Oncology Brothers Profile picture
Aug 10, 2022 6 tweets 9 min read Read on X
#WCLC22 Highlights #CommunityOncology perspective:

1. #YESS Study - @RachM_UoN

2. #IMPower010 Update

3. #CALGB140503 - Sublobar resection

4. #SHAWL Study - @NarjustFlorezMD @jillfeldman4

5. #NADIM2 Trial by @MARIANOPROVENCI

1/6

#LCSM #MedTwitter @OncoAlert #OncEd @IASLC
1. #YESS Study @RachM_UoN: Lung CA screening with smoking cessation intervention concurrently:

- Smoking cessation is one of the most effective way to reduce lung CA mortality
- 33% quit at 3 months
- Women more likely to benefit

2/6
2. #IMPower010 Update: Atezo has been approved for adjuvant NSCLC, Stg II - IIIA post surgery and chemo.

- mFU: 46mos
- OS trend for stage II-IIIA PDL1≥1% (HR 0.71)
- BUT, meaningful OS with PDL1≥50% (HR 0.42)

3/6
3. #CALGB140503: Ph3, Sublobar resection vs. lobectomy for T1aN0 ≤2 cm, N = 687

- Sublobar resection was non-inferior (new SOC)
- Similar PFS and OS
- 30.4% recurrence with Sublobar vs 29.3% recurrence with lobar resections

4/6
4. #SHAWL Study: Sexual Health Assessment in Women with Lung Cancer by @NarjustFlorezMD @jillfeldman4 @GO2Foundation

- Up to 95% Lung CA pts score below 50th percentile
- 77% Lung CA pts have moderate-severe sexual dysfunction
- Integrate sexual health with each visit

5/6
5. #NADIM2 Trial by @MARIANOPROVENCI: neoadj chemo-IO in stage III NSCLC

- Improved PFS (HR 0.48) & OS (HR 0.40)
- Improved surgical outcomes (92% with R0 resection)

6/6

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More from @OncBrothers

Jun 3
Day 4 #ASCO25 Highlights:

1. #DestinyBreast09: 1L TDXd Her2+ MBC

2. #SOFT/TEXT: Adj endo breast ca

3. #CM816: NeoAdj Nivo/chemo NSCLC

4. #NeoADAURA: NeoAdj Osi mEGFR NSCLC

5. #DeLLphi304: 2L Tarla SCLC

6. #IMForte: 1L maint Lurbi ES-SCLC

7. Timings for IO

@ASCO

1/8 Image
1. #DestinyBreast09: Ph III, TDXd + P vs THP in 1L metastatic Her2+ breast cancer.

- mPFS 40.7 vs 26.9mos (HR: 0.56)
- 15.2% vs 8.5% CRs
- Serious TAES: 27 vs 25.1%. Any grade ILD 12.1% vs 1%. 2 Gr5 ILDs with TDXd.

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2. #SOFT/TEXT: AI + Ovarian Function Suppression vs. Tamox in Premenopausal

- DFS in T+OFS vs T, HR 0.85! BCFI benefit was HR 0.82.
- DFS in AI+OFS vs T, HR 0.73!
- 15yr DFS in SOFT: 67.0% for T, 70.5% for T+OFS, 73.5% for E+OFS

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Read 8 tweets
Jun 1
Day 3 #ASCO25 highlights: 5 plenary studies

1. #ATOMIC: Adj Atezo in Stg III colon ca

2. #NIVOPOSTOP: Adj Nivo in high risk head & neck ca

3. #VERIFY: Rusfertide in PV

4. #SERENA6: Camizestrant in ESR1m breast Ca

5. #MATTERHORN: Peri/PostOP Durva in GEJ/Gastric

@ASCO
1/6 Image
1. #ATOMIC: Ph III, adj mFOLFOX + Atezolizumab vs. mFOLFOX in Stg III dMMR colon ca.

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2. #NIVOPOSTOP: Ph III, adj Nivolumab w/ ChemoXRT in high risk squamous cell head & neck ca after surgery.

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Read 6 tweets
May 31
Day 2 #ASCO25 highlights:

1. #VERITAC2: Vepdegestrant HR+ mBC

2. #INAVO120 (update): Inavolisib HR+ mBC

3. #ASCENT04: Sacituzumab mTNBC

4. #CM577 (update): Adj Nivo GEJ/Gastric

5. #DESTINYGastric04: TDXd HER2+ GEJ/Gastric

6. #KN564 (update): Adj Pembro ccRCC

@ASCO

1/8 Image
1. #VERITAC2: Ph III,Vepdegestrant (PROTAC ER degrader) vs Fulvestrant after CDK4/6i + AI:

- mPFS 5.0 vs 2.1 mos in ESR1m (HR=0.57)
- No PFS benefit in all pts
- OS is immature
- Well-tolerated, low discontinuation
- New class of drug for ESR1m disease

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2. #INAVO120: Ph III, Inavolisib (iPI3Ka) + Fulv + Palbo vs Palbo/Fulvestrant HR+ metastatic breast cancer:

- mOS 34.0 vs 27.0 mos (HR 0.67). First to show OS as a PIK3/AKTi
- mPFS 17.2 vs 7.3mos (HR 0.42)
- AEs: >50% hyperglycemia & stomatitis

3/8 Image
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Read 8 tweets
May 30
Day 1 #ASCO25 highlights:

1. Review on recent approvals

2. #BREAKWATER (update): BRAF+ mCRC

3. #CM8HW (update): MSI-H mCRC

4. #DYNAMIC: ctDNA in colon ca

5. #CAIRO6: periOP Rx in peritoneal mets

#OncTwitter @ASCO

1/6 Image
1. Recent @FDAOncology approvals:

- Tarlatamab: extensive stage small cell lung cancer

- Epcoritamab for R/R follicular lymphoma

- Dato-DXd: HR+ metastatic breast cancer

- Vorasidenib Gr2 Astrocytoma/Oligodendroglioma IDH1/2 +

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2. #BREAKWATER: Ph 3, Enco + Cetux + mFOLFOX vs SoC in BRAFV600E mCRC

- mPFS improved: 12.8 vs 7.1 mos (HR: 0.53)
- mOS improved: 30.3 vs 15.1 mos (HR: 0.49)
- Gr≥3 AEs: 46.1% vs 38.9%
- This is the new SoC for BRAFV600E. This was @US_FDA approved in December 2024!

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Read 7 tweets
Apr 30
#AACR25 highlights #CommunityOnc:

1. #KN689: PeriOP/PostOP Pembro in H&N

2. NeoAdj Dostarlimab in dMMR solid tumors

3. #BeamionLung1: Zongertinib in HER2 NSCLC

4. **Bonus from #AUA25 #SunRISE1 in NMIBC

#OncTwitter #MedTwitter @OncoAlert

1/5 Image
1. #KN689: Ph 3, PeriOP/PostOP Pembro + SoC after surgery, LA(Stg III-IVA) HNSCC by @DrUppaluri

- ⬆️ EFS in all 51.8mos vs 30.4mos (⬆️ EFS in CPS≥10, HR 0.66)
- OS 🚫 statistically significant
- Comparison slide by @SuyogCancer
- Are you going to change your practice?

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2. IO (#dostarlimab) in neoadj (Stg I-III) dMMR solid tumors that were amendable to curative intent surgery by @AndreaCercek

- RFS at 2yrs: 92%
- 60% with Gr 1-2 reversible AEs and 30% with no AEs
- Role of ctDNA?
- NeoAdj IO led to organ preservation in a ⬆️ proportion

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Read 5 tweets
Mar 29
#ELCC25 highlights #CommunityOnc:

1. #KN799: ChemoIO + XRT StgIII

2. #LAURA Update: Osi StgIII

3 #MARIPOSA Update: Ami/Laz 1L mEGFR

4. #COCOON: AE mgmt for Ami

5. #SAVANNAH: 2L mEGFR->MET+

6. #MK3475AD77: SQ Pembro

7. #KRYSTAL7: 1L KRASG12C

#OncTwitter #lcsm @myESMO
1/8 Image
1. #KN799: Ph 2, concurrent chemo-XRT + Pembro in Stg III unresectable NSCLC. #PACIFIC is the current SoC here.

- At 48mos, OS: 40.2% in cohort A (Sqm/Non-Sqm) & 46.3% in cohort B (non-sqm)
- ORR 71.4% in cohort A and 75.5% in Cohort B
- Gr 3-5 AEs 73% in cohort A

2/8 Image
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2. #LAURA: Ph III, Indefinite Osimertinib after Chemoradiotherapy in Stage III EGFR-Mutated NSCLC, approved in Sept 2024. Update:

- Trend towards OS w/ Osi, need more mature data (HR: 0.67)
- This remains the current SoC in this subset pt population

3/8 Image
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Read 8 tweets

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