#ASCO21 #PancreaticCancer

📢ASCO is a few days away, and I decided to put together my list of
✅Top Abstracts to watch for

📝I tagged who I could

Starting with my Top Pancreatic Cancer Abstracts...in no particular order.....

(A common theme: NGS and fusion testing is🗝️)
#ASCO21 #PancreaticCancer

@VivekSubbiah, et al (Abstr 3079)
➡️RET inhibitor pralsetinib in patients with RET fusion-positive solid tumors

I know - he has presented this before🙄

🥳but now 3/3 patients with pancreatic cancer responded - one with a CR ongoing at 20.8 months‼️
#ASCO21 #PancreaticCancer

Alison M. Schram, @EileenMOReilly @graokane @benweinbergmd (abstr 3003)
➡️Zenocutuzumab (MCLA-128) in pancreas cancer and other solid tumors harboring NRG1 fusions

✅INV-assessed ORR = 40% (4/10)
✅Tumor regression in 7/10 pts
✅DCR = 90%
✅DOR TBD
#ASCO21 #PancreaticCancer

Funda Meric-Bernstram @Dr_R_Kurzrock & others
(abstr 3004)
➡️My Pathway: Pertuz + trastuz in HER2+ cancers

Yes, also presented before - but now🔬KRAS WT

✅1/3 PDAC pts responded - DOR = 19.3 months‼️

✅(BTW 31% of CRC, and 26% of CCAs responded)
#ASCO21 #PancreaticCancer

Patricia LoRusso and others (abstr 3016)
➡️Phase I study of the MDM2-p53 antagonist BI 907828 in advanced cancer patients

✅Very early study - but 1 uPR in an MDM2 amplified pancreatic cancer patient

🤔MDM2 amp might the next biomarker subgroup
#ASCO21 #PancreaticCancer

2 DDR-Related Abstracts:

JM Romero et al (abstr 2546)
➡️4-chemokine immune-signature in HR-def
✅👓 PDACs with markers of T cell-inflammation

RC Lynch et al (abstr 3006)
➡️Ph I/II of CYT-0851 - an inhib of RAD51-med HR
✅Minor response in 1 PDAC pt
#ASCO21 #PancreaticCancer

MH O'Hara (abstr 4019)
➡️Gem + nab-pac ± nivo ± the CD40 agonist APX005M: Phase 2 final results

✅This one...I need to👀
❓The GA-nivo arm did the best
❓Better than GA-APX
❓And both better than the combo arm
#ASCO21 #PancreaticCancer

J Ezenfis et al (abstr 4018)
➡️Phase 3 of Masitinib plus gemcitabine as first-line treatment of pancreatic cancer with pain
✅Another one to be 👀
mOS for LAPC patients with pain
👉13 mos MAS-GEM
👉11.2 mos PBO-GEM
❗️Small #s in the subgroups though
#ASCO21 #PancreaticCancer

And finally - a couple IO Phase 1 trials to👓
D Liu et al (abstr 2503)
➡️SHR-1701, a bifunctional PD-L1 & TGF-β inh
✅PR in a panc acinar Ca

V Boni (abstr 2513)
➡️Nemvaleukin alfa (synth cytokine, binds to the IL-2R) + pembro
✅PR in 1 of 2 PDAC pts

• • •

Missing some Tweet in this thread? You can try to force a refresh
 

Keep Current with Mike Pishvaian

Mike Pishvaian Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @MPishvaian

1 Jun
#ASCO21

🙏Thank you all for the positive feedback on the PDAC Abstracts

➡️Here now is my 2nd list
✅My Top NON-Pancreatic abstracts to watch for...in no particular order.....

📝Again, I tagged who I could (whose hashtag I could find)
#ASCO21

There were several potential practice changing studies including the one Late Breaking Abstract teaser:

➡️I Chau, et al (LBA 4001)
✅Nivo + ipi or Nivo + chemo vs. chemo alone as 1st-line Tx for esophageal SCC: CheckMate 648

🧐Will dual IO be the winner❓
#ASCO21

➡️R-H Xu, et al (abstr 4000)
✅Ph 3 trial of camrelizumab plus chemo vs. chemo in patients with advanced esophageal SCC
👉Paclitaxel + cis +/- camrelizumab
👉596 patients randomized

🎉Camrelizumab plus chemotherapy⬆️mOS (15.3 vs. 12.0 mos) and ⬆️ORR (72.1% vs. 62.1%)
Read 13 tweets
14 Jan
@TumorBoardTues #TumorBoardTuesday
Thursday Case 🎀

🧑‍🎓Great discussion on the Tx of LAPC

✳️Most preferred FFX for this pt

➡️But the only PROSPECTIVE 📋 is w/gem-nab
pubmed.ncbi.nlm.nih.gov/30220407

➡️There are ✅ retrospective 📋 for FFX
thelancet.com/journals/lanon…

➡️For both, resection rate is 10-15% Image
@TumorBoardTues #TumorBoardTuesday
Thursday Case 🎀

Other options for LAPC:

➡️Clinical trials should be our 1st option, if available
✳️TIGER-PAC
✳️KRAS G12D/V siRNA + chemo
✳️Gem-Nab +/- FG-3019

➡️Radiation (despite negative data from LAP-07)

➡️IRE
✳️2 abstracts @ASCO #GI21
@TumorBoardTues @ASCO #TumorBoardTuesday
Thursday Case 🎀

We had a poll on what is essentially 2nd line chemo for LAPC
✳️Not surprisingly most recommended gem-nab

➡️There are 2 abstracts @ASCO #GI21 on using nal-iri after progression on FOLFIRINOX

Any thoughts on this?🤔 Image
Read 8 tweets
13 Jan
@TumorBoardTues #TumorBoardTuesday-1/7

📣 51 yoF presents with abdominal pain

FH – Father with lung cancer (🚬)

Imaging 📷 showed a 2.9 x 2.6cm panc head mass encasing the SMA

EUS-FNA 💉 - Well-diff adenocarcinoma

➡️Dx: locally advanced unresectable PDAC

❓How you would Tx this Pt?
@TumorBoardTues #TumorBoardTuesday-2/7

Case Follow Up

Patient treated with FOLFOX + SBRT ⚡️
Then maintenance capecitabine
✅(SDz for 2 years!) 👍

Eventually progression with a right ovarian metastasis

❓Poll: Now how would you treat the patient?
@TumorBoardTues #TumorBoardTuesday-3/7

Additional details - NGS DNA Testing 🧬

Somatic tumor testing – pathogenic ATM mutation❗️

Germline testing – no germline ATM mutation

➡️ Share how this information would change your treatment plans 🤔
Read 9 tweets

Did Thread Reader help you today?

Support us! We are indie developers!


This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Too expensive? Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal Become our Patreon

Thank you for your support!

Follow Us on Twitter!

:(