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Prostate cancer drug combination adds toxicity without clear benefit for tumors lacking targetable mutations

Medical Xpress ·

Prostate cancer drug combination adds toxicity without clear benefit for tumors lacking targetable mutations

The Brief

  • ZZ-FIRST is a prospective, multicenter, randomized phase 2 clinical trial led by the Vall d'Hebron Institute of Oncology's Prostate Cancer Group.
  • The trial evaluated enzalutamide, an androgen receptor pathway inhibitor (ARPI), combined with a poly(ADP-ribose) polymerase inhibitor (PARPi).
  • For tumors lacking targetable mutations, the combination added toxicity without a clear benefit.

Why it matters

It is a randomized trial result indicating that adding a PARP inhibitor to enzalutamide does not clearly help patients whose tumors lack targetable mutations, while increasing side effects.

Who’s affected

  • prostate cancer researchers and clinicians
  • patients with prostate cancer and their care teams

The prospective, multicenter, randomized phase 2 ZZ-FIRST clinical trial, led by the Vall d'Hebron Institute of Oncology's (VHIO) Prostate Cancer Group, evaluated the androgen receptor pathway inhibitor (ARPI) enzalutamide plus the poly(ADP-ribose) polymerase inhibitor (PARPi)…

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    Prostate cancer drug combination adds toxicity without clear benefit for tumors lacking targetable mutations – The Morning Science