BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
And, you know, I mean, of course it was in the cis-plan ineligible population.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
Are you guys using it in cis-eligible populations?
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
Can you see a world where CIS-eligible would show you something dramatically different, the opposite?
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
I know we're all academic ecologists here and we have to say the right thing, but really, if that was you, if this is your family member, what are you giving them?
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
I'm putting you guys on the spot.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
Brad's willing to at least say that much.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
But yeah, I mean, for me, cisplatin's dead.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
Let's just be honest.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
At least in the perioperative setting and in a frontline metastatic setting, for most people, or like 90% of people, right, I think it's pretty easy to make somebody cisplatin ineligible.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
You know, the criteria is not too much of a fine line, creatinine clearance, etc., so...
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
Yeah.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
And for me, like, you know, I don't see too many cirrhotic patients, maybe mild hepatic dysfunction.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
I might dose reduce for those patients.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
But I maybe worry more about uncontrolled diabetics because, well, you have seen people die of DKA, right?
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
So those are the ones maybe are not going to be as eligible, I would say.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
And, you know, we even talk about variant histology.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
I don't think we should be giving Evie Pembroke for squamous, right?
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
What do you guys agree?
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
I think is where you really... Although anecdotally, I'm very bullish on plasma cytoid and EV Pembro.
BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor
Had some really unprecedented responses.