Paolo Tarantino Profile picture
Mar 26, 2023 12 tweets 8 min read Read on X
Reading good review articles can shape ideas, help connecting the dots and understanding what’s coming ahead in science.

Here’s 10 review articles that helped me shape my views on breast oncology and drug development:
1. The basics, first. What is breast cancer? How do we classify it, how do we treat it? In this article, Ada Waks et al. provide a comprehensive view of the clinical management of breast cancer, recapitulating decades of advancements in the field.
jamanetwork.com/journals/jama/… Image
2. Now, a deeper dive into the subtypes. Despite being intensively studied, ER+ breast cancer remains elusive in many aspects. In this article, @DrHBurstein reviews the biology and paradigms behind the treatment of the most common subtype of breast cancer.
nejm.org/doi/full/10.10… Image
3. ER+ may be the most common, but triple negative surely is the most hard-to treat subtype of breast cancer. Here, @BianchiniGP et al. review the intricacies of a heterogenous disease, that we still define for what is it not, rather than for what it is.
nature.com/articles/s4157… Image
4. Recognizing the relevance of HER2 has had a major impact in oncology in the last decades. In this Review, S.Swain et al. take us across the impressive successes achieved in HER2 targeting to date, and the next steps expected in this glorious path.
nature.com/articles/s4157… Image
5. As very few other drugs classes, ADCs are revolutionizing the treatment of cancer. Here, @JoshDragoMD et al. dive deep into the mechanisms of action and resistance of these complex drugs, whose potential is still far from being fully explored.
nature.com/articles/s4157… Image
6. Unleashing the potential of ADCs may require challenging established dogmas on how these compounds work. In this thought-provoking piece, @Raffaele_1985 et al. highlight important knowledge gaps and open questions on the treatment of cancer with ADCs.
cell.com/cancer-cell/pd… Image
7. Among the dogmas in need of reassessment is also the role of anthracyclines for treating breast cancer. In this article, Sara Hurvitz et al. review the multiple reasons why the use of anthracyclines should be reassessed, and in certain cases avoided.
nature.com/articles/s4152… Image
8. Liquid biopsy promises to reshape the way we manage breast cancer. Yet, many challenges remain to be tackled in the field. In this article, @MIgnatiadis et al. draw a roadmap for the utilization of liquid biopsies to better understand and treat tumors.
nature.com/articles/s4157… Image
9. Beyond novel biomarkers, translating our knowledge on the molecular underpinnings of cancer into clinical benefits will require novel frameworks. Here, J. Mateo et al. highlight key opportunities and challenges in the delivery of precision oncology.
nature.com/articles/s4159… Image
10. Lastly, a provocative, forward-looking piece that I found motivating: “curing metastatic breast cancer”, by @GeorgeSledge51. An ambitious, complex goal, which nonetheless needs to remain on our radar, and receive dedicated attention and research.
ascopubs.org/doi/10.1200/JO… Image
This is far from being a comprehensive list. Still, I hope that some will find it useful, and derive from these articles the inspiration and motivation I got from them along the years.

Please feel free to suggest additional reviews, and share the list if you found it useful!

• • •

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

Keep Current with Paolo Tarantino

Paolo Tarantino 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 @PTarantinoMD

Sep 19, 2024
ADCs are among the most rapidly expanding treatment modalities in oncology, with 11 ADCs approved and >200 in active development.

Here’s 10 facts to know to prepare for the rise of ADCs🧵
1. The first name utilized for antibodies linked to chemotherapy was “immuno-conjugates”.

Es: or

The name progressively evolved towards “antibody-drug conjugates”, which is widely preferred today.pubmed.ncbi.nlm.nih.gov/2162255/
ascopubs.org/doi/abs/10.120…
2. The first clinical trials of ADCs were conducted in the 80s.

It took 20 years to have the first ADC approved, 10 more years for the second ADC.

By contrast, 8 novel ADCs were approved within only the last 5 years, and further approvals are expected in the coming months.
Read 12 tweets
Jul 7, 2024
What is HER2 « ultralow » breast cancer, and why should you care?

A thread:
First, a little history.

The ASCO/CAP guidelines from 2007 defined HER2 IHC 0 as “absence of HER2 staining”.

In truth, it did not make much difference if the tumor was 0 or 1+, since both were considered “negative” for HER2 protein expression.

1/11
ascopubs.org/doi/10.1200/JC…
Image
The 2013 update changed the definition of HER2 IHC 0 to:

-no staining
OR
-incomplete, faint/barely perceptible staining in ≤10% of cells

This change still had no clinical impact, since only 3+ and 2+/ampl cases were candidate for anti-HER2 therapy

2/11
ascopubs.org/doi/10.1200/JC…
Image
Read 13 tweets
Mar 1, 2023
@TumorBoardTues @drsarahsam 1/24 #TumorBoardTuesday #BreastCancer #OncTwitter
54yo 👩🏻 post-menopausal
HTN
hypothyroidism
FH: aunt with late-onset BC
Germline genetic testing: negative

🔪Dec ‘10 Left lumpectomy + SLNB:
left IDC G2
ER 95%
PgR 10%
HER2-neg (IHC 1+)
Ki67 35%
stage pT2 (25 mm) pN0
Oncotype 32
@TumorBoardTues @drsarahsam 2/24 #TumorBoardTuesday #BCSM

☢️Jan ‘11: TC x 4 ➡️ XRT
Treatment well tolerated, apart from alopecia, G2 fatigue

Summer ‘11 – started letrozole
🔀 Fall ‘11 – switch to exemestane due to G3 arthralgias ➡️ improvement of symptoms

2016 completed 5 years of Aromatase Inhibitor
@TumorBoardTues @drsarahsam 3/24 #TumorBoardTuesday #BCSM

Apr ‘21 – Mild abdo discomfort
🩻CT CAP scan:
liver: 5 lesions, max 15 mm
bone: spine & ribs
enlarged mediastinal lymph nodes
🩸: G1 anemia, normal LFTs, no other abnormality

🔬US-guided liver biopsy:
IDC, grade 2, ER 90%, PR 0%, HER2-0, Ki67 25%
Read 26 tweets
Feb 28, 2023
Proud to contribute to the remarkable scientific journey of #APT, whose 10-year analysis is now published on @TheLancetOncol. Adjuvant TH confirmed outstanding long-term outcomes for patients with small HER2+ breast cancer. Aim for the next decade: biomarker-informed treatments!
Here a thread on the clinical and biomarker findings from this 10-year update: 👇 🧵
Icing on the cake: a great accompanying commentary by Elena Geuna, @curijoey & @FilippoMontemu1

sciencedirect.com/science/articl…
Read 4 tweets
Feb 21, 2023
Great idea: time for Elacestrant thread Tuesday! 🧵

But first a reminder: access to paywalled papers from @Annals_Oncology, @ESMO_Open & multiple other affiliated journals is free for @myESMO members, and I could not recommend more to become a member! esmo.org/membership
1/
Endocrine treatment is among the most effective treatment strategies we have for breast cancer. 50 years ago, the approval of the SERD tamoxifen really revolutionized the field, & we still use the drug today.

Yet, no novel ET had been approved for the last 20 years. Until now
2/
Multiple oral SERDs (selective estrogen receptor degraders) are being developed for patients with HR+ MBC. The first to achieve positive phase 3 results was elacestrant, tested in the #EMERALD trial vs. SoC ET (fulvestrant or AI). Primary endpoint -> PFS overall & in ESR1-mut

3/
Read 9 tweets
Nov 14, 2022
T-DXd has shown remarkable activity for treating HER2-positive and HER2-low breast cancers.

However, it may soon expand its reach, and become a treatment option even for HER2-0 tumors.

Here’s the 10 reasons why:
1. Because it works!

The only study that tested T-DXd for treating HER2-0 metastatic breast cancer (the phase 2 DAISY trial) demonstrated a response rate of 30% and a duration of response of 6.8 months. Not bad for being “zero”.

oncologypro.esmo.org/meeting-resour…
2. Because activity of T-DXd in HER2-0 has been also observed in other tumor types.

In DESTINY-Lung01 (T-DXd for HER2-mutant NSCLC), several responses were observed in patients w/ HER2-0 tumors, including the only complete response observed in the trial.

nejm.org/doi/full/10.10…
Read 12 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!

:(