Subscribe for free: Medical.watch
About us: https://tinyurl.com/Medicalwatch
Thrilled to see the timely piece
👉 “Precision Oncology and Modernizing Evidence Standards”
🔑 Key takeaways:
🔵 RCT-only frameworks miss the reality of #PrecisionMedicine
🟢 Basket, umbrella & N-of-1 trials are cornerstones of #PrecisionOncology
Thrilled to see the timely piece
👉 “Precision Oncology and Modernizing Evidence Standards”
🔑 Key takeaways:
🔵 RCT-only frameworks miss the reality of #PrecisionMedicine
🟢 Basket, umbrella & N-of-1 trials are cornerstones of #PrecisionOncology
Low-dose aspirin in PI3K-altered localized #ColorectalCancer (ALASCCA)
“Low-dose aspirin cut 3-yr recurrence by ~50% in PI3K-altered localized colorectal cancer.”
www.nejm.org/doi/full/10....
Low-dose aspirin in PI3K-altered localized #ColorectalCancer (ALASCCA)
“Low-dose aspirin cut 3-yr recurrence by ~50% in PI3K-altered localized colorectal cancer.”
www.nejm.org/doi/full/10....
New study (JHU + Genentech)
✅ 58.5% of pts on ICIs reported fatigue
✅ Fatigue linked to ↑ Th1 cytokines (IFN-γ, IL-2, IL-12)
✅ Expansion of CD8+ effector T cells
✅ Fatigue = surrogate of immune activation
New study (JHU + Genentech)
✅ 58.5% of pts on ICIs reported fatigue
✅ Fatigue linked to ↑ Th1 cytokines (IFN-γ, IL-2, IL-12)
✅ Expansion of CD8+ effector T cells
✅ Fatigue = surrogate of immune activation
J Geriatr Oncol (Sept 2025, Raddoux et al.)
👏 Congrats to the authors & to the #GeriOnc community advancing care for older #MM patients.
📊 Prospective study in 200 older adults w/ newly diagnosed #MultipleMyeloma
J Geriatr Oncol (Sept 2025, Raddoux et al.)
👏 Congrats to the authors & to the #GeriOnc community advancing care for older #MM patients.
📊 Prospective study in 200 older adults w/ newly diagnosed #MultipleMyeloma
New review (Nat Rev Clin Oncol)
✅ Pathophysiology of chemo-, RT- & IO-induced neurotoxicity
✅ Clinical recognition & biomarkers
✅ Prevention & management strategies
🔍 Key messages – Cavaletti, Cámara, DeAngelis et al. Nat Rev Clin Oncol 2025
New review (Nat Rev Clin Oncol)
✅ Pathophysiology of chemo-, RT- & IO-induced neurotoxicity
✅ Clinical recognition & biomarkers
✅ Prevention & management strategies
🔍 Key messages – Cavaletti, Cámara, DeAngelis et al. Nat Rev Clin Oncol 2025
✅ Updated dx & staging recs
✅ 1L & r/r treatment algorithms
✅ Integration of CAR-T, bispecifics & BTKis
www.annalsofoncology.org/article/S092...
✅ Updated dx & staging recs
✅ 1L & r/r treatment algorithms
✅ Integration of CAR-T, bispecifics & BTKis
www.annalsofoncology.org/article/S092...
New pooled analysis in JCO
(8 RCTs, n=1,604)🌟
✅ HER2+ = worse PFS & OS
❌ Not predictive for Bev vs anti-EGFR
➡️ Prognostic, not predictive
#GIOnc #ColorectalCancer #mCRC #HER2 #Oncology #JCO #Medicalwatch
ascopubs.org/doi/10.1200/...
New pooled analysis in JCO
(8 RCTs, n=1,604)🌟
✅ HER2+ = worse PFS & OS
❌ Not predictive for Bev vs anti-EGFR
➡️ Prognostic, not predictive
#GIOnc #ColorectalCancer #mCRC #HER2 #Oncology #JCO #Medicalwatch
ascopubs.org/doi/10.1200/...
New open-access review (Mauro, de Castro, Zeitlhoefler, Villanueva, Mazzaferro, Llovet et al.)
🔑 Highlights:
✅ 3rd leading cause of cancer death
✅ Etiology shift → viral ↓ | ALD & MASLD ↑
✅ Prevention: HBV vax + antivirals effective
New open-access review (Mauro, de Castro, Zeitlhoefler, Villanueva, Mazzaferro, Llovet et al.)
🔑 Highlights:
✅ 3rd leading cause of cancer death
✅ Etiology shift → viral ↓ | ALD & MASLD ↑
✅ Prevention: HBV vax + antivirals effective
Cost-effectiveness of perioperative Durvalumab + Gem/Cis in MIBC (Germany)
📊 Results:
➡️ Cost: €113,224 (SoC) → €126,386 (+€13,162)
➡️ QALYs: 3.16 → 3.37 (+0.21)
➡️ ICER: €61,006/QALY
➡️ WTP €100,000 → 76.5% probability of cost-effectiveness
Cost-effectiveness of perioperative Durvalumab + Gem/Cis in MIBC (Germany)
📊 Results:
➡️ Cost: €113,224 (SoC) → €126,386 (+€13,162)
➡️ QALYs: 3.16 → 3.37 (+0.21)
➡️ ICER: €61,006/QALY
➡️ WTP €100,000 → 76.5% probability of cost-effectiveness
Prognosis & biology of ER-low metastatic breast cancer – TONIC & multicenter cohort
🔑 Key Messages:
✅ ER-low (1–9%) behaves biologically closer to TNBC than ER+/HER2−
✅ Worse OS vs ER+/HER2−; prognosis similar to TNBC
✅ Phenotypic switch from ER+ → ER-low at relapse = poor outcomes
Prognosis & biology of ER-low metastatic breast cancer – TONIC & multicenter cohort
🔑 Key Messages:
✅ ER-low (1–9%) behaves biologically closer to TNBC than ER+/HER2−
✅ Worse OS vs ER+/HER2−; prognosis similar to TNBC
✅ Phenotypic switch from ER+ → ER-low at relapse = poor outcomes
➡️ Clinical practice impact: GA should be mandatory in global oncology to optimize outcomes for older adults.
#GeriatricOncology #ASCO #OncoTwitter #Medicalwatch #CancerCare #GlobalOncology
ascopubs.org/doi/10.1200/...
➡️ Clinical practice impact: GA should be mandatory in global oncology to optimize outcomes for older adults.
#GeriatricOncology #ASCO #OncoTwitter #Medicalwatch #CancerCare #GlobalOncology
ascopubs.org/doi/10.1200/...
Surgical complexity after NACT in primary ovarian cancer
✍️ Chiara Ainio, Marina Rosanu, Lucia Ribero, Amanda L. Tapia, Giovanni D. Aletti, William A. Cliby et al.
🔶 Key Messages:
➡️ >50% of pts undergoing IDS after NACT required advanced procedures
Surgical complexity after NACT in primary ovarian cancer
✍️ Chiara Ainio, Marina Rosanu, Lucia Ribero, Amanda L. Tapia, Giovanni D. Aletti, William A. Cliby et al.
🔶 Key Messages:
➡️ >50% of pts undergoing IDS after NACT required advanced procedures
FGFR1-amplified colorectal cancer: a distinct prognostic subtype
✅ Large-scale profiling (n=7606) → FGFR1 amplification = predominant FGFR alteration in CRC (≈4%).
✨ Independent marker of poor prognosis: ↓DFS (HR 2.91) & ↓PFS (HR 2.52).
FGFR1-amplified colorectal cancer: a distinct prognostic subtype
✅ Large-scale profiling (n=7606) → FGFR1 amplification = predominant FGFR alteration in CRC (≈4%).
✨ Independent marker of poor prognosis: ↓DFS (HR 2.91) & ↓PFS (HR 2.52).
🔵 Prostate Cancer Statistics 2025 – CA Cancer J Clin
✅ 313,780 new cases & 35,770 deaths expected in US (2025)
✅ Incidence ↑ 3%/yr since 2014, driven by advanced-stage dx
✅ Distant-stage PCa rising across all ages 📈
✅ Black men: 67% ↑ incidence & ~2x mortality vs White men
🔵 Prostate Cancer Statistics 2025 – CA Cancer J Clin
✅ 313,780 new cases & 35,770 deaths expected in US (2025)
✅ Incidence ↑ 3%/yr since 2014, driven by advanced-stage dx
✅ Distant-stage PCa rising across all ages 📈
✅ Black men: 67% ↑ incidence & ~2x mortality vs White men
New Annals of Oncology analysis (IMmotion010):
✅ Elevated post-nephrectomy plasma KIM-1 = ↑ recurrence risk (HR 1.68)
✅ KIM-1high pts benefited from adjuvant atezo (HR 0.72)
New Annals of Oncology analysis (IMmotion010):
✅ Elevated post-nephrectomy plasma KIM-1 = ↑ recurrence risk (HR 1.68)
✅ KIM-1high pts benefited from adjuvant atezo (HR 0.72)
@myESMO
Guidelines🌟
✅ Screening: LD-CT for heavy smokers (55–74y)
✅ Biomarkers: EGFR, ALK & PD-L1 testing essential
✅ Surgery: Sublobar resection ≈ lobectomy for ≤2cm tumors
@myESMO
Guidelines🌟
✅ Screening: LD-CT for heavy smokers (55–74y)
✅ Biomarkers: EGFR, ALK & PD-L1 testing essential
✅ Surgery: Sublobar resection ≈ lobectomy for ≤2cm tumors
Geriatric Assessment: ASCO Global Guideline 🌟
✅ GA is recommended for all adults ≥65 receiving cancer treatment
✨ Identifies vulnerabilities beyond chronological age (function, comorbidities, polypharmacy, nutrition, cognition, psychosocial health)
Geriatric Assessment: ASCO Global Guideline 🌟
✅ GA is recommended for all adults ≥65 receiving cancer treatment
✨ Identifies vulnerabilities beyond chronological age (function, comorbidities, polypharmacy, nutrition, cognition, psychosocial health)
Inferior control arms in oncology trials in LMICs: contextualised or compromised?
✅ Some oncology trials in LMICs still use inferior control arms vs HIC standards.
✅ Raises ethical concerns: are we contextualizing care or compromising patients?
Inferior control arms in oncology trials in LMICs: contextualised or compromised?
✅ Some oncology trials in LMICs still use inferior control arms vs HIC standards.
✅ Raises ethical concerns: are we contextualizing care or compromising patients?
Brain imaging screening in metastatic breast cancer: patients’ & physicians’ perspectives
✅ 529 physicians (50 countries): 65% request BIS in asymptomatic MBC, mainly for HER2+ & TNBC
Brain imaging screening in metastatic breast cancer: patients’ & physicians’ perspectives
✅ 529 physicians (50 countries): 65% request BIS in asymptomatic MBC, mainly for HER2+ & TNBC
Artificial intelligence across the cancer care continuum
✅ AI transforms oncology from prevention → survivorship → end-of-life care
✨ Early detection: deep learning predicts pancreatic & lung cancer risk yrs before diagnosis
Artificial intelligence across the cancer care continuum
✅ AI transforms oncology from prevention → survivorship → end-of-life care
✨ Early detection: deep learning predicts pancreatic & lung cancer risk yrs before diagnosis
🔑 Key insights:
✅ Molecular reclassification is reshaping cancer trial paradigms
✅ Basket & umbrella designs accelerate drug development across tumor types
✅ Adaptive, platform & seamless trials enable faster, more efficient testing
🔑 Key insights:
✅ Molecular reclassification is reshaping cancer trial paradigms
✅ Basket & umbrella designs accelerate drug development across tumor types
✅ Adaptive, platform & seamless trials enable faster, more efficient testing
Ven + HMA = current backbone ⚡️
CR/CRi ~40–90%, 3-yr OS up to 67% 📈 (better w/ NPM1, IDH2; worse w/ TP53, FLT3-ITD)
Future: refine triplets ➕ optimize dosing, ASCT timing, & add PROs 🗣️
www.nature.com/articles/s41...
Ven + HMA = current backbone ⚡️
CR/CRi ~40–90%, 3-yr OS up to 67% 📈 (better w/ NPM1, IDH2; worse w/ TP53, FLT3-ITD)
Future: refine triplets ➕ optimize dosing, ASCT timing, & add PROs 🗣️
www.nature.com/articles/s41...
📢 Advances in Neuroendocrine Tumors (NETs) — therapeutic landscape update
✅ NETs are highly heterogeneous — site of origin & biology determine management.
✅ Somatostatin analogs remain backbone for symptom & tumor control.
📢 Advances in Neuroendocrine Tumors (NETs) — therapeutic landscape update
✅ NETs are highly heterogeneous — site of origin & biology determine management.
✅ Somatostatin analogs remain backbone for symptom & tumor control.
📢 IMvigor011 trial: ctDNA-guided adjuvant immunotherapy in MIBC. Natera & Genentech/Roche
✅ Signatera-positive pts + atezolizumab → significant ↑ DFS & OS
✅ Signatera-negative pts → excellent outcomes w/out adjuvant Rx
📢 IMvigor011 trial: ctDNA-guided adjuvant immunotherapy in MIBC. Natera & Genentech/Roche
✅ Signatera-positive pts + atezolizumab → significant ↑ DFS & OS
✅ Signatera-negative pts → excellent outcomes w/out adjuvant Rx