New Molecular Tests Can Predict the Return of Prostate Cancer

Earlier this year Aureon Laboratories releasedpatient, after a prostatectomy, will have disease
Prostate Px(TM), the first in a series of tests thatprogression within five years.oAvoid possible side
predict prostate cancer recurrence. The testeffects associated with therapy (e.g. androgen
stratifies patients into high or low risk categories fordeprivation therapy) for asymptomatic low risk
the likelihood of experiencing a return of theirpatients.oIdentify patients with high risk of clinical
prostate cancer after they have had their prostatefailure who may benefit from increased surveillance
surgically removed (prostatectomy). In addition,or early adjuvant therapy.oHelp relieve anxiety and
Aureon is in the final stages of development ofallow patients, their families and their physicians to
Prostate Px(TM) + ( a new predictive test fordecide upon the best treatment regimen moving
prostate cancer that will use biopsy tissue, at theforward.oAssist in patient selection for new therapies
time of diagnosisas part of randomized clinical trials.
Approximately 15-40% of patients who have hadTechnology:
their prostate removed will develop a serum PSA orThe basis for the predictive power of Prostate Px is
biochemical recurrence (BCR). Moreover, a man withits unique breakthrough technology. Aureon's System
prostate cancer who has had a PSA recurrence canPathology platform combines histological, molecular
still develop a metastasis some eight years post PSAand clinical information to predict cancer recurrence.
BCR suggesting that identifying this group of patientsAfter prostatectomy, the physician orders Prostate
early in their treatment program is critical to theirPx and a small section of the prostate tissue sample
overall survival.is collected from the pathology department at the
The current practice for following patients after ahospital where the surgery was performed and sent
prostatectomy is to test their blood for prostateto Aureon's specialized laboratory. Aureon's approach
specific antigen (PSA) to determine whether theirintegrates:oHistology (tissue): Prostate Px analyzes
cancer is returning. This period can be a time of greatthe cells and other structures in a prostate cancer
anxiety and many patients are searching for additionaltissue sample. This results in the generation of
sources of information in order to make aspecific (quantitative) features for inclusion in the
more-informed decision about possible treatmentmathematical model.oMolecular markers: Prostate Px
options. An accurate prognosis is important becauseselectively measures specific proteins in prostate
the majority of tumors are indolent and requiretissue samples in order to obtain a unique molecular
minimal intervention while a subset are morepicture of the patient's prostate cancer.oClinical data:
aggressive and early intervention may be valuable.Prostate Px takes into account important clinical
The Prostate Px test has two endpoints for cancerinformation such as the Gleason score and the
recurrence:oPSA Recurrence Px Score describes thepathology results from the patient's surgery.
likelihood of the patient developing a PSA recurrenceBy combining these sources of information and by
within five years of having their prostateapplying advanced computer technology and
removed.oDisease Progression Px Score describesmathematics, Prostate Px is able to provide patients
the likelihood of the patient developing Diseasea more thorough picture of their individual risk for
Progression defined as bone/soft tissue metastasisrecurrent disease.
and/or androgen independent rise in PSA within fiveNext Generation:
years of having their prostate removed.Prostate Px is just the first in a new generation of
Compared to existing methods, Prostate Px providespredictive tests from Aureon that combines the
a prediction of PSA recurrence with a sensitivity ofpower of advanced mathematics with biology and
96%. In addition, Prostate Px can predict diseaseclinical practice.
progression and does so with a sensitivity of 89%.As stated earlier, Aureon is in the final stages of
Prostate Px benefits patients and physicians at adevelopment of Prostate Px(TM) +, a new predictive
number of decision points after surgery. Thetest for prostate cancer that will use biopsy tissue,
predictive test can:oProvide a probability of whetherat the time of diagnosis, and Aureon's system
a patient, after a prostatectomy, will have a PSApathology platform to assess future disease severity.
recurrence within five years.oPredict whether a