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clinical / clinicalCHAARTED docetaxel mHSPC, ENZAMET enzalutamide mHSPC, mHSPC treatment intensification

Christopher Sweeney

克里斯托弗·斯威尼

MBBS

🏢South Australian Immunogenomics Cancer Institute (SAiGENCI) / Dana-Farber Cancer Institute(南澳大利亚免疫基因组学癌症研究所 / 丹娜-法伯癌症研究所)🌐Australia/USA

Director, South Australian Immunogenomics Cancer Institute (SAiGENCI), University of Adelaide; Adjunct Professor of Medicine, Dana-Farber Cancer Institute, Harvard Medical School南澳大利亚免疫基因组学癌症研究所(SAiGENCI)主任,阿德莱德大学;丹娜-法伯癌症研究所兼职医学教授,哈佛医学院

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Christopher Sweeney, MBBS is Director of the South Australian Immunogenomics Cancer Institute (SAiGENCI) at the University of Adelaide and Adjunct Professor of Medicine at Dana-Farber Cancer Institute and Harvard Medical School, where he spent the majority of his career leading the prostate cancer clinical and translational research program. Prof. Sweeney is internationally recognized as the architect of the treatment intensification paradigm for metastatic hormone-sensitive prostate cancer, having led two of the most pivotal trials in the history of mHSPC management. He was the principal investigator of the landmark CHAARTED trial (NEJM 2015), an ECOG-ACRIN cooperative group study that randomized 790 men with metastatic hormone-sensitive prostate cancer to docetaxel plus ADT versus ADT alone, demonstrating a 13.6-month OS improvement (57.6 vs. 44.0 months; HR 0.61; p<0.001) in the high-volume disease subgroup — establishing docetaxel as the first systemic agent proven to improve survival when added to ADT in mHSPC. He subsequently led the ENZAMET trial (NEJM 2019), which demonstrated enzalutamide plus ADT significantly improved OS versus ADT with non-steroidal antiandrogen in mHSPC (HR 0.67; p=0.002). Together, CHAARTED and ENZAMET made Prof. Sweeney the only clinical investigator to have led phase III mHSPC trials that established both chemotherapy intensification and AR-targeted agent intensification as separate standards of care. He has additionally conducted foundational genomic research on CDK12-mutated prostate cancer as a distinct subtype sensitive to immunotherapy, on clonal evolution under treatment in mHSPC, and on biomarkers predictive of benefit from treatment intensification.

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🧪Research Fields 研究领域

CHAARTED Trial — Docetaxel plus ADT in Metastatic Hormone-Sensitive Prostate CancerCHAARTED试验——多西他赛联合ADT用于转移性激素敏感性前列腺癌
ENZAMET Trial — Enzalutamide plus ADT in Metastatic Hormone-Sensitive Prostate CancerENZAMET试验——恩扎鲁胺联合ADT用于转移性激素敏感性前列腺癌
mHSPC Treatment Intensification — Chemotherapy and AR-Targeted Agent CombinationsmHSPC治疗强化——化疗与AR靶向制剂联合
Prostate Cancer Genomics — CDK12, DDR Pathways, and Immunotherapy Biomarkers前列腺癌基因组学——CDK12、DDR通路与免疫疗法生物标志物
Cooperative Group Clinical Trials — ECOG-ACRIN and Alliance Leadership合作组临床试验——ECOG-ACRIN与Alliance领导

🎓Key Contributions 主要贡献

CHAARTED Trial — Docetaxel plus ADT in mHSPC, First OS-Improving Intensification

Led as principal investigator the ECOG-ACRIN CHAARTED phase III trial (NEJM 2015) randomizing 790 men with metastatic hormone-sensitive prostate cancer to 6 cycles of docetaxel plus ADT versus ADT alone. CHAARTED demonstrated a significant OS benefit: overall HR 0.72 (p=0.006); in high-volume disease patients (n=513) HR 0.60 (p<0.001), median OS 49.2 vs. 32.2 months (17-month improvement). CHAARTED established docetaxel as the first agent proven to extend survival when added to ADT in mHSPC — overturning 70 years of ADT-monotherapy dogma and introducing the treatment intensification paradigm that now defines mHSPC standard of care.

ENZAMET Trial — Enzalutamide plus ADT in mHSPC (OS Benefit)

Led as principal investigator the international ENZAMET phase III trial (NEJM 2019) randomizing 1,125 men with metastatic hormone-sensitive prostate cancer to enzalutamide plus ADT versus ADT with standard nonsteroidal antiandrogen (bicalutamide, nilutamide, or flutamide). ENZAMET demonstrated OS HR 0.67 (p=0.002) at 3-year analysis, establishing enzalutamide plus ADT as an OS-improving standard in mHSPC, distinct from the ARCHES rPFS-based endpoint. ENZAMET uniquely included a concurrent docetaxel stratum permitting exploratory analysis of triple-therapy benefit.

CDK12-Mutated Prostate Cancer — Immunotherapy-Responsive Subtype

Led foundational genomic and clinical research characterizing CDK12-biallelic loss as a distinct mCRPC molecular subtype associated with focal tandem duplications, high neo-antigen burden, and potential immunotherapy sensitivity. Demonstrated in early-phase clinical investigation that CDK12-mutated mCRPC patients have elevated response rates to pembrolizumab compared to unselected mCRPC, hypothesizing a CDK12-specific genomic instability mechanism distinct from MSI-H/dMMR-driven immunotherapy sensitivity. This work opened a new biomarker-defined pathway to immunotherapy in mCRPC.

mHSPC Biomarkers — Volume/Risk Stratification and Treatment Selection Predictors

Led translational analyses within CHAARTED and ENZAMET defining clinical and molecular predictors of differential benefit from treatment intensification in mHSPC, including the high-volume disease definition (≥4 bone metastases with ≥1 extra-axial, or visceral metastases) that identified patients most benefiting from docetaxel intensification. Conducted ctDNA and somatic genomic profiling within CHAARTED to identify molecular correlates (AR amplification, TP53, RB1 loss) associated with rapid resistance to ADT and early mCRPC conversion, informing precision treatment selection in mHSPC.

Representative Works 代表性著作

[1]

Chemohormonal Therapy in Metastatic Hormone-Sensitive Prostate Cancer (CHAARTED)

New England Journal of Medicine (2015)

Landmark CHAARTED phase III trial (Sweeney as PI) demonstrating docetaxel plus ADT significantly improved OS over ADT alone in mHSPC, establishing the treatment intensification paradigm and docetaxel as the first agent to improve mHSPC survival.

[2]

Enzalutamide in Metastatic Prostate Cancer before Chemotherapy (ENZAMET)

New England Journal of Medicine (2019)

Phase III ENZAMET trial demonstrating enzalutamide plus ADT improved OS over ADT with standard nonsteroidal antiandrogen in mHSPC, establishing the second systemic intensification standard in hormone-sensitive metastatic prostate cancer.

[3]

CDK12-Inactivated Prostate Cancers Harbor a Distinct Genomic Signature

Cell (2018)

Genomic characterization of CDK12-biallelic loss as a prostate cancer molecular subtype with focal tandem duplications and high neo-antigen load, defining a potential immunotherapy-responsive subset of mCRPC.

[4]

High-Volume Hormone-Sensitive Metastatic Prostate Cancer — CHAARTED Updated Analysis

Journal of Clinical Oncology (2018)

Updated CHAARTED analysis with mature OS data confirming the benefit of docetaxel intensification in high-volume mHSPC and providing the definitive evidence supporting clinical practice adoption.

🏆Awards & Recognition 奖项与荣誉

🏆ASCO Genitourinary Cancers Symposium Plenary Presenter Award (multiple)
🏆Prostate Cancer Foundation Challenge Award (multiple)
🏆ECOG-ACRIN Cooperative Group Outstanding Investigator Award
🏆Cancer Council Australia Research Excellence Award
🏆American Society of Clinical Oncology Merit Award

📄Data Sources 数据来源

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

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