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🫁 #ASCO26 | Cáncer de pulmón microcítico: 5 hitos en segunda línea y resistencias El Dr. Luis Paz-Ares @LuisPaz_Ares analiza los estudios más disruptivos que buscan transformar el complejo escenario del carcinoma pulmonar de célula pequeña (SCLC): 🧠 DeLLphi-304: ¿Se consolida tarlatamab como el nuevo estándar para el control intracraneal y supervivencia en 2L? 💥 Irinotecán Liposomal Ivonescimab: Una combinación con prometedoras tasas de respuesta que plantea nuevos desafíos de toxicidad. 🎯 ABBV-706: ¿Podría este novedoso ADC revolucionar el panorama terapéutico en pacientes intensamente pretratados? 🛡️ Subanálisis IMforte: Lurbinectedina en combinación: ¿la clave para vencer la resistencia inmunológica mediada por macrófagos? 📊 Estudio Nórdico (Fase III): ¿Cierra este ensayo definitivamente el histórico debate sobre la radioterapia consolidativa? 🎬 No te pierdas este análisis imprescindible de la vanguardia en pulmón en el vídeo 👇 🔗 f.mtr.cool/xvctujfmjy #Oncología #CáncerDePulmón #SCLC #MedicinaDePrecisión #Inmunoterapia #ADC #ASCO2026 #OncoBites
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During the recent #ASCO26 oncology meeting in Chicago and one day before the oral presentation, I had the opportunity to present the main findings of our study on intracranial efficacy of #Tarlatamab in patients with small-cell lung cancer #SCLC from the DeLLphi-304 trial in a video Interview with @ASCO Post. You can find the 5-minute video link below: 👇 📌 ascopost.com/videos/asco-202… Thank you @ASCO for highlighting our study!! @SclcSMASHERS @OncoAlert @oncodaily @OncBrothers @PeerView @myESMO @IASLC @Amgen @AmgenOncology @LUNGevity @LungCancerEu @YoungLungCancer @fairlifelcc @HeSMO_X @EllokGr @lcsmchat @HenryDunantGR @ConquerCancerFd @LungSummit
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🌟 Don't miss this insightful interview with @g_mountzios, who joined us at #ASCO26 to discuss the intracranial efficacy data from DeLLphi-304, the evolution of SCLC treatment, and his hopes for the future! ➡️ Watch: buff.ly/QY8Atly #SCLC #ASCO2026 #lcsm #LungCancer
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Stefania Colasanti retweeted
DeLLphi-304: tarlatamab (Imdelltra), a DLL3×CD3 T-cell engager, vs chemo in 2L small-cell lung cancer. OS 13.6 vs 8.3 mo (HR 0.60). #ASCO26 CNS post hoc: CNS PFS HR 0.40 in brain mets. FDA-approved. @AmgenOncology 🔗 hubs.ly/Q04kxtC40
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Чиж retweeted
6. DeLLphi-304: PhIII, Tarlatamab in 2L small cell lung cancer after chemo /- IO. - CNS PFS ⬆️ 6.5mos vs. 4.2mos (HR 0.40) - CNS CR: 15% vs 5% - OS w/ CNS disease: 13.9mos vs 6.8 mos (HR 0.51) - Tarla is the SoC in 2L 7/7
Dr. @g_mountzios #ASCO26 presents CNS outcomes with 2L tarlatamab in DeLLphi-304. Improved time to CNS progression overall (HR 0.54). In pts with brain nets, tarlatamab vs chemo CNS CR rate 15% vs 5% with DCR 78% vs 71% and time to CBS progression 6.5m vs 4.2m, HR 0.40
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6/8まとめ【計9記事】 【前立腺がん】前立腺がんで新治療、放射性治療薬を転移患者に…最大6回の注射で細胞内から攻撃/読売新聞 ◆転移した前立腺がんに対し、がん細胞に集まりやすい薬に放射性物質を組み合わせ、体の内側からがん細胞を攻撃する治療の紹介。最大6回の注射で行う治療で、従来治療後の患者に新しい選択肢となる可能性がある。 yomiuri.co.jp/local/kansai/n… 【小細胞肺がん】小細胞肺がん脳転移例の2次治療、タルラタマブがCNS進行リスクを低下(DeLLphi-304)/ケアネット ◆脳転移のある小細胞肺がんの2次治療で、タルラタマブが脳や中枢神経での病勢進行リスクを下げたというASCO2026報告。進行が速く治療が難しい小細胞肺がんで、脳転移例にも新しい治療の可能性が示された点が重要。 carenet.com/news/general/car… 【肺がん】セルペルカチニブ、早期RET陽性肺がんの補助療法で再発、進行を抑制/CancerIT ◆RET遺伝子の変化を持つ早期肺がんで、手術後の補助療法としてセルペルカチニブを使うことで、再発や進行を抑える可能性が示されたという内容。進行がんだけでなく、早い段階から再発予防を狙う治療へ広がる可能性がある。 cancerit.jp/gann-kiji-itiran… 【治療記・大腸がん】「何をしているんですか!」医師も呆れ…大腸がんが肝臓→卵巣に転移した女性(39)がステージ4で始めた驚きの日課/プレジデント ◆ステージ4の大腸がんと診断され、肝臓転移や治療の副作用を経験しながらも、マラソンに挑戦し続ける女性の闘病記事。治療を受けながら自分の目標を持ち続ける姿が描かれており、進行がんでも生活の希望を失わない姿勢が伝わる。 president.jp/articles/-/1133… ■■■■■適度な運動■■■■■ 【適度な運動】〖痩せにくくなった40代50代へ〗椅子に座ってバタ足するだけ!地味にきつい…から効く代謝アップエクサ/ヨガジャーナル ◆椅子に座ったまま脚を動かす、40代50代向けの代謝アップエクササイズ。大きな運動が難しい日でも下半身を使えるため、筋肉への刺激や血流維持につながる。運動不足、体力低下、痩せにくさが気になる人でも始めやすい内容。 yogajournal.jp/32242 ■■■■■食で健康に■■■■■ 【西洋わさびなど】疲れに悩む人に朗報? 酸素の利用効率を高める注目成分「ケンフェロール」とは 老化の最新研究を専門家に聞く/オトナンサー ◆西洋わさび、ブロッコリー、ケールなどに含まれるポリフェノール「ケンフェロール」の話題。細胞実験ではエネルギー産生への関与、ヒト試験では酸素利用効率や運動パフォーマンス、身体活動量の改善が報告されている。疲れやすさ、老化、日常の活動量維持を考えるうえで参考になる内容。 otonanswer.jp/post/368227/ 【オリーブオイル】バージンオリーブオイルが脳に良い可能性とその理由/CareNet ◆バージンオリーブオイルは、腸内環境や認知機能に良い影響を及ぼす可能性があるという研究紹介。精製オリーブオイルでは同じ効果が確認されなかった点も示されており、油の種類が脳の健康にも関わる可能性がある。 carenet.com/news/general/hdn… ■■■■■他■■■■■ 【お風呂】42度でも38度でもない…専門医「お風呂で20秒浴びると、免疫が上がり脂肪が燃える」シャワーの温度/プレジデント ◆入浴後に20度程度の冷水を首から肩周辺に20秒ほど浴びる健康法を紹介する記事。寒冷刺激で交感神経や褐色脂肪細胞、免疫細胞が刺激されるという考え方だが、体調や心臓・血圧に不安がある人は無理に行わない注意も必要。 president.jp/articles/-/1136… 【アルツハイマー】新薬ドナネマブにより早期アルツハイマー病の進行リスクが半減/老施協デジタル ◆早期アルツハイマー病に対するドナネマブの研究で、軽度アルツハイマー病から中等度への進行リスクが50%低下したという内容。日常生活の維持にも効果が示され、介護が必要な状態への進行リスクも27%減少したとされる。 roushikyo-digital.com/news/1…
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🧵🪡DeLLphi-304 intracranial 🧠 post hoc analysis (tarlatamab vs chemo in 2L SCLC), presented by @g_mountzios @ASCO #ASCO26 #LCSM
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#ASCO2026 Tarlatamab continues to redefine the 2L treatment landscape in SCLC. In a post-hoc analysis of the phase III DeLLphi-304 trial, tarlatamab demonstrated meaningful intracranial activity versus chemotherapy: 🧠 CNS-PFS: 6.5 vs 4.2 months (HR 0.40) 🧠 CNS complete response: 15% vs 5% 🧠 60% reduction in risk of CNS progression or death in patients with brain metastases 🧠 Median OS in patients with CNS disease: 13.9 vs 6.8 months These data suggest that T-cell engager therapy may provide durable intracranial disease control, addressing one of the greatest unmet needs in relapsed SCLC.@OncBrothers @OncoAlert @ozdogan_md @UOzkerim
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🌟 Thanks to @g_mountzios for joining us at #ASCO26 for a great interview on intracranial efficacy data from DeLLphi-304! 🫁 Stay tuned for the interview! ➡️ Find more #ASCO2026 lung cancer news in the meantime: buff.ly/VKHfe2y #SCLC #ASCO2026 #lcsm #LungCancer
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Live from #ASCO26: Abdul Naqash, MD (@thenasheffect @StephensonCC), reviews the year's biggest advances in lung cancer and how they're shaping clinical practice. DeLLphi-304 • Tarlatamab in the 2nd line is raising the survival bar for patients and rewriting the CNS narrative in SCLC with brain metastasis. LIBRETTO-432: • Right target, right therapy, right time. • Adjuvant selpercatinib provides an EFS benefit in RET fusion-positive early-stage NSCLC. EA-5142: • Negative DFS benefit of adjuvant nivolumab in EA5142 questions the universal notion of adjuvant ICI in early-stage NSCLC. • New findings from #ASCO26 suggest the timing and role of immunotherapy in resectable early-stage NSCLC remain areas of active study. #MoffittASCO26
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ASCO 2026 day 5 and Highlights! Closing the meeting with Dr. Abdul Rafeh Naqash (@thenasheffect). These are my key takeaways: 1️⃣ DeLLphi-304: Tarlatamab in 2nd line is raising the survival bar for SCLC patients with brain metastases and rewriting the CNS narrative. 🧠 2️⃣ LIBRETTO-432: Right target, right therapy, right time. Adjuvant Selpercatinib delivers clear EFS benefit in RET fusion-positive early-stage NSCLC. 3️⃣ EA5142: Negative DFS benefit with adjuvant nivolumab questions the universal use of adjuvant ICI in early-stage NSCLC. Huge thanks to @thenasheffect and the whole team at Stephenson Cancer Center! 👏 #ASCO2026 #LCSM #NSCLC #SCLC #Oncology #ThoracicOncology
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Yesterday the EC approved tarlatamab for relapsed extensive-stage small cell lung cancer, on the same day phase 3 DeLLphi-304 data was presented at ASCO 2026. But for people living with small cell lung cancer across Europe, approval & access aren’t the same thing. The median wait from EC approval to availability for oncology medicines across Europe is 655 days. In some countries, over 1,200. #LCSM
What a happy coincidence! While presenting intracranial efficacy data from DeLLphi-304 in #ASCO26, #Tarlatamab was officially approved in EU!! ✅ In ITT: CNS mPFS NR vs 7.8 m, HR=0.54 ✅ In BM per mRANO: CNS mPFS 6.5 vs 4.2m, HR=0.4 ✅ mOS=13.9 vs 6.8, HR=0.51, independent of baseline BM! A new SoC, hope that all #SCLC patients will soon have access!! #some #LCSM @OncoAlert @OncBrothers @OncLive @PortalOnconews @SclcSMASHERS @myESMO @ASCO @IASCL @PeerView
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TARLATAMAB REACHES THE BRAIN. In DeLLphi-304, tarlatamab not only improved survival versus chemotherapy in relapsed SCLC—it also delivered meaningful intracranial activity in patients with brain metastases. 🔹 CNS PFS: 6.5 vs 4.2 months (HR 0.40) 🔹 CNS CR: 15% vs 5% 🔹 CNS tumor shrinkage: 56% vs 38% 🔹 OS in patients with brain metastases: 13.9 vs 6.8 months (HR 0.51) For a disease where brain metastases are common and outcomes remain poor, these findings strengthen the case for tarlatamab as the new second-line standard of care. Mountzios et al. #ASCO2026 #SCLC #LungCancer #ThoracicOncology #Tarlatamab #DLL3 #BrainMetastases #Immunotherapy #Oncology #CancerResearch #MVOnco
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What a happy coincidence! While presenting intracranial efficacy data from DeLLphi-304 in #ASCO26, #Tarlatamab was officially approved in EU!! ✅ In ITT: CNS mPFS NR vs 7.8 m, HR=0.54 ✅ In BM per mRANO: CNS mPFS 6.5 vs 4.2m, HR=0.4 ✅ mOS=13.9 vs 6.8, HR=0.51, independent of baseline BM! A new SoC, hope that all #SCLC patients will soon have access!! #some #LCSM @OncoAlert @OncBrothers @OncLive @PortalOnconews @SclcSMASHERS @myESMO @ASCO @IASCL @PeerView
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Important nuance from DeLLphi-304: A meaningful subset of patients with baseline brain metastases had no prior CNS treatment after protocol amendment 3. Most patients with baseline brain mets still had prior CNS treatment, likely often RT, though the abstract does not specify modality. The untreated/no-prior-CNS-treatment subgroup was small, only 53 pts total, and the CNS analysis was post hoc. So the real question is how to interdigitate tarla with CNS-directed RT. For ≤5 fx SRT, our practice is often q3w tarla for one cycle with 1-week bookends once patients are in the maintenance phase, then continue maintenance q2w thereafter. For 10 fx regimens, we often need to titrate back up with q1w tarla loading. Regardless of my personal bias concerning opinion-level evidence above, truly fantastic to have effective systemic options for intracranial burden in ES-SCLC! 🙌🏆 #LCSM #ASCO26
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Tarlatamab: First DLL3 Targeted Breakthrough in SCLC 🧬At the 2026 LiveLung SCLC Summit, Anne Chiang, MD, PhD, FASCO explains how this first-in-class DLL3-targeted bispecific antibody works by connecting T-cells directly to tumor cells to activate the immune system against cancer. She also shares results from the DeLLphi-301 trial that led to FDA accelerated approval for relapsed SCLC. Watch now to learn how emerging immunotherapy approaches are changing the future of SCLC treatment. 🤍 This video is for education and community support and is not medical advice. Always talk with your medical team about treatment decisions. #SCLC #SmallCellLungCancer #LungCancer #Tarlatamab #DLL3 #Immunotherapy #CancerResearch #LungCancerAwareness #LiveLung #CancerTreatment #Oncology #BiTETherapy
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