Table 1.
Patient # (age) | PSA (ng/mL) at FTT-PET | Tumor histology (GS) | Therapy prior to imaging | Therapy following Imaging | PARP1 IHC scores | Genomic aberrations and biopsy site | |
---|---|---|---|---|---|---|---|
“WT” mutations | 1 (56) | 355.10 | *de novo mHSPC (5 + 4 = 9) | Treatment naïve | ADT and docetaxel | 8 | RB1 LOF (left acetabulum) |
2 (79) | 30.47 | de novo mHSPC (4 + 5 = 9) | Treatment naïve | ADT and docetaxel | 8 | TP53 LOF (liver) | |
4 (63) | 12.89 | mCRPC 4 + 3 = 7 | No therapy (on break from ADT) | ADT and apalutamide | N/A | Heterozygous RAD50 pathogenic mutation (peripheral blood^) | |
6 (71) | 73.10 | mCRPC (4 + 4 = 8) | ADT | Olaparib and ADT | 8 | CDK12 LOF (parasternal soft tissue mass),ATM (0.2% by ctDNA¥, peripheral blood) | |
“MUT” mutations | 3 (76) | 88.86 | mCRPC (4 + 5 = 9) | ADT | Olaparib and ADT | 7 | Somatic BRCA2 copy number loss (iliac bone) |
5 (80) | 7.85 | mCRPC (5 + 4 = 9) | ADT | Docetaxel and ADT | N/A | ATM LOF (lymph node) | |
7 (66) | 17.46 | mCRPC (4 + 3 = 7) | Olaparib | Cabazitaxel | N/A | Heterozygous germline BRCA2 pathogenic variant (peripheral blood#) | |
8 (67) | 44.72 | mHSPC (4 + 3 = 7) | pTVG-HP and pembrolizumab | Olaparib and ADT | N/A | Germline BRCA2 pathogenic variant and somatic BRCA2 copy number loss (LOH) (sacrum) | |
9 (62) | 130.10 | mHSPC (4 + 4 = 8) | Docetaxel and ADT | Olaparib and ADT | N/A | Germline BRCA2 pathogenic variant (adrenal) |
MUT BRCA1/2 and ATM pathogenic variants, WT all other mutations, GS Gleason score, mHSPC metastatic hormone sensitive prostate cancer, * de novo mHSPC with neuroendocrine features, mCRPC metastatic castration-resistant prostate cancer, ADT androgen deprivation therapy, LOF loss of function, LOH loss of heterozygosity, ctDNA circulating tumor DNA prostate cancer. ^Germline analysis via Ambry Genetics assay. #Germline analysis via Myriad Genetics. ¥ctDNA analysis via Guardant 360; pTVG-HP = pTVG-HP is a plasmid DNA, produced in E. coli, that encodes the complementary deoxyribonucleic acid (cDNA) for human prostatic acid phosphatase (PAP). Administered as part of a clinical trial with pembrolizumab