Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview

In Latin America, prostate cancer is the third most common cancer overall and the most common in men, with the highest mortality rate of all cancers. In 2022, there were approximately 22,985 new prostate cancer cases and 61,056 deaths from prostate cancer in the region. Patients with metastatic dise...

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Main Authors: Rodolfo Borges dos Reis MD, PHD, José L. Aguilar-Ponce MD, Federico Cayol MD, MSc, Angela M. Jansen PhD, MHS, Ray Manneh K MD, MSc, Tomas R Merino MD, Gayatri Sanku PhD, MPH, Laura B. Vaca MD, Pedro Isaacsson Velho MD, Ernesto P. Korbenfeld MD
Format: Article
Language:English
Published: SAGE Publishing 2024-08-01
Series:Cancer Control
Online Access:https://doi.org/10.1177/10732748241280446
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author Rodolfo Borges dos Reis MD, PHD
José L. Aguilar-Ponce MD
Federico Cayol MD, MSc
Angela M. Jansen PhD, MHS
Ray Manneh K MD, MSc
Tomas R Merino MD
Gayatri Sanku PhD, MPH
Laura B. Vaca MD
Pedro Isaacsson Velho MD
Ernesto P. Korbenfeld MD
author_facet Rodolfo Borges dos Reis MD, PHD
José L. Aguilar-Ponce MD
Federico Cayol MD, MSc
Angela M. Jansen PhD, MHS
Ray Manneh K MD, MSc
Tomas R Merino MD
Gayatri Sanku PhD, MPH
Laura B. Vaca MD
Pedro Isaacsson Velho MD
Ernesto P. Korbenfeld MD
author_sort Rodolfo Borges dos Reis MD, PHD
collection DOAJ
description In Latin America, prostate cancer is the third most common cancer overall and the most common in men, with the highest mortality rate of all cancers. In 2022, there were approximately 22,985 new prostate cancer cases and 61,056 deaths from prostate cancer in the region. Patients with metastatic disease that is resistant to cure by castration now have multiple therapeutic options, including poly-ADP ribose polymerase inhibitors. These treatment advances present new challenges, such as developing monitoring protocols for early detection of disease progression to castration resistance. The Americas Health Foundation organized a 3-day meeting with 8 regional oncologists and pathologists to create a paper on metastatic castration-resistant prostate cancer diagnosis and therapy, including the new poly-ADP ribose polymerase inhibitors. The panel examined metastatic castration-resistant prostate cancer in Latin America and recommended ways to improve patient care using published literature and their expertise. Gene mutations play an important role in prostate cancer development. Precision medicine innovations highlight the importance of genotyping DNA variants and tumor biomarkers for targeted treatment. Access to appropriate genetic testing is difficult, medications are available but expensive, and there is a lack of infrastructure and regulatory frameworks that prevent patients from benefiting from innovative therapies. The panel recommends developing a population database and biobank and creating tumor tissue collection, processing, and storage facilities. Multi-stakeholder collaboration is needed to integrate the information gathered, train staff, select target populations, improve patient accessibility, and reduce the cost burden of drugs, genetic counselors, and cancer geneticists in Latin America. Collaboration is essential among healthcare professionals, policymakers, patient advocacy groups, pharmaceutical companies, and international organizations to address these challenges and needs in Latin America.
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spelling doaj-art-02d40ef4d4894cab8a0974095637a9262025-08-20T02:18:47ZengSAGE PublishingCancer Control1526-23592024-08-013110.1177/10732748241280446Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert OverviewRodolfo Borges dos Reis MD, PHDJosé L. Aguilar-Ponce MDFederico Cayol MD, MScAngela M. Jansen PhD, MHSRay Manneh K MD, MScTomas R Merino MDGayatri Sanku PhD, MPHLaura B. Vaca MDPedro Isaacsson Velho MDErnesto P. Korbenfeld MDIn Latin America, prostate cancer is the third most common cancer overall and the most common in men, with the highest mortality rate of all cancers. In 2022, there were approximately 22,985 new prostate cancer cases and 61,056 deaths from prostate cancer in the region. Patients with metastatic disease that is resistant to cure by castration now have multiple therapeutic options, including poly-ADP ribose polymerase inhibitors. These treatment advances present new challenges, such as developing monitoring protocols for early detection of disease progression to castration resistance. The Americas Health Foundation organized a 3-day meeting with 8 regional oncologists and pathologists to create a paper on metastatic castration-resistant prostate cancer diagnosis and therapy, including the new poly-ADP ribose polymerase inhibitors. The panel examined metastatic castration-resistant prostate cancer in Latin America and recommended ways to improve patient care using published literature and their expertise. Gene mutations play an important role in prostate cancer development. Precision medicine innovations highlight the importance of genotyping DNA variants and tumor biomarkers for targeted treatment. Access to appropriate genetic testing is difficult, medications are available but expensive, and there is a lack of infrastructure and regulatory frameworks that prevent patients from benefiting from innovative therapies. The panel recommends developing a population database and biobank and creating tumor tissue collection, processing, and storage facilities. Multi-stakeholder collaboration is needed to integrate the information gathered, train staff, select target populations, improve patient accessibility, and reduce the cost burden of drugs, genetic counselors, and cancer geneticists in Latin America. Collaboration is essential among healthcare professionals, policymakers, patient advocacy groups, pharmaceutical companies, and international organizations to address these challenges and needs in Latin America.https://doi.org/10.1177/10732748241280446
spellingShingle Rodolfo Borges dos Reis MD, PHD
José L. Aguilar-Ponce MD
Federico Cayol MD, MSc
Angela M. Jansen PhD, MHS
Ray Manneh K MD, MSc
Tomas R Merino MD
Gayatri Sanku PhD, MPH
Laura B. Vaca MD
Pedro Isaacsson Velho MD
Ernesto P. Korbenfeld MD
Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview
Cancer Control
title Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview
title_full Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview
title_fullStr Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview
title_full_unstemmed Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview
title_short Latin American Challenges and Recommendations for Poly Adenosine Diphosphate Ribose Polymerase Inhibitor Treatment in Metastatic Castration Resistant Prostate Cancer: An Expert Overview
title_sort latin american challenges and recommendations for poly adenosine diphosphate ribose polymerase inhibitor treatment in metastatic castration resistant prostate cancer an expert overview
url https://doi.org/10.1177/10732748241280446
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