5-year CheckMate 274 results confirm durable DFS benefit with adjuvant nivolumab in high-risk MIUC (HR 0.74 all patients; HR 0.58 in PD-L1 ≥1%), with no new safety signals.
Exploratory ctDNA analyses identify two distinct prognostic groups, supporting its potential to refine adjuvant treatment selection.
#BladderCancerannalsofoncology.org/article/S0923-…
Real-world olaparib use in BRCA-mutated mCRPC:
Dutch CAPRI-3 registry analysis:
• 1,996 mCRPC patients
• 23.4% underwent genomic testing
• Testing varied widely: 3.8–63.2% across hospitals
• BRCAm found in 53 patients
• 27/35 eligible BRCAm patients received SOC olaparib
• Median OS: 13.4 mo
• Taxane-naïve vs post-taxane OS: 28.7 vs 10.5 mo
The study highlights inconsistent genomic testing and suggests earlier olaparib use may be associated with better outcomes, though findings require cautious interpretation.
@maartenvddoelen@NivenMehra@oncodaily
📎 oncodaily.com/genitourinary-…#mCRPC#OncoDaily
Bone health is becoming increasingly important in metastatic hormone-sensitive prostate cancer.
A new analysis from the phase 2 BONENZA study showed that adding zoledronic acid to ADT + enzalutamide improved BMD, trabecular bone score, and bone turnover markers in men with mHSPC and bone metastases.
Vertebral fractures were numerically lower with zoledronic acid, although the study was not powered to show a significant fracture reduction.
Important data as treatment intensification continues in mHSPC.
@g_procopio_@oncodaily@IreneCaramella@FrancescaZacc14
📎oncodaily.com/genitourinary-…#GUOncology#OncoDaily
𝗣𝗼𝗼𝗿-𝗥𝗶𝘀𝗸 𝗧𝗲𝘀𝘁𝗶𝗰𝘂𝗹𝗮𝗿 𝗖𝗮𝗻𝗰𝗲𝗿: 𝗢𝗽𝘁𝗶𝗺𝗶𝘇𝗶𝗻𝗴 𝗧𝗿𝗲𝗮𝘁𝗺𝗲𝗻𝘁 𝗕𝗲𝘆𝗼𝗻𝗱 𝗖𝗵𝗲𝗺𝗼𝘁𝗵𝗲𝗿𝗮𝗽𝘆
Poor-risk testicular germ cell tumors remain a major challenge, despite high cure rates in metastatic disease.
Key points:
• BEP or VIP remain standard first-line options
• Treatment choice should reflect disease burden, pulmonary/renal risk, and mediastinal primary disease
• Postchemotherapy surgery remains essential for many patients
• Salvage therapy requires careful CDCT vs HDCT selection
• Brain metastases need multidisciplinary care
Poor-risk testicular cancer is not managed by chemotherapy alone.
@Noah_Onc@aloktewar@giannatempopatr@MichaelBasinMD@nzzmda@DrDarrenFeldman@siadaneshmand
📎oncodaily.com/genitourinary-…#GUOncology
10 Must-Read Posts in GU Oncology | 𝗦𝗲𝗰𝗼𝗻𝗱 𝗪𝗲𝗲𝗸 𝗼𝗳 𝗠𝗮𝘆
🔑 Highlights:
• 4-weekly avelumab dosing in mRCC
• FDA approval of atezolizumab in ctDNA-positive MIBC
• Node-positive bladder cancer and CHASIT study
• WOLVERINE meta-analysis in oligometastatic PCa
• VOLGA phase 3 trial in MIBC
• SPIRIT trial: TRT after prostate cancer surgery
• PROpel biomarker analyses in mCRPC
• IMPT in high-risk prostate cancer
• POTOMAC phase 3 trial in high-risk NMIBC
• Fertility preservation and semen analysis in testicular cancer
💡 Precision oncology, ctDNA-guided treatment, radiotherapy innovation, survivorship, and perioperative strategies continue to reshape GU oncology.
@nav_vasudev@NuvolaMD@K_Yadavir@DrChoueiri@Adam_Weiner535@g_procopio_@mohitmanrao
📎oncodaily.com/genitourinary-…#OncoDaily#GUOncology