Toni Choueiri, MD Profile picture
May 27, 2022 10 tweets 7 min read Read on X
Now that #ASCO22 abstracts are released, more insights into Top 10 #GUOnc abstracts (still many LBAs):

@DanaFarber_GU @OncoAlert @ASCO @ASCOPost

1/LBA| Chris Ryan @OHSUKnight=>The long awaited EVEREST study with adjuvant everolimus in RCC: stay tuned!
2/Interesting relationship between DepOR and clinical outcomes in CM-9ER! Greater proportions of pts receiving Nivo+Cabo had deeper responses vs SUN. This translated into better PFS/OS

Dr. Cristina Súarez @vallhebron Image
3/Better HEQOL baseline scores were associated with significantly reduced death on Checkmate-214. Pts with improved/stable 6mo-HRQoL had a 52% reduction in risk of death compared to pts who had worsened.
@CellaDavid @MSSatNU Image
5/Cabo+Atezo demonstrated clinical benefit across cohorts C3, C4 (no prior therapy and cisplatin-based chemo ineligible (C3) or eligible (C4)), C5 (with one prior ICI and no prior VEGFR-TKI therapy) with manageable toxicity.
@montypal @cityofhope Image
6/LBA |Robert J. Jones, @UofGlasgow Image
7/Successful prediction of pathologic response when combining mR-score and circulating bladder DNA fraction in 79% of patients with MIBC undergoing neoadjuvant chemotherapy in SWOG S1314.
@YiTsungLu1 @uscnorris Image
8/SHR3680 significantly reduced the risk of radiographic progression or death than Bicalutamide in a phase 3 CHART for patients with high-volume mHSPC. Waiting for future OS results.
Dr. Ding-Wei Ye, Fudan University Shanghai Cancer Center Image
9/Viable surrogate threshold effects of 0.82 for rPFS and 0.84 for cPFS making them potential surrogate endpoints for OS. Waiting for a planned validation that would help expedite phase 3 trials!
Dr. Susan Halabi @DukeMedSchool Image
10/3yr-fu update of TheraP: 177Lu-PSMA-617 (LuPSMA) versus cabazitaxel in mCRPC progressing after docetaxel. Similar OS between LuPSMA and cabazitaxel groups, but Lu-PSMA has better responses, safety and QOL.
@DrMHofman @PeterMacCC Image

• • •

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

Keep Current with Toni Choueiri, MD

Toni Choueiri, MD 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 @DrChoueiri

Jan 1
HIGHEST RANKED TRIALS for 2025

TOP 10 #cancerclinicaltrials in 2025 w/MOST Impact

1/ #DeLLphi304 @NEJM led by #Zeusofoncology @g_mountzios @HenryDunantGR : In relapsed SCLC post-platinum, BiTE DLL-3 Tarlatamab improved mOS vs. Chemo (13.6 vs 8.3 m, HR 0.60). PFS and in cancer-related dyspnea also improved.

nejm.org/doi/full/10.10…Image
Image
Image
2/ Practice-changing trial, #ATOMIC in @JCO_ASCO: In dMMR stage III colon cancer, adding atezolizumab to adjuvant mFOLFOX6 improved DFS (HR 0.50!!)
@FASinicropeMD @DennisJHsu #JeffMeyerhardt -- #ASCO2025 Plenary discussed wonderfully by @MyriamChalabi @NKI_nl

ascopubs.org/doi/10.1200/JC…Image
Image
Image
3/ #SERENA6 is the first Phase III trial to use a ctDNA-guided approach to tackle endocrine resistance: In ER+/HER2– metastatic breast cancer, early switch to Camizestrant upon ctDNA-detected ESR1 mutation markedly delayed progression. PFS 16.0 vs 9.2 m (HR 0.44). QoL decline was delayed and toxicity remained low. Glad to see our own investigator-extraordinaire @elmayerm @DanaFarber 2nd author. Also #ASCO2025 Plenary

nejm.org/doi/full/10.10…Image
Image
Read 10 tweets
Dec 24, 2025
IT IS THIS TIME OF THE YEAR AGAIN!

TOP 10 GU clinical trials in 2025!

1/ Practice-changing IMvigor011: In ctDNA+ MIBC post-cystectomy, adjuvant atezo improved DFS (HR 0.64) & OS (HR 0.59) vs placebo. ctDNA- pts spared therapy w/ 2-yr DFS ~88%.
@tompowles1 @DrYukselUrun @OncoBellmunt @NEJM #ESMO2025 Plenary @myESMO

nejm.org/doi/full/10.10…Image
Image
2/ Updated EV-302 (2.5-yr f/u). EV+pembro as 1L SOC in la/mUC. PFS 12.5 vs 6.3 mo (HR 0.48); OS 33.8 vs 15.9 mo (HR 0.51) vs chemo. Durable benefit with no new safety signals.
@tompowles1 @shilpaonc

annalsofoncology.org/article/S0923-…Image
Image
Image
3/ POTOMAC (Phase III): adding 1 year of durvalumab to BCG induction + maintenance In BCG-naive high-risk NMIBC significantly improved DFS vs BCG alone. 32% risk reduction for recurrence or death (HR 0.68) at ~5-yr f/u. Manageable safety profile. Supports IO + BCG as a potential new standard in high-risk NMIBC.

@tompowles1 @TheLancet @nealshore @mdesantis234 @AstraZeneca
thelancet.com/journals/lance…Image
Image
Read 10 tweets
Jan 1, 2025
END OF YEAR TOP ALL CANCER TRIALS in 2024!

JUST in on 1 JAN 2025:

Paper 1:

#neoadjuvant checkpoint inhibitor Phase 3 trial in melanoma! #NADINA trial shows ipi+nivo significantly improves EFS vs. adjuvant nivo alone (HR 0.32, p<0.0001). #ASCO24 plenary #Melanoma @ASCO @ProfCUBlankNKI

nejm.org/doi/full/10.10…Image
Image
Paper 2:

The #TRANSMET study shows liver transplantation + chemo improves 5-year survival (56.6%) vs chemo alone (12.6%) for unresectable colorectal liver metastases. A potential game-changer in colorectal liver metastases! @TheLancetOncol



@GelliMaximilia1 @CHBPaulBrousse @GustaveRoussythelancet.com/journals/lance…Image
Paper 3:

The #TOPGEAR trial in @NEJM reveals: Adding preoperative chemoradiotherapy to perioperative chemo in resectable gastric cancer doubled pathological complete responses (17% vs 8%) but did not boost overall survival.

A step forward in understanding optimal strategies for gastric cancer treatment!

nejm.org/doi/full/10.10…
@Sydney_Uni @PeterMacRadOnc @OncoAlertImage
Image
Image
Read 11 tweets
Dec 27, 2024
IT IS THIS TIME OF THE YEAR AGAIN!

TOP 10 GU Bladder/Kidney Cancer TRIALS FOR 2024

1/ Enfortumab Vedotin (EV) + Pembrolizumab new SOC for patients with metastatic #UC. Trial #EV302 displaced 30y Platinum-based combos
⏩ PFS benefit: 12.5 vs 6.3 mo (HR= 0.45)
⏩ OS benefit: 31.5 vs 16.1 mo (HR= 0.47)

@tompowles1 @NEJM #ESMO2023 Plenary

nejm.org/doi/full/10.10…Image
Image
2/NIAGARA trial: Perioperative durvalumab with NAC in operable bladder cancer à EFS and OS benefit.
⏩32% reduction in risk of recurrence/death
⏩ 25% reduction in the risk of death
⏩No new safety signals.
🎯Potential new SOC for cisplatin-eligible MIBC!

#ESMO2024 Plenary

@tompowles1 again @NEJM

nejm.org/doi/full/10.10…Image
Image
3/ Keynote-564: 1st phase 3 trial to demonstrate overall survival benefit for adjuvant treatment in #RCC #Pembrolizumab

⏩38% reduced risk of recurrence/death (HR 0.62)
⏩New SOC for high-risk RCC post-nephrectomy

@NEJM with @ASCO GU 2024 Image
Image
Read 10 tweets
Dec 26, 2023
And now, onto the Top 10 Translational GU Papers of 20-23. Again, not an exhaustive list, with some our @DanaFarber @DanaFarber_GU being involved in.

Let us start! Image
1/#RCC histological subtypes display diverse epigenetic configurations. Allelic imbalances play a role in modifying TF binding sites, especially through candidate SNPs.

Potential targets for future investigations and therapeutic strategies?

@AminNassarMD @sarahaboualaiwi @SylvanBacaLab #FreedmanLab

nature.com/articles/s4146…Image
Image
Image
2/ Unlocking metastatic secrets: 🧬A novel #RCC model created with CRISPR-Cas9 editing reveals 9p21 disruption’s role, recurrent patterns driving progression, and #INF signaling’s

@perelli_luigi @LabGenovese @NatureCancer
nature.com/articles/s4301…

Image
Image
Read 11 tweets
Dec 24, 2023
It is this time of the year again: TOP 10 GU Oncology clinical papers/trials in 2023: Some negative, some positive, but we learned from all!

Feel free to add more & retweet & tag

This is not an exhaustive list!

@OncoAlert @danafarber @DanaFarber_GU

#OnwardFor2024 Image
1/#COSMIC-313 phase 3 trial shows ⬆️PFS with Cabozantinib plus Nivolumab and Ipilimumab in patients with previously untreated advanced or metastatic #RCC presented @myESMO #ESMO22

@motzermd @NEJM @tompowles1 @AlbigesL @DrDanielHeng @FabioSchutz78 @BurottoMauricio



COI: trial PInejm.org/doi/full/10.10…Image
2/In HRR-def #mCRPC: adding talazoparib to enza as 1L improved rPFS(HR=0.45), #PSA-progression, time to chemo, RR, could ⬆️OS (HR=0.69, immature) from Ph 3 #TALAPRO-2 trial. Presented #GU23 @ASCO

@neerajaiims @NatureMedicine #Fizazi @AzadOncology

nature.com/articles/s4159…


Image
Image
Image
Read 11 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

Don't want to be a Premium member but still want to support us?

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

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us!

:(