Commentary|Articles|September 11, 2026

Rewriting the Playbook: How Biomarker-Driven Therapy Is Transforming Metastatic Prostate Cancer Care

For Prostate Cancer Awareness Month, Manojkumar Bupathi, MD, MS, examines how oncologists are changing practice after 4 key FDA approvals and a trend toward biomarker-driven therapy.

Prostate cancer treatment has entered one of its most active periods in years, with 4 vital new regimens gaining FDA approval in the metastatic hormone-sensitive prostate cancer (HSPC) setting within the past 12 months. That pace reflects a broader shift in the field: Treatment selection is increasingly guided by tumor and germline genetics, with therapies targeting BRCA mutations and PTEN deficiencies, as well as radioligand therapies being incorporated into existing androgen deprivation therapy (ADT) and androgen receptor pathway inhibitor (ARPI) combinations, rather than a one-size-fits-all approach to hormone-sensitive and hormone-resistant disease.

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