NICE rejects use of prostate cancer drug, Olaparib (Lynparza)
7 January 2022
Project Summary
Our bodies are made up of cells. DNA writes the code which makes our cells
Both cancer and healthy cells are created and controlled by their DNA
DNA Damaging Agents (DDAs) are drugs which can kill prostate cancer cells by damaging their DNA
Cancer cells have genetic changes which make them more vulnerable to DDAs than healthy cells, potentially meaning fewer side effects
Currently, DDAs work very well in some men, but not in others
Therefore, it is not clear which patients should be taking them and who should not
Using cancer cells donated from patients and the cutting-edge CRISPR technique, this project will create a new tool called ProCASP
ProCASP will be used to find patterns in DNA, which will tell doctors if their patient should take DDAs or not
About the Researchers
Dr Harveer Dev
Principal Investigator
Harveer is an academic urologist based at the University of Cambridge. He works at an interface of clinical care and cutting-edge scientific research, and seeks to understand why individual patients become resistant to treatment and how to overcome this.
Dr Tanmay Gupta
Research Associate
Tanmay is a biochemist based in the Dev Group at the University of Cambridge. His interests are in developing CRISPR-based screening methods to find novel early high-risk prostate cancer biomarkers and investigate why damaging the DNA inside cancer cells only works as a treatment for some prostate cancer patients.
Project Updates
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DNA Damaging Agents
DNA writes the code which makes our cells, and makes you you. Unfortunately, DNA is as fundamental to cancer as it is to life. DNA damaging agents (DDAs) can be used to treat prostate cancer. Examples include existing treatments such as radiotherapy and most forms of chemotherapy as well as newer therapies like PARP inhibitors. They work by damaging DNA leading to the death of cancer cells.
Unfortunately, DDAs do not work for everyone and at the moment, it is not clear why some patients benefit from these treatments, while others do not. This can make it difficult to know the best way to treat an individual’s prostate cancer. Different cancers have unique features which may make them particularly suitable or particularly unsuitable for a certain type of treatment. It may be possible to find patterns in the DNA of tumours that can be used to predict which treatment will work best for the individual patient.
Currently, doctors can’t predict which cancers will be killed by DDAs and which won’t before they start treating a patient.
Dr Tanmay Gupta working alongside PhD student Robert Hanson
Harveer and his team hope that the results from this project could be used to help doctors identify which therapy will work best for which patient in the clinic. This would prevent patients from receiving treatment that will not work for them and therefore prevent unnecessary side effects.
This research could also identify new treatments that could be used in combination with existing therapies to make them more effective at treating advanced prostate cancer.
The Research Project
The researchers will create an exciting new tool called ProCASP, which will be used to change DNA in prostate cancer cells taken from patients. They can then see which genetic changes help DDAs kill cancer, and which changes stop DDAs from working. This research will help us find patterns in DNA. These patterns can be used to identify which patients will benefit from DDA treatment, find new ways to treat prostate cancer and improve the effectiveness of existing treatments.
Dr Harveer Dev
The Future
This project is still in the early stages and the researchers are still developing the ProCASP tool. However, they hope that in the future, it can be used to deliver earlier and more effective personalised therapy for those with advanced prostate cancer or even discover new ways of treating prostate cancer. It could also be used in further studies to explore resistance to treatment, the evolution of cancer in the body and much more.
Collaborations and Partnerships
In order to bring the project to life, Harveer will be working with co-investigators from the Hutchinson/MRC Research Centre, the Gurdon Institute and Addenbrooke’s Hospital.