Anyone has treatment addressing Genom... - Advanced Prostate...

Advanced Prostate Cancer

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Anyone has treatment addressing Genomic ATM Mutations?

Shorehousejam profile image
21 Replies

I have a tier 1 genomic mutation

ATM FRAMESHIFT MUTATION

Anyone try Provenge?

I am trying to found if

I should do the drug of the moment suggested to me Keytruda by MSK

ARK Inhibitors

A Vaccine maybe?

I’m in chemotherapy for Liver Mets see bio

MSK wants to add Keytruda

He said all parp inhibitors are basically the same

Please share your experience

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Shorehousejam profile image
Shorehousejam
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21 Replies
MoonRocket profile image
MoonRocket

Sometimes, you just need to put your faith in the ability of your MO.

Shorehousejam profile image
Shorehousejam in reply toMoonRocket

Absolutely I am just afraid of it all going haywire

StayingOptimistic profile image
StayingOptimistic

if I was you, I would listen to the MSK MO.

Shorehousejam profile image
Shorehousejam in reply toStayingOptimistic

I plan too, just want to explore all possible options and make the best decision

I just wish someone here can share experiences with atm mutations

StayingOptimistic profile image
StayingOptimistic in reply toShorehousejam

Try asking TALL_Allen. he knows.

Shorehousejam profile image
Shorehousejam in reply toStayingOptimistic

I did, he said it doesn’t work on ATM Mutations but I also read studies some people do have a response

MoonRocket profile image
MoonRocket in reply toShorehousejam

PARP Inhibitors not Keytruda. The Keytruda is not a PARP Inhibitor, and TA doesn't know your specific situation. You're at a top oncology hospital...Let them do their job.

Shorehousejam profile image
Shorehousejam in reply toMoonRocket

Pembrolizumab, sold under the brand name Keytruda, is a humanized antibody used in cancer immunotherapy that treats melanoma, lung cancer, head and neck cancer, Hodgkin lymphoma, stomach cancer, cervical cancer, and certain types of breast cancer. It is administered by slow intravenous injection.

I keep forgetting it’s Not parp inhibitor

MoonRocket profile image
MoonRocket in reply toShorehousejam

Pembrolizumab, sold under the brand name Keytruda, is a humanized antibody used in cancer immunotherapy

God_Loves_Me profile image
God_Loves_Me

agree with comments, listen to doctor

I am Not doctor it’s not advice just trying to put something that may help you. Tell your MO to send your biopsy tissue to Keytruda and they can tell immediately

I was reading on internet and one user mentioned that his MO did this and worked very well

Shorehousejam profile image
Shorehousejam in reply toGod_Loves_Me

I will definitely asked great advice

Shorehousejam profile image
Shorehousejam

These are some PARP inhibitors:

Olaparib (Lynparza)

The most widely used PARP inhibitor

Niraparib (Zejula)

A PARP inhibitor approved to treat ovarian, breast, pancreatic, and/or prostate cancer

Rucaparib (Rubraca)

A PARP inhibitor approved to treat ovarian, fallopian tube, peritoneal, and prostate cancer

Talazoparib (Talzenna)

A PARP inhibitor approved to treat ovarian, breast, pancreatic, and/or prostate cancer

j-o-h-n profile image
j-o-h-n in reply toShorehousejam

Sorry if I'm repeating myself. Keytruda (at MSK) worked for my Melanoma which metastasized to my Lungs. (Not related to my Pca).

Good Luck, Good Health and Good Humor.

j-o-h-n

Boywonder56 profile image
Boywonder56

my son thinks im a ATM mutation.....

j-o-h-n profile image
j-o-h-n in reply toBoywonder56

You're not?

Good Luck, Good Health and Good Humor.

j-o-h-n

StayingOptimistic profile image
StayingOptimistic

fyi..

healthunlocked.com/advanced...

KocoPr profile image
KocoPr

as ahk1 posted above on a new post from Maxone73

His quote “as I reported, one of the patients on the trial (with ATM mutation) had a 100% remission..”

Maxone73 profile image
Maxone73 in reply toKocoPr

yes, temporary, I mean, I do not know how he is now after 7 months :-P but the PSA drop was dramatic

KocoPr profile image
KocoPr

Anything to fight ATM is a plus

KocoPr profile image
KocoPr

aacrjournals.org/clincancer...

Conclusions:

AZD5305 potently and selectively inhibits PARP1 resulting in excellent antiproliferative activity and unprecedented selectivity for DNA repair deficient versus proficient cells. These data confirm the hypothesis that targeting only PARP1 can retain the therapeutic benefit of nonselective PARPi, while reducing potential for hematotoxicity. AZD5305 is currently in phase I trials (NCT04644068).

Translational Relevance

Here we describe the primary pharmacology of a next-generation PARP inhibitor (PARPi) and trapper, AZD5305, designed to address the limitations of current clinical PARPi, particularly in combination with first-line chemotherapy. In biochemical and cellular assays, AZD5305 shows high selectivity for PARP1 versus other PARP family enzymes. In multiple in vivo models, AZD5305 shows robust anticancer efficacy both as monotherapy and in combination. In rat preclinical toxicology models, AZD5305 causes minimal hematologic toxicity as monotherapy and is differentiated from first-generation PARPi in combination. Overall, AZD5305 demonstrates that potent and selective inhibition and trapping of PARP1 represents a promising avenue to achieve improved outcomes for patients treated with PARPi.

Shorehousejam profile image
Shorehousejam in reply toKocoPr

Thank you

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