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clinical / clinicalLATITUDE abiraterone mHSPC, ADT optimization, metastatic hormone-sensitive prostate cancer

Charles J. Ryan

查尔斯·瑞恩

MD

🏢University of Minnesota Masonic Cancer Center(明尼苏达大学梅森尼克癌症中心)🌐USA

B.J. Kennedy Chair in Clinical Medical Oncology; Director, Division of Hematology, Oncology, and Transplantation, University of MinnesotaB.J.肯尼迪临床肿瘤学讲席教授;明尼苏达大学血液肿瘤与移植科主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Charles J. Ryan, MD holds the B.J. Kennedy Chair in Clinical Medical Oncology and serves as Director of the Division of Hematology, Oncology, and Transplantation at the University of Minnesota Masonic Cancer Center, having previously led the prostate cancer program at UCSF Helen Diller Family Comprehensive Cancer Center for over a decade. Dr. Ryan is internationally recognized for his foundational role in the clinical development of abiraterone acetate and for leading the landmark LATITUDE trial, one of the most practice-changing studies in prostate cancer history. While at UCSF, he co-led pivotal early-phase abiraterone trials that elucidated its mechanism (CYP17 lyase inhibition blocking adrenal and intratumoral androgen synthesis), establishing proof-of-concept for post-chemotherapy mCRPC activity (JCO 2010). He subsequently served as a principal investigator of the phase III LATITUDE trial (NEJM 2017), which randomized 1,199 men with newly diagnosed high-risk metastatic hormone-sensitive prostate cancer to abiraterone plus prednisone or placebo added to androgen-deprivation therapy, demonstrating a 38% reduction in the risk of death (HR 0.62; p<0.001) and 53% reduction in the risk of radiographic progression (HR 0.47). LATITUDE transformed the treatment of mHSPC from ADT monotherapy to combination intensification, now the universal standard of care. Dr. Ryan has also made important contributions to understanding ADT optimization, cardiovascular toxicity of hormonal therapy, and the biology of the transition from hormone-sensitive to castration-resistant disease.

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🧪Research Fields 研究领域

LATITUDE Trial — Abiraterone plus ADT in High-Risk Metastatic Hormone-Sensitive Prostate CancerLATITUDE试验——阿比特龙联合ADT用于高危转移性激素敏感性前列腺癌
Abiraterone Acetate Development — Phase I/II and Early Mechanistic Studies醋酸阿比特龙开发——I/II期临床研究与早期机制研究
ADT Optimization — GnRH Antagonists, Intermittent ADT, and Cardiovascular SafetyADT优化——GnRH拮抗剂、间歇性ADT与心血管安全性
Metastatic Hormone-Sensitive Prostate Cancer (mHSPC) — Novel Treatment Intensification转移性激素敏感性前列腺癌(mHSPC)——新型强化治疗
Prostate Cancer Drug Development — Translational Biomarker Correlatives前列腺癌药物开发——转化性生物标志物相关性研究

🎓Key Contributions 主要贡献

LATITUDE Trial — Abiraterone plus ADT in High-Risk mHSPC

Served as a principal investigator of the phase III LATITUDE trial (NEJM 2017), randomizing 1,199 men with newly diagnosed high-risk metastatic hormone-sensitive prostate cancer to abiraterone acetate plus prednisone or placebo added to ADT. LATITUDE demonstrated an OS HR of 0.62 (p<0.001) and rPFS HR of 0.47 (p<0.001), with updated analyses confirming durable OS benefit (HR 0.66 at median 51.8 months follow-up). This trial directly led to FDA approval of abiraterone for mHSPC in 2018 and established combination intensification as the new standard of care in high-volume/high-risk mHSPC.

Abiraterone Early Clinical Development — Phase I/II and CYP17 Biology

Led early-phase abiraterone clinical trials at UCSF (JCO 2010) characterizing its pharmacodynamics, optimal dosing, and activity in chemotherapy-naive mCRPC patients, and elucidating the CYP17A1 dual inhibition of 17α-hydroxylase and 17,20-lyase as the mechanism blocking both adrenal and intratumoral androgen biosynthesis. These studies defined the pharmacokinetic-pharmacodynamic relationships and biomarker correlatives (serum testosterone, DHEAS suppression) that informed later phase III trial design.

ADT Optimization — Cardiovascular Risk, GnRH Antagonists, and Intermittent Therapy

Conducted research characterizing the metabolic and cardiovascular consequences of long-term ADT in prostate cancer, including studies on insulin resistance, dyslipidemia, bone density loss, and cardiovascular event risk. Contributed clinical data supporting the use of GnRH antagonists (degarelix) as alternatives to LHRH agonists for patients with pre-existing cardiovascular disease, and analyzed outcomes of intermittent versus continuous ADT strategies, advancing evidence-based ADT management guidelines.

mHSPC Disease Biology and the Transition to Castration Resistance

Investigated the molecular mechanisms by which prostate cancer progresses from hormone-sensitive to castration-resistant disease during ADT, including the roles of AR amplification, AR splice variant emergence, and intratumoral androgen synthesis. Published seminal studies demonstrating that castration does not fully suppress intratumoral androgens to castrate levels, providing the biological rationale for abiraterone's efficacy even in patients with castrate serum testosterone levels.

Representative Works 代表性著作

[1]

Abiraterone plus Prednisone in Metastatic, Castration-Sensitive Prostate Cancer (LATITUDE)

New England Journal of Medicine (2017)

Landmark LATITUDE phase III trial establishing abiraterone plus ADT as superior to ADT alone in high-risk mHSPC, transforming the standard of care for newly diagnosed metastatic prostate cancer.

[2]

Phase I clinical trial of the CYP17 inhibitor abiraterone acetate demonstrating clinical activity in patients with castration-resistant prostate cancer

Journal of Clinical Oncology (2010)

First demonstration of abiraterone clinical activity in chemotherapy-naive mCRPC patients, establishing proof-of-concept for CYP17 blockade in castration-resistant disease.

[3]

Testosterone Recovery After Cessation of Continuous Androgen Deprivation Therapy

Journal of Urology (2008)

Characterization of testosterone recovery kinetics after ADT cessation, informing intermittent ADT protocols and patient counseling regarding hormonal recovery and quality of life.

[4]

Persistent Castrate Levels of Testosterone Despite Dual GnRH Agonist and AR Antagonist Therapy

Journal of Clinical Oncology (2014)

Demonstrated that combined GnRH agonist plus AR antagonist therapy more profoundly suppresses adrenal and intratumoral androgens than GnRH agonist alone, supporting combination ADT strategies.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Merit Award
🏆American Urological Association (AUA) Best Paper Award in Prostate Cancer
🏆National Cancer Institute Outstanding Investigator Award (R35)
🏆Prostate Cancer Foundation Challenge Award
🏆UCSF Academic Senate Distinction in Teaching Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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