Use of prostate cancer subtyping by gene expression to predict response to radiation and chemohormonal therapies.

Authors

null

Adam B Weiner

UCLA, Los Angeles, CA

Adam B Weiner , Yang Liu , Alexander K. Hakansson , Xin Zhao , James Alexander Proudfoot , JJ Haijing Zhang , R. Jeffrey Karnes , Robert Benjamin Den , Amar Upadhyaya Kishan , Robert Evan Reiter , Anis Hamid , Ashley Ross , Phuoc T. Tran , Melvin L.K. Lee Kiang Chua , Daniel Eidelberg Spratt , Gerhardt Attard , Tamara L. Lotan , Christopher J Sweeney , Elai Davicioni , Edward M. Schaeffer

Organizations

UCLA, Los Angeles, CA, Veracyte, Inc, Vancouver, BC, Canada, Veracyte Inc., Vancouver, BC, Canada, Veracyte, San Diego, CA, Mayo Clinic, Rochester, MN, Jefferson Kimmel Cancer Center, Philadelphia, PA, University of California Los Angeles, Los Angeles, CA, UCLA Medical Center, Los Angeles, CA, Dana-Farber Cancer Institute, Boston, MA, Northwestern Feinberg School of Medicine, Chicago, IL, University of Maryland, Baltimore, MD, National Cancer Centre, Singapore, Singapore, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, OH, Institute of Cancer Research, University College, London, United Kingdom, Johns Hopkins University School of Medicine, Baltimore, MD, Veracyte, Inc, San Diego, CA, Northwestern University Feinberg School of Medicine, Chicago, IL

Research Funding

Pharmaceutical/Biotech Company
Veracyte Inc

Background: We previously reported on the use of gene expression profiling to characterize four primary subtypes in an analysis of over 100,000 prostate cancer primary tumors. Here we examine these subtypes and response to radiation (RT) after prostatectomy or chemotherapy in addition to androgen deprivation therapy (ADT) in hormone-sensitive metastatic prostate cancer (mHSPC). Methods: We examined a 215-gene prostate subtyping classifier (PSC) which groups luminal and basal gene expression profiles into one of four subtypes; luminal differentiated (LD), luminal proliferating (LP), basal immune (BI) and basal neuroendocrine-like (BN). The log-rank method was used to compare (i) metastasis-free survival between patients who did and did not receive salvage RT in the META855 cohort of localized disease patients treated with radical prostatectomy (n=855) and the (ii) overall survival of patients on the Phase III mHSPC EA3805 CHAARTED trial of ADT or ADT + docetaxel chemotherapy (n=160). Results: After radical prostatectomy, patients with BI tumors derived benefit from RT in terms of metastasis-free survival (P=9.23e-4) while those with other subtype tumors did not (Each Log-rank P≥0.5). Patients with metastatic disease and LP tumors derived benefit from docetaxel (Log-rank P=0.002) while those with other subtypes tumors did not (Log-rank P=0.2). Conclusions: Basal-luminal subtyping segments tumors by relevant biological processes with potential implications for identifying patients who benefit from salvage radiation post prostatectomy and addition of docetaxel to ADT in mHSPC.

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Abstract Details

Meeting

2023 ASCO Genitourinary Cancers Symposium

Session Type

Poster Session

Session Title

Poster Session A: Prostate Cancer

Track

Prostate Cancer - Advanced,Prostate Cancer - Localized

Sub Track

Translational Research, Tumor Biology, Biomarkers, and Pathology

Citation

J Clin Oncol 41, 2023 (suppl 6; abstr 241)

DOI

10.1200/JCO.2023.41.6_suppl.241

Abstract #

241

Poster Bd #

J6

Abstract Disclosures