«Την πληροφορία πρέπει να την αναζητήσεις μόνος σου. Να ψάξεις τις δημοσιεύσεις, τις επίσημες πηγές, τα δεδομένα. Δεν είναι εύκολη η επιστήμη. Πρέπει να το εξηγήσουμε στους νέους ερευνητές. Είναι εργώδες πράγμα...» Υπόχρεος στον @UrbanRat7 για το άρθρο: https://t.co/tdwkR1h46W
🚨 PROTEUS: perioperative apalutamide moves into high-risk localized #prostatecancer
Just out in @NEJM
🧬 2109 men w/ high-risk localized or locally advanced PCa randomized to ADT + apalutamide vs ADT + placebo around radical prostatectomy.
🎯 Both stated primary endpoints met.
⚠️ But the trial deserves nuance. Thread 🧵
#ASCO26 @ASCO@PCF_Science
Presented at #ASCO26:
Among patients with previously treated metastatic pancreatic ductal adenocarcinoma, the RAS(ON) inhibitor daraxonrasib led to significantly longer overall survival and progression-free survival than chemotherapy. Full phase 3 RASolute 302 trial results: https://t.co/xwLWBZYRzq
@ASCO
📐 HR 0.68 = a 32% relative risk reduction in recurrence at any given moment during follow-up.
That sounds like a large benefit.
But the absolute numbers tell a different story:
BCG alone: 81.6% disease-free at 2 years
BCG + durvalumab: 86.5% disease-free at 2 years
Absolute difference: ~5%
Since BCG already works well, a big relative reduction maps to a modest absolute gain. @MaxKates@UrogerliMD@JoshMeeks
Durvalumab now @US_FDA ✅ for Non-Muscle Invasive Bladder cancer based off #POTOMAC: PhIII, BCG + Durvalumab vs. BCG alone in BCG naive HR-NMIBC:
- DFS waiting maturity (HR: 0.68)
- 3yr mDFS 82% vs 77%
- MedOncs will now see HR-NMIBC
#gusm#OncTwitter
#AUA26 International Prostate Forum
@KristineLacuna beautifully explaining to us urologists how to think about 1L mCRPC treatment based on:
-Previous ADT + ARPI
-No previous ADT + APRI
-Other/special sitations
@urotoday