AUG 13, 2026 · JOURNAL ARTICLE
SPEN inactivation drives resistance to androgen receptor pathway inhibitors in metastatic prostate cancer
Clinical Cancer Research
Rigorous multi-level evidence (functional screens, large clinico-genomic cohort analysis with survival endpoints, and independent rapid autopsy validation) demonstrating SPEN inactivation as a biomarker associated with reduced ARPI benefit in metastatic prostate cancer.
Reported
SPEN mutation prevalence pre-trea…2.1%
SPEN mutation prevalence post-ARPI3.6%
p-value for enrichment0.001