ESMO 2019: Patients with Advanced Renal Cell Carcinoma with Sarcomatoid Histology: A Subgroup Analysis on Efficacy and Biomarkers from the Phase 3 JAVELIN Renal 101 Trial of First-Line Avelumab plus Axitinib versus Sunitinib

Barcelona, Spain (UroToday.com) Sarcomatoid differentiation can occur in all subtypes of renal cell carcinoma (RCC) and is associated with an aggressive phenotype. Sarcomatoid RCC (sRCC) is characterized by immunologic infiltration and has with higher PD-1/PD-L1 on tumor cells and tumor-infiltrating immune cells. JAVELIN Renal 101 demonstrated a significant improvement in progression-free survival (PFS) with avelumab plus […]

ESMO 2019: CARD: Randomized, Open-Label Study of Cabazitaxel vs Abiraterone or Enzalutamide in mCRPC

Barcelona, Spain (UroToday.com) Taxanes (docetaxel, cabazitaxel) and androgen receptor-targeted therapies (ARTs; abiraterone, enzalutamide) are standard of care in metastatic castration resistant prostate cancer (mCRPC). However, patients may not respond to abiraterone after progressing on prior enzalutamide or vice versa. Cabazitaxel retains activity in patients progressing on prior docetaxel, abiraterone, or enzalutamide. Importantly, the optimal treatment sequence […]

ESMO 2019: IMvigor130: Efficacy and Safety of Atezolizumab as Monotherapy or Combined with Platinum-based Chemotherapy vs Placebo + Platinum-based Chemotherapy in Previously Untreated Locally Advanced or Metastatic Urothelial Carcinoma

Barcelona, Spain (UroToday.com) First-line metastatic urothelial carcinoma treatment includes cisplatin or carboplatin-based chemotherapy or checkpoint inhibitors, depending on patient eligibility and PD-L1 status. Approximately 50% of patients are platinum ineligible and they may receive inferior carboplatin-based regimens. In July 2018, the FDA and EMA revised the first-line label for atezolizumab and pembrolizumab based on IMDC assessments. […]

ESMO 2019: Prognostic Factors in Metastatic Seminomatous Germ Cell Tumors and Elevated Human Chorionic Gonadotrophin – Study of the G3

Barcelona, Spain (UroToday.com) Approximately 20% of seminoma germ cell tumors (GCTs) have an elevated level of serum HCG at the time of first diagnosis. The prognostic role of different HCG marker levels is not clear. In this abstract, the authors sought to evaluate the prognostic impact of elevated HCG levels at first diagnosis. Patients included […]

ESMO 2019: IMvigor130: Efficacy and Safety from a Phase 3 Study of Atezolizumab as Monotherapy or Combined with Platinum-based Chemotherapy vs Placebo + PBC in Previously Untreated Locally Advanced or Metastatic Urothelial Carcinoma

Barcelona, Spain (UroToday.com) Cisplatin based chemotherapy has been the standard of care first line therapy for metastatic urothelial carcinoma (mUC) for several decades. However, up to 50% of patients may not be medically eligible for cisplatin chemotherapy, and so efficacious alternative first line regimens are required. Based on phase 2 data, the FDA has approved both […]

ESMO 2019: Invited Discussant – PROfound: A Phase 3 Study of Olaparib versus Enzalutamide or Abiraterone for mCRPC with Homologous Recombination Repair Gene Alterations

Barcelona, Spain (UroToday.com) Following oral presentation of the PROfound study of olaparib in metastatic castration-resistant prostate cancer (mCRPC) patients with selected homologous recombination repair defects in their tumors, Dr. Eleni Efstathiou discussed the findings and posed the question of whether this study should be considered practice-changing. The discussant outlined her requirements for a study to be […]

ESMO 2019: PROfound: Phase 3 Study of Olaparib vs. Enzalutamide or Abiraterone for Metastatic Castration-Resistant Prostate Cancer with Homologous Recombination Repair Gene Alterations

Barcelona, Spain (UroToday.com) Despite significant progress in systematic therapy metastatic castration-resistant prostate cancer (mCRPC) continues to be a lethal disease. mCRPC is molecularly heterogeneous, as up to 30% of mCRPC harbor deleterious alterations in DNA damage repair genes, including those with direct and indirect roles in homologous recombination repair. These loss-of-function alterations in homologous recombination […]

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