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ASCO 2025 | Integrating genomic biomarkers into prostate cancer treatment selection

Stefanie Zschaebitz, MD, Heidelberg University Hospital, Heidelberg, Germany, comments on the importance of integrating multiple genomic biomarkers for optimal patient stratification in advanced prostate cancer, suggesting that markers such as RB1, PTEN, PTEN loss, and TP53 mutations, as well as spot mutations, may provide valuable prognostic information. Dr Zschaebitz emphasizes the need to combine these biomarkers with clinical factors, like tumor burden and PSA levels, to inform treatment decisions. This interview took place during the 2025 American Society of Clinical Oncology (ASCO) Meeting in Chicago, IL.

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Transcript

We have been looking into other genomic markers, not presented at this conference, but potentially RB1, PTEN, PTEN loss, and TP53 mutations indicate that those patients have a poorer prognosis. Also others like spot mutations might lead to a better prognosis. And I think we should try to include those data as well as clinical factors, like high tumor burden, low PSA, in combination with a high tumor burden, like aggressive variant features, into clinical decision making...

We have been looking into other genomic markers, not presented at this conference, but potentially RB1, PTEN, PTEN loss, and TP53 mutations indicate that those patients have a poorer prognosis. Also others like spot mutations might lead to a better prognosis. And I think we should try to include those data as well as clinical factors, like high tumor burden, low PSA, in combination with a high tumor burden, like aggressive variant features, into clinical decision making. And right now, we probably most look at tumor burden, like high volume, low volume disease. But I think there’s more to come.

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