Men whose prostate cancer returns after surgery or radiation therapy may soon benefit from a powerful new treatment that has been shown in clinical trials to reduce the risk of death by more than 40%.

Researchers tested a therapy that combines enzalutamide, an existing cancer drug, with standard hormone therapy. This approach significantly lowered death rates among men whose prostate cancer came back after initial treatment and who had few remaining options. The study findings were published in The New England Journal of Medicine (NEJM) and presented at the European Society for Medical Oncology Congress (ESMO) on Oct. 19 in Berlin.

"After initial treatment, some patients see their prostate cancer come back in an aggressive way and are at risk for their disease to spread quickly," said Stephen Freedland, MD, director of the Center for Integrated Research in Cancer and Lifestyle at Cedars-Sinai Cancer and co-principal investigator of the study. "Hormone therapy, which is what we've been offering patients for 30 years, has not improved survival and neither has anything else. That makes these findings a real game changer."

The international clinical trial followed more than 1,000 men from 244 medical centers across 17 countries. All participants had high-risk biochemically recurrent prostate cancer, a condition where prostate specific antigen (PSA) levels rise rapidly after surgery or radiation. PSA is a protein used to monitor prostate cancer activity, and a sharp increase after treatment often signals that the disease is likely to return and spread, often to the bones or spine.

"We know these patients are at high risk of developing metastatic disease and dying of their cancer unless we offer a meaningful treatment option," said Freedland, professor of Urology and the Warschaw, Robertson, Law Families Chair in Prostate Cancer.

Participants were randomly assigned to receive either hormone therapy alone, enzalutamide alone, or both together. After eight years of follow-up, those who received the combination therapy had a 40.3% lower risk of death compared to those in the other two groups, according to Freedland.

"This clinical trial, one of many that Cedars-Sinai Cancer has offered to its patients, is an example of the translational work being done by our physician-scientists," said Robert Figlin, MD, interim director of Cedars-Sinai Cancer. "The result will be improved treatment and better outcomes for patients everywhere."

Freedland added that enzalutamide is already approved by the Food and Drug Administration and included in National Comprehensive Cancer Network treatment guidelines based on earlier research by the same team. He said these new results will likely strengthen those recommendations and help establish the enzalutamide and hormone therapy combination as the new standard of care for patients with high-risk biochemically recurrent prostate cancer.

"These important findings identify a treatment that prolongs survival in men with aggressive prostate cancer," said Hyung Kim, MD, a urologic oncologist and chair of the Department of Urology at Cedars-Sinai. "The latest analysis complements previous studies that found enzalutamide significantly improved survival in other prostate cancer settings, and will change how we take care of our patients."

Funding: The study was sponsored by Pfizer Inc. and Astellas Pharma Inc., the co-developers of enzalutamide.

Disclosures: Stephen J. Freedland reports being a consultant to Astellas Pharma Inc., AstraZeneca, Bayer, Eli Lilly, Johnson & Johnson Innovative Medicine (formerly Janssen), Merck, Novartis, Pfizer Inc., Sanofi, Sumitomo Pharma America, Inc. (formerly Myovant Sciences, Inc.), and Tolmar.

Read more …This powerful drug combo cuts prostate cancer deaths by 40%

People with advanced lung or skin cancer who received a COVID-19 mRNA vaccine within 100 days of beginning immunotherapy lived considerably longer than those who did not, according to new research.

Scientists from the University of Florida and the University of Texas MD Anderson Cancer Center describe this as a milestone in more than a decade of work developing mRNA-based treatments that activate the body's immune defenses against cancer. Building on an earlier UF study, the results represent an important step toward creating a universal cancer vaccine capable of enhancing the effects of immunotherapy.

The analysis, which examined medical records from over 1,000 MD Anderson patients, is still preliminary. However, if upcoming randomized clinical trials confirm these results, the impact on cancer care could be profound.

"The implications are extraordinary -- this could revolutionize the entire field of oncologic care," said senior researcher Elias Sayour, M.D., Ph.D., a UF Health pediatric oncologist and the Stop Children's Cancer/Bonnie R. Freeman Professor for Pediatric Oncology Research. "We could design an even better nonspecific vaccine to mobilize and reset the immune response, in a way that could essentially be a universal, off-the-shelf cancer vaccine for all cancer patients."

Jeff Coller, Ph.D., a leading mRNA expert at Johns Hopkins University, noted that the findings highlight yet another way Operation Warp Speed (the U.S. government's rapid COVID-19 vaccine initiative) continues to benefit lives in "unique and unexpected ways."

"The results from this study demonstrate how powerful mRNA medicines truly are and that they are revolutionizing our treatment of cancer," Coller said.

Presented today (October 19) at the 2025 European Society for Medical Oncology Congress in Berlin, the study builds on eight years of Sayour's research combining lipid nanoparticles with mRNA. Messenger RNA, or mRNA, is present in every cell and carries the instructions for making proteins.

In July, Sayour's laboratory made an unexpected discovery: to trigger a strong immune attack on cancer, it was not necessary to target a specific tumor protein. Instead, they could simply stimulate the immune system to respond as if it were fighting a viral infection.

By pairing their experimental "nonspecific" mRNA vaccine with immune checkpoint inhibitors -- common cancer drugs that help the immune system recognize and destroy tumors -- the researchers observed a powerful antitumor response in mice. This experimental vaccine was not specific to COVID or any other virus or cancer but used similar technology to COVID-19 vaccines.

That breakthrough inspired former UF researcher and current MD Anderson scientist Adam Grippin, M.D., Ph.D., to ask a key question: Could the COVID-19 mRNA vaccine have a similar immune-boosting effect in cancer patients?

To explore that idea, the team analyzed data from patients with Stage 3 and 4 non-small cell lung cancer and metastatic melanoma treated at MD Anderson between 2019 and 2023.

Their findings showed that patients who received a COVID mRNA vaccine within 100 days of starting immunotherapy survived significantly longer than those who did not.

According to Sayour, the most striking improvements occurred in patients who, based on tumor biology and other factors, were not expected to respond strongly to immunotherapy.

Although these results are from an observational study and require confirmation through a randomized clinical trial, researchers emphasize their potential importance.

Despite the need for further validation, Sayour described the discovery as pivotal for the future of cancer treatment.

"Although not yet proven to be causal, this is the type of treatment benefit that we strive for and hope to see with therapeutic interventions -- but rarely do," said Duane Mitchell, M.D., Ph.D., Grippin's doctoral mentor and director of the UF Clinical and Translational Science Institute. "I think the urgency and importance of doing the confirmatory work can't be overstated."

In lung and skin cancers, doctors commonly engage the immune system with drugs designed to "release the brakes" and recognize and attack cancer cells more effectively. In advanced disease stages, however, most patients don't respond well and often have exhausted other treatment options like radiation, surgery and chemotherapy.

The new study involved records of 180 advanced lung cancer patients who received a COVID vaccine within a 100-day period before or after starting immunotherapy drugs and 704 treated with the same drugs who did not receive the vaccine. Getting the vaccine was associated with a near doubling of median survival, from 20.6 months to 37.3 months.

Of the metastatic melanoma patients, 43 received a vaccine within 100 days of initiating immunotherapy, while 167 patients did not receive a vaccine. With the vaccine, median survival increased from 26.7 months to a range of 30 to 40 months; at the time the data were collected, some patients were still alive, meaning the vaccine effect could be even stronger.

Receiving non-mRNA pneumonia or flu vaccines resulted in no changes in longevity.

To back their findings, UF researchers then used mouse models to pair immunotherapy drugs with an mRNA vaccine targeted specifically at COVID spike protein. Those experiments showed they could turn unresponsive cancers into responsive ones, thwarting tumor growth.

"One of the mechanisms for how this works is when you give an mRNA vaccine, that acts as a flare that starts moving all of these immune cells from bad areas like the tumor to good areas like the lymph nodes," Sayour said.

The next step is to launch a large clinical trial through the UF-led OneFlorida+ Clinical Research Network, a consortium of hospitals, health centers and clinics in Florida, Alabama, Georgia, Arkansas, California and Minnesota.

"One of our key motivations at OneFlorida is to move discoveries from academic settings out into the real world and the places where patients get care," said Betsy Shenkman, Ph.D., who leads the consortium.

If confirmed, the new findings unlock numerous possibilities, and the researchers said an even better nonspecific universal vaccine could be designed. For patients with advanced cancers, the increased survival from such a universal vaccine could provide a priceless benefit: more time.

"If this can double what we're achieving currently, or even incrementally -- 5%, 10% -- that means a lot to those patients, especially if this can be leveraged across different cancers for different patients," said Sayour, an investigator with UF's McKnight Brain Institute.

The study was funded by the National Cancer Institute and multiple foundations.

Sayour, Grippin and Mitchell hold patents related to UF-developed mRNA vaccines that are licensed by iOncologi Inc., a biotech company born as a "spinout" from UF in which Mitchell holds interest.

Read more …Cancer patients who got a COVID vaccine lived much longer

Laser technology plays a vital role in modern life, supporting everything from precise scientific measurements to advanced communication systems. It underpins technologies such as self-driving vehicles, high-speed fiber optic networks, and even tools that detect gases in the atmosphere.

A research team led by Associate Professor Johann Riemensberger from the Department of Electronic Systems at the Norwegian University of Science and Technology (NTNU) has developed a new kind of laser designed to overcome several challenges found in existing models.

"Our results can give us a new type of laser that is both fast, relatively cheap, powerful and easy to use," says Riemensberger.

The team's findings have been published in Nature Photonics. The project is a collaboration between NTNU, the Swiss École Polytechnique Fédérale de Lausanne (EPFL), and Luxtelligence SA.

Self-driving cars and air quality detectors

Traditional precision lasers are often bulky, costly, and tricky to fine-tune.

"Our new laser solves several of these problems," says Riemensberger.

This improvement could make the technology especially useful in self-driving cars, which rely on a technique known as Lidar to map their surroundings. Lidar works by measuring how long it takes light from a laser to bounce back, or by detecting tiny changes in the light's wave phase. The new laser can perform such measurements with remarkable accuracy -- within about four centimeters.

The researchers also demonstrated that their laser can effectively detect hydrogen cyanide gas in the air, a substance commonly referred to as "hydrocyanic acid." Because this compound is extremely toxic even in small amounts, being able to identify it quickly is essential for safety and environmental monitoring.

Advanced materials, microsized light circuits

The researchers created the new laser with advanced materials and microscopic light circuits.

The laser emits a powerful and stable beam of light. Also, among the advantages is that users can easily adjust the frequency quickly and smoothly, without sudden jumps.

"You can also easily control it with just one control instead of many," Riemensberger points out.

The laser is built using chip technology that is already available. This makes it possible to mass-produce it cheaply.

"Our findings make it possible to create small, inexpensive and user-friendly measuring instruments and communication tools with high performance," Riemensberger said.

The work was a collaboration between EPFL (experiments), Luxtelligence SA (chip production) and NTNU (design and simulations). It started when Riemensberger was still a postdoctoral fellow at EPFL. The collaboration continues through an EIC Pathfinder OPEN scholarship called ELLIPTIC.

Read more …This tiny laser could transform how we see and sense the world

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