This should be interesting as I am running a trial in clear cell cancer with colleagues @BrownOncology
Presented by my fellow Matt Hadfield at #ASCO22
This should be interesting as I am running a trial in clear cell cancer with colleagues @BrownOncology
Presented by my fellow Matt Hadfield at #ASCO22
Retrospective study suggests bevacizumab + chemo improved survival in people with ovarian clear cell carcinoma. Hypothesis generating for sure.
This study was a larger retrospective in Japan before and after Bev was approved.
This is a very small study
Study cohort characteristics: Noted that 30% of those with ovarian clear cell cancer experienced thrombosis.
Chemo schedule was different; may have an impact on results.
Retrospective study survival results:
Median PFS 30 vs 12m (bev used vs no bev)
Subgroup analysis interesting in lack of evidence that few specific criteria favored use of Bev
Two cents: not level 1 data. confounders make it difficult to interpret. Biases hard to account for in such a small number of patients treated. Enough to go to a phase 3 trial for sure, if there was an appetite to launch one...

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More from @drdonsdizon

Jun 6
Dr Veneziani up presenting the PESCO trial
Maveropepimut-S targets Survivin protein
Prior studies showed safety
Read 6 tweets
Jun 6
Hmmm. I am noticing that ex-US trials are not reporting race... Should this be a required element for @ASCO presentations?
Study design of MITO-23
MITO23 endpoints:
Primary: Overall Survival
Secondary: Progression Free Survival

Very interesting that OS was the primary endpoint I think...
Read 6 tweets
Jun 6
Study volunteers: 35% had platinum-refractory disease and 6% had primary platinum-refractory disease. 12% had a BRCA mutation
Continuous relacorilant treatment seemed more toxic to me: worse events of neuropathy and fatigue.
Read 5 tweets
Jun 6
Next up #gyncsm #ASCO22 Ruxolitinib
Ruxolitinib = JACK 1/2 inhibitor. The IL-6/JAK/STAT3 implicated in the survival of cancer stem like cells. Inhibition of this axis may improve the activity of chemotherapy.
SO... "dispositioned to neoadjuvant chemotherapy" seems really weird to say. These volunteers were recommended to NACT.
Read 7 tweets
Jun 6
#gyncsm ATHENA-MONO volunteers
75% White, 22% Asian.
This will be a problem going forward. Volunteers on trials should represent the demographics of those who get the disease.
FWIW: Ref SEER (Cases per 100K persons)
ATHENA-MONO Progression free survival favors rucaparib over placebo in volunteers with HRD
Monk: Subgroup analyses all point towards benefit to rucaparib
Read 5 tweets
Jan 7
The Omicron surge has been truly devastating... for cancer centers. 🧵 1/9
Operating rooms are operating, but on a day by day basis as staff are sent elsewhere to cover. 2/9
I've found myself arguing with surgical colleagues but why "my patient" should go to the OR before "their patient" 3/9
Read 9 tweets

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