Table 3.
Key prognostic biomarkers in metastatic prostate cancer.
Laboratory biomarkers22 | Clinical biomarkers22 |
---|---|
- PSA (baseline and kinetics) -LDH - Hemoglobin level - Alkaline phosphatase - Serum albumin - CTC count ≥ 5 vs. <5 at baseline and CTC count conversion (<5) after 12 weeks of therapy23–26 |
- Performance status - Presence of pain / use of opioids |
Imaging biomarkers | |
- Sites of metastasis50 - Extent of disease12,51 | |
Pathologic / Molecular biomarkers | |
- Aggressive histologic variants (e.g. small cell) - Rb1, TP53 and/or PTEN alterations52. AR-V7+ detection 32,40 DDR gene alterations |
Abbreviations: PSA: prostatic specific antigen; LDH: lactate dehydrogenase; CTC: circulating tumor cell; AR-V7 androgen receptor splice variant 7.