Evidence map›Paper›PMID 41591905›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

Lack of synergy between AR-targeted therapies and PARP inhibitors in homologous recombination-proficient prostate cancer.

Nicole A Traphagen, Esmé Wheeler, Rong Li, Tara Akhshi, Ramya Ravindranathan, Christian Alfieri, Feng Lu, Buraq Ahmed, Alok K Tewari, Steven P Balk and 6 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Lack of synergy between AR-targeted therapies and PARP inhibitors in homologous recombination-proficient prostate cancer.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  6. Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Nicole A TraphagenDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.ORCID 0000-0003-2223-5022
Esmé WheelerDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.
Rong LiCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, MA 02215.
Tara AkhshiDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.
Ramya RavindranathanDepartment of Radiation Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.ORCID 0000-0001-7880-8593
Christian AlfieriDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.ORCID 0009-0006-0931-6775
Feng LuCenter for Functional Cancer Epigenetics, Dana-Farber Cancer Institute, Boston, MA 02215.
Buraq AhmedDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.
Alok K TewariDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.ORCID 0000-0003-2617-7499
Steven P BalkDepartment of Medicine, Beth Israel Deaconess Medical Center, Boston, MA 02215.ORCID 0000-0002-4546-7371
Peter S NelsonDivision of Human Biology, Fred Hutchinson Cancer Research Center, Seattle, WA 98109.
Eva CoreyDepartment of Urology, University of Washington, Seattle, WA 98915.ORCID 0000-0002-9244-3807
Henry LongDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.
Alan D D'AndreaDepartment of Radiation Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.ORCID 0000-0001-6168-6294
Xintao QiuDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.
Myles BrownDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA 02215.ORCID 0000-0002-8213-1658

Funding

Steroid Metabolism in Castration-Resistant Prostate CancerP01CA163227 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PETER S NELSON · 2013 to 2026
$25.0M
Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
Molecular Determinants of Response and Resistance to EZH2 and PARP inhibition in Prostate CancerP50CA272390 · NCI · DANA-FARBER CANCER INST · PI Steven P. Balk, Himisha Beltran · 2023 to 2026
$12.0M
High-Throughput DNA Sequencing SystemS10OD036228 · OD · DANA-FARBER CANCER INST · PI HERBERT, ZACHARY T · 2024 to 2024
$1.0M
DOD | MHS | Congressionally Directed Medical Research Programs (CDMRP) HT94252310910HHS | NIH (NIH) 5P01CA163227NCI NIH HHS P01 CA163227NCI NIH HHS P50 CA272390NCI NIH HHS T32 CA009172NIH HHS S10 OD036228
6 · The paper itself

Abstract

Recent clinical trials have explored the combination of androgen receptor (AR) pathway inhibitors and poly (adenosine diphosphate-ribose) polymerase (PARP) inhibitors as a potential treatment for castration-resistant prostate cancer. This combination treatment is based on the premise that AR directly regulates expression of DNA repair genes, leading to synergy between PARP and AR inhibition. Despite some promising preclinical evidence, this combination therapy has shown limited efficacy in patients with homologous recombination (HR)-proficient tumors. To investigate this discrepancy between preclinical and clinical results, we profiled the effects of PARP inhibition in prostate cancer models in the presence or absence of AR inhibition. Surprisingly, AR inhibition impaired response to PARP inhibitors in castration-sensitive cells and had no effect on response in castration-resistant cells. AR inhibition also did not regulate DNA repair in either the castration-resistant or castration-sensitive setting. Instead, we find that cell cycle progression is required for response to PARP inhibition in homologous recombination-proficient prostate cancer.

Indexed as

Androgen Receptor AntagonistsHomologous RecombinationPoly(ADP-ribose) Polymerase InhibitorsProstatic NeoplasmsProstatic Neoplasms, Castration-ResistantReceptors, AndrogenAnimalsCell Line, TumorDNA RepairHumansMaleMiceAndrogen Receptor AntagonistsAR protein, humanPoly(ADP-ribose) Polymerase InhibitorsReceptors, Androgenandrogen receptorcastration-resistantPARP inhibitorprostate cancer

Identifiers

PMID41591905
PMCPMC12867744

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.