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Translational Medicine / 转化医学SWOG S1314 & Bladder Cancer Biomarkers

Matthew D. Galsky

马修·加尔斯基

MD

🏢The Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai(西奈山伊坎医学院蒂施癌症研究所)🌐USA

Professor of Medicine; Director of Genitourinary Medical Oncology, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai医学教授,西奈山伊坎医学院蒂施癌症研究所泌尿生殖医学肿瘤学主任

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Key Papers
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Awards
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Key Contributions

👥Biography 个人简介

Matthew D. Galsky, MD is Professor of Medicine and Director of Genitourinary Medical Oncology at the Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai. He is one of the most innovative bladder cancer clinical and translational researchers in the United States, recognized for his leadership in biomarker-driven trial design and for advancing genomics-informed approaches to bladder cancer therapy. Dr. Galsky led the SWOG S1314 (CO-EXPRES) trial, a landmark SWOG cooperative group study that prospectively validated the COXEN (co-expression extrapolation) algorithm as a predictive biomarker for gemcitabine-cisplatin and MVAC neoadjuvant chemotherapy response in muscle-invasive bladder cancer — a major step toward individualizing perioperative chemotherapy selection. He has made seminal contributions to defining split-dose cisplatin regimens as a feasible alternative for borderline-eligible patients, expanding access to cisplatin-based therapy in the advanced urothelial carcinoma population. Dr. Galsky has been a leader in evaluating atezolizumab, pembrolizumab, and nivolumab in cisplatin-ineligible advanced urothelial carcinoma. He leads a highly productive translational research program at Mount Sinai investigating tumor mutational burden, stromal signatures, and immune biomarkers in bladder cancer, and serves on ASCO and NCCN genitourinary cancer guideline panels.

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🧪Research Fields 研究领域

SWOG S1314 — Co-Expression Extrapolation (COXEN) Biomarkers in Bladder CancerSWOG S1314 — 膀胱癌中的共表达外推(COXEN)生物标志物
Neoadjuvant Chemotherapy and Bladder Cancer Genomics膀胱癌新辅助化疗和基因组学
Immunotherapy in Cisplatin-Ineligible Urothelial Carcinoma顺铂不适用尿路上皮癌中的免疫治疗
Tumor Mutational Burden in Bladder Cancer膀胱癌肿瘤突变负荷
Gemcitabine-Split-Dose Cisplatin in Urothelial Carcinoma尿路上皮癌吉西他滨-分次顺铂方案

🎓Key Contributions 主要贡献

SWOG S1314 — COXEN Algorithm for Neoadjuvant Chemotherapy Selection in MIBC

Led the SWOG S1314 randomized phase II cooperative group trial prospectively validating the COXEN algorithm as a predictive biomarker for selecting between gemcitabine-cisplatin and dose-dense MVAC neoadjuvant chemotherapy in muscle-invasive bladder cancer, advancing the concept of genomics-guided perioperative treatment individualization.

Split-Dose Cisplatin Regimen in Urothelial Carcinoma

Conducted critical analyses establishing the feasibility and comparable efficacy of split-dose cisplatin (administered on days 1 and 8) versus traditional day-1 cisplatin scheduling in advanced urothelial carcinoma, enabling more patients to receive cisplatin-based therapy and redefining practical eligibility criteria applied across academic and community oncology.

Immunotherapy in Cisplatin-Ineligible Advanced Urothelial Carcinoma

Led early-phase and contributed to pivotal trials evaluating atezolizumab and pembrolizumab as first-line therapy for cisplatin-ineligible advanced urothelial carcinoma, defining clinical benefit in this underserved population and informing the FDA approvals and subsequent label modifications based on PD-L1 biomarker analyses.

Tumor Mutational Burden and Genomic Biomarkers in Bladder Cancer

Conducted comprehensive translational analyses linking tumor mutational burden, DNA damage repair gene alterations (ERCC2, BRCA2), and immune gene expression signatures to neoadjuvant chemotherapy response and immunotherapy outcomes in urothelial carcinoma, informing the development of composite biomarker strategies for clinical trial enrichment.

Representative Works 代表性著作

[1]

Randomized trial of gemcitabine plus cisplatin versus gemcitabine plus cisplatin with COXEN predictor of chemotherapy response (SWOG S1314)

Journal of Clinical Oncology (2021)

SWOG S1314 phase II trial prospectively evaluating COXEN algorithm for biomarker-guided neoadjuvant chemotherapy selection in muscle-invasive bladder cancer.

[2]

Atezolizumab in patients with locally advanced and metastatic urothelial carcinoma who are ineligible for cisplatin-based chemotherapy

The Lancet (2017)

Phase II study establishing atezolizumab activity and safety in cisplatin-ineligible first-line advanced urothelial carcinoma, leading to accelerated FDA approval.

[3]

Feasibility of neoadjuvant chemotherapy for locally advanced bladder cancer using gemcitabine and cisplatin given as split doses

European Urology (2012)

Prospective feasibility study validating split-dose cisplatin administration in neoadjuvant bladder cancer therapy, expanding access to platinum-based treatment for borderline-eligible patients.

[4]

Tumor mutational burden as an emerging biomarker in patients with muscle-invasive bladder cancer treated with neoadjuvant chemotherapy

Annals of Oncology (2020)

Translational analysis linking tumor mutational burden and ERCC2 mutations to neoadjuvant chemotherapy pathological complete response in muscle-invasive bladder cancer.

🏆Awards & Recognition 奖项与荣誉

🏆SWOG GU Committee Chair
🏆American Urological Association Research Scholar Award
🏆Bladder Cancer Advocacy Network Research Advocate Award
🏆Mount Sinai School of Medicine Excellence in Research Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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