Patient Highlights from the 2024 ASCO GU conference

In a 75-minute “pre-game” before the 2/27/2024 meeting of the high-risk/recurrent/advanced prostate cancer group, moderators John, Rick, Ben, and Len discussed highlights from the just-concluded ASCO GU conference, a major meeting for genitourinary cancer specialists. They selected from hundreds of papers on prostate cancer presented in sessions and posters. We closed with a 30-minute audience Q&A.

What we covered:

  • Abi boosts olaparaib for BRCA
  • After triplet therapy, what next?
  • Less treatment, same cancer-fighting power
  • Trial of a neuroendocrine PCa drug
  • Prostate cancer and suicide
  • Germline & somatic testing is too infrequent
  • What treatments work after Pluvicto
  • Pluvicto flare largely lasts only one treatment
  • Community providers do poor job treating mCSPC men
  • Increased risk of a second cancer
  • Mixed evidence on concordance scans
  • Tumor growth without PSA rise
  • Toxicity/benefit tradeoffs for patients
  • Importance of PSMA PET Scan Concordance
  • APA PSA90 Better than ENZA in mHSPC?
  • APA PSA90 Better than ABI in mHSPC?
  • What’s the best prednisone dose with ABI?
  • OS based on the site of metastases
  • Paradigm for Sequencing PARPi with Lu-PSMA?

The evening’s slides are available at https://drive.google.com/file/d/18bH04PnXNEuKLmGLAq4aVHzDEzdSl1pf/view?usp=sharing