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Prostatic tissue biopsy; Sections show fatty tissue, neural tissue and muscle tissue; Prostate cancer diagnosis
HRR Mutation Testing in mPC

Future-proofing HRR testing in mPC

Last updated: 21st Nov 2025
Published: 21st Nov 2025

After listening to this podcast, are you more confident in preparing for future developments in HRR testing and integrating emerging practices into your care approach?

Episode 9. As our understanding of HRR biology advances, how is it reshaping the way we define, test, and treat mPC? Alicia Morgans and Alex Wyatt cover the impact of BRCA2 and other HRR mutations on testing strategies, the expanding role of ctDNA and repeat testing, and the complexities of interpreting results across different platforms. “I think the importance of multidisciplinary care is only increasing in prostate cancer... the complexity of testing is only going to continue increasing,” Wyatt remarks. He reflects on the growing importance of multidisciplinary collaboration as testing becomes more nuanced, sharing practical examples of how clinicians can navigate evolving guidelines and integrate molecular insights into treatment decisions. View transcript.

Chapters
00:27 Impact of HRR mutations on biology
03:14 How is HRR testing evolving in mPC?
07:28 HRR/HRD: Guiding treatment in mPC
09:55 Should we retest patients with mPC?
12:31 mPC care: Multidisciplinary teams
16:30 HRR testing: What’s next?

 

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Meet the guest speaker

Alex Wyatt, MD, DPhilAlex Wyatt, MD, DPhil

Alex Wyatt holds the President’s Excellence Chair in Precision Oncology and is an Associate Professor at the University of British Columbia, Canada. He serves as Scientific Director of the Clinical Cancer Genomics Program at BC Cancer, where he is also a Senior Scientist in Basic and Translational Research. In addition, he is a Senior Research Scientist at the Vancouver Prostate Centre. Wyatt co-chairs correlative sciences and tumor biobanking for the Canadian Cancer Trials Group (CCTG), contributing to the design and execution of phase 2–3 clinical trial protocols across Canada.

Disclosures: Advisory boards and/or honoraria from Astellas Pharma, AstraZeneca, Bayer, Janssen, Merck, and Pfizer. Received research funding from ESSA Pharma (institutional), Promontory Therapeutics (institutional), and Tyra Biosciences (institutional).

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