Dr BRAHMA PRASAD SADANGI @dr_brad1
Joined April 2020-
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Following262
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š« NSCLC: Can less be more? Do we always need full-dose, lifelong TKIs? Emerging evidence says maybe not. šÆ ⨠Trial insights: š Afatinib ā LUX-Lung 3/6: 30 mg ā 40 mg PFS š§ Lorlatinib ā CROWN (ALK+): early dose ā didnāt affect PFS š Alectinib ā J-ALEX (300 mg BID) vsā¦
Not just coffee - even pembrolizumab works better before 11 AM āš š Eur J Cancer 2025 | 9-center retrospective | n=450 1L Pembrolizumab monotherapy in advanced NSCLC Timing groups: š Early ā¤11:00 AM š Late >11:00 AM Results (PSM, n=206 | median f/u 62.5 mo): ā¢OS: 43.7ā¦
š¤ Do we always need chemo in mCRC maintenance? š§© š Pooled IPD ā PanaMa + Valentino (n=607, phase II) š„ Population ⢠RAS WT mCRC ⢠80% left-sided ⢠64% ānegative hyperselectedā (no BRAF V600E, HER2, PIK3CA, PTEN, etc.) š Treatment Induction: FOLFOX + Panitumumabā¦
⨠Cure. Preserve. Personalise. ESMO 2025 ā Localised Rectal Cancer š§µš š Essentials š§² MRI for staging | 𧬠MSI/MMR testing | š„ MDT baseline š Stage I Local excision / TME š Stage IIāIII š cT2 N+ / cT3 ā CRT/SCRT (Stockholm III) š High-risk (T4, EMVI+, mrMRF+, N2,ā¦
šÆ PARP inhibitors (olaparib, talazoparib, rucaparib, niraparib) harness synthetic lethality in BRCA/HRD tumors, showing survival benefit across ovarian, breast, pancreatic & prostate cancers. š @CACancerJournal DOI š 10.3322/caac.21870 #CĆ”nCare #PARP #BRCA #HRD
šŗ Beyond 5 years: Who really benefits from extended endocrine therapy? š ESMO Open 2025 review ⢠HR+ early BC = relapse risk persists 20 yrs after dx ⢠Extending ET ā recurrence, esp. node+ / high-risk pts š§Ŗ Key trials š¹ ATLAS / aTTom ā Tam 10y > 5y (DFS & OS ā, butā¦
Diffuse midline glioma harboring an H3 K27M mutation who have experienced disease progression following prior therapies Dordaviprone = first FDA-approved systemic therapy specifically targeting H3 K27M mutation Recommended dose of dordaviprone is 625 mg orally once weekly
šÆ Targeted. š Immune. š¬ Precise. The new face of early NSCLC ā ESMO 2025 ā” š Key updates 𧬠Biomarker testing (EGFR, ALK, PD-L1) now mandatory in stage IBāIII š Adjuvant targeted therapy ADAURA ā Osimertinib (EGFR) ALINA ā Alectinib (ALK) š Peri-op immunotherapyā¦
Early and locally advanced non-small-cell lung cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-upā annalsofoncology.org/article/S0923-ā¦
For now⦠cross trial comparison is all we have! This will come over and over in our clinics for Her2+ non-small cell lung cancer. Sequencing and AE discussions so that our pts can make informed/shared decision (@jillfeldman4 šš½šš½) ! #Zongertinib #TDxD #lcsm #OncTwitter
For now⦠cross trial comparison is all we have! This will come over and over in our clinics for Her2+ non-small cell lung cancer. Sequencing and AE discussions so that our pts can make informed/shared decision (@jillfeldman4 šš½šš½) ! #Zongertinib #TDxD #lcsm #OncTwitter https://t.co/kG8iHyMyVC
š Management of locally advanced rectal cancer @myESMO ā Excellent summary of key trials ā Treatment recommendations based on trial evidence š šcancertreatmentreviews.com/article/S0305-⦠#cancer #oncology #MedX #rectal @OncoAlert @realbowtiedoc
šØ Trials to Watch ā WCLC 2025 šØ š Plenary LBAs: FLAURA2: Osimertinib + Chemo (OS update) Aumolertinib + Chemo (EGFRm NSCLC) HARMONi-A: Ivonescimab + Chemo vs Chemo ARROS-1: Zidesamtinib (ROS1+) CheckMate 816: Neoadjuvant Nivolumab (OS) EA5181: Durvalumab + CRT in Stage IIIā¦
š Testicular cancer is the most common solid tumor in people with testicles aged 15ā44. A @TheLancet seminar reviews management of seminoma and non-seminoma, follow-up, relapse strategies, and future directions. DOI šš» doi.org/10.1016/S0140-⦠#CĆ”nCare #oncologyā¦
ą¤µą¤æą¤ą¤¾ą¤ą¤Ø ą¤µą¤æą¤ą„ą¤·ą¤æą¤ą¤¾ ą¤øą„ą¤®ą„ति दिवस !!! ą¤µą¤°ą„ą¤· 1947 ą¤®ą„ą¤ ą¤°ą¤¾ą¤ą¤Øą„ą¤¤ą¤æą¤ ą¤øą„ą¤µą¤¾ą¤°ą„ऄ ą¤ą„ ą¤²ą¤æą¤ ą¤ą¤¾ą¤°ą¤¤ ą¤ą„ ą¤ą¤æą¤ø तरह ą¤§ą¤°ą„ą¤® ą¤ą„ नाम पर ą¤¬ą¤¾ą¤ą¤ą¤¾ ą¤ą¤Æą¤¾, ą¤ą¤øą¤Øą„ ą¤¦ą„ą¤¶ą¤µą¤¾ą¤øą¤æą¤Æą„ą¤ ą¤ą„ ą¤ ą¤ą¤¤ą¤° ą¤ą¤¤ą„म ą¤ą„ ą¤ą¤¼ą¤ą¤ą„र ą¤ą¤° रठदिया ą¤„ą¤¾ą„¤ ą¤¦ą„ą¤¶ ą¤ą„ ą¤¬ą¤ą¤ą¤µą¤¾ą¤°ą„ ą¤ą„ ą¤¦ą¤°ą„ą¤¦ ą¤ą„ ą¤ą¤ą„ ą¤ą„लाया ą¤Øą¤¹ą„ą¤ ą¤ą¤¾ ą¤øą¤ą¤¤ą¤¾ą„¤ #VibhajanVibhishikaSmritiDiwas
š Updated treatment recommendations for systemic treatment: from the ESMO Metastatic Breast Cancer Living Guideline⨠āļøāš„ esmo.org/guidelines/liv⦠š annalsofoncology.org/article/S0923-⦠@OncoAlert #OncoAlertAF #MetastaticBreastCancer
FDA Accelerated Approval Zongertinib (Hernexeos) for adults with HER2 (ERBB2) TKD-mutant unresectable/metastatic non-sq #NSCLC after prior therapy š« ā ORR: 75% (no prior HER2-ADC) | 44% (post HER2-ADC) š Daily oral TKI | Companion Dx: Oncomine Dx Target Test ā ļø Watch forā¦
A mind-opener review on muscle-invasive bladder cancer. Must-read for GU oncologist. #BladderCancer #Oncology #Immunotherapy @MattGalsky @l_ballas @UroDocAsh @ASCO @JCO_ASCO @WorldBladderCan @OncoAlert @OncBrothers @Uromigos @urologysummit doi.org/10.1200/JCO-25ā¦
No OS benefit from oxaliplatin in stage IIāIII #CRC patients >70 years! In stage III CRC, only those ā¤70 years had improved 5-year OS with oxaliplatin (85% vs 78.9%). Elderly patients discontinued chemo more often (AOR=1.55) ā linked to worse outcomes. š In stage II: noā¦
Do gBRCA PVs impact CDK4/6i efficacy in HR+/HER2ā MBC? This M-A in @TheBreastOnline included 16,884 pts (618 BRCA) and showed worse PFS & OS with CDK4/6i in BRCA: ā”ļø HR for PFS: up to 2.0 ā”ļø HR for OS: up to 1.7 Resistance pathways: RB1 loss, ESR1, non-luminal BC. @OncoAlert

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