davidjeinstein's profile picture. Disease Group Leader, GU Medical Oncology @BIDMChealth @df_hcc, Asst Prof @harvardmed, dad, cyclist, Far Side superfan

David Einstein

@davidjeinstein

Disease Group Leader, GU Medical Oncology @BIDMChealth @df_hcc, Asst Prof @harvardmed, dad, cyclist, Far Side superfan

Pinned

Out now in @JCO_ASCO , @Merregan @Dr_RaviMadan Julia Stevens, @Uromigos David McDermott, and I ask how to approach tx goals & endpoints in biochemically recurrent prostate cancer in the EMBARK era: · Is metastasis-free survival (MFS) meaningful? · Is extending MFS “worth it”?


Tonight @ Boston Prostate Cancer Support Group: Dr. Ali Baghian @BIDMC_CancerCtr tells about how to interpret your pathology results! 6 pm subgroups, 7 pm main speaker Bostonprostatecancer.org


David Einstein reposted

It’s hard to believe Americas 🇺🇸 🇨🇦 3-0 down in the Uromigos Cup 🏆 . Weekly photos from each team from around the world wins points . ❤️ =points. Can the Americas 🇺🇸🇨🇦 catch up ? Here is @walterstadler5 in Chicago. @OncoAlert @montypal @crisuarez08 @DrChoueiri

Uromigos's tweet image. It’s hard to believe Americas 🇺🇸 🇨🇦 3-0 down in the Uromigos Cup 🏆 . Weekly photos from each team from around the world wins points  . ❤️ =points. Can the Americas 🇺🇸🇨🇦 catch up ? Here is  @walterstadler5 in Chicago. @OncoAlert @montypal @crisuarez08 @DrChoueiri

David Einstein reposted

Stay Tune for Coverage of @Uromigos Live 2025 Direct from Nashville, TN🇺🇸 #UromigosLIVE25 An honor for OncoAlert 🚨to attend and our gratitude to OUR friends the UROMIGOS for the invitation!! See you in Nashville!! @tompowles1 @brian_rini @uromigosjapan @TresUramigas


Endpoints matter especially in recurrent PC… pubmed.ncbi.nlm.nih.gov/38754067/ Treatment-Free Survival in trials of MDT +/- systemic therapy commentary under review…

The great @angela_jia_ reminding us of the importance of endpoint selection. Pros and cons of surrogates. Critical to keep patient QOL at the forefront BCR not a surrogate for OS in #ProstateCancer #ASTRO25 @ASTRO_org

TylerSbrt's tweet image. The great @angela_jia_ reminding us of the importance of endpoint selection. Pros and cons of surrogates. Critical to keep patient QOL at the forefront

BCR not a surrogate for OS in #ProstateCancer

#ASTRO25 @ASTRO_org
TylerSbrt's tweet image. The great @angela_jia_ reminding us of the importance of endpoint selection. Pros and cons of surrogates. Critical to keep patient QOL at the forefront

BCR not a surrogate for OS in #ProstateCancer

#ASTRO25 @ASTRO_org
TylerSbrt's tweet image. The great @angela_jia_ reminding us of the importance of endpoint selection. Pros and cons of surrogates. Critical to keep patient QOL at the forefront

BCR not a surrogate for OS in #ProstateCancer

#ASTRO25 @ASTRO_org
TylerSbrt's tweet image. The great @angela_jia_ reminding us of the importance of endpoint selection. Pros and cons of surrogates. Critical to keep patient QOL at the forefront

BCR not a surrogate for OS in #ProstateCancer

#ASTRO25 @ASTRO_org


Prelude to PSMA-DC

🚨 Phase II LUNAR RCT: 177Lu-PSMA Neoadj to Ablative SBRT for Oligorecur PCa @urotoday #ASTRO25 @AmarUKishan 2 cycles of neoadjuvant 177Lu-PSMA PNT2002 + SBRT to all mets vs SBRT to all mets ⚡️PFS: HR 0.37, 95% CI 0.22-61 ⚡️Hormone-Rx FS: HR 0.40, 95% CI 0.22-0.71 ⚡️Gr 3…

zklaassen_md's tweet image. 🚨 Phase II LUNAR RCT: 177Lu-PSMA Neoadj to Ablative SBRT for Oligorecur PCa @urotoday #ASTRO25 @AmarUKishan 

2 cycles of neoadjuvant 177Lu-PSMA PNT2002 + SBRT to all mets vs SBRT to all mets
⚡️PFS: HR 0.37, 95% CI 0.22-61
⚡️Hormone-Rx FS: HR 0.40, 95% CI 0.22-0.71
⚡️Gr 3…
zklaassen_md's tweet image. 🚨 Phase II LUNAR RCT: 177Lu-PSMA Neoadj to Ablative SBRT for Oligorecur PCa @urotoday #ASTRO25 @AmarUKishan 

2 cycles of neoadjuvant 177Lu-PSMA PNT2002 + SBRT to all mets vs SBRT to all mets
⚡️PFS: HR 0.37, 95% CI 0.22-61
⚡️Hormone-Rx FS: HR 0.40, 95% CI 0.22-0.71
⚡️Gr 3…
zklaassen_md's tweet image. 🚨 Phase II LUNAR RCT: 177Lu-PSMA Neoadj to Ablative SBRT for Oligorecur PCa @urotoday #ASTRO25 @AmarUKishan 

2 cycles of neoadjuvant 177Lu-PSMA PNT2002 + SBRT to all mets vs SBRT to all mets
⚡️PFS: HR 0.37, 95% CI 0.22-61
⚡️Hormone-Rx FS: HR 0.40, 95% CI 0.22-0.71
⚡️Gr 3…
zklaassen_md's tweet image. 🚨 Phase II LUNAR RCT: 177Lu-PSMA Neoadj to Ablative SBRT for Oligorecur PCa @urotoday #ASTRO25 @AmarUKishan 

2 cycles of neoadjuvant 177Lu-PSMA PNT2002 + SBRT to all mets vs SBRT to all mets
⚡️PFS: HR 0.37, 95% CI 0.22-61
⚡️Hormone-Rx FS: HR 0.40, 95% CI 0.22-0.71
⚡️Gr 3…


Excellent! Long-term systemic therapy will inevitably improve MFS, but how can we maximize time off treatment? Time for novel endpoints to capture this!

✨ 🔥🔥New Editorial in @EUplatinum EMBARK puts ARPIs in the spotlight, but where does RT stand in high-risk BCR? 💡 Perspectives, open questions, insights on imaging, MDT & integration 🚀 #radoncGUcommunity #PCa sciencedirect.com/science/articl…

GiuliaMarvaso84's tweet image. ✨ 🔥🔥New Editorial in @EUplatinum 
EMBARK puts ARPIs in the spotlight,
but where does RT stand in high-risk BCR?
💡 Perspectives, open questions,
insights on imaging, MDT & integration 🚀 #radoncGUcommunity #PCa 

sciencedirect.com/science/articl…


Love to see trials framed around Treatment-Free Survival!

Excited to share our recent @LancetOncology publication on sequential SBRT for oligometastatic clear cell RCC. Our outcomes show excellent outcomes in 121 patients with 1-5 metastases. @MDAndersonNews @myriadgenetics authors.elsevier.com/a/1ljMf5EIIgTS…

ChadTangMD's tweet image. Excited to share our recent @LancetOncology publication on sequential SBRT for oligometastatic clear cell RCC. Our outcomes show excellent outcomes in 121 patients with 1-5 metastases. @MDAndersonNews @myriadgenetics 

authors.elsevier.com/a/1ljMf5EIIgTS…


David Einstein reposted

“The question is not should we or should we not stage using #PSMA-PET, but how to treat patients most properly using the information from a PSMA-PET,” said Thomas Hope, MD” @medscape #ProstateCancer medscape.com/viewarticle/ps…

Dr_RaviMadan's tweet image. “The question is not should we or should we not stage using #PSMA-PET, but how to treat patients most properly using the information from a PSMA-PET,” said Thomas Hope, MD”

@medscape #ProstateCancer

medscape.com/viewarticle/ps…

David Einstein reposted

⭐️ Giuseppe Carnevali Endowed Lecture ⭐️ “Unravelling the Mysteries of Kidney Cancer – A Journey from Genetics to Immunology” Dr. Samra Turajlic, MD @TheCrick A masterclass in Kidney Cancer from genetics 🧬 to immunogenicity 🦠to pearls that impact clinical care 🩺 !

MikeSerzanMD's tweet image. ⭐️ Giuseppe Carnevali Endowed Lecture ⭐️ 

“Unravelling the Mysteries of Kidney Cancer – A Journey from Genetics to Immunology” Dr. Samra Turajlic, MD @TheCrick 

A masterclass in Kidney Cancer from genetics 🧬 to immunogenicity 🦠to pearls that impact clinical care 🩺 !
MikeSerzanMD's tweet image. ⭐️ Giuseppe Carnevali Endowed Lecture ⭐️ 

“Unravelling the Mysteries of Kidney Cancer – A Journey from Genetics to Immunology” Dr. Samra Turajlic, MD @TheCrick 

A masterclass in Kidney Cancer from genetics 🧬 to immunogenicity 🦠to pearls that impact clinical care 🩺 !
MikeSerzanMD's tweet image. ⭐️ Giuseppe Carnevali Endowed Lecture ⭐️ 

“Unravelling the Mysteries of Kidney Cancer – A Journey from Genetics to Immunology” Dr. Samra Turajlic, MD @TheCrick 

A masterclass in Kidney Cancer from genetics 🧬 to immunogenicity 🦠to pearls that impact clinical care 🩺 !
MikeSerzanMD's tweet image. ⭐️ Giuseppe Carnevali Endowed Lecture ⭐️ 

“Unravelling the Mysteries of Kidney Cancer – A Journey from Genetics to Immunology” Dr. Samra Turajlic, MD @TheCrick 

A masterclass in Kidney Cancer from genetics 🧬 to immunogenicity 🦠to pearls that impact clinical care 🩺 !

Patients with prostate cancer and their caretakers--join the Boston Prostate Cancer Support Group tonight, 6-8 pm EDT. bostonprostatecancer.org 6-7: Patient-led subgroups 7-8: @AtishChoudhury from @DanaFarber_GU speaks on emerging therapeutics!


David Einstein reposted

Does the addition of MDT to standard of care continuous ADT improve outcomes for oligomet prostate ca? Happy to share the results of EXTEND evaluating this question alongside PI @ChadTangMD & many others

AlexSherryMD's tweet image. Does the addition of MDT to standard of care continuous ADT improve outcomes for oligomet prostate ca?

Happy to share the results of EXTEND evaluating this question alongside PI @ChadTangMD & many others

David Einstein reposted

Brief 🧵 1/ How common is *failure* of modern active surveillance (AS) for #ProstateCancer (PCa)? Which patients are at higher risk? Spoiler 🚨: it’s pretty simple @EurUrolOncol @UroToday @OncoAlert @PCF_Science @gu_onc @AmerUrological @Uroweb

TylerSbrt's tweet image. Brief 🧵 1/

How common is *failure* of modern active surveillance (AS) for #ProstateCancer (PCa)?

Which patients are at higher risk?

Spoiler 🚨: it’s pretty simple

@EurUrolOncol @UroToday @OncoAlert @PCF_Science @gu_onc @AmerUrological @Uroweb

David Einstein reposted

👥 Connect, learn, & collaborate with your peers! Join Dr. Smith, Dr. Gao, @CaPsurvivorship, @davidjeinstein, @RickLee6 & @VincentWenxinXu at the Genitourinary Cancers State of the Science Summit on July 22! Register today: hubs.li/Q03wwJx20 @MGHCancerCenter #SOSSconnects

OncLive's tweet image. 👥 Connect, learn, & collaborate with your peers! Join Dr. Smith, Dr. Gao, @CaPsurvivorship, @davidjeinstein, @RickLee6 & @VincentWenxinXu at the Genitourinary Cancers State of the Science Summit on July 22! Register today: hubs.li/Q03wwJx20 @MGHCancerCenter #SOSSconnects

David Einstein reposted

Do #PSMA+ findings in #BCR #ProstateCancer require immediate treatment? NO based on emerging data @theNCI Appreciate @TiansterZhang @urotoday for the opportunity to discuss Ongoing trial of PSMA scans in BCR is still enrolling: shorturl.at/36nGQ shorturl.at/FDFKl


Looking forward to this!

The 4th live Uromigos meeting is happening on 7th & 8th Nov ‘25 in Nashville. It’s going to have an international flavour with America’s 🇺🇸 🇨🇦 vs Eurasia 🇯🇵 🇨🇳 🇮🇳 🇦🇺 🇪🇺 Uromigos Cup competition (details to follow). Sessions ranging from ADCs in MIBC to the changing shape of…

Uromigos's tweet image. The 4th live Uromigos meeting is happening on 7th & 8th Nov ‘25 in Nashville. It’s going to have an international flavour with America’s 🇺🇸 🇨🇦 vs Eurasia 🇯🇵 🇨🇳 🇮🇳 🇦🇺 🇪🇺 Uromigos Cup competition (details to follow). Sessions ranging  from ADCs in MIBC to the changing shape of…
Uromigos's tweet image. The 4th live Uromigos meeting is happening on 7th & 8th Nov ‘25 in Nashville. It’s going to have an international flavour with America’s 🇺🇸 🇨🇦 vs Eurasia 🇯🇵 🇨🇳 🇮🇳 🇦🇺 🇪🇺 Uromigos Cup competition (details to follow). Sessions ranging  from ADCs in MIBC to the changing shape of…


Nothing says relaxing immersion like Radium

davidjeinstein's tweet image. Nothing says relaxing immersion like Radium
davidjeinstein's tweet image. Nothing says relaxing immersion like Radium

How should patients think about tough treatment decisions for biochemically recurrent prostate cancer? @BIDMC_HOFellows Lauren O'Loughlin shows how we talk about BCR in our clinic for @urotoday. urotoday.com/recent-abstrac…


Very important risk-adapted study!

TiP: TRIPLE-SWITCH -- Ph III RCT for adding Doce to ARPIs in mCSPC and subopt PSA resp @urotoday #ASCO25 🔷n=830 🔷Subopt PSA resp: PSA ≥0.2 ng/mL after 6-12 mos ADT, ≥4 mos ARPI 🔷1:1 cont ADT + ARPI vs cont ARPI + ADT + Doce 🔷Prim EP: OS 🚨 Important RCT for subopt PSA…

zklaassen_md's tweet image. TiP: TRIPLE-SWITCH -- Ph III RCT for adding Doce to ARPIs in mCSPC and subopt PSA resp @urotoday #ASCO25 

🔷n=830
🔷Subopt PSA resp: PSA ≥0.2 ng/mL after 6-12 mos ADT, ≥4 mos ARPI
🔷1:1 cont ADT + ARPI vs cont ARPI + ADT + Doce
🔷Prim EP: OS

🚨 Important RCT for subopt PSA…


David Einstein reposted

What should we do for #ProstateCancer patients with #PSMA+ #BCR? While we can use any treatment do we NEED to? Stop by tomorrow abstract BD# 297. Monday 9am-noon The answer is pretty clear… #ASCO25 @ASCO @theNCI

Dr_RaviMadan's tweet image. What should we do for #ProstateCancer patients with #PSMA+ #BCR?

While we can use any treatment do we NEED to?

Stop by tomorrow abstract BD# 297. Monday 9am-noon

The answer is pretty clear…

#ASCO25 @ASCO @theNCI
Dr_RaviMadan's tweet image. What should we do for #ProstateCancer patients with #PSMA+ #BCR?

While we can use any treatment do we NEED to?

Stop by tomorrow abstract BD# 297. Monday 9am-noon

The answer is pretty clear…

#ASCO25 @ASCO @theNCI

Updated data from #PSMA monitoring study in #BCR #ProstateCancer @ASCO #ASCO25 Stop by & see our poster on Monday morning You can see what happens to this pt at 6 months 10+ LNs How would you have managed this case? Trial continues to accrue @theNCI clinicaltrials.gov/study/NCT05588…

Dr_RaviMadan's tweet image. Updated data from #PSMA monitoring study in #BCR #ProstateCancer @ASCO #ASCO25 

Stop by & see our poster on Monday morning

You can see what happens to this pt at 6 months 10+ LNs

How would you have managed this case?

Trial continues to accrue @theNCI

clinicaltrials.gov/study/NCT05588…


Massachusetts Prostate Cancer Coalition annual virtual symposium starting in 1 hour! masspcc.org/events/


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