Decipher Bladder Predicts Which Patients May Benefit from Neoadjuvant Chemotherapy Prior to Radical Cystectomy
|
|
- Jemima Carroll
- 6 years ago
- Views:
Transcription
1 Decipher Bladder Predicts Which Patients May Benefit from Neoadjuvant Chemotherapy Prior to Cystectomy Contact the GenomeDx Customer Support Team (toll-free) DecipherTest.com
2 IDENTIFIES PATIENTS WHO MAY BE Decipher Bladder is used to classify a patient s bladder tumor into one of four molecular subtypes. Each molecular subtype has a distinct prognosis and is associated with benefit or non-benefit from neoadjuvant chemotherapy (NAC). Bladder Molecular Subtypes 1 Infiltrated Claudin-Low Favorable prognosis compared to other molecular subtypes Limited response to NAC Limited response to NAC Consider for immunotherapy trials Unfavorable prognosis Substantial benefit from NAC Unfavorable prognosis May benefit from NAC Consider for clinical trials Suggested Patient Management Diagnosis of Muscle Invasive Bladder Cancer Order Decipher Bladder Infiltrated Patient s tumor is classified into one of four subtypes Claudin-Low
3 NEFIT FROM NEOADJUVANT CHEMOTHERAPY PRIOR TO SURGERY Unmet Need : Which muscle invasive bladder cancer patients will benefit from neoadjuvant chemotherapy? molecular subtype patients experienced ~30% survival benefit from NAC and Infiltrated molecular subtypes did NOT experience significant survival benefit from NAC 1 Solution Decipher Bladder determines the molecular subtype with high accuracy for an individual patient tumor and informs which patients with muscle invasive bladder cancer may benefit from neoadjuvant chemotherapy. Decipher Bladder Test Indications Specimen Type: TURBT (Transurethral Resection of Bladder Tumor) (FFPE) Tumor Type: Muscle Invasive Carcinoma Primary Histology Type: Urothelial/Transitional Cell Carcinoma No Evidence of Distant Metastasis No Prior Neoadjuvant Chemotherapy Plan Guided by Decipher Bladder Cystectomy 1 Cystectomy 1 Clinical Trials of Immunotherapies 2 Neoadjuvant Chemotherapy 1 Cystectomy 1 Neoadjuvant Chemotherapy 1 Cystectomy 1 Clinical Trials of Novel Agents 1
4 Patients with basal subtype tumors experienced greatest survival benefit when treated with neoadjuvant chemotherapy as compared to surgery alone. No Neoadjuvant Chemotherapy n=476 1 With Neoadjuvant Chemotherapy n= p < p = Overall Survival Infiltrated Claudin-Low Time, months Overall Survival Infiltrated Claudin-Low Time, months tumor patients may be prioritized for neoadjuvant chemotherapy as they gain the most overall survival (OS) benefit Claudin-Low tumor patients did poorly, but saw slight improvement in OS with neoadjuvant chemotherapy or Infiltrated tumor patients had similar survival with or without neoadjuvant chemotherapy subtype patients had favorable prognosis overall. 3-Year Overall Survival Post Cystectomy vs. Cystectomy + Neoadjuvant Chemotherapy 1 Subtype Cystectomy (n=476)* Cisplatin-based Neoadjuvant Chemotherapy + Cystectomy (n=269)** 76.6% 74.7% Infiltrated 59.4% 50.6% 49.2% 77.8% Claudin-Low *p<0.0001; **p= % 57.9%
5 Decipher Bladder classifies into one of four molecular subtypes to guide personalized therapeutic decision making Subtype Interpretation 1 Limited benefit from neoadjuvant chemotherapy May be considered for immediate radical cystectomy Infiltrated Limited benefit from neoadjuvant chemotherapy May be considered for immediate radical cystectomy and enrollment into immunotherapy trials 2 Substantial benefit from neoadjuvant chemotherapy May be prioritized to neoadjuvant chemotherapy Claudin-Low May benefit from neoadjuvant chemotherapy May be considered for neoadjuvant chemotherapy and enrollment into clinical trials of novel agents Background: About Decipher Bladder 1 Developed on the same Decipher GRID platform as Decipher Post-Op and Biopsy for prostate cancer Measures mrna expression levels of 149 genes used to determine probabilities of the tumor sample belonging to each of the four molecular subtypes AUCs ranging from 0.85 to 0.97 for classifying a tumor sample into one of the four molecular subtypes Decipher Bladder has been developed and validated in 305 neoadjuvant chemotherapy and 476 radical cystectomy alone patients from 10 leading cancer centers in North America and Europe, including University of British Columbia, University of Bern, University of Washington and UC Davis
6 Decipher Bladder Report GenomeDx Biosciences Laboratory Science Center Dr. Suite 240, San Diego, CA Tel: l Fax: customersupport@genomedx.com l Patient Details: Patient Name: MRN/Patient ID #: Date of Birth: Gender: Pathology Laboratory: Pathologist: Address: TURBT Specimen Order Information: Order Date: Specimen Received Date: GenomeDx Accession ID: Specimen ID: Ordering Physician: Clinic/Hospital Name: Clinic/Hospital Address: Additional Physician: Clinical Details Date of TURBT: 12 / 01 / 2016 Tumor Type: Tumor Grade: Muscle Invasive Carcinoma with Carcinoma In-Situ High Grade Histology Type: Lymph-Vascular Invasion: Urothelial / Transitional Cell Carcinoma Not Identified Bladder Your Decipher Result Infiltrated Subtype Subtype Subtype Probability Interpretation 2% Patients may be considered for immediate radical cystectomy Favorable prognosis following surgery and may have limited benefit from cisplatin-based neoadjuvant chemotherapy 1,2 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was similar to those with surgery alone 2 Infiltrated 94% Patients may be considered for immediate radical cystectomy and enrollment into immunotherapy clinical trials Unfavorable prognosis and may have limited benefit from cisplatin-based neoadjuvant chemotherapy 2,3 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was similar to those with surgery alone 2 Patients with this subtype have been shown to most likely benefit from anti-pd-l1 immunotherapy in the locally advanced and metastatic setting 4 1% Patients may be prioritized to cisplatin-based neoadjuvant chemotherapy Unfavorable prognosis but may receive substantial benefit from cisplatin-based neoadjuvant chemotherapy 1,2 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was substantially higher than those with surgery alone 2 Claudin-Low 3% Patients may be considered for cisplatin-based neoadjuvant chemotherapy and enrollment into clinical trials of novel agents Unfavorable prognosis and may benefit from cisplatin-based neoadjuvant chemotherapy 2,5 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was moderately higher than those with surgery alone 2 References on reverse Assay Description. Decipher Genomic Subtyping Classifier (GSC), a microarray gene expression assay is used to classify formalin-fixed paraffin-embedded (FFPE) bladder tumor samples into one of four molecular subtypes (, Infiltrated,, Claudin-Low) based on functional molecular pathways. The GSC has been developed and validated in 305 neoadjuvant chemotherapy and 476 radical cystectomy alone patients from 10 leading cancer centers in North America and Europe. GSC measures RNA expression levels of 149 genes used to calculate multinomial probabilities of the tumor sample belonging to each of the four molecular subtypes. The higher the score, the more certain the sample will belong to assigned subtype. The patient tumor samples are classified as belonging to the subtype with the highest probability. The Decipher GSC molecular subtypes are based on a consensus classification derived from The Cancer Genome Atlas project and other previously published schema. 1,6-8 The GSC has AUCs ranging from 0.85 to 0.97 for classifying a tumor sample into one of the four molecular subtypes in two independent validation cohorts (n=558). 2 GenomeDx Medical Director (Name & Signature) Medical Directors: Timothy J. Triche, MD, PhD Doug Dolginow, MD Date Disclaimer: The Decipher test was developed and its performance characteristics were determined by GenomeDx Biosciences Laboratory. The GenomeDx Biosciences Laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA 88) to perform high complexity testing. This test has not been cleared or approved by the U.S. Food and Drug Administration. Summary of surgical pathology report provided for convenience of Ordering Physician. Please refer to Referring Pathologist s original pathology report to guide treatment decisions. CLIA ID# 05D Rev: Copyright GenomeDx Biosciences Inc. Page 1 of 2
7 Decipher Bladder Report GenomeDx Biosciences Laboratory Science Center Dr. Suite 240, San Diego, CA Tel: l Fax: customersupport@genomedx.com l Patient Details: Patient Name: MRN/Patient ID #: Date of Birth: Gender: Pathology Laboratory: Pathologist: Address: TURBT Specimen Order Information: Order Date: Specimen Received Date: GenomeDx Accession ID: Specimen ID: Ordering Physician: Clinic/Hospital Name: Clinic/Hospital Address: Additional Physician: Clinical Details Date of TURBT: 12 / 01 / 2016 Tumor Type: Tumor Grade: Muscle Invasive Carcinoma with Carcinoma In-Situ High Grade Histology Type: Lymph-Vascular Invasion: Urothelial / Transitional Cell Carcinoma Not Identified Bladder Your Decipher Result Subtype Subtype Subtype Probability Interpretation 1% Patients may be considered for immediate radical cystectomy Favorable prognosis following surgery and may have limited benefit from cisplatin-based neoadjuvant chemotherapy 1,2 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was similar to those with surgery alone 2 Infiltrated 2% Patients may be considered for immediate radical cystectomy and enrollment into immunotherapy clinical trials Unfavorable prognosis and may have limited benefit from cisplatin-based neoadjuvant chemotherapy 2,3 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was similar to those with surgery alone 2 Patients with this subtype have been shown to most likely benefit from anti-pd-l1 immunotherapy in the locally advanced and metastatic setting 4 93% Patients may be prioritized to cisplatin-based neoadjuvant chemotherapy Unfavorable prognosis but may receive substantial benefit from cisplatin-based neoadjuvant chemotherapy 1,2 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was substantially higher than those with surgery alone 2 Claudin-Low 4% Patients may be considered for cisplatin-based neoadjuvant chemotherapy and enrollment into clinical trials of novel agents Unfavorable prognosis and may benefit from cisplatin-based neoadjuvant chemotherapy 2,5 3-year overall survival for these patients with cisplatin-based neoadjuvant chemotherapy was moderately higher than those with surgery alone 2 References on reverse Assay Description. Decipher Genomic Subtyping Classifier (GSC), a microarray gene expression assay is used to classify formalin-fixed paraffin-embedded (FFPE) bladder tumor samples into one of four molecular subtypes (, Infiltrated,, Claudin-Low) based on functional molecular pathways. The GSC has been developed and validated in 305 neoadjuvant chemotherapy and 476 radical cystectomy alone patients from 10 leading cancer centers in North America and Europe. GSC measures RNA expression levels of 149 genes used to calculate multinomial probabilities of the tumor sample belonging to each of the four molecular subtypes. The higher the score, the more certain the sample will belong to assigned subtype. The patient tumor samples are classified as belonging to the subtype with the highest probability. The Decipher GSC molecular subtypes are based on a consensus classification derived from The Cancer Genome Atlas project and other previously published schema. 1,6-8 The GSC has AUCs ranging from 0.85 to 0.97 for classifying a tumor sample into one of the four molecular subtypes in two independent validation cohorts (n=558). 2 GenomeDx Medical Director (Name & Signature) Medical Directors: Timothy J. Triche, MD, PhD Doug Dolginow, MD Date Disclaimer: The Decipher test was developed and its performance characteristics were determined by GenomeDx Biosciences Laboratory. The GenomeDx Biosciences Laboratory is certified under the Clinical Laboratory Improvement Amendments of 1988 (CLIA 88) to perform high complexity testing. This test has not been cleared or approved by the U.S. Food and Drug Administration. Summary of surgical pathology report provided for convenience of Ordering Physician. Please refer to Referring Pathologist s original pathology report to guide treatment decisions. CLIA ID# 05D Rev: Copyright GenomeDx Biosciences Inc. Page 1 of 2
8 Based on a patient s personal tumor genomics, Decipher Bladder: Identifies which bladder cancer patients may benefit from neoadjuvant chemotherapy prior to radical cystectomy Classifies bladder tumors into one of four molecular subtypes with distinct treatment implications regarding response to neoadjuvant chemotherapy Infiltrated Claudin-low Immune cells 4 layer layer Muscle tissue Access for All Patients All insurance plans accepted Proven and comprehensive financial assistance for patients References 1. Seiler, R., et al. Impact of molecular subtypes in muscle-invasive bladder cancer on predicting response and survival outcome to neoadjuvant chemotherapy: results from a multi-institutional validation study. Presented at the Annual Meeting of the Society of Urologic Oncology, Rosenberg, J.E. et al., Atezolizumab in patients with locally advanced and metastatic urothelial carcinoma who have progressed following treatment with platinum-based chemotherapy: a single-arm, multicentre, phase 2 trial. The Lancet 2016; 387, 10031: Decipher Bladder is developed and run on the same Decipher GRID technology platform as in Decipher prostate. Shortly, the GRID research program will provide access to an in-depth, personalized Bladder Tumor RNA Expression Profile for your Decipher Patient. This research use only (RUO) information can provide valuable insights. In addition, the GRID research program aims to foster collaborations among researchers by collectively sharing this wealth of data to facilitate new genomic discoveries. To learn more, visit DecipherGRID.com. Robust and Prolific Technology Platform Archived FFPE tissue Whole Genome Technology Genomic analysis of 1.4 million biomarkers To learn more about Decipher, contact the GenomeDx Customer Support Team at (toll free) or at customersupport@genomedx.com or visit DecipherTest.com. Copyright 2017 GenomeDx Biosciences Inc. DBDR
PROVIDING TREATMENT INFORMATION FOR PROSTATE CANCER PATIENTS
PROVIDING TREATMENT INFORMATION FOR PROSTATE CANCER PATIENTS For patients with localized disease on biopsy* For patients with adverse pathology after prostatectomy Contact the GenomeDx Customer Support
More informationProviding Treatment Information for Prostate Cancer Patients
Providing Treatment Information for Prostate Cancer Patients For all patients with localized disease on biopsy For all patients with adverse pathology after prostatectomy See what better looks like Contact
More informationHighlighting Clinical Trials Muscle Invasive Bladder Cancer
Highlighting Clinical Trials Muscle Invasive Bladder Cancer Part I: The Basics of MIBC Clinical Trials June 19, 2018 Presented by: Dr. Peter Black is a urologic oncologist at Vancouver General Hospital,
More informationPersonalized Therapy for Prostate Cancer due to Genetic Testings
Personalized Therapy for Prostate Cancer due to Genetic Testings Stephen J. Freedland, MD Professor of Urology Director, Center for Integrated Research on Cancer and Lifestyle Cedars-Sinai Medical Center
More informationOral Communications & Posters
Carcinoma uroteliale: Current and future directions of treatment of Muscle-Invasive Bladder cancer/ Multimodality approach of bladder cancer Oral Communications & Posters CRISTINA MASINI Oncologia Medica
More informationMUSCLE-INVASIVE AND METASTATIC BLADDER CANCER
MUSCLE-INVASIVE AND METASTATIC BLADDER CANCER (Text update March 2008) A. Stenzl (chairman), N.C. Cowan, M. De Santis, G. Jakse, M. Kuczyk, A.S. Merseburger, M.J. Ribal, A. Sherif, J.A. Witjes Introduction
More informationFAQs for UK Pathology Departments
FAQs for UK Pathology Departments This is an educational piece written for Healthcare Professionals FAQs for UK Pathology Departments If you would like to discuss any of the listed FAQs further, or have
More informationMUSCLE - INVASIVE AND METASTATIC BLADDER CANCER
10 MUSCLE - INVASIVE AND METASTATIC BLADDER CANCER Recommendations from the EAU Working Party on Muscle Invasive and Metastatic Bladder Cancer G. Jakse (chairman), F. Algaba, S. Fossa, A. Stenzl, C. Sternberg
More informationTHE SEARCH FOR BIOMARKERS IN BLADDER CANCER
THE SEARCH FOR BIOMARKERS IN BLADDER CANCER CDDP and IO WORLD ALEJO RODRÍGUEZ-VIDA MD PhD Consultant Medical Oncologist Associate Professor Hospital del Mar, Barcelona November 23 rd 2018 DISCLOSURE OF
More informationMEDICAL POLICY Genetic and Protein Biomarkers for Diagnosis and Risk Assessment of
POLICY: PG0367 ORIGINAL EFFECTIVE: 08/26/16 LAST REVIEW: 09/27/18 MEDICAL POLICY Genetic and Protein Biomarkers for Diagnosis and Risk Assessment of Prostate Cancer GUIDELINES This policy does not certify
More informationRadical prostate surgery?
Decipher enables personalized and actionable treatment after surgery Radical prostate surgery? The Decipher Prostate Cancer Classifier can help you and your doctor decide on important next steps in your
More informationPolicy #: 668 Effective Date: December 1, 2016 Category: Pharmacology Latest Review Date: September 2016
Name of Policy: Tecentriq (Atezolizumab) Policy #: 668 Effective Date: December 1, 2016 Category: Pharmacology Latest Review Date: September 2016 Background/Definitions: As a general rule, benefits are
More informationDiscovery and Validation of Prognostic Genomic Based Signatures in High Risk Bladder Cancer Following Cystectomy
Discovery and Validation of Prognostic Genomic Based Signatures in High Risk Bladder Cancer Following Cystectomy Anirban P. Mitra, M.D., Ph.D. Center for Personalized Medicine University of Southern California
More informationStaging and Grading Last Updated Friday, 14 November 2008
Staging and Grading Last Updated Friday, 14 November 2008 There is a staging graph below Blood in the urine is the most common indication that something is wrong. Often one will experience pain or difficulty
More informationProstate Cancer Genomics When To Treat and With What? Ashley E. Ross, M.D., Ph.D. Texas Urology Specialists August 2017
Prostate Cancer Genomics When To Treat and With What? Ashley E. Ross, M.D., Ph.D. Texas Urology Specialists August 2017 Relevant Disclosures Advisory role, ownership interest, previous unrestricted grant
More informationThe Depth of Tumor Invasion is Superior to 8 th AJCC/UICC Staging System to Predict Patients Outcome in Radical Cystectomy.
30 th Congress of the European Society of Pathology Tuesday, September 11, 2018 The Depth of Tumor Invasion is Superior to 8 th AJCC/UICC Staging System to Predict Patients Outcome in Radical Cystectomy.
More information5/26/16: CT scan of the abdomen showed a multinodular liver disease highly suspicious for metastasis and hydronephrosis of the right kidney.
Bladder Case Scenario 1 History 5/23/16: A 52-year-old male, smoker was admitted to our hospital with a 3-month history of right pelvic pain, multiple episodes of gross hematuria, dysuria, and extreme
More informationRoche presents updated results for investigational cancer immunotherapy atezolizumab in advanced bladder cancer
Media Release Basel, 8 January 2016 Roche presents updated results for investigational cancer immunotherapy atezolizumab in advanced bladder cancer Higher expression of PD-L1 (programmed death-ligand 1)
More informationOptions for first-line cisplatin-eligible patients
The Past Options for first-line cisplatin-eligible patients Metastatic urothelial cancer Cisplatin-eligible Gemcitabine/ cisplatin MVAC or high-dose intensity MVAC Paclitaxel/ cisplatin/ gemcitabine Bellmunt
More informationOpen clinical uro-oncology trials in Canada Eric Winquist, MD, George Rodrigues, MD
CLINICAL TRIALS Open clinical uro-oncology trials in Canada Eric Winquist, MD, George Rodrigues, MD London Health Sciences Centre, London, Ontario, Canada bladder cancer A PHASE II PROTOCOL FOR PATIENTS
More informationPatnaik SK, et al. MicroRNAs to accurately histotype NSCLC biopsies
Patnaik SK, et al. MicroRNAs to accurately histotype NSCLC biopsies. 2014. Supplemental Digital Content 1. Appendix 1. External data-sets used for associating microrna expression with lung squamous cell
More informationReviewing Immunotherapy for Bladder Carcinoma In Situ
Reviewing Immunotherapy for Bladder Carcinoma In Situ Samir Bidnur Dept of Urologic Sciences, Grand Rounds March 1 st, 2017 Checkpoint Inhibition and Bladder Cancer, an evolving story with immunotherapy
More informationChallenges in systemic treatment for metastatic bladder cancer. Phichai Chansriwong, MD Ramathibodi Hospital, Mahidol University
Challenges in systemic treatment for metastatic bladder cancer Phichai Chansriwong, MD Ramathibodi Hospital, Mahidol University OS PCG 15.8 vs GC 12.7 NS Cisplatin ineligible Second-line chemotherapy
More informationQ&A. Fabulous Prizes. Collecting Cancer Data: Bladder, Renal Pelvis, and Ureter 5/2/13. NAACCR Webinar Series
Collecting Cancer Data Bladder & Renal Pelvis NAACCR 2012 2013 Webinar Series Q&A Please submit all questions concerning webinar content through the Q&A panel. Reminder: If you have participants watching
More informationA patient with recurrent bladder cancer presents with the following history:
MP/H Quiz A patient with recurrent bladder cancer presents with the following history: 9/23/06 TURB 1/12/07 TURB 4/1/07 TURB 7/12/07 TURB 11/14/07 Non-invasive papillary transitional cell carcinoma from
More informationTalk to Your Doctor. Fact Sheet
Talk to Your Doctor Hearing the words you have skin cancer is overwhelming and would leave anyone with a lot of questions. If you have been diagnosed with Stage I or II cutaneous melanoma with no apparent
More informationOpen clinical uro-oncology trials in Canada
Open clinical uro-oncology trials in Canada Eric Winquist, MD, George Rodrigues, MD London Health Sciences Centre, London, Ontario, Canada bladder cancer A PHASE II PROTOCOL FOR PATIENTS WITH STAGE T1
More informationRoche provides update on phase III study of TECENTRIQ (atezolizumab) in people with previously treated advanced bladder cancer
Media Release Basel, 10 May 2017 Roche provides update on phase III study of TECENTRIQ (atezolizumab) in people with previously treated advanced bladder cancer IMvigor211 study did not meet its primary
More informationThe Rationale for Immunotherapy as an Adjuvant Treatment for Locally Advanced BC
The Rationale for Immunotherapy as an Adjuvant Treatment for Locally Advanced BC Seth P. Lerner, MD, FACS Professor, Scott Department of Urology Beth and Dave Swalm Chair in Urologic Oncology Baylor College
More informationMultiple Primary and Histology Site Specific Coding Rules URINARY. FLORIDA CANCER DATA SYSTEM MPH Urinary Site Specific Coding Rules
Multiple Primary and Histology Site Specific Coding Rules URINARY 1 Prerequisites 2 Completion of Multiple Primary and Histology General Coding Rules 3 There are many ways to view the Multiple l Primary/Histology
More informationVeterans and Bladder Cancer webinar. Part I: Medical Overview
Veterans and Bladder Cancer webinar Tuesday March 1, 2016 Part I: Medical Overview Presented by Dr. Jennifer Taylor is an assistant professor of urology at the University of Pittsburgh School of Medicine.
More informationRadical Cystectomy Often Too Late? Yes, But...
european urology 50 (2006) 1129 1138 available at www.sciencedirect.com journal homepage: www.europeanurology.com Editorial 50th Anniversary Radical Cystectomy Often Too Late? Yes, But... Urs E. Studer
More informationAccepted Manuscript. Pancreatic Cancer Subtypes: Beyond Lumping and Splitting. Andrew J. Aguirre
Accepted Manuscript Pancreatic Cancer Subtypes: Beyond Lumping and Splitting Andrew J. Aguirre PII: S0016-5085(18)35213-2 DOI: https://doi.org/10.1053/j.gastro.2018.11.004 Reference: YGAST 62235 To appear
More informationTreatment of Non-Metastatic Muscle-Invasive Bladder Cancer: AUA/ASCO/ASTRO/SUO Guideline
Treatment of Non-Metastatic Muscle-Invasive Bladder Cancer: AUA/ASCO/ASTRO/SUO Guideline Jeffrey M. Holzbeierlein, MD, FACS John W Weigel Professor & Chair Director of Urologic Oncology University of Kansas
More informationIMMUNE CHECKPOINT THERAPY FOR GENITOURINARY CANCERS: KIDNEY CANCER AND TRANSITIONAL CELL CARCINOMA
IMMUNE CHECKPOINT THERAPY FOR GENITOURINARY CANCERS: KIDNEY CANCER AND TRANSITIONAL CELL CARCINOMA Kathleen Mahoney, M.D., Ph.D. Instructor of Medicine, Harvard Medical School Attending, Beth Israel Deaconess
More informationProgram Guide Decipher Certification and Training Registry (Decipher CTR)
Program Guide (Decipher CTR) This Program Guide provides a step- by- step overview of the operational aspects of the Decipher CTR, including how to (1) enroll as a healthcare provider and receive training
More informationChapter 8 Adenocarcinoma
Page 80 Chapter 8 Adenocarcinoma Overview In Japan, the proportion of squamous cell carcinoma among all cervical cancers has been declining every year. In a recent survey, non-squamous cell carcinoma accounted
More informationCLINICAL TRIALS Open clinical uro-oncology trials in Canada George Rodrigues, MD, Eric Winquist, MD
Open clinical uro-oncology trials in Canada George Rodrigues, MD, Eric Winquist, MD London Health Sciences Centre, London, Ontario, Canada bladder cancer AN OPEN-LABEL, MULTICENTER, RANDOMIZED PHASE II
More informationGUIDELINES ON NON-MUSCLE- INVASIVE BLADDER CANCER
GUIDELINES ON NON-MUSCLE- INVASIVE BLADDER CANCER (Limited text update December 21) M. Babjuk, W. Oosterlinck, R. Sylvester, E. Kaasinen, A. Böhle, J. Palou, M. Rouprêt Eur Urol 211 Apr;59(4):584-94 Introduction
More informationTecentriq. Tecentriq (atezolizumab) Description
Federal Employee Program 1310 G Street, N.W. Washington, D.C. 20005 202.942.1000 Fax 202.942.1125 5.21.80 Subject: Tecentriq Page: 1 of 5 Last Review Date: September 15, 2017 Tecentriq Description Tecentriq
More informationOpen clinical uro-oncology trials in Canada
Open clinical uro-oncology trials in Canada Eric Winquist, MD, George Rodrigues, MD London Health Sciences Centre, London, Ontario, Canada bladder cancer A PHASE II PROTOCOL FOR PATIENTS WITH STAGE T1
More informationGene Expression Profiling has been proposed as a method of risk stratification for uveal melanoma.
Last Review Status/Date: September 2014 Description Page: 1 of 5 Gene Expression Profiling has been proposed as a method of risk stratification for uveal melanoma. Background Uveal melanoma Uveal melanoma,
More informationImproving quality of care for patients with ovarian and endometrial cancer Eggink, Florine
University of Groningen Improving quality of care for patients with ovarian and endometrial cancer Eggink, Florine IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if
More informationUpdates in Immunotherapy for Urothelial Carcinoma
Updates in Immunotherapy for Urothelial Carcinoma Andrew J Armstrong MD ScM FACP DUA 2018 Copyright 2006 SciMed. Talk Outline Immunotherapy progress in 2017: 5 new approved PD-1/PD-L1 inhibitory agents
More informationGenetic Testing: When should it be ordered? Julie Schloemer, MD Dermatology
Genetic Testing: When should it be ordered? Julie Schloemer, MD Dermatology Outline Germline testing CDKN2A BRCA2 BAP1 Somatic testing Gene expression profiling (GEP) BRAF Germline vs Somatic testing
More informationOpen clinical uro-oncology trials in Canada Eric Winquist, MD, George Rodrigues, MD
Open clinical uro-oncology trials in Canada Eric Winquist, MD, George Rodrigues, MD London Health Sciences Centre, London, Ontario, Canada BLADDER CANCER A MULTICENTRE, RANDOMIZED PLACEBO-CONTROLLED, DOUBLE-BLIND
More informationResearch Article Partial Cystectomy after Neoadjuvant Chemotherapy: Memorial Sloan Kettering Cancer Center Contemporary Experience
International Scholarly Research Notices, Article ID 702653, 6 pages http://dx.doi.org/10.1155/2014/702653 Research Article Partial Cystectomy after Neoadjuvant Chemotherapy: Memorial Sloan Kettering Cancer
More informationNon-Profit Startup Paradigm Launches Cancer Panel Based on DNA, RNA Sequencing
Non-Profit Startup Paradigm Launches Cancer Panel Based on DNA, RNA Sequencing April 11, 2014 By Tony Fong Non-profit diagnostics outfit Paradigm last month joined a growing list of entrants in the clinical
More informationTable S2. Expression of PRMT7 in clinical breast carcinoma samples
Table S2. Expression of PRMT7 in clinical breast carcinoma samples (All data were obtained from cancer microarray database Oncomine.) Analysis type* Analysis Class(number sampels) 1 2 3 4 Correlation (up/down)#
More informationRare Small Cell Carcinoma in Genitourinary Tract: Experience from E-Da Hospital
E-Da Medical Journal 20;():-5 Original Article Rare Small Cell Carcinoma in Genitourinary Tract: Experience from E-Da Hospital Wei-Ting Kuo, I-Wei Chang2, Kevin Lu, Hua-Pin Wang, Tsan-Jung u, Victor C.
More informationUnderstanding the risk of recurrence after primary treatment for prostate cancer. Aditya Bagrodia, MD
Understanding the risk of recurrence after primary treatment for prostate cancer Aditya Bagrodia, MD Aditya.bagrodia@utsouthwestern.edu 423-967-5848 Outline and objectives Prostate cancer demographics
More informationWHAT SHOULD WE DO WITH TUMOUR BUDDING IN EARLY COLORECTAL CANCER?
CANCER STAGING TNM and prognosis in CRC WHAT SHOULD WE DO WITH TUMOUR BUDDING IN EARLY COLORECTAL CANCER? Alessandro Lugli, MD Institute of Pathology University of Bern Switzerland Maastricht, June 19
More informationNEW RESEARCH AND CLINICAL FRONTIERS IN BLADDER AND KIDNEY CANCER
NEW RESEARCH AND CLINICAL FRONTIERS IN BLADDER CANCER LEVERAGING EXISTING STRENGTHS The exceptional quality of the research enterprise at the Vancouver Prostate Centre (VPC) is recognized around the world
More informationAttending Physician Statement- Cancer or Carcinoma in-situ
Instruction to doctor: This patient is insured with us against the happening of certain contingent events associated with his health. A claim has been submitted in connection with Cancer or Carcinoma in-situ.
More informationTrial record 1 of 1 for:
Find Studies About Studies Submit Studies Resources About Site Trial record 1 of 1 for: YO39523 Previous Study Return to List Next Study A Study of Atezolizumab Versus Placebo in Combination With Paclitaxel,
More informationUrinary Bladder, Ureter, and Renal Pelvis
Urinary Bladder, Ureter, and Renal Pelvis Protocol applies to all carcinomas of the urinary bladder, ureter, and renal pelvis. Protocol revision date: January 2005 Based on AJCC/UICC TNM, 6th edition Procedures
More informationMedia Release. Basel, 21 July 2017
Media Release Basel, 21 July 2017 CHMP recommends EU approval for Roche s TECENTRIQ (atezolizumab) in a specific type of metastatic lung and two types of metastatic bladder cancer TECENTRIQ as a potential
More informationAtezolizumab Adjuvant Study: Medical Oncologist Perspective. Sumanta K. Pal, MD City of Hope Comprehensive Cancer Center
Atezolizumab Adjuvant Study: Medical Oncologist Perspective Sumanta K. Pal, MD City of Hope Comprehensive Cancer Center Trial overview Key issues Outline Challenges with neoadjuvant therapy Placebo control
More informationApplications of IHC. Determination of the primary site in metastatic tumors of unknown origin
Applications of IHC Determination of the primary site in metastatic tumors of unknown origin Classification of tumors that appear 'undifferentiated' by standard light microscopy Precise classification
More informationNeoplasie uroteliali Posters & oral presentations
UPDATES and NEWS from the Genitourinary Cancers Symposium 3 Marzo 2017, Milano Neoplasie uroteliali Posters & oral presentations Cristina Masini Oncologia Medica IRCCS-Arcispedale S.Maria Nuova - Reggio
More informationBiomarkers in Imunotherapy: RNA Signatures as predictive biomarker
Biomarkers in Imunotherapy: RNA Signatures as predictive biomarker Joan Carles, MD PhD Director GU, CNS and Sarcoma Program Department of Medical Oncology Vall d'hebron University Hospital Outline Introduction
More informationLarge blocks in prostate and bladder pathology
Large blocks in prostate and bladder pathology Farkas Sükösd Department of Pathology, University of Szeged The history of the large block technique in radical prostatectomy and cystectomy The first large
More informationTITLE: High throughput sequencing of germline and tumor from men with early-onset, metastatic prostate cancer
AWARD NUMBER: W81XWH-13-1-0371 TITLE: High throughput sequencing of germline and tumor from men with early-onset, metastatic prostate cancer PRINCIPAL INVESTIGATOR: A. Cooney, M.D. CONTRACTING ORGANIZATION:
More informationEnterprise Interest Lecture 9º Personalized Healthcare in Oncology sponsored by Roche, Lisbon 2017 Bladder Diagnostic Advisory Board Invitation
Enterprise Interest Lecture 9º Personalized Healthcare in Oncology sponsored by Roche, Lisbon 2017 Bladder Diagnostic Advisory Board Invitation sponsored by Astra-Zeneca, London 2017 SPEC-02 ESP/ESMO PD-L1
More informationQuiz. b. 4 High grade c. 9 Unknown
Quiz 1. 10/11/12 CT scan abdomen/pelvis: Metastatic liver disease with probable primary colon malignancy. 10/17/12 Colonoscopy with polypectomy: Adenocarcinoma of sigmoid colon measuring at least 6 mm
More informationPrimary Small Cell Carcinoma Of The Bladder: A Case Report And Review Of The Literature
ISPUB.COM The Internet Journal of Urology Volume 7 Number 1 Primary Small Cell Carcinoma Of The Bladder: A Case Report And Review Of The Literature T Hsieh, J Aragon-Ching, J Saia, T Sotelo Citation T
More informationUROTHELIAL CELL CANCER
UROTHELIAL CELL CANCER Indications and regimens for neoadjuvant systemic treatment Astrid A. M. van der Veldt, MD, PhD, medical oncologist Department of Medical Oncology Erasmus Medical Center Cancer Institute
More informationWhen to Integrate Surgery for Metatstatic Urothelial Cancers
When to Integrate Surgery for Metatstatic Urothelial Cancers Wade J. Sexton, M.D. Senior Member and Professor Department of Genitourinary Oncology Moffitt Cancer Center Case Presentation #1 67 yo male
More informationChange Log V1.3- v1.4
Change Log V1.3- v1.4 This document shows the changes that were made to the SSDI manual and the Grade manual for the SEER*RSA version 1.4 release on (Date TBD). SSDI Manual Section: General Instructions
More informationContemporary Classification of Breast Cancer
Contemporary Classification of Breast Cancer Laura C. Collins, M.D. Vice Chair of Anatomic Pathology Professor of Pathology Beth Israel Deaconess Medical Center and Harvard Medical School Boston, MA Outline
More informationIntroduction to REMARK: Reporting tumour marker prognostic studies
Introduction to REMARK: Reporting tumour marker prognostic studies Doug Altman The EQUATOR Network Centre for Statistics in Medicine, Oxford, UK C 1 S M Reliable research Reliability is determined by proper
More informationA215- Urinary bladder cancer tissues
A215- Urinary bladder cancer tissues (formalin fixed) For research use only Specifications: No. of cases: 45 Tissue type: Urinary bladder cancer tissues No. of spots: 2 spots from each cancer case (90
More informationThe pathology of bladder cancer
1 The pathology of bladder cancer Charles Jameson Introduction Carcinoma of the bladder is the seventh most common cancer worldwide [1]. It comprises 3.2% of all cancers, with an estimated 260 000 new
More informationGene Expression Profiling for Managing Breast Cancer Treatment. Policy Specific Section: Medical Necessity and Investigational / Experimental
Medical Policy Gene Expression Profiling for Managing Breast Cancer Treatment Type: Medical Necessity and Investigational / Experimental Policy Specific Section: Laboratory/Pathology Original Policy Date:
More informationUpdate on bladder neoplasia: 2016 WHO classification and recent developments within the pathologic, molecular & clinical domains of the disease
Update on bladder neoplasia: 2016 WHO classification and recent developments within the pathologic, molecular & clinical domains of the disease Biology of urothelial tumorigenesis: insights from genetically
More informationDiagnosis and classification
Patient Information English 2 Diagnosis and classification The underlined terms are listed in the glossary. Signs and symptoms Blood in the urine is the most common symptom when a bladder tumour is present.
More informationMAMTA PARIKH, MD, MS CHALLENGING CASE #2: GU CANCER & STATE OF THE ART: CASTRATION RESISTANT PROSTATE CANCER
MAMTA PARIKH, MD, MS CHALLENGING CASE #2: GU CANCER & STATE OF THE ART: CASTRATION RESISTANT PROSTATE CANCER NO RELEVANT FINANCIAL RELATIONSHIPS IN THE PAST TWELVE MONTHS BY PRESENTER OR SPOUSE/PARTNER.
More informationJoseph H. Williams, MD Idaho Urologic Institute St. Alphonsus Regional Medical Center September 22, 2016
BLADDER CANCER Joseph H. Williams, MD Idaho Urologic Institute St. Alphonsus Regional Medical Center September 22, 2016 BLADDER CANCER = UROTHELIAL CANCER Antiquated term is Transitional Cell Carcinoma
More informationProsigna BREAST CANCER PROGNOSTIC GENE SIGNATURE ASSAY
Prosigna BREAST CANCER PROGNOSTIC GENE SIGNATURE ASSAY Methodology The test is based on the reported 50-gene classifier algorithm originally named PAM50 and is performed on the ncounter Dx Analysis System
More informationProsigna BREAST CANCER PROGNOSTIC GENE SIGNATURE ASSAY
Prosigna BREAST CANCER PROGNOSTIC GENE SIGNATURE ASSAY GENE EXPRESSION PROFILING WITH PROSIGNA What is Prosigna? Prosigna Breast Cancer Prognostic Gene Signature Assay is an FDA-approved assay which provides
More informationCosting report: Bladder cancer
Putting NICE guidance into practice Costing report: Bladder cancer Implementing the NICE guideline on bladder cancer (NG2) Published: February 2015 Updated September 2015 to update the unit cost of transurethral
More informationUrothelial Cancers- New Strategies. Sandy Srinivas.MD Stanford University
Urothelial Cancers- New Strategies Sandy Srinivas.MD Stanford University Relevant financial relationships in the past twelve months by presenter or spouse/partner. Consultant: Genentech, Astra Zeneca The
More informationPathology Driving Decisions
Pathology Driving Decisions Part I: Understanding Your Diagnosis and Your Treatment Options May 7, 2018 Presented by: Dr. Matthew Mossanen completed his college and medical school training at UCLA. He
More informationHistology independent indications in Oncology
CHMP Oncology Working Party Workshop Histology independent indications in Oncology What have we learnt from the anti PD1- PDL1 story? J Camarero (CHMP alternate ES, OncWP) Disclaimers the views presented
More informationClinical Outcomes of Patients with pt0 Bladder Cancer after Radical Cystectomy: A Single-institute Experience
Clinical Outcomes of Patients with pt0 Bladder Cancer after Radical Cystectomy: A Single-institute Experience Fumimasa Fukuta, Naoya Masumori *, Ichiya Honma, Masatoshi Muto, Koji Ichihara, Hiroshi Kitamura
More informationDisclosures. The Importance of Pathology? Pathologic, Morphologic and Clinical Features. Pathologic Reproducibility
The Importance of Pathology? Seth P. Lerner, MD, FACS Beth and Dave Swalm Chair in Urologic Oncology Scott Department of Urology Baylor College of Medicine Support for research Disclosures Photocure, Imalux,
More informationBladder Cancer Canada November 21st, Bladder Cancer 2018: A brighter light at the end of the cystoscope
Bladder Cancer Canada November 21st, 2018 Bladder Cancer 2018: A brighter light at the end of the cystoscope Chris Morash MD FRCSC Associate Professor, University of Ottawa Head, Urological Oncology Bladder
More informationData will be submitted to health authorities globally, including the US Food and Drug Administration (FDA) and European Medicines Agency (EMA)
Investor Update Basel, 20 November 2017 Phase III IMpower150 study showed Roche s TECENTRIQ (atezolizumab) and Avastin (bevacizumab) plus chemotherapy significantly reduced the risk of disease worsening
More informationCOXEN FOR PREOPERATIVE BLADDER CANCER CHEMOTHERAPY - IN DEVELOPMENT. Slide support from Dan Theodorescu
COXEN FOR PREOPERATIVE BLADDER CANCER CHEMOTHERAPY - IN DEVELOPMENT Slide support from Dan Theodorescu Bladder Cancer: 0 In need of transformative change Kidney cancer: 7 newly approved drugs, more on
More informationRetrospective analysis to determine the use of tissue genomic analysis to predict the risk of recurrence in early stage invasive breast cancer.
Retrospective analysis to determine the use of tissue genomic analysis to predict the risk of recurrence in early stage invasive breast cancer. Goal of the study: 1.To assess whether patients at Truman
More informationCorporate Medical Policy
Corporate Medical Policy Microarray-based Gene Expression Testing for Cancers of Unknown File Name: Origination: Last CAP Review: Next CAP Review: Last Review: microarray-based_gene_expression_testing_for_cancers_of_unknown_primary
More informationReflex Testing Guidelines for Immunotherapy in Non-Small Cell Lung Cancer
Reflex Testing Guidelines for Immunotherapy in Non-Small Cell Lung Cancer Jimmy Ruiz, MD Assistant Professor Thoracic Oncology Program Wake Forest Comprehensive Cancer Center Disclosures I have no actual
More informationKoji Ichihara Hiroshi Kitamura Naoya Masumori Fumimasa Fukuta Taiji Tsukamoto
Int J Clin Oncol (2013) 18:75 80 DOI 10.1007/s10147-011-0346-8 ORIGINAL ARTICLE Transurethral prostate biopsy before radical cystectomy remains clinically relevant for decision-making on urethrectomy in
More informationCarcinoma of the Urinary Bladder Histopathology
Carcinoma of the Urinary Bladder Histopathology Reporting Proforma (Radical & Partial Cystectomy, Cystoprostatectomy) Includes the International Collaboration on Cancer reporting dataset denoted by * Family
More informationCorporate Medical Policy
Corporate Medical Policy Genetic and Protein Biomarkers for Diagnosis and Risk Assessment of File Name: Origination: Last CAP Review: Next CAP Review: Last Review: genetic_and_protein_biomarkers_for_diagnosis_and_risk_assessment_of_prostate_cancer
More informationAndrogen Receptor Expression in Renal Cell Carcinoma: A New Actionable Target?
Androgen Receptor Expression in Renal Cell Carcinoma: A New Actionable Target? New Frontiers in Urologic Oncology Juan Chipollini, MD Clinical Fellow Department of Genitourinary Oncology Moffitt Cancer
More informationQuality ID #395: Lung Cancer Reporting (Biopsy/Cytology Specimens) National Quality Strategy Domain: Communication and Care Coordination
Quality ID #395: Lung Cancer Reporting (Biopsy/Cytology Specimens) National Quality Strategy Domain: Communication and Care Coordination 2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY MEASURE TYPE:
More informationNational Cancer Institute of Canada Clinical Trials Group (NCIC CTG) Trial design:
Open clinical uro-oncology trials in Canada Eric Winquist, MD, Mary J. Mackenzie, MD, George Rodrigues, MD London Health Sciences Centre, London, Ontario, Canada BLADDER CANCER A PHASE III STUDY OF IRESSA
More informationR&D Conference Call. CHUGAI PHARMACEUTICAL CO., LTD. Department Manager of Oncology Lifecycle Management Dept. Megumi Uzu.
R&D Conference Call CHUGAI PHARMACEUTICAL CO., LTD. Department Manager of Oncology Lifecycle Management Dept. Megumi Uzu July 4, 2016 Forward-Looking Statements This presentation may include forward-looking
More information