Stereotactic pelvic radiotherapy with HDR boost for dose escalation in intermediate and high-risk prostate cancer (SPARE): efficacy, toxicity and quality of life.

The ASCO/CCO guidelines recommend brachytherapy (BT) boost for eligible intermediate- (IR) or high-risk (HR) prostate cancer (PCa) patients. We present efficacy, toxicity and quality-of-life (QoL) outcomes in patients treated on a prospective protocol of MRI dose-painted high-dose-rate BT boost(HDR-BT) followed by 5-fraction pelvic radiotherapy(RT) and 6-18 months of androgen deprivation therapy(ADT).

ASCO 2021: Phase 2 Trial of Gemcitabine, Cisplatin, Plus Nivolumab With Selective Bladder Sparing in Patients With Muscle-Invasive Bladder Cancer: HCRN GU 16–257

(UroToday.com)  Previous studies have shown that a pathological complete response is achieved in ~30-40% of patients with cisplatin-based neoadjuvant chemotherapy for muscle-invasive bladder cancer and is associated with favorable outcomes. Unfortunately, pathological staging is only determined after the bladder is already removed. Transurethral resection of bladder tumor (TURBT) plus systemic therapy has been known for decades to […]

ASCO 2021: CANTATA: Primary Analysis of a Global, Randomized, Placebo-Controlled, Double-Blind Trial of Telaglenastat + Cabozantinib Versus Placebo + Cabozantinib in mRCC Patients Who Progressed on Immune Checkpoint Inhibitor or Anti-Angiogenic Therapies

(UroToday.com) Dysregulated metabolism is a hallmark of renal cell carcinoma (RCC), driven by overexpression of glutaminase, a key enzyme of glutamine metabolism. Telaglenastat is an investigational, first-in-class, selective, oral glutaminase inhibitor that blocks glutamine utilization and is critical downstream pathways. Pre-clinically, telaglenastat synergized with cabozantinib, a VEGFR2/MET/AXL inhibitor, against RCC tumors utilizing dual inhibition of glucose […]

ASCO 2021: Expanding VEGF Blockade Combination Therapeutic Options in Advanced Renal Cell Carcinoma: Discussion

(UroToday.com)  The kidney cancer oral abstract session at the 2021 America Society of Clinical Oncology (ASCO) annual meeting included a discussant presentation by Dr. Andrea Apolo providing her expertise on expanding VEGF blockade combination therapeutic options in advanced renal cell carcinoma. Targeting angiogenesis via VEGF blockade in clear cell RCC has a long history, including […]

ASCO 2021: Surveillance After Complete Response in Patients with Metastatic Nonseminomatous Germ Cell Tumors

(UroToday.com) The optimal management of patients with complete response after first-line chemotherapy remains unsettled with guidelines recommending either surveillance or retroperitoneal lymph node dissection (RPLND). At the 2021 American Society of Clinical Oncology (ASCO) Annual Meeting, Dr. Jennifer King and colleagues presented results of their study assessing long-term outcomes from a large dataset of patients managed with […]

ASCO 2021: Hearing Loss After Cisplatin-Based Chemotherapy: Patient-Reported Outcomes Versus Audiometric Assessments

(UroToday.com) Testicular cancer is the most common malignancy among men aged 20-39 years, and testicular cancer survivors are at high risk for short-term and long-term cisplatin-based chemotherapy side effects. Hearing loss, a common cisplatin toxicity, is permanent and irreversible. Although pure-tone audiometry is the gold standard to evaluate hearing loss, patient-reported outcomes are more practical and […]

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