Original Investigation

Receipt of PARP Inhibitors in Patients With Metastatic Prostate Cancer Harboring Alterations

JAMA Network Open 10.1001/jamanetworkopen.2025.34968

October 02, 2025 at 11:00 AM EDT

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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.

Corresponding Authors: Neeraj Agarwal, MD (neeraj.agarwal@hci.utah.edu), and Umang Swami, MD, MS (umang.swami@hci.utah.edu), Division of Medical Oncology, Department of Internal Medicine, Huntsman Cancer Institute, University of Utah, 2000 Circle of Hope Dr, Ste 5510, Salt Lake City, UT 84112.

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