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. 2018 Jan;118(2):266-276.
doi: 10.1038/bjc.2017.429. Epub 2018 Jan 4.

Prostate-specific antigen velocity in a prospective prostate cancer screening study of men with genetic predisposition

Christos Mikropoulos  1 Christina G Hutten Selkirk  2   3 Sibel Saya  1 Elizabeth Bancroft  1   4 Emily Vertosick  5 Tokhir Dadaev  1 Charles Brendler  2 Elizabeth Page  1 Alexander Dias  1   4 D Gareth Evans  6 Jeanette Rothwell  6 Lovise Maehle  7 Karol Axcrona  8 Kate Richardson  9   10 Diana Eccles  11   12 Thomas Jensen  13 Palle J Osther  13 Christi J van Asperen  14 Hans Vasen  15 Lambertus A Kiemeney  16 Janneke Ringelberg  15 Cezary Cybulski  17 Dominika Wokolorczyk  17 Rachel Hart  18 Wayne Glover  18 Jimmy Lam  19 Louise Taylor  19 Monica Salinas  20 Lidia Feliubadaló  20 Rogier Oldenburg  21 Ruben Cremers  16 Gerald Verhaegh  16 Wendy A van Zelst-Stams  15 Jan C Oosterwijk  22 Jackie Cook  23 Derek J Rosario  24 Saundra S Buys  25 Tom Conner  25 Susan Domchek  26 Jacquelyn Powers  26 Margreet Gem Ausems  27 Manuel R Teixeira  28   29 Sofia Maia  28 Louise Izatt  30 Rita Schmutzler  31 Kerstin Rhiem  31 William D Foulkes  32 Talia Boshari  32 Rosemarie Davidson  33 Marielle Ruijs  34 Apollonia Tjm Helderman-van den Enden  35 Lesley Andrews  36 Lisa Walker  37 Katie Snape  38 Alex Henderson  39 Irene Jobson  39 Geoffrey J Lindeman  40   41   42 Annelie Liljegren  43 Marion Harris  44 Muriel A Adank  45 Judy Kirk  46   47 Amy Taylor  48 Rachel Susman  49 Rakefet Chen-Shtoyerman  50 Nicholas Pachter  51   52 Allan Spigelman  53   54   55 Lucy Side  56 Janez Zgajnar  57 Josefina Mora  58 Carole Brewer  59   60 Neus Gadea  61 Angela F Brady  62 David Gallagher  63 Theo van Os  64 Alan Donaldson  65 Vigdis Stefansdottir  66 Julian Barwell  67   68 Paul A James  9   10   69 Declan Murphy  10 Eitan Friedman  70   71 Nicola Nicolai  72 Lynn Greenhalgh  73 Elias Obeid  74 Vedang Murthy  75 Lucia Copakova  76 John McGrath  60 Soo-Hwang Teo  77 Sara Strom  78 Karin Kast  79   80   81 Daniel A Leongamornlert  1 Anthony Chamberlain  1 Jenny Pope  1 Anna C Newlin  3 Neil Aaronson  34 Audrey Ardern-Jones  4 Chris Bangma  21 Elena Castro  82 David Dearnaley  1   4 Jorunn Eyfjord  83 Alison Falconer  84 Christopher S Foster  85 Henrik Gronberg  86 Freddie C Hamdy  37   87 Oskar Johannsson  66 Vincent Khoo  4 Jan Lubinski  17 Eli Marie Grindedal  7 Joanne McKinley  9 Kylie Shackleton  40 Anita V Mitra  88 Clare Moynihan  1 Gad Rennert  89 Mohnish Suri  90 Karen Tricker  6 IMPACT study collaboratorsSue Moss  91 Zsofia Kote-Jarai  1 Andrew Vickers  5 Hans Lilja  87   92 Brian T Helfand  2 Rosalind A Eeles  1   4
Affiliations

Prostate-specific antigen velocity in a prospective prostate cancer screening study of men with genetic predisposition

Christos Mikropoulos et al. Br J Cancer. 2018 Jan.

Erratum in

  • Prostate-specific antigen velocity in a prospective prostate cancer screening study of men with genetic predisposition.
    Mikropoulos C, Hutten Selkirk CG, Saya S, Bancroft E, Vertosick E, Dadaev T, Brendler C, Page E, Dias A, Evans DG, Rothwell J, Maehle L, Axcrona K, Richardson K, Eccles D, Jensen T, Osther PJ, van Asperen CJ, Vasen H, Kiemeney LA, Ringelberg J, Cybulski C, Wokolorczyk D, Hart R, Glover W, Lam J, Taylor L, Salinas M, Feliubadaló L, Oldenburg R, Cremers R, Verhaegh G, van Zelst-Stams WA, Oosterwijk JC, Cook J, Rosario DJ, Buys SS, Conner T, Domchek S, Powers J, Ausems MGEM, Teixeira MR, Maia S, Izatt L, Schmutzler R, Rhiem K, Foulkes WD, Boshari T, Davidson R, Ruijs M, Helderman-van den Enden ATJM, Andrews L, Walker L, Snape K, Henderson A, Jobson I, Lindeman GJ, Liljegren A, Harris M, Adank MA, Kirk J, Taylor A, Susman R, Chen-Shtoyerman R, Pachter N, Spigelman A, Side L, Zgajnar J, Mora J, Brewer C, Gadea N, Brady AF, Gallagher D, van Os T, Donaldson A, Stefansdottir V, Barwell J, James PA, Murphy D, Friedman E, Nicolai N, Greenhalgh L, Obeid E, Murthy V, Copakova L, McGrath J, Teo SH, Strom S, Kast K, Leongamornlert DA, Chamberlain A, Pope J, Newlin AC, Aaronson N, Ardern-Jones A, Bangma C, Castro E, Dearnaley D, Eyfjord J, Falconer A, Foster CS, Gronberg H, Hamdy FC, Johannsson … See abstract for full author list ➔ Mikropoulos C, et al. Br J Cancer. 2018 Mar 20;118(6):e17. doi: 10.1038/bjc.2018.11. Epub 2018 Mar 6. Br J Cancer. 2018. PMID: 29509747 Free PMC article.

Abstract

Background: Prostate-specific antigen (PSA) and PSA-velocity (PSAV) have been used to identify men at risk of prostate cancer (PrCa). The IMPACT study is evaluating PSA screening in men with a known genetic predisposition to PrCa due to BRCA1/2 mutations. This analysis evaluates the utility of PSA and PSAV for identifying PrCa and high-grade disease in this cohort.

Methods: PSAV was calculated using logistic regression to determine if PSA or PSAV predicted the result of prostate biopsy (PB) in men with elevated PSA values. Cox regression was used to determine whether PSA or PSAV predicted PSA elevation in men with low PSAs. Interaction terms were included in the models to determine whether BRCA status influenced the predictiveness of PSA or PSAV.

Results: 1634 participants had ⩾3 PSA readings of whom 174 underwent PB and 45 PrCas diagnosed. In men with PSA >3.0 ng ml-l, PSAV was not significantly associated with presence of cancer or high-grade disease. PSAV did not add to PSA for predicting time to an elevated PSA. When comparing BRCA1/2 carriers to non-carriers, we found a significant interaction between BRCA status and last PSA before biopsy (P=0.031) and BRCA2 status and PSAV (P=0.024). However, PSAV was not predictive of biopsy outcome in BRCA2 carriers.

Conclusions: PSA is more strongly predictive of PrCa in BRCA carriers than non-carriers. We did not find evidence that PSAV aids decision-making for BRCA carriers over absolute PSA value alone.

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Conflict of interest statement

Hans Lilja holds patents for free PSA, hK2, and intact PSA assays, and is named, along with Andrew J. Vickers, on a patent application for a statistical method to detect prostate cancer. The marker assay patents and the patent application for the statistical model has been licensed and commercialised as the 4Kscore by OPKO Diagnostics. Drs Vickers and Lilja receive royalties from sales of this test. Additionally, Dr Lilja owns stock and Dr Vickers owns stock options in OPKO. Professor Rosalind Eeles—Janssen: provided medical education support to GU ASCO Feb 2013. Succinct Communications: received an honorarium and expenses for attending and speaking at UK Cancer Convention Oct 2013. The authors have no other conflict of interest to declare.

Figures

Figure 1
Figure 1
Consort diagram of study population. The two bolded cohorts were included for in-depth analysis, as they had 3 or more PSA values available for analysis and underwent a prostate biopsy.

References

    1. Bancroft EK, Page EC, Castro E, Lilja H, Vickers A, Sjoberg D, Assel M, Foster CS, Mitchell G, Drew K, Mæhle L, Axcrona K, Evans DG, Bulman B, Eccles D, McBride D, van Asperen C, Vasen H, Kiemeney LA, Ringelberg J, Cybulski C, Wokolorczyk D, Selkirk C, Hulick PJ, Bojesen A, Skytte AB, Lam J, Taylor L, Oldenburg R, Cremers R, Verhaegh G, van Zelst-Stams WA, Oosterwijk JC, Blanco I, Salinas M, Cook J, Rosario DJ, Buys S, Conner T, Ausems MG, Ong KR, Hoffman J, Domchek S, Powers J, Teixeira MR, Maia S, Foulkes WD, Taherian N, Ruijs M, Helderman-van den Enden AT, Izatt L, Davidson R, Adank MA, Walker L, Schmutzler R, Tucker K, Kirk J, Hodgson S, Harris M, Douglas F, Lindeman GJ, Zgajnar J, Tischkowitz M, Clowes VE, Susman R, Ramón y Cajal T, Patcher N, Gadea N, Spigelman A, van Os T, Liljegren A, Side L, Brewer C, Brady AF, Donaldson A, Stefansdottir V, Friedman E, Chen-Shtoyerman R, Amor DJ, Copakova L, Barwell J, Giri VN, Murthy V, Nicolai N, Teo SH, Greenhalgh L, Strom S, Henderson A, McGrath J, Gallagher D, Aaronson N, Ardern-Jones A, Bangma C, Dearnaley D, Costello P, Eyfjord J, Rothwell J, Falconer A, Gronberg H, Hamdy FC, Johannsson O, Khoo V, Kote-Jarai Z, Lubinski J, Axcrona U, Melia J, McKinley J, Mitra AV, Moynihan C, Rennert G, Suri M, Wilson P, Killick E IMPACT CollaboratorsMoss S, Eeles RA (2014) Targeted prostate cancer screening in BRCA1 and BRCA2 mutation carriers: results from the initial screening round of the IMPACT Study. Eur Urol 66: 489–499. - PubMed
    1. Berger AP, Deibl M, Steiner H, Bektic J, Pelzer A, Spranger R, Klocker H, Bartsch G, Horninger W (2005) Longitudinal PSA changes in men with and without prostate cancer: assessment of prostate cancer risk. Prostate 64: 240–245. - PubMed
    1. Bratt O, Loman N (2015) Clinical management of prostate cancer in men with BRCA mutations. Eur Urol 68: 194–195. - PubMed
    1. Breast Cancer Linkage Consortium (1999) Cancer risks in BRCA2 mutation carriers. J Natl Cancer Inst 91: 1310–1316. - PubMed
    1. Carter HB, Pearson JD, Metter EJ, Brant LJ, Chan DW, Andres R, Fozard JL, Walsh PC (1992) Longitudinal evaluation of prostate-specific antigen levels in men with and without prostate disease. JAMA 267: 2215–2220. - PMC - PubMed

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