NIH-funded research NIH-funded research

Understanding and Targeting Lineage Plasticity in Prostate Cancer with Genomic-Based Neoadjuvant Therapy

Official title: Project 2: Understanding and Targeting the Lineage plasticity in the Genomic Umbrella Neoadjuvant Study (GUNS)

Funded at Fred Hutchinson Cancer Center · NIH-11625620 · Data updated 2026-11-12

A broad research program at Fred Hutchinson Cancer Center is exploring how aggressive prostate cancers change their cell states in response to therapy and how to block these changes.

Quick facts

Grant typeNIH-funded research
Study typeNIH-funded research
Funding institutionFred Hutchinson Cancer Center
NIH-funded
Lab location1 site (Seattle, United States)
Project startSeptember 19, 2002
Project endAugust 31, 2028
Funding year2026
Award (this year)$211,901
NIH project number3P50CA097186-25S1
Project IDNIH-11625620 on NIH RePORTER

Who could benefit from this research

Could help

Men with advanced or metastatic prostate cancer receiving AR pathway inhibitor therapy or in similar biomarker-defined strata.

Less likely to help

Patients whose cancer does not show lineage plasticity or whose tumors do not fit the biomarker criteria may derive limited benefit.

What this research studies

This project uses a multi-stage, multi-arm neoadjuvant design to study how advanced prostate cancers adapt their cell programs when exposed to potent AR pathway inhibitors. It combines clinical samples with molecular profiling to map the changes and identify potential therapeutic angles. The goal is to inform future treatments that can prevent or overcome resistance, improving outcomes for men with metastatic disease.

Why it matters

Potential benefit: If successful, findings could lead to smarter combination therapies that delay resistance and extend survival for patients with aggressive prostate cancer.

How similar studies have gone: Previous studies have shown that lineage plasticity and neuroendocrine features can emerge under AR-targeted therapies, indicating this approach is clinically relevant but still largely exploratory.

Where this research is happening

  • Fred Hutchinson Cancer Center
    Seattle, United States
    Active

Researchers

  • Principal investigator: Gleave, Martin Edwin — Fred Hutchinson Cancer Center
  • Study coordinator: Gleave, Martin Edwin

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.