ASCO 2021: Association of Increased Intensity of Prostate-Specific Antigen (PSA) Screening in Younger African American Men with Improved Prostate Cancer Outcomes

(UroToday.com) Current prostate-specific antigen (PSA) screening guidelines suggest an individualized approach and shared decision-making model based on patient preference and certain risk factors such as family history or race. The clinical trials that largely have guided screening recommendations notably either did not report race or did not enroll a significant proportion of self-identified African American patients, […]

ASCO 2021: Decreased Fracture Rate by Mandating Bone Protecting Agents in the EORTC 1333/PEACEIII Trial Combining Radium-223 with Enzalutamide Versus Enzalutamide Alone: An Updated Safety Analysis

(UroToday.com) Bone strengthening agents such as bisphosphonates or the RANKL-targeting antibody denosumab reduced the bone loss associated with androgen deprivation therapy (ADT) and prevent skeletal-related events in castration resistant prostate cancer (CRPC). The use of these agents is recommended in CRPC by many guidelines.

ASCO 2021: Are We Making Progress in Addressing Disparities in Prostate Cancer?

(UroToday.com) Dr. Peter Black reviewed the prior three abstracts, focused on addressing the increased incidence and mortality in African American men (AAM) with prostate cancer. He framed his discussion around points brought up by a previous presenter, that prostate cancer outcomes could be equivalent by race if all patients received a timely diagnosis, had adequate staging […]

ASCO 2021: VanDAAM Study: A Prospective Validation of the Genomic Classifier to Define High-Metastasis Risk in a Subset of African American Men with Early Localized Prostate Cancer

(UroToday.com) African American men (AAM) have a higher incidence and mortality from prostate cancer, but disease-specific outcomes may be identical if there is a timely diagnosis, appropriate staging, and equitable and adequate treatment delivered. Disease risk-stratification by the NCCN only includes certain clinical parameters and does not capture underlying tumor biology or genomic diversity. Dr. Kosj […]

ASCO 2021: First Results of PEACE-1: A Phase 3 Trial with a 2×2 Factorial Design of Abiraterone Acetate plus Prednisone And/or Local Radiotherapy in Men with De Novo Metastatic Castration-Sensitive Prostate Cancer (mCSPC)

(UroToday.com) The phase 3 PEACE-1 began accruing in 2013, after which the therapeutic landscape of mCSPC has changed drastically. Initially, androgen deprivation therapy (ADT) alone was standard of care for castration-sensitive metastatic prostate cancer. However, in 2015, docetaxel was shown to improve survival. In 2017 the LATITUDE and STAMPEDE showed the survival advantage of the addition […]

ASCO 2021: Phase 2 Trial of Gemcitabine, Cisplatin, plus Nivolumab with Selective Bladder Sparing in Patients with Muscle- Invasive Bladder Cancer (MIBC): HCRN GU 16-257

(UroToday.com) Neoadjuvant cisplatin-based chemotherapy is associated with pathologic complete response (pCR) in muscle-invasive bladder at the time of cystectomy for a proportion of patients with muscle-invasive bladder cancer (MIBC). Patients with a pCR have improved overall survival relative to patients with no pCR. A challenge in the treatment of patients with MIBC is identifying patients that […]

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