Sabine Brookman-May and Tyler Seibert: Important Considerations For Proteus As ASCO26 Approaches
Sabine Brookman-May and Tyler Seibert

Sabine Brookman-May and Tyler Seibert: Important Considerations For Proteus As ASCO26 Approaches

Sabine Brookman-May, Professor of Urology at Universität München, Senior Vice President and Therapeutic Area Head of Urologic Oncology at Aura Biosciences, shared a post by Tyler Seibert, Assistant Professor in the Division of Radiation Oncology and a member of the RMAS Center for Precision Radiation Medicine (CPRM) on X, adding:

“As the Clinical Lead at JandJ at that time writing the PROTEUS protocol and defining the specific PET-based MFS endpoint, I am curious to see the final official results at ASCO as well.

A few considerations:

  •  As PSMA PET imaging was not integrated in the study from the beginning, this endpoint will only be available for a subset of patients
  •  PET based MFS is defined in a specific way for PROTEUS as aligned with the FDA – not every positive PET scan counted
  •  Subsequent therapy is important to consider which is often initiated prior to reaching conventional MFS
  •  QoL is one key aspect to consider. Concerning erectile function, I’d expect that in cases with nerve sparing surgery and perioperative function (limited subset in a HR setting) recovery will be good
  1.  We will need to consider PROTEUS results together with results from other trials in this early setting including the BCR setting
  2.  Finally, it will be most important to develop treatment strategies for patients resulting in as much as possible Freedom From Clinical Deterioration (FFCD) with as limited as possible subsequent treatment needed – new endpoints are needed!”

Quoting Tyler Seibert‘s post:

“Important considerations for Proteus as ASCO26 approaches.

MFS is a challenging endpoint when we have PSMA PET available (whether it counts as an event or not).”

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