Neeraj Agarwal on ASCO GU 2026: Survival Signals, Biomarkers, and the Future of GU Trials Part 1
Neeraj Agarwal

Neeraj Agarwal on ASCO GU 2026: Survival Signals, Biomarkers, and the Future of GU Trials Part 1

Neeraj Agarwal, Presidential Endowed Chair of Cancer Research at the Huntsman Cancer Institute (HCI), shared a post on X:

Abstract 16

ASCO GU 2026 by Maha Hussain BRCAAway Ph2 trial in 1L mCRPC w/ BRCA1/2 or ATM alterations prostate cancer improved OS (68 mo) w/ abi + olaparib vs each monotherapy or sequential use supports upfront PARPi+ARPI.

Title: Overall survival from the phase 2 trial of abiraterone, olaparib, or abiraterone + olaparib in first-line metastatic castration-resistant prostate cancer (mCRPC) with DNA repair defects (BRCAAway)

Authors: Maha H. Hussain, Masha Kocherginsky, Channing J. Paller, Neeraj Agarwal, Latifa A. Bazzi, Nabil Adra, Zachery R. Reichert, Jingsong Zhang, Joel Picus, Russell Z. Szmulewitz, Scott T. Tagawa, Timothy M. Kuzel, Young E. Whang, Ryan D. Stephenson, Robert Dreicer, Daniel Shevrin, Matthew Rettig, Emmanuel S. Antonarakis

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Neeraj Agarwal

Abstract 305

ASCO GU 2026 by Amar Kishan POSEIDON IPD meta-analysis of post-op RT ± ADT in recurrent prostate cancer No OS benefit from adding ADT to RT (HR 0.87, p=0.06) at PSA <0.5 ng/mL.

Title: Hormone therapy use and duration with post-operative radiotherapy for recurrent prostate cancer: An individual patient data meta-analysis

Authors:  Amar U. Kishan, Yilun Sun, Chris Parker, Matthew R. Sydes, Paul H. Sargos, Sylvie Chabaud, Meryem Brihoum, Pascal Pommier, Luca F. Valle, Soumyajit Roy, Michael L. Steinberg, Angela Y. Jia, Jason A. Efstathiou, James J. Dignam, Alan Pollack, Howard M. Sandler, Paul Nguyen, Daniel E. Spratt

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Neeraj Agarwal

Abstract 19

ASCO GU 2026 by Fred Saad. Ph1 trial of 225Ac-PSMA-Trillium in mCRPC prostate cancer No DLTs promising PSA50 83% at 125 kBq/kg (RDE), ORR 46%, response in PSMA PET SUVmean>10.

Title: First-in-human assessment of actinium-225-prostate-specific membrane antigen (225Ac-PSMA)-Trillium (BAY 3563254) in mCRPC: Dose-escalation results of the phase 1 PAnTHa study

Authors: Fred Saad, Sebastien J. Hotte, Anuradha Jayaram, Carlos Artigas, Ramy Saleh, Corinne Maurice-Dror, Siska Van Bruwaene, Cristina Boixareu, Nina Tunariu, Zineb Hamilou, Daniel Juneau, Charles Glaus, Katrina Walker, Ying (Amanda) Wang, Christoph M. Griessinger, Abdel Nasser Hosein, Johann S. De Bono

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Neeraj Agarwal

Abstract 633

ASCO GU 2026 by Tom Powles. IMvigor011 ctDNA dynamics in MIBC bladder cancer early ctDNA + linked to worse DFS Atezo ctDNA vs placebo (P=0.009) ctDNA clearance associated with improved DFS and OS.

Title: Circulating tumor (ct)DNA-guided adjuvant atezolizumab (atezo) in muscle-invasive bladder cancer (MIBC): Exploratory analysis of ctDNA dynamics in the IMvigor011 trial.

Authors: Thomas Powles, Jessia Grindheim, Mesut Yilmaz, Grigorios Rallis, Mahmut Gumus, Consuelo Buttigliero, Teresa Bonfill, Franco Nole, Ho Kyung Seo, Michaela Matouskova, Iwona Skoneczna, Wim Demey, Patrizia Giannatempo, Sylvie Rottey, Damien Pouessel, Syed A. Hussain, Elizabeth E. Steinberg, Richard Price, Yohann Loriot, Joaquim Bellmunt

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Neeraj Agarwal

Abstract 635

ASCO GU 2026 by Andrea Necchi. SunRISe-2 in MIBC bladder cancer pts ineligible/declining surgery Gem-iDRS+CET did not improve bladder-intact EFS vs chemoRT (HR 1.71) MFS/OS similar great efforts.

Title: Gemcitabine intravesical system (Gem-iDRS) in combination with cetrelimab (CET) versus chemoradiotherapy (CRT) in muscle-invasive bladder cancer (MIBC): SunRISe-2 final results

Authors: Andrea Necchi, Stephen B. Williams, Phouc Tran, Yohann Loriot, Mariaconsiglia Ferriero, Hernan J. Cutuli, Makito Miyake, Guenter Niegisch, Paul Nguyen, Siamak Daneshmand, Felipe Villacampa-Aubá, Wolfgang Jessner, Meggan Tammaro, Marietta Kashmer, Jenna Carcione, Monelle Tamegnon, Hussein Sweiti, Robert A. Somer, Sumeet K. Bhanvadia, Shahrokh F. Shariat

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Neeraj Agarwal

Abstract 636

ASCO GU 2026 by Michiel van der Heijden. NIAGARA trial bladder cancer Periop durvalumab+NAC urine utDNA clearance (39% vs 27%) utDNA clearance pCR (72% vs 18%), dual utDNA/ctDNA- showed 90% 24-mo EFS.

Title: Urinary tumor DNA (utDNA) and circulating tumor DNA (ctDNA) in patients (pts) with muscle-invasive bladder cancer (MIBC) who received perioperative durvalumab (D) in NIAGARA

Authors: Michiel S. Van Der Heijden, Matthew D. Galsky, Ricky Joshi, James W. Catto, Joshua J. Meeks, Hiroyuki Nishiyama, Hikmat Al-Ahmadie, Lorenzo Antonuzzo, Toan Vu Quang, Yousef Zakharia, Vagif Atduev, Bernhard J. Eigl, Cristina Suárez, Svetlana Ho, Huiling Xiong, Agrin Moeini Mortazavi, Yashaswi Shrestha, Thomas Powles

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Neeraj Agarwal

Abstract 638

ASCO GU 2026 by Anders Ullen. KEYNOTE-905 in cisplatin ineligible MIBC bladder cancer Periop EV+pembro + RC/PLND OS, pCR, pDS, surgical outcomes and DFS vs surgery alone Supports EV+pembro as new SOC.

Title: Pathological outcomes and disease-free survival (DFS) in KEYNOTE-905: Neoadjuvant and adjuvant (neoadj-adj) enfortumab vedotin (EV) plus pembrolizumab (pembro) in participants (pts) with muscle-invasive bladder cancer (MIBC) who are cisplatin-ineligible

Authors: Anders Ullén, Christof Vulsteke, Jens Bedke, Steffen Rausch, Shilpa Gupta, Seok-Ho Kang, Jeanny B. Aragon-Ching, Laura Bernal Vaca, Viktor Paramonov, Avivit Peer, Viktor Stus, Vagif Atduev, Keita Nakane, Jasmine Lichfield, Changting Meng, David Huang, Chethan Ramamurthy, Blanca Homet Moreno, Matthew D. Galsky

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Neeraj Agarwal

Abstract 587

ASCO GU 2026 by Jennifer King. Ph2 cabozantinib in relapsed/refractory germ cell tumors (n=44) Clinical benefit in >40% pts Cabo is the 1st non-cytotoxic agent w/ meaningful activity in this setting.

Title: A phase II trial of cabozantinib in relapsed refractory germ-cell tumors (GCT)

Authors: Jennifer King, Sandra K. Althouse, Yong Zang, Tareq Salous, Nasser H. Hanna, Lawrence H. Einhorn, Nabil Adra

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Neeraj Agarwal

Abstract 537

ASCO GU 2026 by Chad Tang. Oligomet RCC kidney cancer treated w/ MDT KIM-1 and ctDNA independently predicted recurrence and survival Combined w/ clinical factors (K-COMPASS) risk stratification.

Title: Circulating KIM-1 and ctDNA as prognostic markers in oligometastatic clear cell renal cell carcinoma (ccRCC): The K-COMPASS model

Authors: Chad Tang, Aaron Seo, Alexander D. Sherry, Peng Yang, Kieko Hara, Kanishka Sircar, Giannicola Genovese, Eric Jonasch, Amishi Y. Shah, Sarah Ratzel, Ashley Acevedo, Christopher J. Battey, Clara Steiner, Liliana Ascione, Xiaowen Liu, Nizar M. Tannir, Toni K. Choueiri, Pavlos Msaouel, Wenxin Xu

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Neeraj Agarwal

Abstract 676

ASCO GU 2026 by Georges Gebrael. In real-world US advanced bladder cancer pts Platinum-based and targeted Rx are most common 2L Post-EV+Pembro outcomes are modest.

Title: Treatment patterns and outcomes with second line (2L) therapies in patients (pts) with advanced urothelial carcinoma (aUC) previously treated with first line (1L) enfortumab vedotin (EV) with pembrolizumab (pembro)

Authors: Georges Gebrael, Yeonjung Jo, Zeynep Irem Ozay, Edwin Lin, Nicolas Sayegh, Micah Ostrowski, Varun Nandakumar, Chadi Hage Chehade, Richard Ji, Ethan Murdock, Patrick Campbell, Vinay Mathew Thomas, Sumati Gupta, Benjamin L. Maughan, Umang Swami, Neeraj Agarwal

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Neeraj Agarwal

Abstract 219

ASCO GU 2026 by Georges Gebrael. Distinct genomic landscape of BRCA1/2 wild type HRDsig+ prostate cancer (n=23,336 pts Foundation Medicine) compared to HRDsig– prostate cancer may impact development of combination Rx.

Title: Homologous recombination deficiency signature (HRDsig) status in BRCA1/2 wild type (BRCA1/2wt) clinically advanced prostate cancer (CAPC)

Authors: Georges Gebrael, Dean C. Pavlick, Ole Gjoerup, Petros Grivas, Sumanta K. Pal, Shilpa Gupta, Roger Li, Ashish M. Kamat, Joseph M. Jacob, Alina Basnet, Liang Cheng, Douglas I. Lin, Hanan Goldberg, Andrea Necchi, Gennady Bratslavsky, Philippe E. Spiess, Ryon P. Graf, Jeffrey S. Ross, Neeraj Agarwal

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Neeraj Agarwal

Abstract 101

ASCO GU 2026 by Micah Ostrowski. Real-world study of 850 pts w/ Lu-177 treated mCRPC prostate cancer in Flatiron Health. Lu-177 remained effective regardless of prior taxane exposure.

Title: Survival outcomes of patients (pts) with metastatic castration-resistant prostate cancer (mCRPC) receiving lutetium Lu 177 vipivotide tetraxetan (Lu) by prior taxane exposure

Authors: Micah Ostrowski, Yeonjung Jo, Georges Gebrael, Zeynep Irem Ozay, Varun Nandakumar, Edwin Lin, Nicolas Sayegh, Ayana Srivastava, Vinay Mathew Thomas, Haoran Li, Benjamin L. Maughan, Neeraj Agarwal, Umang Swami

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Neeraj Agarwal

Abstract 103

ASCO GU 2026 by Martin Schoen. Real-world cohort of elderly/frail veterans w/ de novo mHSPC receiving ADT +/- ARPIs prostate cancer ARPI + ADT improved OS regardless of old age or frailty.

Title: Overall survival (OS) in elderly, frail, or high comorbidity veterans receiving androgen receptor pathway inhibitors (ARPIs) with androgen-deprivation therapy (ADT) vs ADT alone for de novo metastatic castration-sensitive prostate cancer (mCSPC)

Authors: Martin W. Schoen, Jason M. Doherty, Nader N. El-Chaar, Jasmina I. Ivanova, Brian Talon, Daniel B. Eaton Jr., Di Zhao, Jason Cohen, Maelys Touya

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Neeraj Agarwal
Abstract 92

ASCO GU 2026 by Varun Nandakumar. End-of-life (EOL) Rx analysis of ~10,000 pts w/ mCRPC prostate cancer in Flatiron Health ~60% remained on Rx in last 3 mo of life need for more patient-centered EOL care.

Title: End-of-life treatment patterns in patients (pts) with metastatic castration-resistant prostate cancer (mCRPC)

Authors: Varun Nandakumar, Yeonjung Jo, Georges Gebrael, Zeynep Irem Ozay, Nicolas Sayegh, Chadi Hage Chehade, Micah Ostrowski, Edwin Lin, Ethan Murdock, Benjamin L. Maughan, Neeraj Agarwal, Umang Swami

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Neeraj Agarwal

Other articles about ASCO on OncoDaily.

Aaron Seo Abdel Nasser Hosein Agrin Moeini Mortazavi Alan Pollack Alexander D. Sherry Alina Basnet Amar U. Kishan Amishi Y Shah Andrea Necchi Angela Y. Jia Anuradha Jayaram Ashish M. Kamat Ashley Acevedo Ayana Srivastava Benjamin L Maughan Bernhard J. Eigl Brian Talon cancer Carlos Artigas Chad Tang Chadi Hage Chehade Channing J Paller Charles Glaus Chris Parker Christoph M. Griessinger Christopher J Battey Clara Steiner Consuelo Buttigliero Corinne Maurice-Dror Cristina Boixareu Cristina Suárez Damien Pouessel Daniel B. Eaton Jr. Daniel E Spratt Daniel Juneau Daniel Shevrin Dean C. Pavlick Di Zhao Douglas I. Lin Edwin Lin Elizabeth E. Steinberg Emmanuel S Antonarakis Eric Jonasch Ethan Murdock Felipe Villacampa-Aubá Franco Nolè Fred Saad Gennady Bratslavsky Georges Gebrael Giannicola Genovese Grigorios Rallis Guenter Niegisch Hanan Goldberg Haoran Li Hernan J. Cutuli Hikmat Al-Ahmadie Hiroyuki Nishiyama Ho Kyung Seo Howard M. Sandler Huiling Xiong Hussein Sweiti Iwona Skoneczna James J. Dignam James W. Catto Jasmina I Ivanova Jason A. Efstathiou Jason Cohen Jason M. Doherty Jeffrey S. Ross Jenna Carcione Jennifer King Jessia Grindheim Jingsong Zhang Joaquim Bellmunt Joel Picus Johann S. de Bono Joseph M. Jacob Joshua J. Meeks Kanishka Sircar Katrina Walker Kieko Hara Latifa A. Bazzi Lawrence H. Einhorn Liang Cheng Liliana Ascione Lorenzo Antonuzzo Luca F. Valle Maelys Touya Maha H. Hussain Mahmut Gümüş Makito Miyake Mariaconsiglia Ferriero Marietta Kashmer Martin W. Schoen Masha Kocherginsky Matthew D. Galsky Matthew R. Sydes Matthew Rettig Meggan Tammaro Meryem Brihoum Mesut Yilmaz Micah Ostrowski Michael L. Steinberg Michaela Matouskova Michiel S. Van der Heijden Monelle Tamegnon Nabil Adra Nader N. El-Chaar Nasser H. Hanna Neeraj Agarwal Nicolas Sayegh Nina Tunariu Nizar M. Tannir Ole Gjoerup OncoDaily Oncology Pascal Pommier Patrick Campbell Patrizia Giannatempo Paul H. Sargos Paul Nguyen Pavlos Msaouel Peng Yang Petros Grivas Philippe E. Spiess Phouc Tran Ramy Saleh Richard Ji Richard Price Ricky Joshi Robert A. Somer Robert Dreicer Roger Li Russell Z Szmulewitz Ryan D. Stephenson Ryon P. Graf Sandra K. Althouse Sarah Ratzel Scott T. Tagawa Sebastien J. Hotte Shahrokh F Shariat Shilpa Gupta Siamak Daneshmand Siska Van Bruwaene Soumyajit Roy Stephen B. Williams Sumanta K. Pal Sumati Gupta Sumeet K. Bhanvadia Svetlana Ho Syed A. Hussain Sylvie Chabaud Sylvie Rottey Tareq Salous Teresa Bonfill Thomas Powles Timothy M. Kuzel Toan Vu Quang Toni K. Choueiri Umang Swami Vagif Atduev Varun Nandakumar Vinay Mathew Thomas Wenxin Xu Wim Demey Wolfgang Jessner Xiaowen Liu Yashaswi Shrestha Yeonjung Jo Yilun Sun Ying (Amanda) Wang Yohann Loriot Yong Zang Young E. Whang Yousef Zakharia Zachery R. Reichert Zeynep Irem Ozay Zineb Hamilou