Dose Testosterone to Treat Castration-Resistant Prostate Cancer: Mechanisms of Action and Drivers of Response

Abstract

Single-arm studies have demonstrated preliminary signs of efficacy for intermittent pharmacologic dose testosterone (i.e. Bipolar Androgen Therapy; BAT) in treating advanced prostate cancer. In this project, we will conduct detailed molecular assessments on biospecimens (i.e. blood, metastatic tissue) from men receiving BAT to determine somatic and germline factors that predict for response/resistance. We will also evaluate additional PDT-based regimens (e.g. combinatorial treatments) in preclinical models. This annual technical progress report details progress made during the first year of funding for this project (30 Sep 2018 1 Oct2019). During Year 3 we have continued to collect biospecimens from men enrolled to studies testing BAT. We have published correlative research showing responses to BAT are enriched in patients with mutations in DNA damage repair (DDR) genes. Preclinical studies have supported the hypothesis that DDR abnormalities predict for response to BAT and have also shown that responses are enhanced when BAT is given in combination with PARP inhibition.

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Document Details

Document Type
Technical Report
Publication Date
Oct 01, 2019
Accession Number
AD1089668

Entities

People

  • Michael T Schweizer

Organizations

  • University of Washington

Tags

DTIC Thesaurus Topics

  • Acquisition
  • Androgen Receptors
  • Androgens
  • Biomedical Research
  • Biospecimens
  • Blood
  • Bone Marrow
  • Cancer
  • Cells
  • Clinical Trials
  • Department Of Defense
  • Inhibition
  • Liquid Chromatography
  • Mass Spectrometry
  • Medical Personnel
  • Mutations
  • Neoplasms
  • Oncology
  • Prostate
  • Prostate Cancer
  • Resistance
  • Testosterone
  • Therapy
  • Tissues
  • Training
  • Vaccines

Fields of Study

  • Medicine

Readers

  • Aerospace Engineering
  • Oncology
  • Prostate Cancer Biology.