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Medical.watch
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Reposted by Medical.watch
πŸ’«πŸŒŸπŸ”₯ Hot off the press (Comments & Controversies)πŸŒŸπŸ’«

Thrilled to see the timely piece

πŸ‘‰ β€œPrecision Oncology and Modernizing Evidence Standards”

πŸ”‘ Key takeaways:
πŸ”΅ RCT-only frameworks miss the reality of #PrecisionMedicine
🟒 Basket, umbrella & N-of-1 trials are cornerstones of #PrecisionOncology
Reposted by Medical.watch
🚨 NEJM | Sept 2025
Low-dose aspirin in PI3K-altered localized #ColorectalCancer (ALASCCA)

β€œLow-dose aspirin cut 3-yr recurrence by ~50% in PI3K-altered localized colorectal cancer.”
www.nejm.org/doi/full/10....
www.nejm.org
Reposted by Medical.watch
πŸ’«πŸŒŸπŸŽ“πŸ†•Immune activation & ICI-related fatigue
New study (JHU + Genentech)

βœ… 58.5% of pts on ICIs reported fatigue
βœ… Fatigue linked to ↑ Th1 cytokines (IFN-Ξ³, IL-2, IL-12)
βœ… Expansion of CD8+ effector T cells
βœ… Fatigue = surrogate of immune activation
Reposted by Medical.watch
πŸ§“πŸ‘΅ Geriatric assessment vs clinical evaluation in MM
J Geriatr Oncol (Sept 2025, Raddoux et al.)
πŸ‘ Congrats to the authors & to the #GeriOnc community advancing care for older #MM patients.

πŸ“Š Prospective study in 200 older adults w/ newly diagnosed #MultipleMyeloma
Reposted by Medical.watch
🧠 Neurotoxicity in Cancer Therapy
New review (Nat Rev Clin Oncol)

βœ… Pathophysiology of chemo-, RT- & IO-induced neurotoxicity
βœ… Clinical recognition & biomarkers
βœ… Prevention & management strategies

πŸ” Key messages – Cavaletti, CΓ‘mara, DeAngelis et al. Nat Rev Clin Oncol 2025
Reposted by Medical.watch
🌟🟠 HER2 in mCRC
New pooled analysis in JCO
(8 RCTs, n=1,604)🌟

βœ… HER2+ = worse PFS & OS
❌ Not predictive for Bev vs anti-EGFR
➑️ Prognostic, not predictive

#GIOnc #ColorectalCancer #mCRC #HER2 #Oncology #JCO #Medicalwatch

ascopubs.org/doi/10.1200/...
ASCO Publications
ascopubs.org
Reposted by Medical.watch
🟒 Hepatocellular carcinoma (HCC) – 2025 global insights 🌍
New open-access review (Mauro, de Castro, Zeitlhoefler, Villanueva, Mazzaferro, Llovet et al.)

πŸ”‘ Highlights:
βœ… 3rd leading cause of cancer death
βœ… Etiology shift β†’ viral ↓ | ALD & MASLD ↑
βœ… Prevention: HBV vax + antivirals effective
Reposted by Medical.watch
πŸ“’ European Journal of Cancer – New Research
Cost-effectiveness of perioperative Durvalumab + Gem/Cis in MIBC (Germany)

πŸ“Š Results:
➑️ Cost: €113,224 (SoC) β†’ €126,386 (+€13,162)
➑️ QALYs: 3.16 β†’ 3.37 (+0.21)
➑️ ICER: €61,006/QALY
➑️ WTP €100,000 β†’ 76.5% probability of cost-effectiveness
Reposted by Medical.watch
🌍 #MWGlobalOnc
Prognosis & biology of ER-low metastatic breast cancer – TONIC & multicenter cohort

πŸ”‘ Key Messages:
βœ… ER-low (1–9%) behaves biologically closer to TNBC than ER+/HER2βˆ’
βœ… Worse OS vs ER+/HER2βˆ’; prognosis similar to TNBC
βœ… Phenotypic switch from ER+ β†’ ER-low at relapse = poor outcomes
Reposted by Medical.watch
Heading to an appointment this weekend? Plan ahead for street closures 🚧 πŸ‘· Aloha St. will be closed at Fairview Ave. N. from 7 p.m. Friday, 9/5 until 6 a.m. Monday, 9/8. This is part of the City of Seattle’s RapidRide J-Line construction project. bit.ly/47GyDV0
Reposted by Medical.watch
πŸŽ₯ #MWVisualAbstract
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.

πŸ”Ά Key Messages:
➑️ >50% of pts undergoing IDS after NACT required advanced procedures
Reposted by Medical.watch
πŸ’‘ #MWClinicalTips
FGFR1-amplified colorectal cancer: a distinct prognostic subtype

βœ… Large-scale profiling (n=7606) β†’ FGFR1 amplification = predominant FGFR alteration in CRC (β‰ˆ4%).
✨ Independent marker of poor prognosis: ↓DFS (HR 2.91) & ↓PFS (HR 2.52).
Reposted by Medical.watch
#COTipTuesday

πŸ”΅ Prostate Cancer Statistics 2025 – CA Cancer J Clin

βœ… 313,780 new cases & 35,770 deaths expected in US (2025)
βœ… Incidence ↑ 3%/yr since 2014, driven by advanced-stage dx
βœ… Distant-stage PCa rising across all ages πŸ“ˆ
βœ… Black men: 67% ↑ incidence & ~2x mortality vs White men
Reposted by Medical.watch
🟒 Circulating KIM-1 in adjuvant #RCC

New Annals of Oncology analysis (IMmotion010):
βœ… Elevated post-nephrectomy plasma KIM-1 = ↑ recurrence risk (HR 1.68)
βœ… KIM-1high pts benefited from adjuvant atezo (HR 0.72)
Reposted by Medical.watch
🌟🫁 Early & locally advanced #NSCLC – New
@myESMO
Guidelines🌟

βœ… Screening: LD-CT for heavy smokers (55–74y)
βœ… Biomarkers: EGFR, ALK & PD-L1 testing essential
βœ… Surgery: Sublobar resection β‰ˆ lobectomy for ≀2cm tumors
Reposted by Medical.watch
🌟🧠 #MWThinkWednesday
Geriatric Assessment: ASCO Global Guideline 🌟

βœ… GA is recommended for all adults β‰₯65 receiving cancer treatment
✨ Identifies vulnerabilities beyond chronological age (function, comorbidities, polypharmacy, nutrition, cognition, psychosocial health)
Reposted by Medical.watch
🧠 #MWThinkWednesday
Inferior control arms in oncology trials in LMICs: contextualised or compromised?

βœ… Some oncology trials in LMICs still use inferior control arms vs HIC standards.
βœ… Raises ethical concerns: are we contextualizing care or compromising patients?
Reposted by Medical.watch
πŸ’‘ #MWClinicalTips
Brain imaging screening in metastatic breast cancer: patients’ & physicians’ perspectives

βœ… 529 physicians (50 countries): 65% request BIS in asymptomatic MBC, mainly for HER2+ & TNBC
Reposted by Medical.watch
🌍 #MWGlobalOnc
Artificial intelligence across the cancer care continuum

βœ… AI transforms oncology from prevention β†’ survivorship β†’ end-of-life care
✨ Early detection: deep learning predicts pancreatic & lung cancer risk yrs before diagnosis
Reposted by Medical.watch
πŸŒŸπŸš€ Novel trial designs in the era of molecular oncology🌟

πŸ”‘ Key insights:
βœ… Molecular reclassification is reshaping cancer trial paradigms
βœ… Basket & umbrella designs accelerate drug development across tumor types
βœ… Adaptive, platform & seamless trials enable faster, more efficient testing
Reposted by Medical.watch
🧬 New AML care update for unfit patients
Ven + HMA = current backbone ⚑️
CR/CRi ~40–90%, 3-yr OS up to 67% πŸ“ˆ (better w/ NPM1, IDH2; worse w/ TP53, FLT3-ITD)

Future: refine triplets βž• optimize dosing, ASCT timing, & add PROs πŸ—£οΈ

www.nature.com/articles/s41...
Newly diagnosed acute myeloid leukemia in unfit patients: 2026 treatment algorithms - Blood Cancer Journal
Blood Cancer Journal - Newly diagnosed acute myeloid leukemia in unfit patients: 2026 treatment algorithms
www.nature.com