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Metabolic Dysfunction After Initiation of Androgen Receptor Pathway Inhibitors in Prostate Cancer

JAMA Oncology 10.1001/jamaoncol.2026.2790

August 13, 2026 at 11:00 AM EDT

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This study found that while ARPIs are standard of care for advanced prostate cancer, metabolic abnormalities were frequently documented shortly after initiation of concurrent ADT and ARPI therapy. This suggests that monitoring should extend beyond cancer-specific outcomes to include early detection of metabolic dysfunction, ideally through multidisciplinary care. The early burden of metabolic abnormalities highlights the need to evaluate scalable interventions addressing cardiometabolic risk in men with prostate cancer.

Corresponding Authors: Grace Lu-Yao, PhD (grace.luyao@jefferson.edu), and Amy L. Shaver, PhD, PharmD, MPH (amy.shaver@jefferson.edu), Department of Medical Oncology and Department of Pharmacology, Physiology, and Cancer Biology, Sidney Kimmel Medical College, Sidney Kimmel Comprehensive Cancer Center at Jefferson, 1101 Market St, Philadelphia, PA 19107.

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