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Targeting DDR mutations in Prostate Cancer


       1997      2015             2016          2017                                                                           2019                                  2020


                                  Feasibility of
  First evidence               multi-institutional                         Germline                                                                            -FDA Approvals
  of genetic                        molecular                             pathogenic                 NCCN                     PROFOUND                         Olaparib for DDR

  predisposition               characterization                               DDR                    2017 first                                                mutated mCRPC post
  to prostate                      in mCRPC                              mutations in                guidelines:     1.0                                       enhanced androgen
  cancer.                                                                 metastatic                 DDR             0.9             6-mo rate                 signaling inhibition
                                                                                                     testing for
                                                                                                                     0.8
                                                                            prostate                 m Pca and       0.7             59.76%
                                                                                                                                             12-mo rate
                                                                        cancer 11.8%                 expanded        0.6             22.63%
                                                                                                                                             28.11%
                                                                                                     2018 to        Probability of rPFS  0.5
                                                                                                     men with,       0.4                     9.40%
                                                                                                     high risk       0.3
                                                                                                     localized,      0.2
                                                                                                     metastatic      0.1
                                                                                                     or strong       0.0
                                                                                                     family               0 123456789101112131415161718192021        FDA approval
                            TOPAARP-A Study                                                          history                                                         of companion


                                                                                                                                                                     diagnostics:
   Eeles RA, et al. Br J Urol. 1997.
   Robinson et al., 2015, Cell 161,                                                                                                                                  FoundationOne
   1215–1228
   Mateo J, et al. N Engl J Med. 2015                                                                                                                                CDx and
   Pritchard CC, et al. N Engl J Med.
   2016.                                                                                                                                                             BRACAnalysis
   Giri VN, et al. J Clin Oncol. 2018.
   Mateo J, et al. N Engl J Med. 2015.
   Abida W et al. J Clin Oncol. 2020
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