🌐 Worldwide Network of Oncology Professionals & Patient Advocates with the common goal of ending cancer, we are Oncology360 degrees 🌎 We are #OncoAlert 🚨
📌 First-line ET plus palbociclib versus standard mono-chemotherapy in high-risk HR-positive/HER2-negative metastatic breast cancer and indication for chemotherapy: primary results from the randomized phase IV PADMA
🔗 esmoopen.com/article/S2059-7…@OncoAlert#OncoAlertAF
👉🏻PADMA compared palbociclib ET with CT as first-line therapy in HR-positive/HER2-negative metastatic breast cancer.
👉🏻It is the first trial to show a significant benefit of palbociclib ET versus CT in predominantly postmenopausal patients.
👉🏻Time-to-treatment failure and progression-free survival were significantly longer with palbociclib ET.
🚨New Simply Oncology Podcast out now on the ADePT trial in GBM
🎙️revolutionary ADePT trial in Glioblastoma brain tumours with the wonderful Dr Faye Robertson.
🎙️ TGX-007 developed with 🧠
🎯 super enhancers
🎯 dual payload
🎯delivery system
@OncoAlert@BrainTumourOrg
📌Scalp cooling outcomes in patients receiving trastuzumab deruxtecan for metastatic breast cancer
🔗 esmoopen.com/article/S2059-7…
🔸 A prospective, phase II study integrated CTCAE assessment, pictures, questionnaires, and independent reviewers.
🔹SC in patients receiving trastuzumab deruxtecan did not show a benefit in hair preservation or quality of life versus no SC.
🔸Grade 2 alopecia was the primary reason for SC discontinuation, with a median time to grade 2 alopecia of 2.76 months.
@OncoAlert#OncoAlertAF@DFCI_BreastOnc
Presented at #CCR26:
Among critically ill adults with metabolic acidosis receiving vasopressors in the ICU, sodium bicarbonate did not lead to a lower risk of major adverse kidney events within 30 days than placebo. Full SODa-BIC trial results: nej.md/4ofXcyq@CritCareReviews
ALT This image is a graph from a medical study titled "Sodium Bicarbonate for Critically Ill Adults with Metabolic Acidosis and Shock" published in the New England Journal of Medicine. The trial name (SODa-BIC) is in parentheses next to the title. The graph shows survival probability over 90 days for two groups: one receiving sodium bicarbonate and the other a placebo. The horizontal axis represents days since randomization, while the vertical axis represents the probability of survival, ranging from 0 to 1. A legend indicates the number of patients at risk over time for both groups.
🫁 PD-L1 Negative NSCLC.
In a real-world cohort of 457 patients, nivolumab ipilimumab chemotherapy was associated with longer OS than pembrolizumab chemotherapy in PD-L1 TPS <1% tumors:
• Median OS: 47.4 vs 16.6 months
• HR 0.50 (p=0.007)
No OS difference was observed in PD-L1 TPS ≥1%.
📖 Lung Cancer
DOI 👉🏻 doi.org/10.1016/j.lungcan.20…#CánCare#NSCLC#lcsm#ThoracicOncology#Immunotherapy#PDL1
Integrated molecular and clinical analysis of thymic epithelial tumors reported @JCOPO_ASCO led by Dr. @chulkimMD - explains key differences between thymic carcinoma and thymoma and highlights targeting MTAP deletions as a potential viable strategy
ascopubs.org/doi/10.1200/PO-…
🚨 Coincidence?
Within the same week,FDA approved:
🧬 Capivasertib abiraterone for PTEN-deficient mHSPC(CAPItello-281)
🧬 Belzutifan pembro for high-risk RCC (LITESPARK-022)
GU is moving beyond treating tumors by organ and increasingly toward treating them by biology @OncoAlert
Bir günde iki FDA onayı.
Prostat kanserinde capivasertib kombinasyonu.
Böbrek kanserinde belzutifan ve pembrolizumab kombinasyonu.
Her iki çalışmada da @AnkaraUni olarak yer almaktan büyük mutluluk duyuyoruz.
Bugün en büyük teşekkür hastalarımıza ve yakınlarına.
Bilime inandıkları, güvendikleri ve bu yolu bizimle yürüdükleri için.
Çünkü bilim, onların cesaretiyle ilerliyor.
@US_FDA@OncoAlert@AnkaraUni@Ankaratip1945@yekeduz_emre@necdetunuvar@ZehraAycan4
🧪 [68Ga]Ga-DOTATATE PET in metastatic epNEC (prospective study)
📈 High, uniform SSTR expression on DOTATATE PET: only 13%
⚠️ Most patients showed absent or heterogeneous uptake
🛑 Routine SSTR PET may have limited value in unselected epNECs
🔗 doi.org/10.2967/jnumed.125.2…@OncoAlert
🚨 Phase 3 MonumenTAL-3 in NEJM
GPRC5D bispecific moves earlier in relapsed/refractory myeloma.
Talquetamab daratumumab ± pomalidomide beat DPd after ≥1 prior line:
📌 24-mo PFS
Tal-DP: 81.3%
Tal-D: 77.6%
DPd: 51.2%
HR 0.28 and 0.33. Both P<0.001.
Depth was striking:
MRD-negative CR: 52.3% / 46.3% vs 15.9%
⚠️ Key toxicity signal:
CRS common, mostly low grade.
Taste, skin/nail changes, weight loss and ataxia need attention.
My take:
This is not just “another triplet.”
It may redefine early relapse myeloma by bringing GPRC5D targeting much earlier.
Full paper in comment.
@NEJM@oncoalert@MyESMO@ASCO#Myeloma#MedTwitter#EHA26#HemOnc
#FDA approves a treatment for PTEN-deficient androgen pathway modulation-naïve or -sensitive prostate cancer. fda.gov/drugs/resources-info…
ALT The image contains text on a blue and white background stating, "FDA approves a treatment for PTEN-deficient androgen pathway modulation-naïve or -sensitive prostate cancer." The FDA logo is in the bottom left corner.
Letter to the Editor (TRIPLETE study)
1⃣Non-proportional hazards
OS diverge late (~22 mo). 5y RMST shows a more modest OS benefit ( 2.9 mo, p=0.14) compared to the median.
🔗doi.org/10.1200/JCO-26-00267
2⃣Post-progression therapy bias
Higher anti-EGFR reinduction rates in the triplet arm (31% vs 20%) might have artificially inflated OS.
🔗doi.org/10.1200/JCO-26-00227@JCO_ASCO@OncoAlert
Author's Rebuttal
1⃣On RMST & Hazards: While 5y RMST was non-significant, the Fleming–Harrington test (sensitive to late effects) demonstrated a significant mid-to-late OS benefit (p=0.034).
2⃣On PPT Bias: Triplet arm maintained longer survival even after excluding patients with anti-EGFR reinduction (18.6 vs 13.4 mo).
🔗doi.org/10.1200/JCO-26-00870@JCO_ASCO@OncoAlert
Very nice resource paper in @Cancer_Cell that enables correlation of cell type specific expression data with survival in #PancreaticCancer.
cell.com/cancer-cell/fulltex…
Takes TCGA type datasets based on bulk RNA to the next level. Interactive web tool (ctPANDA) allows facile queries.