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GU Cancers 2026 | Cure potential and treatment goals in metastatic solid tumor oncology

Pavlos Msaouel, MD, PhD, The University of Texas MD Anderson Cancer Center, Houston, TX, discusses the concept of cures in solid tumor oncology, particularly in kidney cancer, and how to maximize the odds of eradicating the disease completely. It is now feasible to consider curing patients, even in the stage four metastatic stage, by optimizing therapies to include a cure fraction beyond just prolonging survival times, and statistical modeling strategies can help analyze existing clinical data and inform novel clinical trial designs. This interview took place at the 2026 ASCO GU Cancers Symposium in San Francisco, CA.

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Transcript

Yeah, I think that one of the things that patients are certainly very interested in beyond just prolonging their survival or prolonging their time until their disease recurs is the concept of cures. I think that we are definitely reaching a point in solid tumor oncology and kidney cancer in particular, whereby we can start thinking in terms of how do we maximize the odds of actually curing patients, eradicating their disease completely from their body, both in the earlier stages where it is more feasible, but even in the stage four metastatic stage, I think we can start seriously considering how we can optimize the therapies to include the cure fraction beyond just prolonging survival times...

Yeah, I think that one of the things that patients are certainly very interested in beyond just prolonging their survival or prolonging their time until their disease recurs is the concept of cures. I think that we are definitely reaching a point in solid tumor oncology and kidney cancer in particular, whereby we can start thinking in terms of how do we maximize the odds of actually curing patients, eradicating their disease completely from their body, both in the earlier stages where it is more feasible, but even in the stage four metastatic stage, I think we can start seriously considering how we can optimize the therapies to include the cure fraction beyond just prolonging survival times. And there are very good modeling strategies that have been developed in the past two decades in the statistical design space that can help us actually do these types of analyses with already existing clinical data and incorporate them in novel clinical trial designs.

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