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Beyond The Abstract: Urology

Evidence without Agenda

beyondtheabstracturology.substack.comRSS feed ↗20 episodes

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PSMAddition: Does Earlier Really Mean Better?

The Drug Is Ready for the Clinic. The Manuscript Is Still Missing.

PROTEUS trial

A trial that raises more questions than it answers.

Metformin and Prostate Cancer: The Tale Continues

From observational promise to consistent negative randomized evidence

Beyond the Abstract: EV-303 (KEYNOTE-905)

Practice-changing results — but there is a problem after progression

PEACE-3 — Does Earlier Radium-223 Actually Matter?

Post-progression therapy suggests limited use of radium-223 in the control arm

Oxybutynin to treat Hot Flushes in Prostate Cancer

Cooling the Heat Without Heating the Budget

Ultra-hypofractinated radiotherapy in prostate cancer

Prospective 10-Year Radiotherapy Data Show Higher-Than-Expected Toxicity—And We Still Await the Patient Voice

PSA for Prostate Cancer Screening: How ERSPC confirms the importance of active surveillance

Interpreting the 23 year ERSPC results in the era of MRI, risk stratification, and active surveillance

IMvigor011: A Biology-Guided Approach to Adjuvant Immunotherapy

Solid trial, but don't call it "adjuvant"

IO & Prostate cancer: When Two Phase III Trials Answer the Same Question—and the Answer Is “No”

Spoiler alert: no room for checkpoint inhibitors in metastatic prostate cancer!

TALAPRO-2: a strong trial, a real survival gain, but at the cost of high toxicity

A strong case for intensification, without closing the sequencing debate

A First Year of Looking Beyond the Abstract: 2025 in Urology Trials

Looking back at 2025, one pattern stands out: a year full of anticipation, but light on true game-changers.

CREST Trial: Positivity by Redesign, Ethical Concerns in Treatment Allocation, and Industry-Controlled Safety Signals

Another "Game Changer" with major limitations

CAPItello-281 phase III study: Not a Game Changer at all in prostate cancer treatment

A closer look at why capivasertib fails to deliver meaningful benefit in PTEN-deficient mHSPC

SEXTANT-PRO: A Clean Non-Inferiority Trial With Practice-Changing Potential

In MRI-positive patients, accuracy may not come from more sampling — but from smarter sampling.

Metformin in Active Surveillance: A Simple Question, a Clear Answer

Spoiler alert: negative results are also results, which lead to progress

Urothelial Cancer Breakthrough: Beyond the RC48-C016 Abstract

Disitamab Vedotin + Toripalimab in HER2-Expressing Advanced Urothelial Cancer - New England Journal of Medicine, October 2025

The AMPLITUDE Trial — PARP Inhibition Moves Upstream in HRR-Deficient mCSPC

Johnson & Johnson want Niraparib in the hormone-sensitive BRCA-altered prostate cancer setting based on PFS — efficacy signal, but fundamental design flaws remain.

EMBARK Final Results: OS benefit with a catch

Do we have enough data to defend the use of Enzalutamide in the Biochemical Recurrence setting?

POTOMAC: A Closer Look at Durvalumab in BCG-Naive NMIBC

The POTOMAC trial results are out — presented at ESMO and now published in The Lancet.