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Dr. Amanda Nizam

๐Ÿ‘ค Speaker
187 total appearances

Appearances Over Time

Podcast Appearances

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

They're cancer and they're risk of recurrence.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

So we know like patients with MTAP deletions, that kind of thing, you know, they're going to have more aggressive disease.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

But that's, you know, if you have a surplus of tissue, like you have a TRBT sample, you have, you know, a cystectomy sample.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

But really, when patients have either locally advanced or metastatic disease, you should be getting NGS and HER2 IHC upfront on everyone.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

So I think you're asking the question, is CIS plan eligibility...

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

What do we expect from EV304, essentially, from the cisplatin eligible population?

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

I think we're going to see pretty similar pathologic CR rates.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

I don't think the cisplatin eligibility criteria is going to change the natural disease biology.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

So I think we're going to see comparable rates, if not better, in the cisplatin eligible population.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

And...

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

you know, this is going to, I think we're going to see what happened with metastatic disease, where we're going to be much more liberal about what we call cisplatin ineligible.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

Very, very, very narrow, you know, population.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

Especially when you're combining with Pembroke.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

Yeah, we know skinness is, you know, platinum sensitive.

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

So Tanya Jindal, one of our outstanding medical students at Case Western, previously was at UCSF, who's been working with us on Unite since its inception.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

She presented at ESMO this year a poster on EV Pembro outcomes in patients with variant histology.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

So we actually did see some favorable responses in those with micropapillary variants.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

And then plasmacytoid is a little bit hit or miss.

BackTable Urology
Ep. 287 Urothelial Carcinoma: Understanding CTDNA and Precision Medicine with Dr. Amanda Nizam and Dr. Brad McGregor

We didn't really see any with the neuroendocrine from my recollection.