Ravi Madan
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ravimadan.bsky.social
Ravi Madan
@ravimadan.bsky.social
Clinical researcher focused on #ProstateCancer, early recurrence (#BCR/PSMA+ BCR) & #immunotherapy. Views are my own & do not represent the National Cancer Institute #Medsky
Clinical and #Genomic Differences Between Advanced Molecular Imaging-detected and Conventional Imaging-detected Metachronous Oligometastatic Castration-sensitive #ProstateCancer @EUplatinum
#PSMA

www.sciencedirect.com/science/arti...
November 11, 2025 at 12:56 PM
More information on the clinical trial & how to refer patients

#ESMO25
#BCR #ProstateCancer

Much more data to follow from this trial helping define who needs treatment in #PSMA+ BCR & who does NOT (which is most pts as the data demonstrate)

Study link
www.clinicaltrials.gov/study/NCT055...
ClinicalTrials.gov
www.clinicaltrials.gov
October 18, 2025 at 9:44 AM
More information on the clinical trial & how to refer patients

#ESMO25
#BCR #ProstateCancer

Much more data to follow from this trial helping define who needs treatment in #PSMA+ BCR & who does NOT (which is most pts as the data demonstrate)

www.clinicaltrials.gov/study/NCT055...
ClinicalTrials.gov
www.clinicaltrials.gov
October 18, 2025 at 9:41 AM
One that allows questioning of the data with the intent of understanding it better as opposed to “amplifying” the original message.
September 26, 2025 at 2:53 PM
In short. Yes. I do think #serosal lesions on #PSMA in #BCR do not present an urgent clinical threat. We are evaluating this further on our ongoing study of Prospective PSMAs in BCR #ProstateCancer

www.clinicaltrials.gov/study/NCT055...
ClinicalTrials.gov
www.clinicaltrials.gov
September 18, 2025 at 4:11 PM
More examples of indolent serosal findings emerging from our ongoing #PSMA imaging study in #BCR #ProstateCancer @theNCI which has enrolled over 140 patients and continues to enroll.

See link for more details

www.clinicaltrials.gov/study/NCT055...
ClinicalTrials.gov
www.clinicaltrials.gov
August 21, 2025 at 12:28 PM
Not the first example of indolent serosal findings on #PSMA in #ProstateCancer

This pt with findings in 2018
tinyurl.com/29tpcddy
@ascocancer.bsky.social

This patient with serosal findings on the liver remains without parenchymal Mets in 2025. Went most of the 7 years without treatment.
August 21, 2025 at 12:27 PM
Agree. Important point. There has always been a reluctance to use chemo in #ProstateCancer

It underpins the lack of 2nd line treatments s/p ARPI data from 2015-2020ish

Could argue it’s efficacy after arpi is unstudied but not a reason not to use

Every treatment has its place
July 27, 2025 at 1:51 PM
Agree @profiand.bsky.social
#ProatateCancer

Would also suggest that PFS of 2 agents vs 1 without adequate crossover should always be superior and such a trial answers few ?s except toxicity which will undoubtedly be “manageable”

www.nature.com/articles/s41...
Progression-free survival end points in prostate cancer: are we truly making progress - Nature Reviews Urology
Recently, several therapeutic strategies in prostate cancer have been granted regulatory approval based on progression-free survival benefits alone, which is a relative change in the therapeutic devel...
www.nature.com
July 27, 2025 at 1:50 PM