Dr Mathew Wilson
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mathewgwilson.bsky.social
Dr Mathew Wilson
@mathewgwilson.bsky.social
Clinical Research Fellow at The Royal Marsden Hospital, London. Medical Oncology. Work focus on #Melanoma and Lung Cancer. Native Scotsman 🏴󠁧󠁢󠁳󠁣󠁴󠁿, adopted New Zealander 🇳🇿. #medsky #oncsky #oncology #lcsm
Pinned
I think today is going to be a good day.
$1Trillion is enough wealth for a million people to each become a millionaire

It’s enough for 10million people to buy a small apartment and live in it

It’s enough for 20million people to get a university education

Nobody benefits from this much concentration of wealth

Malignant capitalism
Elon Musk's $1tn pay deal approved by Tesla shareholders
The richest man in the world will get hundreds of millions of new shares if he hits his targets.
www.bbc.com
November 7, 2025 at 1:50 PM
Happy Monday all, it’s Day4 of #ESMO25
My hot picks for today:

✅Updated data on #SWOG1801 & #NADINA

✅#SafeStopTrial (early discontinuation of CPI in CR/PR)

✅#STAMP (adj pembro in Merkel Cell)

✅Phase1 #IMA203 for 👁️Uveal Melanoma in Presidential session

@oncoalert.bsky.social @myesmo.bsky.social
October 20, 2025 at 5:04 AM
#HARMONi-6 & #OptiTROP-Lung04 both large phase-3 RCT in a china🇨🇳 only population. Both given Presidentials #ESMO25

Discussants commented re confirmatory trials in worldwide setting

Is this necessary in 2025? Why don’t we consistently raise this question to EU/US trials?🇪🇺🇺🇸

#oncology #LCSM #oncsky
October 19, 2025 at 4:59 PM
#OptiTROP-Lung04

🫁Sac-TMT (Trop2 ADC) vs Pt doublet in EGFR mutant #NSCLC 2nd line after targeted therapy

mPFS 8.3 vs 4.3months
mOS Not Reached vs 17.4months

No ILD/pneumonitis. G3 Tox similar in both arms

Exciting option, in a challenging setting

#ESMO25 @oncoalert.bsky.social #LCSM
October 19, 2025 at 3:05 PM
#HARMOMi-6

🫁Compared Ivonescimab (PD-1 + VEGF bispecific) vs Tizlelizumab (PD1) in combo ŵ Chemo in 1st line setting for squamous #NSCLC

mPFS = 11.1 vs 6.9 months

Benefit preserved across subgroups including PD-L1<1%

OSdata awaited…

No increase in tox

This data is exciting #ESMO25 @OncoAlert
October 19, 2025 at 2:43 PM
#ESMO25
Adam Gripping of @mdanderson.bsky.social discusses association of improved OS in #NSCLC and #Melanoma with administration of a mRNA COVID vaccine

Translational work showing mechanism of increased INF-alpha leading to immune priming

Phase III in development… @oncoalert.bsky.social
October 19, 2025 at 1:22 PM
Good Morning Berlin! it’s day 3 of #ESMO25
My top picks today are:

🫁 HARMONi6 - Ivonescimab vs PD1 1st line in #NSCLC

🫁OptiTROP-Lung04 - sac-TMT in EGFR
mutant NSCLC post TKI

🩻DREAM3R - Durva+CT 1st line in #Mesothelioma

🏌️ENZARAD (ANZUP 1303) - ADT + RT

#LCSM @oncoalert.bsky.social
October 19, 2025 at 5:46 AM
#RAMPART demonstrated improved disease free suvivival at three years in resectable Renal Cell Carcinoma with addition of adjuvant #Durvalumab and #Tremelimumab

3year DFS 81% vs 73% for surveillance

Nb increased tox, including myocarditis

#ESMO25 @oncoalert.bsky.social
October 18, 2025 at 7:31 AM
In KEYMAKER-U03 addition of Belzutifan shows potentially improved PFS (31.8 vs 20.8 months) compared to standard Len/Pem in metastatic #RCC. Phase 3 Litespark-12 will further inform practice

#ESMO25
October 18, 2025 at 6:47 AM
ts Day 2 #ESMO25!

Today I am looking forward to:

🫁#DeLLphi-303 1st line Tatlatamab in SCLC
🫘#RAMPART from James Larkin on adjuvant IO in RCC
👁️#PLUME Len/Pem in uveal melanoma
⭐️Special Session on PeriOperative strategies from Sapna Patel & others

@myesmo.bsky.social @oncoalert.bsky.social #LCSM
October 18, 2025 at 4:46 AM
#FLAURA2 analysis of exploratory subgroups shows mOS benefit in:

🧠 brain mets (40.9 v 29.7months)
🥃liver mets (36.6 vs 28months)
🦴bone mets (40.2 va 32.3 months)
🧬ctDNA positive (38.4 vs 32.5 months)

Confirms #FLAURA2 approch valid as a SOC in these groups #ESMO25 #LCSM
October 17, 2025 at 3:46 PM
#ALEX study shows 81.1 month median OS in final report of study from Tong Mok

Amongst the longest overall survivals reported in lung cancer. Further trials of 3rd and 4th gen TKI ongoing. Much work to do, but valuable to reflect on how far things have com

#ESMO25 #LCSM #Alk #NSCLC
October 17, 2025 at 3:29 PM
Phase 2 #NORTHSTAR presented by @YYElamin: improved PFS ŵ addition of local consolidative therapy (Sx or RT) after initiation of Osimertinib for #NSCLC. Acceptable safety profile. Benefit in Oligo & poly metastatic disease. Exciting pathway to explore further... #ESMO25 #LCSM #Oncsky #Medsky
October 17, 2025 at 2:24 PM
@ESMO day1 #ESMO25

Today looking forward to:
-Session on optimising peri-operative IO from @MartinReck2
-ReCIPE-M1 study from Jacob Orme
-session on emerging options beyond CPI chsired. Y Ines Pires de Silva
-Final ALEX data from Tony Mok and Beamion data from Sanjay Popat

@myesmo.bsky.social
October 17, 2025 at 11:15 AM
Anecdotally I have arrived in #Berin #Germany, to attend #ESMO25 but the data is immature, and not powered for formal statistical analysis.

Longer follow up, and further studies are required

#oncsky #Medsky #LCSM
October 16, 2025 at 9:55 PM
Less than 48hours until #ESMO25!

Lots of exciting content ahead. Looking forward to seeing colleagues old and new.

Who else is going to Berlin this week?

@myesmo.bsky.social #oncsky #cansky #medsky #LCSM
October 15, 2025 at 8:06 PM
Reposted by Dr Mathew Wilson
For those of you wondering why newer antibodies are now called -tugs -barts -migs and -ments not -mabs, this is the official @who.int INN explainer

tinyurl.com/49bxfn4t
September 5, 2025 at 3:52 AM
Highly recommend this event. I had the opportunity to go last year - excellent for learning and great networking

#LCSM #Oncsky #MedSky 🫁🫁
📣 Calling early-career clinicians!

TOGA’s 2025 Lung Cancer Preceptorship is your chance to deepen your knowledge of thoracic cancers and learn from top experts in a hands-on setting.

📅 Dates: November 28-29
📍 Location: Melbourne

Expressions of interest close 30 September 2025.
September 1, 2025 at 3:00 AM
🫁Reduced smoking rates have prevented 3.8million lung cancer deaths in USA alone since 1970

Not all lung cancer is caused by smoking, but a large portion of it is. Public policy can be very effective. All countries should move towards net zero tobacco

#LCMS #medsky #Oncsky
doi.org/10.3322/caac...
Averted lung cancer deaths due to reductions in cigarette smoking in the United States, 1970–2022
Lung cancer mortality rates in the United States have declined steeply in recent decades, largely because of substantial reductions in smoking prevalence, as approximately 85% of lung cancer deaths a....
doi.org
August 14, 2025 at 10:08 AM
60y/o man with bromide induced psychosis after consulting with ChatGPT on how to improve his diet 🧂🥦.

***For anyone in doubt, do not ask AI for medical advice. Even the best tools are dangerous when used for the wrong job***

#medsky #AI #ChatGPT #Bromide

www.acpjournals.org/doi/epdf/10....
A Case of Bromism Influenced by Use of Artificial Intelligence
www.acpjournals.org
August 12, 2025 at 4:55 PM
Phase I/II of an oncolytic immunotherapy + Nivo for anti-PD1-Refactoy melanoma

👉Stage 4 Cutaneous
🦠ORR 32.9%
🦠 median DOR 33.7months
🦠Response in injected + non-injected lesions
🦠G3/4 tox 12.9%

Exciting prospect in difficult setting
Phase III already underway…

#oncsky #medsky #melanoma #IO #virus
RP1 Combined With Nivolumab in Advanced Anti–PD-1–Failed Melanoma (IGNYTE)
PURPOSEEffective treatment options for melanoma after immune checkpoint blockade failure are limited. RP1 (vusolimogene oderparepvec) is an HSV-1–based oncolytic immunotherapy, here evaluated in combi...
ascopubs.org
July 16, 2025 at 10:03 PM
A careful version of this (exemptions for children, elderly, pregnancy etc) is not necessarily all bad

Many GP practices are basically local small businesses owned by the doctors who work there

In Australia & New Zealand patients pay a small fee to see GP, both have great public healthcare systems
Patients should pay £20 for a GP appointment as part of an insurance-based NHS, says former Tory Minister Sajid Javid.

It is a plan for mass democide of low/middle income families, sick, old and disabled to enable corporations/rich to profiteer.

Defend your rights or lose them.
archive.ph/lJHUh
Charge £20 for GP appointments, says think tank
Sajid Javid, who backs report by Policy Exchange, says Britain is ‘long overdue’ a ‘serious conversation’ about how the NHS is funded
www.telegraph.co.uk
July 16, 2025 at 8:21 PM
Duolingo, when is this sentence going to come up in conversation??

(¿Por qué eres tan duro con Pedro?)

@duolingoverde.bsky.social #duolingo #spanish #español #dog #perro
July 15, 2025 at 8:08 PM
Bills in progress indicate your elected representatives are voting for this batshit madness

Soo many politicians have a legal or economic skillset, but very few are scientifically or medically literate

One way to get politics out of science would be for more scientists to get elected into politics
Rolling back vaccine access while expanding unwarranted access to over the counter ivermectin is proof that we are living in a most idiotic timeline.
July 11, 2025 at 5:46 PM
🤖Robotic AI Surgeons? Guardian article anticipates within 10 years. Extrapolates a trial of 8 post-mortem procedures on animal models.

Amazing work, but I see huge regulatory barriers before roll out of AI surgery, not to mention massive issues with acceptability to patients🤖

#medsky #AI #surgery
Robot surgery on humans could be trialled within decade after success on pig organs
AI-trained robot carries out procedures on dead pig organs to remove gall bladders without any human help
www.theguardian.com
July 9, 2025 at 7:37 PM