BCANTT 2024: Rationally Engineered IL2 for Enhanced Treatment of Local and Metastatic Bladder Cancer

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to a 2022 and 2021 Bladder Cancer Research Innovation Awardees session. Dr. Tyler Curiel presented the results of an analysis evaluating rationally engineered IL-2 for the enhanced treatment of local and metastatic bladder cancer.

BCANTT 2024: Setting the Stage: BCG Unresponsive Disease

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to an interactive patient advocate-centered session addressing treatment options, concerns, and survivorship issues in a bladder cancer patient’s journey. This session was paneled by Drs. Roger Li and Mary Beth Westerman, and were joined by the following BCAN patient advocates:

BCANTT 2024: Identifying Genetic Determinants and Vulnerabilities of Histologic Variants of Bladder Cancer

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to a 2022 and 2021 Bladder Cancer Research Innovation Awardees session. Dr. John Lee discussed his lab’s research efforts for identifying both genetic determinants and vulnerabilities of histologic variants of bladder cancer.

BCANTT 2024: Bladder Cancer Surveillance: Is Less More?

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to an interactive patient advocate-centered session addressing treatment options, concerns, and survivorship issues in a bladder cancer patient’s journey. After the BCAN patient advocates shared their bladder cancer journeys, Dr. Mary Beth Westerman provided an overview of contemporary surveillance regimens and tools for bladder cancer patients.

BCANTT 2024: Dissecting the Impact of E-Cadherin Loss on the Immune Microenvironment

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to a BCAN 2023 Patient Centered Clinical Young Investigator Awardee session. Dr. Kathryn Gessner presented the results of a study dissecting the impact of E-cadherin loss on the immune microenvironment and response to immune checkpoint blockade in plasmacytoid urothelial carcinoma.

BCANTT 2024: Exploring FGFR3 Inhibition as a Sensitizing Agent to Nectin-4 Antibody Drug Conjugate Therapy in Urothelial Carcinoma

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA between August 7th and 9th, 2024 was host to a BCAN 2023 Patient-Centered Clinical Young Investigator Awardee session. Dr. Sean Clark-Garvey presented his group’s work exploring Fibroblast Growth Factor 3 (FGFR3) inhibition as a sensitizing agent to Nectin-4 antibody-drug conjugate (ADC) therapy in urothelial carcinoma.

BCANTT 2024: Using Implementation Science to Improve Surveillance for Early-Stage Bladder Cancer

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA between August 7th and 9th, 2024 was host to an implementation science session that addressed bridging evidence generation to practice in bladder cancer care.

BCANTT 2024: Bladder Cancer Care Implementation: NCCN Bladder Cancer Guidelines

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA between August 7th and 9th, 2024 was host to an implementation science session that addressed bridging evidence generation to practice in bladder cancer care. Dr. Thomas Flaig provided an overview of the National Comprehensive Cancer Network (NCCN) and discussed bladder cancer care implementation within the NCCN bladder cancer guidelines.

BCANTT 2024: A Rapid Intro to Implementation Science

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA between August 7th and 9th, 2024 was host to an implementation science session that addressed bridging evidence generation to practice in bladder cancer care. Dr. Kristian Stensland opened the session by providing a high-yield overview of implementation science.

BCANTT 2024: Implementation of Smoking Cessation for Patients with Bladder Cancer

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to an implementation science session that addressed bridging evidence generation to practice in bladder cancer care. Dr. Marc Bjurlin provided an overview of smoking cessation implementation efforts for patients with bladder cancer.

BCANTT 2024: Disrupting the Paradigm of First-line Therapy in Metastatic Urothelial Cancer

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to an implementation science session that addressed bridging evidence generation to practice in bladder cancer care. Dr. Andrea Apolo discussed the latest advances in the field of advanced urothelial carcinoma, focusing on the recently published phase III trials, EV-302 (enfortumab vedotin + pembrolizumab)1 and CheckMate 901 (nivolumab + gemcitabine/cisplatin).2

BCANTT 2024: Identifying Individual and Community-Level Drivers of Disparities in Bladder Cancer Clinical Trials Participation

(UroToday.com) The 2024 Bladder Cancer Advocacy Network (BCAN) Bladder Cancer Think Tank held in San Diego, CA was host to a BCAN 2023 Patient Centered Clinical Young Investigator Awardee session. Dr. Rishi Sekar, the Patient-Centered Clinical Research Young Investigator Awardee, discussed his work evaluating individual and community-level drivers of disparities in bladder cancer clinical trials participation.

AMA 2024: Updates on Public Health Related Policy Adopted at the AMA 2024 Annual Meeting

(UroToday.com) In June 2024, the House of Delegates (HOD) gathered at the American Medical Association (AMA) Annual Meeting in Chicago, IL. During this assembly, members of the legislative body engaged in discussions, debates, and voting to determine the healthcare policies that would be adopted as official directives. Numerous new policies pertaining to public health were reviewed and approved -- herein, we review some of the new policy related to the practice of urology.

SNMMI 2024: Response Assessment in RPTs for Prostate Cancer: Everyone’s A Winner

(UroToday.com) The 2024 Society of Nuclear Medicine & Molecular Imaging (SNMMI) annual meeting featured a session on prostate cancer, and a presentation by Dr. Louise Emmett discussing response assessment in radiopharmaceutical therapies for prostate cancer. Dr. Emmett started her presentation by noting that for patients with high PSMA SUVmean (quartile 4), PSA50 response rate to 177Lu PSMA is excellent (89%). However, for those patients with low SUVmean (quartile 1) there is relatively poor 177Lu PSMA PSA50 response rates (29%), but which are reasonable with cabazitaxel (43%):

AMA 2024: Updates on Legislation Related Policy Adopted at the AMA 2024 Annual Meeting

(UroToday.com) The House of Delegates (HOD) convened at the American Medical Association (AMA) Annual Meeting in Chicago, IL, in June 2024. During the HOD, voting members of the legislative body of the organization deliberated, debated, and cast votes to finalize the healthcare policies that the organization would implement as official guidelines. A variety of important new policies related to urology and medical legislation were considered and passed.

AMA 2024: Updates on Science and Technology Related Policy Adopted at the AMA 2024 Annual Meeting

(UroToday.com) In June 2024, the House of Delegates (HOD) met during the American Medical Association (AMA) Annual Meeting, where they engage in discussions, debates, and voting processes to determine the healthcare policies that the organization will adopt as official directives. Within Reference Committee E, which is focused on science and technology-related issues, several new policies relevant to urology were adopted.

AMA 2024: Updates on Medical Practice Related Policy Adopted at the AMA 2024 Annual Meeting

(UroToday.com) During the 2024 American Medical Association (AMA) Annual Meeting, the House of Delegates (HOD) convened to discuss, debate, and vote on healthcare policy that the organization will adopt as official directives. The HOD included a reference committee on Medical Practice related policy. Several reports and policies are of significance to urologists and urology patients. The Board of Trustees of the AMA presented a report entitled, "Transparency and Accountability of Hospitals and Hospital Systems” which called for transparent reporting of final determinations of physician complaints against hospitals and health systems through publicly accessible channels, such as the Joint Commission Quality Check reports. The AMA also announced that they plan to develop educational materials on the peer review process and advocate on behalf of doctors who have been subjected to bad-faith peer reviews. This will include information on what constitutes a bad-faith peer review and the options available to physicians navigating the peer review process.

ASCO 2024: Validation of a Digital Pathology-Based Multimodal Artificial Intelligence Model in Oligometastatic Castration-Sensitive Prostate Cancer, Including in Patients from the STOMP and ORIOLE Phase II Randomized Clinical Trials

(UroToday.com) The 2024 American Society of Clinical Oncology (ASCO) annual meeting featured a session on prostate cancer, and a presentation by Dr. Philip Sutera discussing the validation of a digital pathology-based multimodal artificial intelligence model in oligometastatic castration-sensitive prostate cancer (CSPC). Oligometastatic CSPC is a state of limited metastatic disease, and randomized trials have demonstrated improvements in progression-free survival in patients with oligometastatic CSPC treated with metastasis-directed therapy. However, clinical outcomes remain heterogeneous and response to metastasis-directed therapy is variable, raising the need for prognostic/predictive biomarkers. A multimodal artificial intelligence biomarker (ArteraAI Prostate Test) was recently trained using data from patients with localized prostate cancer and found to be prognostic.1,2 The multimodal architecture is composed of two parts: (i) a tower stack to parse a variable number of digital histopathology slides, and (ii) another tower stack to merge the resultant features and predict binary outcomes:

SNMMI 2024: Registrational Trials for PSMA PET

(UroToday.com) The 2024 Society of Nuclear Medicine & Molecular Imaging (SNMMI) annual meeting featured a session on prostate cancer, and the Barry Siegel Award Lecture presentation by Dr. Steven Rowe discussing registrational trials for PSMA PET. Dr. Rowe started his presentation highlighting that PSMA is a transmembrane carboxypeptidase highly expressed on prostate cancer cells with frequent expression observed in prostate cancer tumors. Furthermore, there has been direct correlation between expression levels and tumor aggressive. What we know so far about PSMA PET is that it has (i) moderate sensitivity and very high specificity for preoperative nodal staging, (ii) high detection efficiency for sites of biochemical recurrence, and (iii) effective for guiding focal therapy and selecting patients for PSMA-based therapeutic molecules. 18F-DCFPyL in high risk prostate cancer patients can have vastly different staging results:

SNMMI 2024: Prognostic Value of Post-Therapy SPECT/CT Imaging in Patients Undergoing 177Lu-PSMA-617 Radioligand Therapy: Results from 3 Clinical Trials

(UroToday.com) The 2024 Society of Nuclear Medicine & Molecular Imaging (SNMMI) annual meeting featured a session on prostate cancer, and a presentation by Dr. Raghava Karri discussing the prognostic value of post-therapy SPECT/CT imaging in patients undergoing 177Lu-PSMA-617 (Lu-PSMA) radioligand therapy. Despite established efficacy of Lu-PSMA, as evidenced by the TheraP1 and VISION2 trials, there remains a notable gap in understanding the utility of post-therapy imaging. At the 2024 SNMMI annual meeting, Dr. Karri and colleagues reviewed changes on post-therapy SPECT/CT as a prognostic biomarker compared to PSA and conventional prognostic parameters in three clinical trials.