Johann de Bono
约翰·德·博诺
MBChB, MSc, PhD, FRCP
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
👥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.
🧪Research Fields 研究领域
🎓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
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.
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.
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.
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
📄Data Sources 数据来源
Last updated: 2026-04-06 | All information from publicly available academic sources
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