Evidence Level:Resistant: C3 – Early Trials
Title:
Comparison of ctDNA between African American and Caucasian patients with CRPC post abiraterone and/or enzalutamide.
Excerpt:African Americans with CRPC post treatment with abiraterone and/or enzalutamide had a higher frequency of P/LP CDK12 and KIT mutations, which have both been shown to lead to aggressive clinical features and treatment resistance.
DOI:10.1200/JCO.2023.41.6_suppl.35
Evidence Level:Resistant: C3 – Early Trials
Title:
Use of Circulating Tumor DNA for the Clinical Management of Metastatic Castration-Resistant Prostate Cancer: A Multicenter, Real-World Study
Excerpt:In multivariate Cox regression analysis, a CDK12 defect was significantly associated with inferior PFS after abiraterone treatment.
DOI:10.6004/jnccn.2020.7663
Evidence Level:Resistant: C3 – Early Trials
Title:
CDK12-Altered Prostate Cancer: Clinical Features and Therapeutic Outcomes to Standard Systemic Therapies, Poly (ADP-Ribose) Polymerase Inhibitors, and PD-1 Inhibitors
Excerpt:Of those who received first-line abiraterone and enzalutamide for metastatic castration-resistant prostate cancer (mCRPC; n = 34), 41.2% had a PSA response, and median PFS was 5.3 months….CDK12-altered prostate cancer is an aggressive subtype with poor outcomes to hormonal and taxane therapies as well as to PARP inhibitors.
Evidence Level:Resistant: C3 – Early Trials
Title:
Circulating tumor DNA-targeted sequencing to reveal germline and somatic alterations that can guide decision-making in metastatic castration-resistant prostate cancer.
Excerpt:The patients with CDK12 defect showed rapid resistance to abiraterone and limited efficacy of PARPi.
Evidence Level:Resistant: D – Preclinical
Title:
Circulating tumor DNA-targeted sequencing to reveal germline and somatic alterations that can guide decision-making in metastatic castration-resistant prostate cancer.
Excerpt:AR amplification and TP53 or RB1 defect were associated with resistance to abiraterone or docetaxel. CDK12 was more frequently altered in our cohort than those in previous reports which mainly focused on Caucasian population. The patients with CDK12 defect showed rapid resistance to abiraterone and limited efficacy of Poly (ADP-ribose) polymerase inhibitors (PARPi). However, these patients seemed to benefit from chemotherapy, especially platinum-based chemotherapy.
DOI:10.1200/JCO.2020.38.15_suppl.e17556