Neeraj Agarwal on ASCO GU 2026: Survival Signals, Biomarkers and the Future of GU Trials Part 2
Neeraj Agarwal

Neeraj Agarwal on ASCO GU 2026: Survival Signals, Biomarkers and the Future of GU Trials Part 2

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

Abstract 94

ASCO GU 2026 by Gabriel Hooper. Rx patterns of ~5000 pts w/ mCRPC prostate cancer in Flatiron Health. ARPIs and taxanes remained most common 1L Rx only ~50% received 2L Rx suggesting need to optimize sequencing.

Title: Treatment (Rx) patterns and attrition rates in patients (pts) with metastatic castration-resistant prostate cancer (mCRPC) treated between 2021-2025

Authors: Gabriel Hooper, Yeonjung Jo, Georges Gebrael, Zeynep Irem Ozay, Varun Nandakumar, Ethan Murdock, Chadi Hage Chehade, Micah Ostrowski, Nicolas Sayegh, Patrick Campbell, Roberto H. Nussenzveig, Vinay Mathew Thomas, Neeraj Agarwal, Umang Swami

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Neeraj Agarwal

Abstract 546

ASCO GU 2026 by Alex Zhu. AI-derived digital pathology biomarker (CHAI) independently prognostic for progression and OS in localized RCC kidney cancer further validation needed.

Title: Development and validation of a computational histology artificial intelligence (CHAI) prognostic biomarker in renal cell carcinoma

Authors: Alex Zhu, Viswesh Krishna, Vrishab Krishna, Gaurav Kaul, Vivek Nimgaonkar, Snehal S. Sonawane, Lesli A. Kiedrowski, Trevor Royce, Anirudh Joshi, Sumanta K. Pal

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Neeraj Agarwal

Abstract 487

ASCO GU 2026 Congrats Paulo G Bergerot and team participation in remote exercise program was associated w/ QOL (decreased fatigue) in pts w/ metastatic GU cancers.

Title: Effect of remote exercise on fatigue and quality of life (QOL) across genitourinary (GU) cancer types

Authors: Paulo G. Bergerot, Cristiane D. Bergerot, Jonas R. Silva, Marcos V. Franca, William H. Fuzita, Murilo Buso, Alessandra Leite, Carlos Watanabe, Patricia W. Schorn, Narjust Florez, Sumanta K. Pal, Kathryn H. Schmitz

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Neeraj Agarwal

Abstract 528

ASCO GU 2026 by Yu-Wei Chen. PI3K/AKT/mTOR and DDR alterations were associated w/ response to belzutifan in RCC kidney cancer prospective validation needed.

Title: Genomic and clinical correlates of belzutifan treatment in renal cell carcinoma (RCC): A retrospective analysis of 240 RCC patients

Authors: Yu-Wei Chen, Shayan S. Nazari, Andrew Elliott, Ninad Kulkarni, Norm Smith, Rashad Nawfal, Liliana Ascione, Marc Machaalani, Pedro C. Barata, Brent S. Rose, Aditya Bagrodia, Neeraj Agarwal, Sumanta K. Pal, Toni K. Choueiri, Rana R. McKay

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Neeraj Agarwal

Abstract 507

ASCO GU 2026 by Ali Moradi. Long-term outcomes w/ live bacteria (CBM588) in mRCC kidney cancer addition of CBM588 to frontline ICI Rx ORR and PFS supporting upcoming Ph3 SWOG. BIOFRONT study.

Title: Long-term clinical outcomes with Clostridium butyricum MIYAIRI 588 (CBM588) and TOPOSCORE assessment in patients receiving immune checkpoint inhibitor (ICI)-based combinations for metastatic renal cell carcinoma (mRCC)

Authors: Ali Moradi, Nazli Dizman, Hedyeh Ebrahimi, Xinran Qi, Antonio Cruz Gomes, Miguel Zugman, Salvador Jaime-Casas, Vitor Abreu De Goes, Xiaochen Li, Tanya B. Dorff, Joann Hsu, Alexander Chehrazi-Raffle, Motomichi Takahashi, Kentaro Oka, Seiya Higashi, Peter P. Lee, Thomas P. Parks, Jennifer Karmouch, Robert Jeng, Sumanta K. Pal

Neeraj Agarwal

Abstract 488

ASCO GU 2026 by Gabriel Hooper, pts w/ mRCC kidney cancer on belzutifan 53% had gr≥3 hypoxia, 80% gr≥2 anemia data suggest close monitoring of pts on belzutifan living/visiting high altitude areas.

Title: Incidence of symptomatic hypoxia in a high-altitude cohort of patients with renal cell carcinoma (RCC) treated with belzutifan

Authors: Taylor R. McFarland, Audrey Seidel, Georges Gebrael, Zeynep Irem Ozay, Gabriel Hooper, Micah Ostrowski, Richard Ji, Varun Nandakumar, Haoran Li, Benjamin L. Maughan, Umang Swami, Julia Batten, Neeraj Agarwal

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Neeraj Agarwal

Abstract 634

ASCO GU 2026 by Michiel van der Heijden, addition of anti-LAG3 or anti-TIGIT ICIs to EV+pembro in mUC did not improve efficacy of EV+P bladder cancer higher irAEs w/coformulations.

Title: KEYMAKER-U04 substudy 04B: First-line (1L) enfortumab vedotin (EV) plus pembrolizumab (pembro)-based immune checkpoint inhibitor (ICI) combinations for advanced urothelial cancer (UC)

Authors: Michiel S. Van Der Heijden, Michal Sarfaty, Christian Caglevic, Marine Gross-Goupil, Eli Rosenbaum, Jae Lyun Lee, Thomas Powles, Srikala S. Sridhar, Carlos Rojas, Sang Joon Shin, Debbie G. Robbrecht, Javier Puente, Rafael Morales-Barrera, Wen-Pin Su, Yu-Li Su, Denis Maillet, April Wang, Abhishek A. Bavle, Blanca Homet Moreno, Avivit Peer

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Neeraj Agarwal

Abstract 686

ASCO GU 2026 Congrats Antonio Cigliola. Analysis of 2,383 pts w/mUC across 3 Rx eras bladder cancer OS improved from 13.5 mo(platinum-based Rx)-17.5 mo(ICI)-21.1 mo(ADC) greatest gains in the ADC era.

Title: Real-world overall survival (OS) improvements in metastatic urothelial carcinoma (mUC) across three key therapeutic eras

Authors: Antonio Cigliola, Brigida Anna Maiorano, Valentina Tateo, Chiara Mercinelli, Michela Piacentini, Alessandro Bertini, Marco Mariani, Nazli Dizman, Sumanta K. Pal, Shilpa Gupta, Petros Grivas, Ashish M. Kamat, Philippe E. Spiess, Neeraj Agarwal, Alberto Briganti, Francesco Montorsi, Andrea Necchi

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Neeraj Agarwal

Abstract 446

ASCO GU 2026 by Martín Zarbá. Real-world outcomes w/1L Cabo+Nivo in mRCC kidney cancer ORR 41.6%, TTNT 19.4mo, OS 44.4mo, comparable to CM-9ER 2L TKIs active post-cabo, supporting this sequencing.

Title: Real-world efficacy of nivolumab plus cabozantinib in metastatic renal cell carcinoma (mRCC) using the IMDC

Authors: Martin Zarba, David Maj, Parker Baumgarten, J. C. Wells, Syed Irteza Abbas Shamsi, Martin Angel, Razane El Hajj Chehade, Rashad Nawfal, Lisa Ludwig, Chiming Yang, Federico Losco, Aurelius G. Omlin, Benoit Beuselinck, Sumanta K. Pal, Kosuke Takemura, Zeynep Irem Ozay, Ulka N. Vaishampayan, Winson Y. Cheung, Toni K. Choueiri, Daniel Y. Heng

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Neeraj Agarwal

Abstract 749

ASCO GU 2026 by Jean Hoffman-Censits, Petros Grivas, ECOG-ACRIN Cancer Research Group. Neoad Gem-Durva in cisplatin-unfit pts w/high grade UTUC bladder cancer pCR 10%, <ypT2N0/X 33%, promising 1-year EFS rate, manageable tox Ph3 ongoing in cisplatin-fit pts.

Title: ECOG ACRIN EA8192 cohort C: A phase II trial of neoadjuvant gemcitabine/durvalumab in patients (pts) with high grade (HG) upper tract urothelial carcinoma (UTUC) ineligible for cisplatin-based chemotherapy

Authors: Jeannie Hoffman-Censits, Xiangying Chu, Vitaly Margulis, Daniel Shevrin, Suzanne Cole, Ruben Raychaudhuri, Kriti Mittal, Sarah P. Psutka, Abhishek Tripathi, Noah M. Hahn, Michael A. Carducci, Petros Grivas

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Neeraj Agarwal

Abstract 692

ASCO GU 2026 by Zeynep Irem Ozay. Real-world analysis of 745 pts w/ aUC bladder cancer treated w/EV+Pembro Median OS 17 mo (low compared to ph3 trial) Data suggest need for improved management in RW pts.

Title: Real-world use and effectiveness of first-line enfortumab vedotin (EV) with pembrolizumab (P) in patients with advanced urothelial carcinoma (aUC)

Authors: Zeynep Irem Ozay, Yeonjung Jo, Georges Gebrael, Varun Nandakumar, Richard T. Hardy, Chadi Hage Chehade, Ethan Murdock, Nicolas Sayegh, Roberto H. Nussenzveig, Vinay Mathew Thomas, Sumati Gupta, Haoran Li, Benjamin L. Maughan, Umang Swami, Neeraj Agarwal

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Neeraj Agarwal

Abstract 231

ASCO GU 2026. AI-powered digital histology (CHAI) biomarker (BM) in mHSPC prostate cancer using CHAARTED and ENZAMET BM+ status prognostic for PFS/OS and predicts benefit w/adding docetaxel or ARPI.

Title: Development and validation of computational histology artificial intelligence (CHAI)–powered prognostic and predictive biomarkers in metastatic hormone-sensitive prostate cancer (mHSPC) using ENZAMET and CHAARTED prospective randomized phase 3 trials (RCT)

Authors: Neeraj Agarwal, Georges Gebrael, Umang Swami, Viswesh Krishna, Vrishab Krishna, Akshay Neema, Asit Tarsode, Vinod Subhash, Deepika Sirohi, Hala Borno, Drew Watson, Snehal S. Sonawane, Waleed Abuzeid, Vivek Nimgaonkar, Lesli A. Kiedrowski, Trevor Royce, Anirudh Joshi, Ian D. Davis, Christopher Sweeney

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Neeraj Agarwal

Abstract 687

ASCO GU 2026 Congrats Diya Garg, GU Cancer Research Program. Merit Award Conquer Cancer. End-of-life Rx data in 7,815 pts w/aUC bladder cancer 67% remained on Rx 3 mo before death pts need better EOL care.

Title: End-of-life treatment patterns in patients with advanced urothelial carcinoma

Authors: Diya Garg, Yeonjung Jo, Georges Gebrael, Zeynep Irem Ozay, Varun Nandakumar, Nicolas Sayegh, Edwin Lin, Micah Ostrowski, Roberto H. Nussenzveig, Ayana Srivastava, Vinay Mathew Thomas, Sumati Gupta, Benjamin L. Maughan, Neeraj Agarwal, Umang Swami

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Neeraj Agarwal

Abstract 15

ASCO GU 2026 by Enrique Gallardo. Final OS from PEACE-3 in mCRPC prostate cancer Enza + Ra-223 vs Enza showed OS benefit (consistent across subgroups), no new safety signals.

Title: Final overall survival results from the EORTC 1333/PEACE-3 trial: Enzalutamide with or without radium-223 in metastatic castration-resistant prostate cancer

Authors: Enrique Gallardo, Bertrand F. Tombal, Ananya Choudhury, Fred Saad, Andrey Soares, Yohann Loriot, Raymond S. McDermott, Alejo Rodriguez-Vida, Pedro Isaacsson Velho, Felipe J. Cruz, Thierry A. Roumeguere, Gedske Daugaard, Rosely Yamamura, Frederic Lecouvet, Corneel Coens, Coralie Poncet, Beatrice Fournier, Silke Gillessen

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Neeraj Agarwal

Other articles about ASCO on OncoDaily.

Abhishek A. Bavle Abhishek Tripathi Aditya Bagrodia Akshay Neema Alberto Briganti Alejo Rodriguez-Vida Alessandra Leite Alessandro Bertini Alex Zhu Alexander Chehrazi-Raffle Ali Moradi Ananya Choudhury Andrea Necchi Andrew Elliott Andrey Soares Anirudh Joshi Antonio Cigliola Antonio Cruz Gomes April Wang ASCO Ashish M. Kamat Asit Tarsode Audrey Seidel Aurelius G. Omlin Avivit Peer Ayana Srivastava Beatrice Fournier Benjamin L Maughan Benoit Beuselinck Bertrand F. Tombal Blanca Homet Moreno Brent S Rose Brigida Anna Maiorano cancer Carlos Rojas Carlos Watanabe Chadi Hage Chehade Chiara Mercinelli Chiming Yang Christian Caglevic Christopher Sweeney Coralie Poncet Corneel Coens Cristiane D. Bergerot Daniel Shevrin Daniel Y Heng David Maj Debbie G. Robbrecht Deepika Sirohi Denis Maillet Diya Garg Drew Watson Edwin Lin Eli Rosenbaum Enrique Gallardo Ethan Murdock Federico Losco Felipe J. Cruz Francesco Montorsi Fred Saad Frederic Lecouvet Gabriel Hooper Gaurav Kaul Gedske Daugaard Georges Gebrael Hala Borno Haoran Li Hedyeh Ebrahimi Ian D. Davis J.C. Wells Jae Lyun Lee Javier Puente Jeannie Hoffman-Censits Jennifer Karmouch Joann Hsu Jonas R. Silva Julia Batten Kathryn H Schmitz Kentaro Oka Kosuke Takemura Kriti Mittal Lesli A. Kiedrowski Liliana Ascione Lisa Ludwig Marc Machaalani Marco Mariani Marcos V. Franca Marine Gross-Goupil Martin Angel Martin Zarba Micah Ostrowski Michael A Carducci Michal Sarfaty Michela Piacentini Michiel S. Van der Heijden Miguel Zugman Motomichi Takahashi Murilo Buso Narjust Florez Nazli Dizman Neeraj Agarwal Nicolas Sayegh Ninad Kulkarni Noah M. Hahn Norm Smith OncoDaily Oncology Parker Baumgarten Patricia W. Schorn Patrick Campbell Paulo G Bergerot Pedro C Barata Pedro Isaacsson Velho Peter P. Lee Petros Grivas Philippe E. Spiess Rafael Morales-Barrera Rana R. McKay Rashad Nawfal Raymond S. McDermott Razane El Hajj Chehade Richard Ji Richard T. Hardy Robert Jeng Roberto H. Nussenzveig Rosely Yamamura Ruben Raychaudhuri Salvador Jaime-Casas Sang Joon Shin Sarah P. Psutka Seiya Higashi Shayan S. Nazari Shilpa Gupta Silke Gillessen Snehal S. Sonawane Srikala S Sridhar Sumanta K. Pal Sumati Gupta Suzanne Cole Syed Irteza Abbas Shamsi Tanya B. Dorff Taylor R. McFarland Thierry A. Roumeguere Thomas P. Parks Thomas Powles Toni K. Choueiri Trevor Royce Ulka N. Vaishampayan Umang Swami Valentina Tateo Varun Nandakumar Vinay Mathew Thomas Vinod Subhash Viswesh Krishna Vitaly Margulis Vitor Abreu de Góes Vivek Nimgaonkar Vrishab Krishna Waleed Abuzeid Wen-Pin Su William H. Fuzita Winson Y. Cheung Xiangying Chu Xiaochen Li Xinran Qi Yeonjung Jo Yohann Loriot Yu-Li Su Yu-Wei Chen Zeynep Irem Ozay