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Ref Type Journal Article
PMID (38638285)
Authors Abbas N, Chehade L, Shamseddine A
Title Personalized treatment with PARP inhibitors in advanced urothelial carcinoma: a case report and literature review.
URL
Abstract Text Bladder cancer (BC) poses a significant health challenge, particularly in metastatic cases, where the prognosis is unfavorable and therapeutic options are limited. Poly ADP-ribose polymerase (PARP) inhibitors have gained approval for use in various cancer types, but their application in BC remains controversial, despite the notable prevalence of DNA damage response alterations in advanced or metastatic urothelial carcinomas. In this report, we describe a 66-year-old heavy-smoking female diagnosed with muscle-invasive BC. She underwent multiple rounds of chemotherapy and radiation, yet her disease remained poorly controlled, leading to metastasis in the left obturator internus muscle. Comprehensive genomic profiling through FoundationOne® Liquid CDx, examining a 324-gene panel using circulating tumor DNA from blood samples, revealed a pathogenic ATM gene alteration (p.Q654fs*10, c.1960delC), suggesting potential eligibility for PARP inhibitor therapy. Remarkably, the patient achieved a complete response to talazoparib, prompting an optimal investigation into BC candidates for this promising therapy.

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Molecular Profile Treatment Approach
Gene Name Source Synonyms Protein Domains Gene Description Gene Role
Therapy Name Drugs Efficacy Evidence Clinical Trials
Drug Name Trade Name Synonyms Drug Classes Drug Description
Gene Variant Impact Protein Effect Variant Description Associated with drug Resistance
Molecular Profile Indication/Tumor Type Response Type Therapy Name Approval Status Evidence Type Efficacy Evidence References
ATM Q654Rfs*10 invasive bladder transitional cell carcinoma predicted - sensitive Talazoparib Case Reports/Case Series Actionable In a clinical case study, Talzenna (talazoparib) treatment resulted in a complete response in a patient with metastatic muscle-invasive urothelial carcinoma harboring ATM Q654Rfs*10 (reported as Q654fs*10), along with BRCA2 K3326* and CHEK2 R145Q (PMID: 38638285). 38638285