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

Feb 16
#GU25 highlights #CommunityOnc:

1. Radical ✂️ vs. XRT high risk PCa

2. #TALAPRO2: PARPi in M1 CRPC

3. #EnzaP: ARPi + LuPSMA in M1 CRPC

4. #NIAGARA update: Resectable MIBC

5. #EV302 update: Metastatic #BladderCancer

6. #CM9ER update: 1L mRCC

#OncTwitter #gism @ASCO

1/7 Image
1. In high-risk PCa: Radical prostatectomy vs RT w/ ADT (+/- chemo):

- Inverse probability of treatment weighting for distant mets ⬇️ in XRT 16% vs 23% w/ ✂️

- ⬆️ risk of death in XRT arm w/ no distant mets

- Multi modality remains the safer option!

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2. #TALAPRO2: Talazoparib + Enza vs Enza alone, 1L mCRPC, all comers

- Improved OS (HR 0.8, 45.8 mos vs 37mos) in all comers
⚪️ HR 0.542 in HRR deficient
⚪️ HR 0.874 in HRR unknown/non-deficient
- Gr 3/4 AEs: 76% vs 45%
- NGS & Germline testing is very important

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Read 7 tweets
Jan 25
#GI25 highlights #CommunityOnc:

1. #SCIENCE: Adv Eso SCC

2. #ESOPEC publication (Eso/GEJ/Ga)

3. Chemo in resectable Panc Ca

4. #StarterNET: GEP-NET

5. #CM8HW: dMMR/MSI-H mCRC

6. #BREAKWATER: BRAFV600E mCRC

7. ctDNA: #BESPOKE + SWOG80702

#OncTwitter #gism @ASCO

1/8 Image
1. #SCIENCE: Ph 3, resectable locally advanced ESCC, neo adj Rx: ChemoXRT vs ChemoXRT + Sintilimab (anti-PD1) vs Chemo + Sintilimab

- Significant ⬆️ in pCR w/ ChemoXRT + Sint (60%) vs ChemoXRT (47%) vs Chemo + Sint (13%)

- Awaiting longer term data before this becomes SoC

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2. #ESOPEC: Ph III, periop FLOT vs NeoAdj Chemoradiation in adeno esophageal Ca:

- pCR ⬆️ FLOT (17% vs 10%). Much ⬇️ pCR than original CROSS (23%)

- 3 yr OS: 57.4% vs 50.7% (mOS: 66mos vs 37mos)

- Phenomenal summary by @NiuSanford

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Read 8 tweets
Dec 12, 2024
#SABCS24 Day 3 Highlights #CommunityOnc:

1. #EUROPA: ET vs XRT HR+ ≥70 yrs @Icro_Meattini

2. #PATINA: CDK4/6i HR+ HER2+ @DFCI_BreastOnc new SoC

3. #COMET: DCIS

4. #SUPREMO: XRT post mastectomy

5. #INSEMA: ALNBx early disease

@SABCSSanAntonio @AACR @UTHealthSAMDA

1/6 Image
1. #EUROPA: Ph III, ET vs XRT after
surgery in ≥70 yrs HR+ luminal A-like early breast cancer. Median F/U: 2yrs

- Treatment-related AEs ⬇️ w/ XRT (67% vs 85%)
- ET was associated with a greater reduction in HRQOL but we need longer data for disease control

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2. #PATINA: Ph 3, #palbociclib + Anti-HER2 + ET vs. anti-HER2 + ET after induction chemo for HR+ & HER2+ MBC:

- mPFS of 44.3mos w/ Palbo vs 29.1mos SoC (HR: 0.74)
- OS not mature yet
- New SoC for HR+ HER 2+ MBC

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Read 6 tweets
Dec 11, 2024
#SABCS24 Day 2 Highlights #CommunityOnc:

1. #EMBER3: Oral SERD in HR+

2. #OlympiA: PARPi in gBRCA

3. #Surgery in gBRCA

#bcsm @SABCSSanAntonio #OncTwitter #MedTwitter @UTHealthSAMDA @AACR Image
1. #EMBER3: Ph III, #Imlunestrant +/-#Abemaciclib in HR+ advanced BC @jhaveri_komal 👏👏

- Imlunestrant alone for mESR1(mPFS: 5.5mos vs 3.8mos)
- Combo⬆️ mPFS w/all comers (9.4mos vs 5.5mos), regardless of CDK4/6 exposure
- If co-PIK3CA, Capi or this combo? @DrHBurstein
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2. #OlympiA: Update, Ph III, #Olaparib in mBRCA HER2 -ve, EBC, high-risk s/p local Rx + neo or adj chemo, at 6yrs:

- ⬆️ iDFS by 9.4% & DDFS by 7.8%
- ⬆️ mOS by 4.4% (87.5% vs 83.2%), HR: 0.72
- Remains the current SoC in this pt population

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Read 4 tweets
Dec 11, 2024
#SABCS24 Day 1 Highlights #CommunityOnc:

1. @FDAOncology Reviews recent approvals: #Ribociclib & #Inavolisib

2. #PADMA: HR+ ET + CDK4/6i vs Chemo 1L

3. #DB06: HR+ TDXd

4. #KN522: biomarker analysis

@SABCSSanAntonio @AACR #bcsm #OncTwitter

1/5 Image
1. Recent @US_FDA approvals:

a). #NATALEE: Adj #Ribociclib in HR+ Stg IIA - III, 400mg 3wks on, 1wk off for 3yrs. 3yr iDFS 90.7% vs 87.6, 3.1% absolute iDFS

b). #INAVO120: Inavolisib + Fulvestrant + Palbo vs Palbo/Fulvestrant HR+ mBC. PFS 15.0 vs 7.3mos (HR 0.43)

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2. #PADMA: Ph III, HR+ metastatic breast cancer, chemo vs ET + Palbociclib.

- #SABCS22 in #RightChoice study, we knew CDK4/6i upfront is better.

- Time to treatment failure and PFS better in PADMA. CDK4/6i remain 1L SoC for these pts

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Read 5 tweets
Dec 10, 2024
#ASH24 Highlights #CommunityOnc:

#Lymphoma
1. #POLARIX DLBCL
2. #inMIND FL
3. #TRIANGLE & #EA4151 MCL
4. #ENRICH MCL

#Myeloma
5. #AQUILA
6. Quad MetaAnalysis 1L
7. IVIG w/ BispecificAbs
8. #CARTITUDE4

#ITP
9. #LUNA3

@ASH_hematology #lymsm #mmsm #HemeTwitter 1/10 Image
1. #POLARIX: 5yr update Pola-RCHP SoC R-CHOP (polatuzumab was approved in April 2023):

- PFS: 65% vs 59% (HR: 0.77)
- NO OS difference
- ORR/CR better in ABC/non-GCB type in R/R settings.
- Are you going to use Pola in 1L? All comers? Non-GCB? Only in R/R?

2/10 Image
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2. #inMIND: Ph 3, #Tafasitamab + Len + Rituximab vs R^2 in R/R FL or MZL:

- Improved PFS w/ Tafa (22.4mos vs 13.9mos), HR: 0.43
- Time to next Rx better (HR: 0.45)
- OS not reached in both arms
- New Rx/Combo option

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Read 10 tweets

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