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clinical / clinicalenzalutamide abiraterone development, PROfound olaparib mCRPC, AR pathway

Johann de Bono

约翰·德·博诺

MBChB, MSc, PhD, FRCP

🏢The Institute of Cancer Research and The Royal Marsden NHS Foundation Trust(英国癌症研究所与皇家马斯登NHS基金会信托)🌐UK

Regius Professor of Cancer Research, The Institute of Cancer Research; Honorary Consultant Medical Oncologist, The Royal Marsden NHS Foundation Trust; Head, Drug Development Unit英国癌症研究所皇家癌症研究教授;皇家马斯登医院荣誉顾问肿瘤学家;药物开发部主任

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Key Contributions

👥Biography 个人简介

Johann de Bono, MBChB, MSc, PhD, FRCP is Regius Professor of Cancer Research at The Institute of Cancer Research (ICR) and Honorary Consultant Medical Oncologist at The Royal Marsden NHS Foundation Trust, where he leads one of the world's most productive prostate cancer drug development programs. Prof. de Bono is widely regarded as the architect of modern castration-resistant prostate cancer therapy, having led or co-led the clinical development of both enzalutamide (MDV3100) and abiraterone acetate — two drugs that fundamentally transformed mCRPC management and have together extended the lives of hundreds of thousands of patients. He initiated the first-in-human studies of enzalutamide beginning in 2007, and led the pivotal phase I/II trial (Lancet 2010) that defined its mechanism of action and established its activity across AR-pathway-driven mCRPC. He was a principal investigator and European lead in the COU-AA-301 trial (NEJM 2011) establishing abiraterone plus prednisone as standard post-chemotherapy mCRPC therapy. More recently, Prof. de Bono led the landmark PROfound trial (NEJM 2020), the first randomized phase III study demonstrating the efficacy of a PARP inhibitor (olaparib) in mCRPC with BRCA1/2 or other HRR gene alterations, leading to FDA approval of olaparib for mCRPC in 2020. His laboratory has made seminal contributions to understanding AR splice variants (AR-V7), mechanisms of abiraterone and enzalutamide resistance, and the use of circulating tumor DNA for real-time genomic profiling of prostate cancer. Prof. de Bono has authored over 650 peer-reviewed publications, holds multiple international awards, and is consistently listed among the world's most cited cancer researchers.

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🧪Research Fields 研究领域

Enzalutamide Development — Phase I/II and Landmark mCRPC Approval Trials恩扎鲁胺开发——I/II期临床研究与转移性去势抵抗性前列腺癌批准试验
Abiraterone Acetate — Pioneer Clinical Development and COU-AA-301/302 Trials醋酸阿比特龙——先驱临床研发与COU-AA-301/302试验
PROfound Trial — Olaparib in BRCA/HRR-Mutated mCRPC (First PARP Inhibitor Approval)PROfound试验——奥拉帕利用于BRCA/HRR突变mCRPC(首个PARP抑制剂获批)
Androgen Receptor Biology — Splice Variants, Resistance Mechanisms, and Next-Generation Targeting雄激素受体生物学——剪接变体、耐药机制与下一代靶向治疗
Biomarker-Driven Drug Development — Liquid Biopsy and ctDNA in Prostate Cancer生物标志物驱动的药物开发——液体活检与ctDNA在前列腺癌中的应用

🎓Key Contributions 主要贡献

Enzalutamide Pioneer Development — Phase I/II and Mechanistic Characterization

Led the first-in-human phase I/II clinical trial of enzalutamide (MDV3100) in mCRPC (Lancet 2010), enrolling 140 patients and demonstrating a PSA decline ≥50% in 78% of those treated at the recommended phase II dose, along with circulating tumor cell conversion and radiographic responses. Defined enzalutamide's mechanism as a pure AR antagonist without agonist activity that also blocks AR nuclear translocation and DNA binding — mechanistically distinct from bicalutamide. This work directly enabled the AFFIRM and PREVAIL phase III trials that led to global regulatory approvals.

PROfound Trial — First PARP Inhibitor Approval in HRR-Mutated mCRPC

Led the international PROfound phase III trial (NEJM 2020) randomizing 387 men with mCRPC and HRR gene alterations to olaparib versus enzalutamide or abiraterone. In the BRCA1/2 and ATM cohort, olaparib produced a radiographic PFS HR of 0.34 (p<0.001) and ORR of 33% versus 2%, with a significant OS benefit (HR 0.64; p=0.02 after crossover adjustment). PROfound led to FDA breakthrough approval of olaparib for BRCA-mutated mCRPC in May 2020, establishing precision genomic medicine as standard of care in prostate cancer and defining HRR testing as a required biomarker.

AR-V7 and Androgen Receptor Resistance Mechanisms

Led foundational translational studies characterizing the spectrum of androgen receptor resistance mechanisms in mCRPC, including AR amplification, AR point mutations (F876L), and the truncated AR splice variant AR-V7 which lacks the ligand-binding domain and confers resistance to both enzalutamide and abiraterone. Established ctDNA-based AR copy number analysis as a predictive biomarker, and demonstrated that the degree of AR amplification in baseline plasma ctDNA predicts poor response to AR-directed therapy — informing patient selection and sequencing strategies.

Liquid Biopsy and ctDNA in Advanced Prostate Cancer

Pioneered the application of circulating tumor DNA (ctDNA) and circulating tumor cell (CTC) analyses in mCRPC for real-time genomic profiling, treatment monitoring, and resistance mechanism identification. Demonstrated that ctDNA whole exome sequencing from plasma reveals the full landscape of somatic alterations in mCRPC with high concordance to tumor biopsy, and that serial ctDNA sampling captures clonal evolution and emerging resistance — establishing the conceptual and technical framework for liquid biopsy-guided therapy in prostate cancer.

Representative Works 代表性著作

[1]

Antitumour Activity of MDV3100 in Castration-Resistant Prostate Cancer (Enzalutamide Phase I/II)

Lancet (2010)

Pivotal first-in-human enzalutamide trial demonstrating marked PSA and objective responses across all AR-pathway-active mCRPC, founding the mechanistic basis for enzalutamide approval.

[2]

Olaparib for Metastatic Castration-Resistant Prostate Cancer (PROfound)

New England Journal of Medicine (2020)

Landmark phase III PROfound trial demonstrating olaparib superiority over AR-targeted agents in BRCA/HRR-mutated mCRPC, establishing the first PARP inhibitor approval in prostate cancer.

[3]

Abiraterone and Increased Survival in Metastatic Prostate Cancer (COU-AA-301)

New England Journal of Medicine (2011)

Phase III COU-AA-301 establishing abiraterone plus prednisone as post-docetaxel mCRPC standard with significant OS benefit versus placebo, leading to global regulatory approval.

[4]

AR-V7 and Resistance to Enzalutamide and Abiraterone in Prostate Cancer

New England Journal of Medicine (2014)

Characterization of AR-V7 splice variant in CTCs as a biomarker of resistance to enzalutamide and abiraterone in mCRPC, informing treatment sequencing and next-generation AR targeting.

🏆Awards & Recognition 奖项与荣誉

🏆AACR Distinguished Lecture Award
🏆American Society of Clinical Oncology (ASCO) Genitourinary Cancer Award
🏆European Society for Medical Oncology (ESMO) Award for Translational Research
🏆Institute of Cancer Research Lifetime Achievement Award
🏆Fellow of the Academy of Medical Sciences (FMedSci)

📄Data Sources 数据来源

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

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