Also considered

🍽️ GI Cancer — 2026-W43

13 papers judged, 2 emailed  ·  Read the digest →

What this page is. Every paper the week's monitor reviewed — including the ones that did not go into the digest. Material marked “Not selected” was reviewed and deliberately left out. It has not been fact-checked to digest standard and is not endorsed. For the curated read, see the digest itself.

Papers judged this week

Pancreatic Adenocarcinoma, Version 4.2026, NCCN Clinical Practice Guidelines In Oncology.
Emailed
Ko Andrew H et al., J Natl Compr Canc Netw

NCCN guidelines update for pancreatic adenocarcinoma, published in JNCCN, covering workup, staging, and treatment from resectable to metastatic disease. Provides the current standard-of-care framework for managing pancreatic cancer.

NCCN Guidelines® Insights: Hepatocellular Carcinoma, Version 2.2026.
Website only
Benson Al B et al., J Natl Compr Canc Netw

NCCN Guidelines Insights for hepatocellular carcinoma (version 2.2026), published in JNCCN, highlighting recent updates to recommendations. Directly informs current evaluation and systemic treatment practice for HCC.

Treatment of Advanced Biliary Tract Cancer: ASCO Living Guideline, Version 2026.1.0.
Website only
Shroff Rachna T et al., J Clin Oncol

ASCO living guideline on liquid biopsy and systemic treatment of advanced biliary tract cancer, published in JCO. Recommends broad NGS testing, ICI plus chemotherapy first-line, and biomarker-directed later-line options, guiding practice.

Survival benefit of recurrence-focused treatment after surgery for pancreatic ductal adenocarcinoma: A propensity score matched analysis of patients from a Dutch National and US institutional cohort.
Not selected
Andel Paul C M et al., Eur J Cancer

Propensity-matched observational cohort of patients with recurrent pancreatic cancer after resection, published in European Journal of Cancer. Recurrence-focused treatment was associated with longer post-recurrence survival than supportive care alone, with prognosis-based subgroup analysis to guide treatment selection.

Strategies to develop therapeutic cancer vaccines for pancreatic cancer.
Not selected
Coppi Matilde M et al., Lancet Gastroenterol Hepatol

Systematic review of clinical trials of therapeutic cancer vaccines in pancreatic ductal adenocarcinoma, published in Lancet Gastroenterology & Hepatology. Early-phase studies show feasibility and immunogenicity but rarely durable clinical benefit, so vaccines remain investigational, with personalised neoantigen mRNA approaches the most promising.

Cobimetinib + Vemurafenib in Patients With BRAF V600E-Mutant Papillary Thyroid and Biliary Tract Cancers: Results From the TAPUR Study.
Website only
Diamond-Rossi Samantha A et al., JCO Precis Oncol

Single-arm phase 2 basket trial (TAPUR) in advanced BRAF V600E-mutant thyroid and biliary tract cancers, published in JCO Precision Oncology. Cobimetinib plus vemurafenib showed encouraging disease control and responses, supporting BRAF/MEK targeting in these refractory, biomarker-selected patients.

Nivolumab-Ipilimumab for Localized Microsatellite Instability-High Gastric/Gastroesophageal Junction Adenocarcinoma: The Phase 2 NEONIPIGA Nonrandomized Clinical Trial.
Emailed
Samaille Thomas et al., JAMA Oncol

Single-arm phase 2 trial in localized dMMR/MSI-H gastric/GEJ adenocarcinoma, published in JAMA Oncology, reporting long-term event-free and overall survival after neoadjuvant nivolumab plus ipilimumab. Supports durable benefit of this chemotherapy-free approach in a biomarker-selected population.

Radiotherapy combined with serplulimab, and chemotherapy as first-line treatment for metastatic pancreatic adenocarcinoma: a multicenter, single-arm, phase II trial.
Website only
Cheng Ke et al., Clin Cancer Res

Multicenter single-arm phase 2 in untreated metastatic pancreatic adenocarcinoma, published in Clinical Cancer Research. Adding PD-1 blockade and radiotherapy to gemcitabine/nab-paclitaxel was tolerable and showed encouraging activity with exploratory ctDNA and microenvironment biomarkers, but needs randomized confirmation.

Hitting KRAS G12D without the gut punch: Can immunotherapy make it last?
Not selected
Kim Dae Won et al., Cancer Cell

Commentary in Cancer Cell on an early-phase trial combining an intravenous KRAS G12D inhibitor with a PD-L1 inhibitor in previously treated metastatic pancreatic cancer. It highlights a promising response rate and a favorable GI tolerability profile, but remains early-phase and hypothesis-generating.

Risk of second primary malignancies in older long-term survivors of breast, prostate, colon, and rectal cancer.
Not selected
Kwaramba Tendai et al., J Natl Cancer Inst

Retrospective SEER-Medicare cohort of older long-term survivors of breast, prostate, colon and rectal cancer, published in J Natl Cancer Inst. Describes late second primary cancer patterns to inform survivorship surveillance, without changing systemic treatment choices.

Perioperative chemotherapy and long-term cure in resected grade 3 gastroenteropancreatic neuroendocrine carcinomas: The GETNE SOUTH-NEC Study.
Not selected
Carmona-Bayonas Alberto et al., Eur J Cancer

Retrospective registry cohort in resected stage I-III grade 3 gastroenteropancreatic neuroendocrine carcinoma, published in European Journal of Cancer. Suggests perioperative chemotherapy is associated with better event-free and recurrence-free survival, possibly by lowering residual disease burden, but not clearly overall survival.

A health-system-scale, episode-resolved multimodal atlas of cancer cachexia.
Not selected
Castillon Venise Jan et al., Nat Med

Large retrospective clinicogenomic cohort analysis of cancer cachexia episodes, published in Nature Medicine. Links cachectic weight loss to progression, outcomes and tumor genotypes and offers a validated risk prediction model in lung, colorectal and prostate cancer, but does not directly guide systemic therapy choices.

Organ Preservation and Quality of Life After Total Neoadjuvant Treatment in Rectal Cancer.
Not selected
Diefenhardt Markus et al., JAMA Netw Open

Unplanned post hoc cohort analysis of two German phase 2 trials of total neoadjuvant therapy in locally advanced rectal cancer, published in JAMA Network Open. Informs counseling on quality of life and function with organ preservation (watch-and-wait) versus total mesorectal excision.

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