๐Ÿ“ฌ GI Cancer Intelligence Digest โ€” Week 2026-W41

VIRAGE puts an IV oncolytic adenovirus into first-line metastatic pancreatic cancer, biliary tract cancer gets three practice-shaping datasets (matched targeted therapy after chemo-IO, real-world CisGem sequencing, 5-year ASCOT), and ASTRO26 delivers negative proton data in HCC alongside RFA-versus-SBRT noninferiority.

โšก TL;DR

๐Ÿ“„ Publications

๐Ÿฆ Twitter / ๐Ÿฆ‹ Bluesky

Full details below โ†“

๐Ÿ“„ What's Being Published

Manuscripts:

Intravenous hyaluronidase-expressing oncolytic adenovirus with chemotherapy in metastatic pancreatic cancer: a randomized phase 2b trial. โ€” Garcia-Carbonero Rocio et al., Nat Med

This randomized phase 2b trial tested two doses of IV VCN-01 with gemcitabine/nab-paclitaxel (GnP) against GnP alone as first-line therapy in metastatic pancreatic ductal adenocarcinoma. In the ITT population (n = 53 vs n = 48), median OS was 10.6 vs 8.6 months (HR 0.69, 95% CI 0.42-1.12, P = 0.196) and PFS was 5.6 vs 4.6 months (HR 0.63, P = 0.046). In the FAS population (n = 48 per group), median OS was 10.8 vs 8.6 months (HR 0.57, P = 0.055) and PFS was 7.0 vs 4.6 months (HR 0.55, P = 0.011). Duration of response was 11.2 vs 5.4 months (HR 0.22, P = 0.004), with no significant differences in ORR, DCR or CA19-9. Serious VCN-01-related events occurred in 22.6% of patients.

Clinical bottom line: VCN-01 plus gemcitabine/nab-paclitaxel does not change first-line practice today because the ITT overall survival analysis was not significant. However, the tripled duration of response and the 18-month survival separation justify the planned blinded phase 3.

Read full article โ†’

๐Ÿ”— Also discussed on social media โ†’

Pancreatic Cancer Cachexia: Integrating Mechanistic Insights With Clinical Management. โ€” Huang Lyndon et al., JCO Oncol Pract

Cachexia affects over 80% of patients with pancreatic cancer and decreases treatment tolerance, quality of life and survival. It remains underdiagnosed and undertreated in oncology clinics. Emerging strategies include growth differentiation factor-15 inhibition, inflammatory pathway blockade and ghrelin receptor agonism, which have shown encouraging effects on weight, muscle preservation, appetite and functional measures.

Clinical bottom line: Screen every patient with pancreatic cancer for cachexia at diagnosis. Manage it actively with nutrition, body-composition assessment and multidisciplinary input rather than treating weight loss as an untreatable marker of advanced disease.

Read full article โ†’

Palliative Care for Advanced Cancer in Medicare Advantage and Physician Networks. โ€” Hu Xin et al., JAMA Netw Open

This SEER-Medicare cohort included beneficiaries aged 66 years or older with distant-stage breast, colorectal, lung, pancreatic or prostate cancer diagnosed 2016-2021. Medicare Advantage enrollees had a higher 6-month cumulative incidence of palliative care than traditional Medicare enrollees (13.3% vs 9.3%; AHR 1.39). After matching on treating oncologist, there was no overall difference (AHR 1.05; P = .19). Medicare Advantage enrollees received less systemic therapy (-5.38 percentage points) and more hospice (3.42 pp), and these differences persisted after matching.

Clinical bottom line: The apparent palliative-care advantage of Medicare Advantage is largely explained by which oncologists are in network. The lower systemic therapy and higher hospice use persist even within the same oncologist, a plan-level effect GI oncologists should recognize when counseling patients with advanced colorectal or pancreatic cancer.

Read full article โ†’

Longitudinal liquid biopsy and matched radiomic analysis indicated resistance mechanisms of patients with biliary tract cancer undergoing systemic treatment. โ€” Tesini Giulia et al., Clin Cancer Res

Plasma collected at baseline (N=39) and at progression (N=30) underwent NGS for SNVs and CNVs, paired with CT tumor-burden and radiomic analysis. Baseline MET SNVs (p=0.07) and ERBB2 CNVs (p=0.03) were associated with shorter time to progression. Patients with a rising EGFR CNV score during treatment had worse outcomes than those with a falling score (TTP 4.1 vs 9.5 months, p=0.003; OS 10.1 vs 21.6 months, p=0.02). The findings point to primary (MET SNVs/ERBB2 CNVs) and secondary (EGFR/MET CNVs) resistance to platinum-based therapy, with radiomics correlating early with molecular evolution.

Clinical bottom line: Serial ctDNA during first-line chemotherapy for biliary tract cancer can flag EGFR/MET amplification as an emerging resistance route before radiologic progression. This argues for longitudinal rather than one-off molecular profiling in this disease.

Read full article โ†’

A Phase II Study of Nivolumab and Ipilimumab with Radiation Therapy in Patients with Metastatic, Microsatellite Stable Colorectal Cancer. โ€” Pappas Leontios et al., Clin Cancer Res

Among 30 patients with refractory MSS mCRC treated with RT plus nivolumab/ipilimumab, the confirmed ORR was 10.0%. DCR was 33.3% in unirradiated lesions and 83.3% in irradiated lesions. ORR was 25.0% in 8 patients without active liver metastases versus 4.6% in 22 patients with liver metastases. Median PFS was 2.4 months and median OS was 12.8 months. Grade 4 toxicity occurred in 10%, in all cases lymphopenia.

Clinical bottom line: Adding non-ablative radiation to ipilimumab/nivolumab does not rescue immunotherapy in refractory MSS colorectal cancer with liver metastases. The activity that exists is confined to the same liver-metastasis-free subgroup already identified with checkpoint doublets.

Read full article โ†’

Immune Checkpoint Inhibitor-Based Downstaging Therapy for Hepatocellular Carcinoma. โ€” Ong Meiching et al., JAMA Oncol

In a retrospective matched cohort of 416 recipients transplanted for HCC initially beyond Milan criteria at 8 high-volume Chinese centers, median OS was 4.57 years with ICI-based therapy versus 2.53 years without (P < .001). Median RFS was 1.47 vs 0.89 years (P = .02), with adjusted HRs of 0.63 for OS and 0.59 for RFS. Acute rejection within 90 days was more frequent with ICI exposure (34 [16.3%] vs 17 [8.2%]; P = .01).

Clinical bottom line: For selected patients with HCC beyond Milan criteria, checkpoint-inhibitor-based downstaging before transplant is associated with substantially better post-transplant survival. Because early acute rejection doubles, the trade-off must be discussed explicitly with the transplant team.

Read full article โ†’

๐Ÿ—‚ Every paper considered this week, including the ones that didnโ€™t make it โ†’

๐Ÿ—ฃ๏ธ What People Were Discussing This Week

How these are chosen: filtered for clinical relevance, grouped by the new development discussed, then ordered by engagement (bookmarks and reposts).

CA Cancer J Clin review of gastric/GEJ cancer anchors management on a biomarker-driven algorithm

The review stages management by disease extent:

  • Early disease: endoscopic or minimally invasive surgery.
  • Locally advanced disease: D2 resection plus perioperative therapy.
  • Metastatic disease: PD-L1/MSI, HER2 and CLDN18.2 testing, with ADCs, bispecifics, CAR-T and FGFR2b approaches next.
Oncologists are mapping the same ground as a sequence running from CROSS to ESOPEC to MATTERHORN, with MSI, PD-L1, HER2 and CLDN18.2 as first-line biomarkers. An accompanying editorial frames the challenge as how to select, combine and sequence these therapies. The open question is which result should drive the first-line decision when two biomarkers are positive.

Discussed by: @DraMartinezLago, @OncBrothers, @dr_yakupergun

โ†’ View representative tweet

Sources cited: Advances in therapeutic approaches to gastric cancer (CA: A Cancer Journal for Clinicians, 2026) ยท Screening for colorectal cancer (CA: A Cancer Journal for Clinicians, 2026)

Neoantigen vaccines from a blood sample: a new study removes the tumor biopsy requirement

Personalized neoantigen vaccines have improved outcomes in refractory melanoma and in pilot studies including pancreatic cancer, but they have required a tumor biopsy to identify antigens. A new study shows the antigens can be obtained from a blood sample. In a separate phase 1 trial of mKRAS-VAX, 90% of participants developed a KRAS-specific immune response. The question is whether blood-based identification makes personalized vaccines feasible for pancreatic cancer patients who never get an adequate tissue biopsy.

Discussed by: @EricTopol, @GOAL_GIONC

โ†’ View representative tweet

Sources cited: Peripheral Blood as the Sole Source for Cancer Neoantigen and Reactive T-Cell Discovery (Cancer Discovery, 2026)

Update: the reduced-oxaliplatin-exposure meta-analysis moves from headline numbers to a clinical rule for when to stop oxaliplatin

Pooled data showed no significant survival difference with reduced oxaliplatin exposure, alongside clearly less severe neuropathy and severe toxicity. In colorectal cancer, there was no statistically significant difference in DFS/PFS or OS, including an exploratory look at T4/N2 disease. The evidence is strongest in CRC and much more limited in other GI cancers. The take-home offered was: don't stop effective treatment, but know when to stop the oxaliplatin. The debate is whether reduced cumulative oxaliplatin should become the default in adjuvant colorectal cancer, or whether the evidence is too retrospective to apply to T4/N2 disease.

Key numbers: Grade โ‰ฅ3 neuropathy OR 0.34 ยท Grade โ‰ฅ3 AEs OR 0.67

Discussed by: @ronanhsieh, @ChandrakanthMv, @DraMartinezLago

โ†’ View representative tweet

Sources cited: Elsevier ยท Advances in therapeutic approaches to gastric cancer (CA: A Cancer Journal for Clinicians, 2026)

Gut microbiome signals tie to early-onset colorectal cancer, treatment toxicity and recurrence risk

Gut microbiome patterns have been linked to early-onset breast and colon cancer, to adverse effects of treatment and to survival prediction. High Porphyromonas abundance in a preoperative stool sample was linked to a nearly 3x higher risk of recurrence after colorectal cancer surgery. The question is whether a preoperative stool profile is ready to sit alongside ctDNA for recurrence risk stratification in resected colorectal cancer, or remains hypothesis-generating.

Discussed by: @EricTopol, @gastroendonews

โ†’ View representative tweet

Sources cited: Cell Press

NRG-GI003 at ASTRO26: proton therapy fails to improve overall survival versus photons in advanced hepatocellular carcinoma

NRG-GI003 hypothesized that protons could reduce liver decompensation and improve overall survival, the primary endpoint. In this phase 3 trial, protons did not improve OS in advanced HCC; median survival numerically favored photons, while severe treatment-related toxicity was lower with protons. Protons did reduce the mean dose to the uninvolved liver. The debate is whether that dosimetric advantage translates into anything clinically meaningful in HCC.

Key numbers: mOS 26.6 vs 54.9 mo, HR 1.3 ยท Grโ‰ฅ3 TRAEs 11% vs 24%

Discussed by: @NiuSanford, @jryckman3

โ†’ View representative tweet

Sources cited: Cancer Network ยท Targeted Oncology

ASTRO26 randomized data: SBRT noninferior to RFA for solitary HCC โ‰ค2 cm, with 2-year local progression-free survival 91.5% vs 87.0%

Wang et al. randomized 93 patients with solitary HCC โ‰ค2 cm, all suitable for either treatment, to RFA or SBRT 50 Gy/5 fx. SBRT met noninferiority for 2-year local progression-free survival. Two-year OS was ~98% in both arms, with similar acute toxicity. However, this was a small, single-center interim trial with a wide CI. The question is whether SBRT is now a first-choice ablative option for a patient fit for both, rather than the fallback when RFA is not feasible.

Key numbers: 2-yr LPFS SBRT 91.5% vs RFA 87.0% ยท Difference +4.5%

Discussed by: @jryckman3, @NiuSanford

โ†’ View representative tweet

NEST phase II published in print: neoadjuvant botensilimab/balstilimab in localized MMR-proficient and -deficient colon cancer

The NEST trial of neoadjuvant botensilimab/balstilimab in localized mismatch repair-proficient and -deficient colon cancer is now in print in Clin Cancer Res. The investigator cites UNICORN, which reported neoadjuvant botensilimab alone and botensilimab+balstilimab, as independent corroboration and as evidence that the PD-1 partner matters. In the refractory metastatic setting, botensilimab/balstilimab produced ORR 21%, mPFS 4.0 mo and mOS 21.2 mo in 123 heavily pretreated patients. The debate is whether neoadjuvant CTLA-4/PD-1 blockade is ready to be tested against surgery-first management in MMR-proficient localized colon cancer, or whether the signal still depends on the specific CTLA-4 backbone.

Discussed by: @pashtoonkasi, @pashtoonkasi, @DraMartinezLago

โ†’ View representative tweet

Sources cited: Neoadjuvant Botensilimab/Balstilimab for localized mismatch repair proficient and deficieโ€ฆ (Clinical Cancer Research, 2026) ยท Extended Follow-up of Botensilimab plus Balstilimab in an Expanded Cohort of Microsatelliโ€ฆ (Clinical Cancer Research, 2026)

VIRAGE phase 2b: IV oncolytic adenovirus VCN-01 added to gem/nab-paclitaxel triples duration of response in first-line metastatic pancreatic cancer but misses ITT overall survival

Adding VCN-01 to gem/nab-paclitaxel did not significantly improve overall survival in the intent-to-treat population. PFS and OS gains appeared in the full analysis set, and duration of response roughly doubled. ORR, DCR and CA19-9 were flat, and serious virus-related events occurred in 22.6%. Clinicians framed the result as needing phase 3 confirmation, and the debate is whether a win confined to the full analysis set justifies that trial.

Key numbers: ITT mOS 10.6 vs 8.6 mo, HR 0.69 ยท FAS mOS 10.8 vs 8.6 mo, HR 0.57 ยท FAS PFS 7.0 vs 4.6 mo, HR 0.55 ยท DoR 11.2 vs 5.4 mo, HR 0.22 ยท 18-mo survival 31.1% vs 8.5%

Discussed by: @DrAllanPereira, @ilyassahinMD, @VivekSubbiah, @hongjaechon

โ†’ View representative tweet

Sources cited: Intravenous hyaluronidase-expressing oncolytic adenovirus with chemotherapy in metastaticโ€ฆ (Nat Med)

European real-world prognostic model in biliary tract cancer: stop chemotherapy after 6 months, keep CisGem over GEMOX, and use CisGem even at ECOG 2

A multicenter European study (n=1,947) in JHEP Reports found no survival benefit from maintenance chemotherapy after 8 cycles, and no benefit from continuing chemotherapy beyond 6 months. GEMOX was inferior to CisGem, which remains the backbone. In ECOG 2 patients, CisGem outperformed gemcitabine alone. The open question is whether real-world evidence is enough to stop first-line chemotherapy at six months, or whether that applies only to patients without access to a maintenance immunotherapy backbone.

Key numbers: GEMOX vs CisGem mOS 9.9 vs 11.4 mo, p=0.049 ยท PS2 CisGem vs Gem mOS 6.8 vs 3.6 mo, p<0.001

Discussed by: @ArndtVogel, @hongjaechon

โ†’ View representative tweet

Sources cited: Elsevier

๐Ÿ”ฅ Top Ranked Tweets

Oncology Brothers @OncBrothers

And then in September 2026: we got 5 more new drugs/indications โœ… @FDADrugs!! As a #CommunityOncologists, we need to know them all:

1. #Camizestrant in mESR1 HR+ breast cancer (before progression). โฌ†๏ธmPFS (16mos vs. 9.2mos)

2. #Imlunestrant + #Abemaciclib in 2L metastatic mESR1 HR+ breast cancer. โฌ†๏ธmPFS (11.1mos vs. 5.5mos)

3. #Sevabertinib now in 1L Her2 mutated NSCLC. ORR 75%

4. #Lirafugratinib in 2L for FGFR2 fusion/rearrangement cholangiocarcinoma. ORR 46% and DoR 11.8mos

5. #Belzutifan + #Lenvatinib in 2L RCC. โฌ†๏ธmPFS (14.6mos vs. 10.6mos)

#OncTwitter #bcsm #lcsm #gusm @OncUpdates @FDA @US_FDA
[Quoting @OncBrothers: What just happened in Oncology? 5 new drugs/indications โœ… @FDADrugs in August 2026. As a #CommunityOncologists, we need to know them all:

1. #Rusfertide in Polycythemia Vera, improved phlebotomy (76.9% vs. 32.9%)

2. #Daraxonrasib in 2L metastatic pancreatic cancer, mOS 13.2 Vs 6.7mos

3. #Zanidatamab + Chemo ยฑ Tislelizumab in 1L metastatic Her2+ GEA/Gastric adenocarcinoma, mOS 26.4mos Vs 19.2mos

4. #Iberdomide + Dara + Dex in 2L RRMM, improved MRD negativity (41% vs. 21%)

5. #Vusolimogene + Nivo in refractory Melanoma. ORR of 24.2% and mDOR: 14.1mos.

#pancsm #mpnsm #OncTwitter #HemeTwitter @OncoAlert @OncUpdates]

๐Ÿ”– 12   โค๏ธ 35   ๐Ÿ” 13   ๐Ÿ‘ 6,153

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Hong Jae Chon @hongjaechon

๐Ÿšจ Long-term data from Phase III #ASCOT trial confirms sustained survival benefit of adjuvant S-1 in resected #BTC! @JCO_ASCO @ASCO
๐Ÿ“Š 5-Year Final Follow-up (N=440, median f/u 61.5 mo):
๐Ÿ‘‰ 5-yr OS: 64% (S-1) vs. 52% (Obs) - HR 0.72 (95% CI 0.55โ€“0.95, p=0.01)
๐Ÿ‘‰ Median OS: 8.2 yrs vs. 5.9 yrs
๐Ÿ‘‰ Median RFS: 6.1 yrs vs. 3.5 yrs (stratified HR 0.76)
๐Ÿง A solid benchmark. Next up: IO combos?
Full: https://t.co/2xzykK1hMs
@ILCAnews @myESMO @EASLnews #AdjuvantChemotherapy

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Journal of Clinical Oncology @JCO_ASCO

Now out in #JCO

First-Line Retlirafusp Alfa Plus Chemotherapy for Human Epidermal Growth Factor Receptor 2โ€“Negative Gastric or Gastroesophageal Junction Adenocarcinoma: A Randomized, Double-Blind, Phase III Study (RELIGHT).

Read the article. https://t.co/OrAOZt18aU https://t.co/fVsiZthagg

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Lorenza Rimassa @LorenzaRimassa

RT @hongjaechon: ๐Ÿšจ Long-term data from Phase III #ASCOT trial confirms sustained survival benefit of adjuvant S-1 in resected #BTC! @JCO_ASCO @ASCO
๐Ÿ“Š 5-Year Final Follow-up (N=440, median f/u 61.5 mo):
๐Ÿ‘‰ 5-yr OS: 64% (S-1) vs. 52% (Obs) - HR 0.72 (95% CI 0.55โ€“0.95, p=0.01)
๐Ÿ‘‰ Median OS: 8.2 yrs vs. 5.9 yrs
๐Ÿ‘‰ Median RFS: 6.1 yrs vs. 3.5 yrs (stratified HR 0.76)
๐Ÿง A solid benchmark. Next up: IO combos?
Full: https://t.co/2xzykK1hMs
@ILCAnews @myESMO @EASLnews #AdjuvantChemotherapy

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Lorenza Rimassa @LorenzaRimassa

RT @ArndtVogel: ๐Ÿ”ฅgreat news๐Ÿ”ฅ
FDA approves lirafugratinib for previously treated, unresectable, locally advanced or metastatic cholangiocarcinoma
https://t.co/u4Mr4ijEcu
๐Ÿ‘‰expanding options for patients with FGFR2 fusions!
@myESMO @ASCO @ILCAnews @EASLedu https://t.co/liHhOAapzq

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OncLive.com @OncLive

๐Ÿ”ฌ @benweinbergmd, of @Georgetown and @LombardiCancer, discusses the @FDA approval of daraxonrasib, RASolute 302 survival data, safety considerations, and the future of RAS-targeted therapies in pancreatic cancer. #pancsm #oncology

Read more โžก๏ธ: https://t.co/WHKy7I8akw

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Pashtoon Kasi MD, MS @pashtoonkasi

RT @pashtoonkasi: Full paper of my investigator initiated #NEST trial now available in print @CCR_AACR. Trending number 1 based on all the discussion and enthusiasm around neoadjuvant immunotherapy for patients with MSS colorectal cancer. New paradigm.

https://t.co/BPfr75Lvxm

@AACR @OncoAlert https://t.co/EqWwOhdgMB

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Elad Sharon @EladSharonMD

RT @pashtoonkasi: Full paper of my investigator initiated #NEST trial now available in print @CCR_AACR. Trending number 1 based on all the discussion and enthusiasm around neoadjuvant immunotherapy for patients with MSS colorectal cancer. New paradigm.

https://t.co/BPfr75Lvxm

@AACR @OncoAlert https://t.co/EqWwOhdgMB

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Rami Manochakian MD, FASCO @RManochakian

RT @OncBrothers: And then in September 2026: we got 5 more new drugs/indications โœ… @FDADrugs!! As a #CommunityOncologists, we need to know them all:

1. #Camizestrant in mESR1 HR+ breast cancer (before progression). โฌ†๏ธmPFS (16mos vs. 9.2mos)

2. #Imlunestrant + #Abemaciclib in 2L metastatic mESR1 HR+ breast cancer. โฌ†๏ธmPFS (11.1mos vs. 5.5mos)

3. #Sevabertinib now in 1L Her2 mutated NSCLC. ORR 75%

4. #Lirafugratinib in 2L for FGFR2 fusion/rearrangement cholangiocarcinoma. ORR 46% and DoR 11.8mos

5. #Belzutifan + #Lenvatinib in 2L RCC. โฌ†๏ธmPFS (14.6mos vs. 10.6mos)

#OncTwitter #bcsm #lcsm #gusm @OncUpdates @FDA @US_FDA

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OncLive.com @OncLive

ICYMI ๐Ÿ’ฅ: @FDA has approved lutetium Lu 177 dotatate injection for SSTR-positive GEP-NETs, including foregut, midgut, and hindgut NETs, marking a defining milestone.

Full details ๐Ÿ“ฐ: https://t.co/Ij1xyxBzzo

#oncology

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CancerNetworkยฎ @CancerNetwrk

๐Ÿšจ FDA approves Lutetium Lu 177 dotatate injection for patients with somatostatin receptor-positive GEP-NETs. #NETs #gicsm #radonc | @FDADrugs

https://t.co/HaEvHZjIVm https://t.co/tGULRhjZMX

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Nieves Martinez Lago MD PhD @DraMartinezLago

RT @Erman_Akkus: ๐ŸฅTNT strategies in rectal cancer

#cancer #oncology #MedX @OncoAlert https://t.co/Bvsb4kMarY

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Elad Sharon @EladSharonMD

RT @EricTopol: Personalized neoantigen vaccines have already been shown to improve outcomes for refractory malignant melanoma and in pilot studies of pancreatic cancer, glioblastoma, renal cell carcinoma and triple negative breast cancer. But they require a tumor biopsy to identify the antigens. A new study shows it's possible to get this from a blood sample.
https://t.co/v2cupJHwZA

๐Ÿ”– 81   โค๏ธ 253   ๐Ÿ” 62   ๐Ÿ‘ 33,527

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Eric Topol @EricTopol

Personalized neoantigen vaccines have already been shown to improve outcomes for refractory malignant melanoma and in pilot studies of pancreatic cancer, glioblastoma, renal cell carcinoma and triple negative breast cancer. But they require a tumor biopsy to identify the antigens. A new study shows it's possible to get this from a blood sample.
https://t.co/v2cupJHwZA

๐Ÿ”– 81   โค๏ธ 253   ๐Ÿ” 62   ๐Ÿ‘ 33,527

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Ronan Hsieh, MD, MS @ronanhsieh

RT @DraMartinezLago: ๐Ÿงฌ Reduced oxaliplatin exposure | GI cancers | Meta-analysis

๐Ÿ“š 24 studies (N=30,395)
โž– No significant survival difference
โœ… Gโ‰ฅ3 neuropathy OR 0.34
โœ… Gโ‰ฅ3 AEs OR 0.67

๐Ÿ’ก Less oxaliplatin may improve the therapeutic index without survival loss.

๐Ÿ”— https://t.co/8yZIlgkSkL

@OncoAlert

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๐Ÿงช Newly Recruiting Trials

3 trials (1 phase III, 1 phase II, 1 phase I) opened this week, testing cadonilimab, consolidative FOLFOX or FLOT chemotherapy and TS-104

NCT07700979 โ€” Phase 3 Study of Cadonilimab Combined With Chemotherapy vs Chemotherapy in Combination With or Without Nivolumab for the 1L Treatment of Participants With HER2-negative, Previously Untreated, Unresectable or Metastatic Gastric/GEJ Adenocarcinoma
Cadonilimab, an anti-PD-1/CTLA-4 bispecific antibody, is combined with CAPOX chemotherapy and compared against chemotherapy with or without nivolumab as first-line treatment for HER2-negative, unresectable or metastatic gastric/GEJ adenocarcinoma.

Phase 3 ยท Akeso ยท cadonilimab ยท Arizona, California, Colorado, Connecticut, Massachusetts, Michigan +5 more ยท CT.gov โ†—

NCT07603375 โ€” Upfront Chemotherapy With Radiation Therapy (CRT) Followed by Chemotherapy in Localized Esophageal Adenocarcinoma
This phase 2 trial adds consolidative chemotherapy (modified FOLFOX-6 or FLOT) after standard chemoradiation (carboplatin/paclitaxel) for newly diagnosed, localized (stage II-IVA) esophageal or gastroesophageal junction adenocarcinoma.

Phase 2 ยท Duke University ยท consolidative FOLFOX or FLOT chemotherapy ยท North Carolina ยท CT.gov โ†—

NCT07814248 โ€” A Phase 1, First-in-Human (FIH), Open-Label, Dose-Escalation and Dose Expansion Study of the Peptide Drug Conjugate (PDC), TS-104, as a Monotherapy in Subjects With Select Advanced Solid Tumors
TS-104 is a peptide-drug conjugate that uses an integrin-binding targeting peptide to deliver the cytotoxic MMAE, studied as monotherapy in a first-in-human dose-escalation/expansion trial for advanced NSCLC, HNSCC, esophageal, gastric, endometrial, and ovarian cancers.

Phase 1 ยท TwoStep Therapeutics, Inc. ยท TS-104 ยท Ohio, Oregon, Virginia ยท CT.gov โ†—

Open all 3 on the trials page โ†’

Agent descriptions from the NCI Thesaurus.

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