This document discusses fibroblast growth factor receptors (FGFRs) and FGFR inhibitors. It provides details on FGFR signaling pathways and the role of FGFRs in various cancers like urothelial carcinoma, osteosarcoma, and chondrosarcoma. It summarizes a phase 2 clinical trial investigating the FGFR inhibitor erdafitinib in patients with FGFR-altered metastatic or unresectable urothelial carcinoma, finding an objective response rate of 40% and median progression-free and overall survival of 5.5 and 13.8 months respectively. It concludes that FGFR inhibitors show promise for treating cancers driven by FGFR alterations.
Lung cancer is a major cause of cancer deaths with approximately 80% of cases accounting to nonsmall cell lung cancer (NSCLC) . In NSCLC target therapy, epidermal growth factor receptor (EGFR) is a promising candidate.
Management of MSI High Solid Tumors and the impact of adding Immunotherapy upon improving survival outcome and response rate. Colorectal and Non Colorectal tumors.
Lung cancer is a major cause of cancer deaths with approximately 80% of cases accounting to nonsmall cell lung cancer (NSCLC) . In NSCLC target therapy, epidermal growth factor receptor (EGFR) is a promising candidate.
Management of MSI High Solid Tumors and the impact of adding Immunotherapy upon improving survival outcome and response rate. Colorectal and Non Colorectal tumors.
Poly-ADP-ribose polymerase inhibitors (PARPis) are the most active and interesting therapies approved for the treatment of epithelial ovarian cancer. They have changed the clinical management of a disease characterized, in almost half of cases, by extreme genetic complexity and alteration of DNA damage repair pathways, particularly homologous recombination (HR) deficiency. It is causing a paradigm shift in the first-line treatment of patients with advanced ovarian cancer
Adjuvant Endocrine Therapy For Postmenopausal Breast CancerEmad Shash
Questions Covered in the presentation:
• Should patients receive an AI or Tamoxifen?
• Should patients receive monotherapy (AI or Tamoxifen alone) or sequential
therapy using both?
• 5 vs 10 years of therapy?
• If More than 5 years of endocrine therapy, which class to be used
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Cancer care is increasingly tailored to individual patients, who can undergo genetic or biomarker testing soon after diagnosis, to determine which treatments have the best chance of shrinking or eliminating tumours.
In this webinar, a pathologist and clinical oncologist discuss:
● how they are using these new tests,
● how they communicate results and treatment options to patients and caregivers, and
● how patients can be better informed on the kinds of tests that are in development or in use across Canada
View the video: https://youtu.be/_Wai_uMQKEQ
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Watch the slideshow: https://youtu.be/TP7iP1HEVps
Learn key concepts:
Hallmarks of cancer, Angiogenic switch, Tumor Angiogenesis
VEGF family i.e ligand and receptors, Effect of VEGF
VEGF Inhibitors or angiogenic
Bevacizumab, Ramucirumab, Ziv-Aflibercept
Join Dr. Erica Mayer, medical oncologist at Dana-Farber/Brigham and Women's Cancer Center, to learn about exciting metastatic breast cancer developments from the past year. Dr. Mayer presents an overview on metastatic breast cancer and the subgroups, including Hormone Receptive, HER2+, and Triple Negative, and highlights recent advances for each of these subgroups. She also discusses the importance of clinical trials and what it means to participate in a clinical trial.
For more information on the Breast Cancer Treatment Center at Dana-Farber Cancer Institute, please visit:
http://www.dana-farber.org/Adult-Care/Treatment-and-Support/Treatment-Centers-and-Clinical-Services/Breast-Cancer-Treatment-Center.aspx
Role of Tyrosine kinase inhibitors in cancer #cancerVankteshKumar
Tyrosine kinse is a protein molecule which acts using signal cascade mechanism and has a useful function in cancer. Inhibition tyrosine kinase can inhibit the cancer and cell growth.
Poly-ADP-ribose polymerase inhibitors (PARPis) are the most active and interesting therapies approved for the treatment of epithelial ovarian cancer. They have changed the clinical management of a disease characterized, in almost half of cases, by extreme genetic complexity and alteration of DNA damage repair pathways, particularly homologous recombination (HR) deficiency. It is causing a paradigm shift in the first-line treatment of patients with advanced ovarian cancer
Adjuvant Endocrine Therapy For Postmenopausal Breast CancerEmad Shash
Questions Covered in the presentation:
• Should patients receive an AI or Tamoxifen?
• Should patients receive monotherapy (AI or Tamoxifen alone) or sequential
therapy using both?
• 5 vs 10 years of therapy?
• If More than 5 years of endocrine therapy, which class to be used
Please share this webinar with anyone who may be interested!
Watch all our webinars: https://www.youtube.com/playlist?list=PL4dDQscmFYu_ezxuxnAE61hx4JlqAKXpR
Cancer care is increasingly tailored to individual patients, who can undergo genetic or biomarker testing soon after diagnosis, to determine which treatments have the best chance of shrinking or eliminating tumours.
In this webinar, a pathologist and clinical oncologist discuss:
● how they are using these new tests,
● how they communicate results and treatment options to patients and caregivers, and
● how patients can be better informed on the kinds of tests that are in development or in use across Canada
View the video: https://youtu.be/_Wai_uMQKEQ
Follow our social media accounts:
Twitter - https://twitter.com/survivornetca
Facebook - https://www.facebook.com/CanadianSurvivorNet
Pinterest - https://www.pinterest.com/survivornetwork
YouTube - https://www.youtube.com/user/Survivornetca
Watch the slideshow: https://youtu.be/TP7iP1HEVps
Learn key concepts:
Hallmarks of cancer, Angiogenic switch, Tumor Angiogenesis
VEGF family i.e ligand and receptors, Effect of VEGF
VEGF Inhibitors or angiogenic
Bevacizumab, Ramucirumab, Ziv-Aflibercept
Join Dr. Erica Mayer, medical oncologist at Dana-Farber/Brigham and Women's Cancer Center, to learn about exciting metastatic breast cancer developments from the past year. Dr. Mayer presents an overview on metastatic breast cancer and the subgroups, including Hormone Receptive, HER2+, and Triple Negative, and highlights recent advances for each of these subgroups. She also discusses the importance of clinical trials and what it means to participate in a clinical trial.
For more information on the Breast Cancer Treatment Center at Dana-Farber Cancer Institute, please visit:
http://www.dana-farber.org/Adult-Care/Treatment-and-Support/Treatment-Centers-and-Clinical-Services/Breast-Cancer-Treatment-Center.aspx
Role of Tyrosine kinase inhibitors in cancer #cancerVankteshKumar
Tyrosine kinse is a protein molecule which acts using signal cascade mechanism and has a useful function in cancer. Inhibition tyrosine kinase can inhibit the cancer and cell growth.
Molecular signaling involved in breast cancerainnie babarrr
Molecular signaling is very important to predict patient's clinical outcome. HER signaling is most important one, by its regulation cascade of pathways started. So, by understanding proteins over-expression we can target with inhibitors to suppress particular protein, which will results in treatment of breast cancer or Drug discovery.
Clinic Correlation and Prognostic Value of P4HB and GRP78 Expression in Gastr...daranisaha
Prolyl 4-hydroxylase, beta polypeptide (P4HB) and Glucose‑regulated protein 78 (GRP78) represent for poor prognosis of various cancers, while rare research investigate correlation of them. This study aimed to explore correlation and prognostic value of them in gastric cancer (GC).
Clinic Correlation and Prognostic Value of P4HB and GRP78 Expression in Gastr...eshaasini
Prolyl 4-hydroxylase, beta polypeptide (P4HB) and Glucose‑regulated protein 78 (GRP78) represent for poor prognosis of various cancers, while rare research investigate correlation of them. This study aimed to explore correlation and prognostic value of them in gastric cancer
Clinic Correlation and Prognostic Value of P4HB and GRP78 Expression in Gastr...semualkaira
Prolyl 4-hydroxylase, beta polypeptide (P4HB) and Glucose‑regulated protein 78 (GRP78) represent for poor prognosis of various cancers, while rare research investigate correlation of them. This study aimed to explore correlation and prognostic value of them in gastric cancer (GC).
Clinic Correlation and Prognostic Value of P4HB and GRP78 Expression in Gastr...semualkaira
: Prolyl 4-hydroxylase, beta polypeptide (P4HB)
and Glucose‑regulated protein 78 (GRP78) represent for poor
prognosis of various cancers, while rare research investigate correlation of them. This study aimed to explore correlation and prognostic value of them in gastric cancer
An high-level overview : The overall objective is to prioritize solid tumors with pan-FGFR driven cancer, evaluate clinical benchmarks and develop TPP for lead indication
- Ashish Jaiswal | Email: ashish.jaiswal8@gmail.com
FRα Targeting ADCs for Ovarian cancer.pdfDoriaFang
This article introduces FRα targets and FRα ADCs in clinical trials. There is only one FRα targeting ADC for ovarian cancer - mirvetuximab soravtansine-gynx (Elahere) and a few in clinical trials.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
263778731218 Abortion Clinic /Pills In Harare ,ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group ABORTION WOMEN’S CLINIC +27730423979 IN women clinic we believe that every woman should be able to make choices in her pregnancy. Our job is to provide compassionate care, safety,affordable and confidential services. That’s why we have won the trust from all generations of women all over the world. we use non surgical method(Abortion pills) to terminate…Dr.LISA +27730423979women Clinic is committed to providing the highest quality of obstetrical and gynecological care to women of all ages. Our dedicated staff aim to treat each patient and her health concerns with compassion and respect.Our dedicated group of receptionists, nurses, and physicians have worked together as a teamof receptionists, nurses, and physicians have worked together as a team wwww.lisywomensclinic.co.za/
DISSERTATION on NEW DRUG DISCOVERY AND DEVELOPMENT STAGES OF DRUG DISCOVERYNEHA GUPTA
The process of drug discovery and development is a complex and multi-step endeavor aimed at bringing new pharmaceutical drugs to market. It begins with identifying and validating a biological target, such as a protein, gene, or RNA, that is associated with a disease. This step involves understanding the target's role in the disease and confirming that modulating it can have therapeutic effects. The next stage, hit identification, employs high-throughput screening (HTS) and other methods to find compounds that interact with the target. Computational techniques may also be used to identify potential hits from large compound libraries.
Following hit identification, the hits are optimized to improve their efficacy, selectivity, and pharmacokinetic properties, resulting in lead compounds. These leads undergo further refinement to enhance their potency, reduce toxicity, and improve drug-like characteristics, creating drug candidates suitable for preclinical testing. In the preclinical development phase, drug candidates are tested in vitro (in cell cultures) and in vivo (in animal models) to evaluate their safety, efficacy, pharmacokinetics, and pharmacodynamics. Toxicology studies are conducted to assess potential risks.
Before clinical trials can begin, an Investigational New Drug (IND) application must be submitted to regulatory authorities. This application includes data from preclinical studies and plans for clinical trials. Clinical development involves human trials in three phases: Phase I tests the drug's safety and dosage in a small group of healthy volunteers, Phase II assesses the drug's efficacy and side effects in a larger group of patients with the target disease, and Phase III confirms the drug's efficacy and monitors adverse reactions in a large population, often compared to existing treatments.
After successful clinical trials, a New Drug Application (NDA) is submitted to regulatory authorities for approval, including all data from preclinical and clinical studies, as well as proposed labeling and manufacturing information. Regulatory authorities then review the NDA to ensure the drug is safe, effective, and of high quality, potentially requiring additional studies. Finally, after a drug is approved and marketed, it undergoes post-marketing surveillance, which includes continuous monitoring for long-term safety and effectiveness, pharmacovigilance, and reporting of any adverse effects.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Integrating Ayurveda into Parkinson’s Management: A Holistic Approach
Presentation1 fgfr
1. Dr Prashant Kumbhaj
DM, MRCP SCE(Medical Oncology),ECMO,PDCR.
Associate Professor ,Medical Oncology
M.G.H Medical college ,Jaipur.
2. Introduction of FGFR
FGF/FGFR Signalling pathway
FGFR Inhibitor
Evidence
Future Perspectives
Take home massage.
3. The FGFRs are receptors that bind to
members of the FGF family of proteins.
The receptors consist of an extracellular
ligand domain with three immunoglobulin-
like domains (I-III),
A transmembrane domain, and an
intracellular tyrosine kinase domain that
transmits the signal to the interior of the cell
4. An acid box, located between the domains
Ig-I and Ig-II, plays a role, together with the
Ig-I-like domain, in receptor auto-inhibition.
Ig-II and Ig-III compose the ligand-binding
site
5. There are only four FGFRs (FGFR1, FGFR2,
FGFR3 and FGFR4) in the cell surface with
seven isoforms FGFR-(1b, 1c, 2b, 2c, 3b, 3c
and 4) owing to alternative splicing in the Ig-
III-like domain, with different ligand-binding
specificities.
6. Each receptor can be activated by several
FGFs, and the FGFs can also activate more
than one receptor in many cases. For
example, FGF1 can bind all seven principal
FGFRs, while FGF7 can only activate FGFR2b
7.
8. The binding of FGFs to FGFRs (aided by
HSPGs) induces receptor dimerization, which
triggers the activation of the FGFRs.
The activation of FGFRs brings the
intracellular kinases into close proximity,
enabling them to transphosphorylate each
other.
9. This sets in motion a cascade of downstream
signals, finally affecting mitogenesis and
differentiation.
10. Several intracellular proteins have been
implicated in promoting FGF-mediated
signaling.
(1)Phospholipase Cγ (PLCγ)
(2) Fibroblast growth factor receptor substrate
2 (FRS2),
(3)Src homology 2 domain-containing
transforming protein B (Shb),
11. (4) Src kinase, ribosomal S6 protein kinase
(RSK),
(5)Signal transducers and activators of
transcription (STATs),
(6) CT10 regulator of kinase (Crk).
12. Specifically, the adaptor growth-factor-
receptor-bound protein 2 (GRB2) triggers the
Ras/MAPK pathway and PI3K/Akt intracellular
signaling cascades by binding to
phosphorylated FRS2.
Rab5 small GTPase, a binding partner of
activated FGFRs, is involved in maintaining
the RAS-MAPK signaling but not PI3K-AKT
signaling.
13. The FGFR signaling pathway plays important
biological roles in multiple processes include.
(1)Pro-survival signals
(2) anti-apoptotic signals
(3)stimulation of cell proliferation
(4)cell migration.
15. CHONDROSARCOMA -In addition,
immunohistochemistry revealed high
expression of FGFR3 and aberrant cellular
localization of heparan sulfate
proteoglycansin in 42 dedifferentiated, 23
clear cell, and 23 mesenchymal
chondrosarcoma tissues of human.
16. Taken together, FGF and FGFR may be a
potential therapeutic target in
chondrosarcoma.
17. RMS -Recently, several FGFR4 tyrosine kinase
domain mutations were found in 7.5%
primary human RMS tumors, and the mutants
K535 and E550 showed autophosphorylation
of the receptor.
18. Small-molecule tyrosine kinase inhibitors
targeting the ATP-binding site of the
intracellular tyrosine kinase domain in a
number of different receptor tyrosine kinases
(RTKs) have been successfully used for
therapy for cancers .
19. However, most of these inhibitors show broad
specificity and target not only FGFRs, but also
VEGFRs and/or PDGFRs, as they share
structural similarities and have similar kinase
domains
20. Recent FGF/FGFR signaling pathway research
suggests that the FGFR inhibitor combination
with surgery, radiation and chemotherapy
might enhance the therapy responses for
sarcoma patients.
21. BALVERSA (erdafitinib) is a once-daily, oral
fibroblast growth factor receptor (FGFR)
kinase inhibitor
Indication- for the treatment of adults with
locally advanced or metastatic urothelial
carcinoma (mUC) with FGFR3 or FGFR2
genetic alterations and who have progressed
during or following at least one line of prior
platinum-containing chemotherapy, including
within 12 months of neoadjuvant or adjuvant
platinum-containing
22.
23. BLC2001: Phase II Trial of FGFR
Inhibitor Erdafitinib in Patients With
FGFR-Altered Metastatic or
Unresectable Urothelial Carcinoma
This activity is supported by educational grants from Amgen;
Astellas; AstraZeneca; Celgene Corporation; Eisai; Genentech;
Janssen; Merck & Co., Inc.; and Seattle Genetics.
CCO Independent Conference
Highlights*
of the 2018 ASCO Annual Meeting; June 1-5, 2018;
Chicago, Illinois
*CCO is an independent medical education company that provides state-of-the-art
medical information to healthcare professionals through conference coverage and
other educational programs.
24. In patients with advanced UC, second-line single-
agent CT with vinflunine or taxanes historically
associated with ORR of ~ 10% and median OS of 7-
9 mos.
More therapy options needed in this setting
because while outcomes have improved with PD-
1/PD-L1 checkpoint inhibitors (ORR ~ 15-20%;
mOS ~ 10 mos), many patients do not derive
benefit.
References in slidenotes. Slide credit: clinicaloptions.c
25. FGFR altered in 15-20% of advanced UC cases
(mutated FGFR3 in 54% of upper tract UC).
Current report presents primary analysis of
efficacy and safety in phase II trial of
erdafitinib in FGFR-altered metastatic or
unresectable UC.
26. Erdafitinib (JNJ-42756493): oral pan-FGFR
inhibitor with IC50 in low nanomolar range
for FGFR1-4
◦ Durable inhibitory activity may be related to
sustained intracellular release after taken up by
lysosomes
◦ Associated with antitumor activity in FGFR-altered
advanced UC and other tumor types
27.
28.
29.
30. After follow-up of 11 mos, 21.2% of patients
remain on erdafitinib
◦ Median PFS: 5.5 mos (95% CI: 4.2-6.0)
◦ Median OS: 13.8 mos (95% CI: 9.8-NE)
31. Based on results from BLC2001, FDA granted
erdafitinib Breakthrough Therapy Designation
status in March 2018.
32.
33.
34. Erdafitinib under further investigation in
FGFR-altered UC
◦ Phase III THOR trial of erdafitinib vs CT or
pembrolizumab currently enrolling.
◦ Phase Ib/II NORSE trial of erdafitinib + PD-1
inhibitor JNJ-63723283 currently enrolling.
36. FGF and FGFR may be a potential therapeutic target
in dIfferent tumor types.
FGFR inhibitors are likely to continue to change the
treatment armamentarium for UC, and the
development of newer therapeutic combinations
appears a promising treatment approach in
unselected patients.
37. Erdafitinib at 8 mg QD was well tolerated with
safety profile permitting continuous dosing
and titration up to 9 mg QD.
With an ORR of 40% in pretreated patients
with prespecified FGFR alterations, erdafitinib
qualifies as a primary salvage therapy option
for molecularly-eligible patients
38. Its results appear to be favourable if
compared to the data of chemotherapy
(taxanes or vinflunine). Erdafitinib shows
higher ORR than anti PD (L)-1 inhibitors.
As FGFR alterations are observed most
frequently in the localized stage compared to
advanced disease, there is a strong rationale
to investigate FGFR inhibitors in earlier
disease settings like NMIBC and MIBC.
39. Fibroblast growth-factor receptor (FGFR)
alterations can be found in up to 70% of low-
grade and in approximately 20% of muscle-
invasive or metastatic urothelial bladder
carcinoma .
FGFR alterations are enriched in luminal-1 UC
subtype, which is endowed with predicted
poor responsiveness to immune-checkpoint
inhibition
Editor's Notes
CT, chemotherapy; mOS, median OS; UC, urothelial carcinoma.
References
1. McCaffrey JA, et al. J Clin Oncol. 1997;15:1853-1857.
2. Bellmunt J, et al. J Clin Oncol. 2009;27:4454-4461.
3. Powles T, et al. Lancet. 2018;391:748-757.
4. Bellmunt J, et al. N Engl J Med. 2017;376:1015-1026.
5. Sharma P, et al. Lancet Oncol. 2017;18:312-322.
6. Siefker-Radtke AO, et al. J Urol. 2018;199:1129-1142.
7. Rodriguez-Vida A, et al. J Hematol Oncol. 2015;8:119.
8. Li Q, et al. Curr Urol Rep. 2016;17:12.
9. Perera TPS, et al. Mol Cancer Ther. 2017;16:1010-1020.
10. Tabernero J, et al. J Clin Oncol. 2015;33:3401-3408.
11. Soria JC, et al. ESMO 2016. Abstract 781PD.
12. Siefker-Radtke AO, et al. ASCO 2018. Abstract 4503.