Mike Pishvaian Profile picture
Jan 11 21 tweets 4 min read Read on X
#GI25 @ASCO
We're in that gap between the holidays🎄and GI-ASCO (if that matters to you😉)
➡️And, we're stuck here at home because of the snow🌨️ outside

📢So this is a perfect time to present my "Top Abstract Titles" that I will be looking out for🔍at ASCO GI
#GI25 @ASCO
Starting with #PancreaticCancer and Ras⛔️
Actually only2⃣titles I saw:
1⃣@GarridoLagunaMD🗣️ctDNA🩸changes in the Ph1 trial of the Ras(on)⛔️RMC-6236 Abs 722; Poster#H10

2⃣@AlexSpiraMDPhD🗣️a Ph1 trial of the G12D specific⛔️RMC-9805 Abs 724; Poster#H12
#GI25 @ASCO
Trials in #PancreaticCancer focused on HRD:
1⃣Dr. Kawamoto🗣️a Ph2 trial of nirap for BRCAm PDAC & BTC Abs 589; Post#C15
2⃣@PeterHoseinMD updates on Ipi-Nivo for BRCAm PDAC Abs 715; Post#H3
3⃣@kjazieh🗣️a Ph2 trial of nirap+dostarlimab for HRDdef PDAC Abs 727; Post#H15
#GI25 @ASCO
Two trials on the tissue factor⛔️, pamrevlumab (PAM) in #PancreaticCancer, both by Dr. Piccozzi:
1⃣LAPIS, a R-Ph3 trial of chemo +/- PAM for LAPC, Oral Abstract #675
2⃣The Precision Promise trial @PanCAN of PAM+gem/nab-pac for mPDAC, Oral Abstract # 673
#GI25 @ASCO
Other trials in #PancreaticCancer:
1⃣Dr. Liu🗣️aPh1b trial of FG-M108 in CLDN18.2+ PDAC, Abs 729, Post#H17
2⃣@EileenMOReilly🗣️the CD40 agonist, mitaz+FFX for mPDAC, Abs 723; Post#H11
3⃣Dr. Seufferlein🗣️the GOBLET study: pelareorep+FFX+atezo in mPDAC, Abs 730; Post#H18
#GI25 @ASCO
Finally, some interesting surgical🔪trials in #PancreaticCancer:
1⃣&2⃣Do we operate on PDAC with liver mets❓
Dr. Wei will🗣️this in Abs 714, Post#H2
Dr. Kim🗣️stratifying such patients, Abs 711, Post#G25
3⃣Dr. Li🗣️the QOL impact of surgery for PDAC, Abs 699, Post#G13
@ASCO #GI25 @ASCO
Next, #cholangiocarcinoma and there were a lot of very interesting titles here to watch out for, most in the realm of🎯💊
➡️But one big adjuvant trial to🔦is:
Dr. Atul Sharm🗣️a R-Ph3 trial of adj Chemo vs. Chemo☢️for gallbladder cancer (ACCELERATE trial), Oral Abs 519
@ASCO #GI25 @ASCO
Two abstracts🔦the importance of NGS🧬testing in #cholangiocarcinoma:
1⃣Dr. Zheng-Lin🗣️the Real-World impact of matched🎯💊on survival in advanced BTC, Abs 536, Post# A14
2⃣@HardingJJMD🗣️the Molecular & clinical determinants of🎯💊outcomes in BTC, Abs 555, Post# B7
@ASCO @HardingJJMD #GI25 @ASCO
3⃣abstracts🔬outcomes of Pts with specific🧬alterations in #cholangiocarcinoma:
1⃣&2⃣look at MDM2amp BTC:
➡️Dr. Iyer, Abs 544; Post#A22
➡️@MacarullaTeresa, Abs 615, Post#D16
3⃣Richard Kim🗣️Real-World OS in BTC Pts with IDH1mut or FGFR2fus + BTC, Abs 548; Post#A26
#GI25 @ASCO
Finally, two additional abstracts to watch for in #cholangiocarcinoma:
1⃣Dr. Priyanshi Shah🗣️Long-term outcomes for MSI-H BTC patients on immunotherapy, Abs 592; Post#C18
2⃣Dr. Christos Fountzilas🗣️🎯FGFR in the Ph2 trial of Tinengotinib for BTC Pts, Abs 608; Post#D9
@ASCO #GI25 @ASCO
For #colorectalcancer, there are many great abstracts-so this is just a few to🔦:
Pre-op:
1⃣@CQvortrup🗣️a Single-cycle of neoadj pembro for Stage I-III MMRdef CRC, Oral Abs 19
2⃣@jonathanloree🗣️using ctDNA🩸to support Non-Op management in rectal cancer, Oral Abs 20
@ASCO @CQvortrup @jonathanloree #GI25 @ASCO
The BIG trial in #colorectalcancer will be @skopetz 🗣️BREAKWATER, the 1st line R-Ph3 trial of encorafenib + cetuximab + chemotherapy in BRAF V600E-mutant met CRC, Oral Abs 16
@ASCO @CQvortrup @jonathanloree @skopetz #GI25 @ASCO
And 3 immunotherapy trials in #MCRC:
1⃣Thierry Andre🗣️the LBA of Ipi-Nivo vs Nivo of dMMR mCRC, ABS LBA143
2⃣ @mgfakih🗣️a Ph2 trial of BOT +/- Bal in MSS mCRC (no liver mets), Oral Abs 23
3⃣Joel R Hecht🗣️a Ph2 trial of a personalized Neo-Ant IO for MSS CRC, Abs LBA13
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih #GI25 @ASCO
Also many great UGI Ca trials. Here are a few that caught my👁️:
1⃣Dr. Yan🗣️a R-Ph3 trial of IP+IV vs IV taxol+S-1, Oral Abs 327
2⃣ Dr. Wong🗣️CRS-HIPEC for Gastric Ca, Oral Abstract: 328
3⃣Dr. Abe🗣️Rfs for Gastric Ca pts with peritoneal Dz, Abs 400; Post#D14
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih #GI25 @ASCO
Treatment of squamous cell esophageal cancer (SCC):
1⃣Dr. Leng🗣️a R-Ph3 trial of sintilimab+Chemo☢️ +/- chemotherapy as neoadj Tx for esophageal SCC, Abs LBA329
2⃣Dr. Qi Wang🗣️nimotuzumab+chemotherapy+IO as 1st-line Tx esophageal SCC, Abs 344
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih #GI25 @ASCO
Two neoadjuvant IO trials for MMRdef gastric cancer:
1⃣@sonbol_bassam🗣️NeoAdj IO and non-Op mgmt for MMR def GC, Abs 451; Post#F16
2⃣Dr. Kennedy🗣️a Ph2 trial of periOp pembro, Abs 441; Post#F6
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih @sonbol_bassam #GI25 @ASCO
Finally, 2 HER2-targeted trials in upperGI cancer:
1⃣@KoheiShitara🗣️ASPEN-06, a CD47-targeted immuncheckpoint inhibitor for HER2+ gastric cancer, Oral Abs 332, Post#C24
2⃣Dr. Frost🗣️a Ph1 trial of a HER2 directed CAR-T cell Tx, Abs 449, Post#F14
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih @sonbol_bassam @KoheiShitara #GI25 @ASCO
And rounding out the review with several HCC and neuroendocrine tumor abstracts to watch for:
➡️To wade into the debate of atezo-bev vs. durva-tremi as 1st line Tx for #HCC Dr. Kournoutas🗣️A Real World retrospective comparison of the two, Abs 532; Post#A10
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih @sonbol_bassam @KoheiShitara #GI25 @ASCO
There are several abstracts on IO+TACE/TARE, which I always find compelling:
1⃣Dr. Yan🗣️TACE+bev-atezo, Abs 542; Post# A20
2⃣Dr. Vogel🗣️IO + RFA, Abs 582; Post#C8
3⃣Dr. Kim🗣️TACE+PD-L1+CTLA-4 blockade, Abs 609, Post#D10
4⃣Dr. Grahovac🗣️TARE+IO, Abs 617, Post#D18
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih @sonbol_bassam @KoheiShitara #GI25 @ASCO
And for the last of my abstract reviews - Dr. Strossberg will present 2 abstracts for NET:
1⃣A Ph1b trial of RYZ101 GEP-NETs after 177Lu-Tx (ACTION-1), Abs 661; Post# F4
2⃣ICIs for NET Pts w/High TMB or MMRdef after Tx with alkylating agents, Abs 662; Post# F5
@ASCO @CQvortrup @jonathanloree @skopetz @mgfakih @sonbol_bassam @KoheiShitara #GI25 @ASCO

I hope you all found this list helpful - and I will be very curious to see how the selections hold up after the actual abstracts/presentations are reviewed

Hope to see you all in San Francisco!

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More from @MPishvaian

Jun 13, 2023
@TumorBoardTues @JohnEbbenMDPhD #TumorBoardTuesday
📣Welcome as we summarize some of the incredible data from #ASCO23
👉There was SO much to take in, that even focusing on GI Cancers was a challenge
🙏As always, these were the🧑‍🏫that caught OUR interest, but this is not a judgement on those we do not highlight‼️
@TumorBoardTues @JohnEbbenMDPhD 1/21
#TumorBoardTuesday
🤔Speaking for myself, @knutjla ‘s data has shaken my practice the most (including twice last week)
👉He presented the NORPACT-1 trial of peri-operative FOLFIRINOX vs. upfront🔪for resectable #PancreaticCancer Image
@TumorBoardTues @JohnEbbenMDPhD @knutjla @MDAkhilChawla @FlavioRochaMD @NbmerchantMD @MadameSurgeon @NirajGusani @TsengJennifer 2/21
#TumorBoardTuesday
@knutjla🗣️a well designed, well run trial
✅The authors even hypothesized a 20%⬆️in mOS
➡️However, pre-operative chemotherapy led to a significant⬇️in 18 month mOS😲
👉Despite a much better R0 resection rate

🤔What are your thoughts💭❓ Image
Read 22 tweets
Jan 16, 2023
😀I am so excited to be at my 1⃣st IN PERSON ASCO GI in 3y

✅To prepare, I have gone through the abstract titles, and here are my Top GI ASCO 2023 abstracts

📣Disclaimer: There is no bias or exclusion intended.
These are just the ones I personally want to see👀
#GI23
➡️Starting with #Cholangiocarcinoma because it is a big year - especially because of:
✅SWOG 1815: A phase III trial of gem-cis-nab-pac vs. gem-cis as 1⃣st line💊for advanced BTC
👁️Rachna Shroff, Abs LBA490
@rachnatshroff
#GI23
➡️Two impt ImmunoTx trials:
✅IMbrave151: Phase 2 trial of gem-cis-atezo + /- bev as 1⃣st line💊for advanced BTC
👁️A El-Khoueiry, Abs 491

✅Also a TOPAZ-1 report on the long-term survivors Txed with gem-cis-durva 1⃣st line for advanced BTC
👁️M Bouattour, Abs 531, Pos C1
Read 21 tweets
Jun 22, 2022
@TumorBoardTues @ASCO @JohnEbbenMDPhD @SushmaJonna @HeekeMd #TumorBoardTuesday
#ASCO22 Biomarker Recap

😀Don't know about you all - but I had a great time at the meeting this year!

👉I will🔦a few biomarker based studies that caught my👁️

😉Did you notice that TWO of the plenary abstracts were for biomarker based trials‼️ Image
@TumorBoardTues @ASCO @JohnEbbenMDPhD @SushmaJonna @HeekeMd @pashtoonkasi @KReissMD @DrR_DUNNE @FogacciJoao @AJacomeMD @OncBrothers @oncologician @DrSteveMartin @stolaney1 #TumorBoardTuesday
#1⃣
✅Dr. Yoshino🧑‍🏫the results of the Ph 3 PARADIGM trial
➡️FOLFOX-Pani vs. FOLFOX-Bev for RAS WT left CRC
👉823 Pts

👏OS>with Pani 36.2 vs. 31.3 months
👏ORR also > with Pani 75% vs. 67%

🤔BUT the curves don't separate until 26 months❓

🔎Abstract #LBA1 Image
@TumorBoardTues @ASCO @JohnEbbenMDPhD @SushmaJonna @HeekeMd @pashtoonkasi @KReissMD @DrR_DUNNE @FogacciJoao @AJacomeMD @OncBrothers @oncologician @DrSteveMartin @stolaney1 #TumorBoardTuesday
#2⃣

✅Dr. Modi🧑‍🏫the results of the Ph 3 DESTINY-Breast04 trial
➡️T-DXd vs. SOC for HER-2 low metBreast Ca
👉557 Pts

👏PFS>with T-DXd 10.1 vs. 5.4 months
👏OS also > with T-DXd 23.9 vs. 17.5 months

🔎Abstract #LBA3 Image
Read 17 tweets
Jun 1, 2022
📢In preparation for #ASCO22, I wanted to present my list for the #PancreaticCancer abstracts to👀for @ASCO

Again,🙏note - I went through a LOT of abstracts, and I definitely may have missed some‼️
👉And these are not in any particular order

✅But enjoy, RT, and reply😀
#ASCO22 #PancreaticCancer
🤔Is more better❓
✅Dr. Carrato🧑‍🏫a Rand trial
👉Gem-nab-pac➡️FOLFOX (sequenced Q6 wks)
vs.
👉Standard Gem-nab-pac
➡️mOS was 3.5mos⬆️with sequenced Tx
➡️Even though more standard pts got 2nd line Tx
🤯Really❓
🤔Interesting
🔎GI Can Oral Abst 4022
#ASCO22 #PancreaticCancer
🤔Is more better❓
✅Similarly, Dr. Portalesa🧑‍🏫a Rand Ph2 "Trial in Progress" comparing:
👉Sequential gem-nab-pac➡️FFX
vs.
👉Standard FFX alone
➡️Primary objective is OS
🤔But really, what will be critical will be the OS
🔎Abst TPS4190, Poster 160a
Read 11 tweets
Aug 4, 2021
@ShimaghavimiMD @TumorBoardTues #TumorBoardTuesday
Case 08/03/21

74 yo♂️presents with RUQ pain and fatigue, 30# weight loss, PS=2

CT scan demonstrates a large panc mass and diffuse liver metastases

Liver core biopsy confirms an acinar cell #PancreaticCancer

➡️What would be your treatment recommendation❓
@ShimaghavimiMD @TumorBoardTues #TumorBoardTuesday
08/03/21

He was treated with every other week Gem-nab-pac
🙏@GIcancerDoc
➡️Had rapid symptomatic improvement
➡️Now essentially normal PS
➡️Nice response to treatment for 9 months🙂

But then disease progression❗️

What would be your 2nd line therapy choice❓
@ShimaghavimiMD @TumorBoardTues @GIcancerDoc #TumorBoardTuesday
08/03/21

Germline NGS🧬testing did not reveal any inherited alterations

☝️Somatic (tumor) NGS🧬testing revealed a
💥BRAFV600E mutation💥

✅And no KRAS mutation

➡️Done while on 1st line therapy

Would the results alter your treatment choice now?
Read 9 tweets
Jun 1, 2021
#ASCO21

🙏Thank you all for the positive feedback on the PDAC Abstracts

➡️Here now is my 2nd list
✅My Top NON-Pancreatic abstracts to watch for...in no particular order.....

📝Again, I tagged who I could (whose hashtag I could find)
#ASCO21

There were several potential practice changing studies including the one Late Breaking Abstract teaser:

➡️I Chau, et al (LBA 4001)
✅Nivo + ipi or Nivo + chemo vs. chemo alone as 1st-line Tx for esophageal SCC: CheckMate 648

🧐Will dual IO be the winner❓
#ASCO21

➡️R-H Xu, et al (abstr 4000)
✅Ph 3 trial of camrelizumab plus chemo vs. chemo in patients with advanced esophageal SCC
👉Paclitaxel + cis +/- camrelizumab
👉596 patients randomized

🎉Camrelizumab plus chemotherapy⬆️mOS (15.3 vs. 12.0 mos) and ⬆️ORR (72.1% vs. 62.1%)
Read 13 tweets

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