Aakash Desai, MD, MPH Profile picture
Thoracic/Phase 1 Oncologist @ONealCancerUAB, Asst Prof @UABMedicine | Alum @MayoHemeOnc @UConnIM @MDAndersonNews| Co-Host @HemOncFellows @LungCancerRX

Sep 20, 2020, 11 tweets

Folks! We return for #HOTrainees with the exciting #Day2 @myESMO #ESMO20 and some more #practice relevant studies in #breastcancer #ProstateCancer #lungcancer #GI, so sit back, relax and lets go through some data (#HO #trainee-style!) Shout out to @peters_solange @OncoAlert

1. #BreastCancer: We have #monarchE and #IMPassion031 hoping to hear from experts @ErikaHamilton9 @NicoleKuderer @DrSGraff @matteolambe @tmprowell @GeorgeSledge51 @VukovicPetra for more insights- please link to your discussions here for #trainees:

1. A) #monarchE: use of #abemiciclib in HR+, HER2-,high risk #EBC in addition to endocrine therapy.
Current #SOC: adjuvant ET (5-10 years)
#monarchE: #Abemaciclib + ET iDFS HR 0.747, here's a great summary by @ErikaHamilton9 for @OncoAlert :

1. B) #IMPassion031 studies #neoadj #atezolizumab + chemo in early #TNBC showed #pCR in 57.6% pts with atezo+chemo vs 41.1% benefit regardless of PD-L1 status
Current SOC: #Neoadj #Chemo, algorithm below cc: @UpToDate, discussion by @matteolambe @OncoAlert

2. #ProstateCancer: #PROfound and #IPATential both in the mCRPC space @quimmateo , hoping to hear from experts @PGrivasMDPhD @DrChoueiri @neerajaiims @montypal @TiansterZhang @shilpaonc for more insights- please link to your discussions here for #trainees:

2. A) #PROfound looks at #OS analysis of patients #prostatecancer w/ #olaparib vs #abi/#enza. Better responses in pts w/ BRCA1/2, less clear benefit for pts w/ CDK12/ATM mutations
Current #SOC: @NCCN 2nd line: Docetaxel?- need some #expert help!

More discussion on #evidence and some #questions to think about can be found here:
@TheWonkologist:
@VPrasadMDMPH:
Paper @NEJM: nejm.org/doi/full/10.10… and one out today with #survival data: nejm.org/doi/full/10.10…

2. B) #IPATential150 trial: #Abiraterone +/- #Ipatasertib (Had to look up #MOA below:) in mCRPC, good data for #PTEN loss but needs more OS/other #endpoints data

3. #LungCancer and #CRC had data presented and published @NEJM: nejm.org/doi/full/10.10…, discussion found here: @OncLive onclive.com/view/sotorasib…

Great list of #concomitant #pubs from #ESMO20 by @aftimosp here:
#ADAURA >>>@NEJM
#Sotorasib phase 1 >>> @NEJM
#PROfound >>>@NEJM
#IMpassion031 >>>@TheLancet
#monarchE>>> J Clin Oncol @ASCO_pubs

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