Publications by authors named "Adam Szeles"

Context: Testing for mutations in Breast Cancer Gene 1/2 (BRCA) has emerged as a novel decision-making tool for clinicians. Patients with metastatic castration-resistant prostate cancer (mCRPC) harboring pathogenic BRCA mutations can benefit from poly (ADP-ribose) polymerase inhibitor (PARPi) and platinum treatments, whereas the impact of the mutation on sensitivity to cabazitaxel and prostate-specific membrane antigen (PSMA)-ligand therapy is currently unknown.

Objective: To assess the efficacy of PARPi, platinum, cabazitaxel, and PSMA-ligand therapies in BRCA-positive mCRPC.

View Article and Find Full Text PDF
Article Synopsis
  • Recent oncology guidelines suggest BRCA1/2 testing for prostate cancer patients, and PARP inhibitors are available for those with mutation-positive metastatic castration-resistant prostate cancer (mCRPC) after prior treatment.
  • A meta-analysis was conducted to compare the effectiveness of abiraterone, enzalutamide, and docetaxel on PSA response, progression-free survival (PFS), and overall survival (OS) in BRCA1/2 positive mCRPC patients, synthesizing data from 16 studies.
  • The results showed enzalutamide had a better PFS compared to abiraterone, while all three treatments were effective; however, further studies directly comparing these treatments are needed for conclusive results.
View Article and Find Full Text PDF

Introduction: Immune checkpoint inhibitors (ICI) such as anti-PD-L1 and anti-PD-1 agents have been proven to be effective in various cancers. However, the rate of non-responders is still high in all cancer entities. Therefore, the identification of biomarkers that could help to optimize therapeutic decision-making is of great clinical importance.

View Article and Find Full Text PDF

Programmed death ligand-1 (PD-L1) is an immune checkpoint molecule and a widely used therapeutic target in urothelial cancer. Its circulating, soluble levels (sPD-L1) were recently suggested to be associated with the presence and prognosis of various malignancies but have not yet been investigated in upper tract urothelial carcinoma (UTUC). In this study, we assessed sPD-L1 levels in 97 prospectively collected serum samples from 61 UTUC patients who underwent radical nephroureterectomy (RNU), chemotherapy (CTX), or immune checkpoint inhibitor (ICI) therapy.

View Article and Find Full Text PDF

Upper tract urothelial carcinoma (UTUC) is a rare cancer with a barely predictable clinical behaviour. Serum MMP-7 is a validated prognostic marker in urothelial bladder cancer, a tumour entity with large clinical, histological, and molecular similarity to UTUC. The serum MMP-7 levels have not yet been investigated in UTUC.

View Article and Find Full Text PDF