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Highlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano, 22.01.2016

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Page 1: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Highlights ASCO GU 2016

Neoplasie del testicolo

Ugo De Giorgi IRST-IRCCS Meldola

Milano, 22.01.2016

Page 2: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Keynote Lectures Tom Powles, Rare and Testicular Cancers: Year in Review Torgrim Tandstad, Long-term Toxicity: What to Expect and How to Prevent It? Darren R. Feldman, Dose Intensification for First-line Therapy of Metastatic Disease: Which Patients and What Type of Intensification? Katherine L. Nathanson, What Does the Clinician Need to Know about the Molecular Genetics of Testicular Cancer?

Oral presentations ABSTRACT 472: Conditional survival of patients with metastatic testicular germ-cell tumors treated with first-line curative therapy. Author: Jenny J. Ko ABSTRACT 473: Actionable targets in patients with cisplatin-resistant advanced germ cell tumors. Author: Aditya Bagrodia

Page 3: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Keynote Lectures Tom Powles, Rare and Testicular Cancers: Year in Review Torgrim Tandstad, Long-term Toxicity: What to Expect and How to Prevent It? Darren R. Feldman, Dose Intensification for First-line Therapy of Metastatic Disease: Which Patients and What Type of Intensification? Katherine L. Nathanson, What Does the Clinician Need to Know about the Molecular Genetics of Testicular Cancer?

Oral presentations ABSTRACT 472: Conditional survival of patients with metastatic testicular germ-cell tumors treated with first-line curative therapy. Author: Jenny J. Ko ABSTRACT 473: Actionable targets in patients with cisplatin-resistant advanced germ cell tumors. Author: Aditya Bagrodia

Page 4: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Highlights ASCO GU 2016 Torgrim Tandstad, Long-term Toxicity: What to Expect and How to Prevent It? Darren R. Feldman, Dose Intensification for First-line Therapy of Metastatic Disease: Which Patients and What Type of Intensification?

ABSTRACT 473: Actionable targets in patients with cisplatin-resistant advanced germ cell tumors. Author: Aditya Bagrodia

Page 5: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Keynote Lecture Testicular Cancer<br />Long-term Toxicity: What to Expect and How to Prevent It?

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Tossicità a lungo termine

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Why is long-term toxicity important in testicular cancer survivors (TCS)?

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 7: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

The Future – Scope

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 8: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Slide 7

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 9: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Cardiovascular disease (CVD)

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 10: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Pulmonary disease

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 11: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Other toxicities

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

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Prevention of late effects – Clinical implications

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 13: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Risk-adapted treatment CS I

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

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CS I nonseminoma LVI+

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

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Experience or cooperation

Presented By Torgrim Tandstad at Genitourinary Cancers Symposium 2016

Page 16: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Standards in First-Line Chemotherapy for High-Risk GCT: Does this Include Dose Intensification?

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

Intensità di dose in prima linea poor risk

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Do STM Decline Rates Predict PFS & OS?

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

Page 18: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Could Treatment Change Benefit the Slow STM Decline Group?

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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GETUG 13: Phase III Schema

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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GETUG 13: PFS and OS in Randomized Pts

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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GETUG 13: Conclusions & Questions

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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Other Standards of Care and Common Questions / Pitfalls in Advanced GCT

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

Page 23: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Pitfalls in Advanced GCT (Don’ts)

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

Page 24: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Pitfalls in Advanced GCT (Don’ts)

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

Page 25: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

Risk of Substituting Carboplatin

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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Risk of Decreasing Etoposide Dose

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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How to Handle Neutropenia in GCT?

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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Conclusions (Int/Poor Risk GCT)

Presented By Darren Feldman at Genitourinary Cancers Symposium 2016

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Actionable targets in advanced germ cell tumors

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

Nuovi target nei platino-resistenti?

Page 30: Highlights ASCO GU 2016media.aiom.it/userfiles/files/doc/AIOM-Servizi/20160122MI_51_DeGiorgi.pdfHighlights ASCO GU 2016 Neoplasie del testicolo Ugo De Giorgi IRST-IRCCS Meldola Milano,

MSK IMPACT

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

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Methods

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

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Extreme non-responders: TP53/MDM2 alterations are found only in TGCT patients with platinum resistance

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

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Slide 12

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

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Potential Clinical Applications

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

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Actionable targets in resistant patients

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

IN CORSO: Studio fase 2 Olaparib nei GCT platino resistenti: IRST Meldola e Istituto Tumori Pascale Napoli

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Conclusions:

Presented By Aditya Bagrodia at Genitourinary Cancers Symposium 2016

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TAKE HOME MESSAGES

- Ridurre il “treatment burden”, nei casi iniziali - Nei casi avanzati a cattiva prognosi, mantenere alta la dose intensity - Possibili nuovi target, considerare studi clinici anche in Italia per forme platino-resistenti

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Italian Germ cell cancer Group (IGG)

Fondato nel 2005 per migliorare lo studio e la cura dei tumori germinali in Italia

Il gruppo conta oltre 100 iscritti, da circa 50 centri, principalmente oncologi, urologi e radioterapisti

[email protected]

Grazie per l’attenzione