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Olaparib in mCRPC / Treatment Sequencing







                                                                                                                                                                        Treatment not
                                                                                                                                                                          yet received
                                                 ADT + ARAT                                                      Docetaxel or Radium                                            or
         nmCRPC                                                                  Progress to                                                         Progress
                                                                                    mCRPC                                                                                  Olaparib
                                                                                                                     Olaparib if HRRm                                       if HRRm







                                                                                                                                                                        Treatment not
                                                                                                                                                                          yet received
                                                                                                                                                                                or


                                                    ADT + Docetaxel             Progress to                               Abi or Enza                Progress               Olaparib

                                                                                    mCRPC                              CBZ or Radium                                        if HRRm


             Metastatic
                                                                                                                                                                         Treatment not
          CSPC or CRPC                                   ADT + ARAT             Progress to                      Docetaxel or Radium                                       yet received
                                                                                                                                                                                 or
                                                                                                                                                     Progress
                                                                                    mCRPC                            Olaparib if HRRm                                       Olaparib

                                                                                                                                                                             if HRRm





                                                                                                                    Choice based on Level 1 evidence
    Personal slide Saad F : Adapted CUA guidelines for CRPC 2021, CUAJ 2021
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