Receipt of PARP Inhibitors in Patients With Metastatic Prostate Cancer Harboring Alterations
JAMA Network Open 10.1001/jamanetworkopen.2025.34968October 02, 2025 at 11:00 AM EDT
How often are poly(adenosine diphosphate-ribose) polymerase (PARP) inhibitors used in patients with metastatic castration–resistant prostate cancer (mCRPC) harboring alterations?In this cohort study of 443 patients with mCRPC and alterations, 51.2% received a PARP inhibitor, whereas 48.8% did not. Patients with Medicare insurance had higher odds of receiving a PARP inhibitor.These findings suggest that despite the availability of biomarker-selected life-prolonging therapies, a sizeable number of patients with mCRPC and alterations do not receive PARP inhibitors, highlighting the need to improve awareness of the data and access to these agents.
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