Urologische Tumoren. Frans Erdkamp Zuyderland

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1 Urologische Tumoren Frans Erdkamp Zuyderland

2 Disclosure ASCO 2017 travelgrant Pfizer Steering committee Pfizer

3 Onderwerpen Niercelcarcinoom Urotheelcelcarcinoom Prostaatcarcinoom

4 Niercelcarcinoom Adjuvant studies Risk score Immuno studie: Imotion 150

5 Reported TKI Adjuvant Trials Presented By Daniel Heng at 2017 ASCO Annual Meeting

6 PROTECT OS in ITT800mg and ITTAll Presented By Daniel Heng at 2017 ASCO Annual Meeting

7 Awaited Adjuvant Trials in Targeted Therapy Era Presented By Daniel Heng at 2017 ASCO Annual Meeting

8 Slide 14 Presented By Daniel Heng at 2017 ASCO Annual Meeting

9 Recurrence scores helpful only if there is adjuvant therapy Presented By Daniel Heng at 2017 ASCO Annual Meeting

10 Primary Objective: Prognostic Value<br />Association of RS with TTR in placebo arm Presented By Daniel Heng at 2017 ASCO Annual Meeting

11 Primary Objective: Predictive Value<br />Association of RS with TTR in placebo vs sunitinib<br /> Presented By Daniel Heng at 2017 ASCO Annual Meeting

12 16 Gene Recurrence Score (RS) Presented By Daniel Heng at 2017 ASCO Annual Meeting

13 Slide 24 Presented By Daniel Heng at 2017 ASCO Annual Meeting

14 Selected Adjuvant Immunoncology Trials Presented By Daniel Heng at 2017 ASCO Annual Meeting

15 Conclusions Presented By Daniel Heng at 2017 ASCO Annual Meeting

16 IMmotion150 (Phase II) Trial Design Presented By Michael Atkins at 2017 ASCO Annual Meeting

17 Shifting the Balance Toward Anti-Cancer Immunity <br />With Combined VEGF/PD-L1 Blockade Presented By Michael Atkins at 2017 ASCO Annual Meeting

18 1L Progression-Free Survival<br />ITT Presented By Michael Atkins at 2017 ASCO Annual Meeting

19 1L Progression-Free Survival<br /> 1% of IC Expressing PD-L1 Presented By Michael Atkins at 2017 ASCO Annual Meeting

20 Crossover Progression-Free Survival by 1L <br />Response Status Presented By Michael Atkins at 2017 ASCO Annual Meeting

21 Conclusions Presented By Michael Atkins at 2017 ASCO Annual Meeting

22 Urotheelcelcacinoom Relatief weinig echt nieuws Immuun studies

23 Metastatic urothelial carcinoma Presented By Jonathan Rosenberg at 2017 ASCO Annual Meeting

24 Abstract 4501: Survival analysis from phase 3, open-label study of pembrolizumab versus chemotherapy in advanced UC Presented By Jonathan Rosenberg at 2017 ASCO Annual Meeting

25 KEYNOTE-052 (NCT ): First-Line Pembrolizumab for Cisplatin-Ineligible Advanced Urothelial Cancer<br /> Presented By Peter O''Donnell at 2017 ASCO Annual Meeting

26 Confirmed Objective Response Rate: Validation Set Presented By Peter O''Donnell at 2017 ASCO Annual Meeting

27 Advanced Bladder Cancer Treatment Algorithm: June 2017 Presented By Jonathan Rosenberg at 2017 ASCO Annual Meeting

28 Prostaatcarcinoom Fase 2 studie Enza vs Abi laat geen verschil zien Doorgaan met Enza bij start Abi bij progressieve ziekte heeft geen toegevoegde waarde: PLATO studie Echter wat als Radium of docetaxel toevoegen? Duur ADT bij hoog risico patienten Risk score Stampede en Lattidu studies

29 Duration of Androgen Deprivation Therapy in High Risk Prostate Cancer:<br />Final Results of a Randomized Phase III Trial Presented By Abdenour Nabid at 2017 ASCO Annual Meeting

30 Slide 3 Presented By Abdenour Nabid at 2017 ASCO Annual Meeting

31 Randomization 10/2000 to 01/2008 Presented By Abdenour Nabid at 2017 ASCO Annual Meeting

32 Slide 10 Presented By Abdenour Nabid at 2017 ASCO Annual Meeting

33 Slide 4 Presented By Robert Bristow at 2017 ASCO Annual Meeting

34 Risk score verlaagt in 30% de risk groep Presented By Robert Bristow at 2017 ASCO Annual Meeting

35 Lattitude en Stampede studies OS DFS PCSM Time to radiographic progression Time to PSA rise

36 Lattitude OS Presented By Eric Small at 2017 ASCO Annual Meeting

37 Subsequent life-prolonging therapy for prostate cancer Presented By Eric Small at 2017 ASCO Annual Meeting

38 Slide 13 Presented By Eric Small at 2017 ASCO Annual Meeting

39 Slide 15 Presented By Eric Small at 2017 ASCO Annual Meeting

40 Comparing CHAARTED High Volume Patients and LATITUDE Patients Presented By Eric Small at 2017 ASCO Annual Meeting

41 Comparing LATITUDE and CHAARTED Patients Presented By Eric Small at 2017 ASCO Annual Meeting

42 Comparing Overall Survival Across Studies Presented By Eric Small at 2017 ASCO Annual Meeting

43 Slide 20 Presented By Eric Small at 2017 ASCO Annual Meeting

44 Slide 21 Presented By Eric Small at 2017 ASCO Annual Meeting

45 Slide 22 Presented By Eric Small at 2017 ASCO Annual Meeting

46 CONCLUSIONS: Comparing LATITUDE and CHAARTED Presented By Eric Small at 2017 ASCO Annual Meeting

47 Slide 26 Presented By Eric Small at 2017 ASCO Annual Meeting

48 Comparing Overall Survival Across Studies Presented By Eric Small at 2017 ASCO Annual Meeting

49 Unanswered Questions: Efficacy Presented By Eric Small at 2017 ASCO Annual Meeting

50 Implications: While there is much to celebrate Presented By Eric Small at 2017 ASCO Annual Meeting

51 Slide 36 Presented By Eric Small at 2017 ASCO Annual Meeting

52 Take Homes from Latitude Presented By Eric Small at 2017 ASCO Annual Meeting

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