Evidence Level:Sensitive: C3 – Early Trials
Title:
Targeted Inhibition of CYP11A1 in Castration-Resistant Prostate Cancer
Excerpt:Evidence of antitumor activity was observed in this heavily pretreated mCRPC population, especially in those with ARmut.
DOI:10.1056/EVIDoa2300171
Evidence Level:Sensitive: C3 – Early Trials
Title:
Impact of activating androgen receptor (AR) mutations on AR sensitivity to alternative ligands and response to ODM-208, a selective, first-in-class CYP11A1 inhibitor, in patients with advanced metastatic castration-resistant prostate cancer (mCRPC).
Excerpt:Treatment with ODM-208 blocked all steroid hormone production and resulted in frequent ≥50% PSA reductions in this group of heavily pretreated mCRPC pts with various AR LBD mutations, some being long-lasting. cfDNA AR mutations are a promising predictive biomarker for ODM-208 efficacy.
DOI:10.1200/JCO.2022.40.16_suppl.5057
Evidence Level:Sensitive: C3 – Early Trials
Title:
Phase 1 results of the ODM-208 first-in-human phase 1-2 trial in patients with metastatic castration-resistant prostate cancer (CYPIDES)
Excerpt:In evaluable patients with AR LBD mutation 10/15 (67%) achieved a PSA decline of =50%. Administration of ODM-208 to mCRPC men pretreated with abiraterone/enzalutamide and taxanes was highly effective in blocking the production of steroid hormones and showed promising antitumor activity, especially in men with AR mutation-positive cancers.
DOI:10.1200/JCO.2022.40.6_suppl.018