ANVIL: ADJ Nivolumab not ⬆️DFS vs BSC in IB/III NSCLC even in high PDL1 Heterogenous data with ADJ IO. No quality of surgery & good staging (PET/🧠) across trials.
No tumor ➡️ADJ IO not work
Do These negative results raise concerns about Role of ADJ after NEOADJ CTIO?#ASCO26
Pasi Janne presents overall survival by prognostic factors in FLAURA-2 trial of Osimertinib + chemo vs osi alone. Nicely summarized in his last slide. #ESMO25#LCSM
ALEX trial 1st L alectinib (vs crizo) not ⬆️OS but trial not powered for OS. The best drug first? living w/o disease PD and good control of risk of brain PD count most!!Today lorlatinib is one SoC, futute SoC in 1st line Neladalkib (NVL655), ALKZAR trial vs alectinib?. #ESMO25
Zipalertinib in EGFRex20ins NSCLC reported 31% of intracranial ORR 🧠. Today crowded space of TKI for EGFRex20ins. New SoC? Best sequence? Brain activity and toxicity relevant for 1st Line decision. #ESMO25
Session opens with a case of stage IIIB #NSCLC in a frail 76-year-old. The MDT recommends sequential chemoradiotherapy. @FCortiula asks:
❓Can we de-escalate without losing radical intent?
❓Can immunotherapy reduce toxicity?
❓Can we tailor treatment to response?
#ESMO25#MedX
Press release updates data for NVL-520, zidesamtinib, in #ROS1 NSCLC. In 117 pts who had prior TKI (half had 2+ TKIs), RR 44% with 78% ongoing after one year. Intracranial efficacy and active in ROS1 G2032R. Tolerability: discontinuation rate only 2%!
https://t.co/jshs9bMRSD
#ASCO25 Developmental Therapeutics CSS🔥
Ph III DELLI trial: ultra-low dose nivo in 2L all solid tumors v chemo @VanitaNoronha@TataMemorial:
- 500pts
- OS HR 0.80 (p=0.02, NS primary endpt HR 0.75)
- no diff in PFS/ORR/tox
A brave trial, next step evaluate chemoIO? @asco
Why is CM816 so important? After @FordePatrick beautiful presentation of these revolutionary data, let’s dig into why this unique trial should shake up our vision for oncology research…
#ASCO25 Dr. @charlesrudin presents interim analysis of DeLLphi-304: randomized phase II study of tarlatamab (DLL3 TCE) vs 2L chemo in #SCLC. Chemo was mostly topotecan; 45% of pts were platinum resistant. Clear OS benefit with HR 0.60 (13.6m vs 8.3m). PFS 4.2 vs 3.7m, HR 0.71.
Remarkable results in pretreated EGFR mutant lung cancer! In global trial, stellar benefit in progression-free survival for the addition of ivonescimab to platinum doublet chemo. Given tox profile may be a preferred option in this setting. #LCSM#ASCO25
Fascinating paper @NatureCancer on mechanisms of resistance to TIL in NSCLC:
- serial multiomic analysis, 16pt TIL trial
- subclonal neoAg lost at progression
- LOH of pMHC in KRAS-specific Tcells at progression
@BenCreelan@MoffittNews@OncoAlert#LCSM https://t.co/p7jYl5l546
In @JTOonline#BRAF-mutated #NSCLC: https://t.co/mo2dvSVXSJ
📊 1L targeted therapy (dabrafenib/trametinib) vs. chemo-IO shows:
➖ Similar OS outcomes
➖ PD-L1 status & gender influence prognosis
🎯 Personalization > one-size-fits-all
@LungCancerRx@oncodaily@OncBrothers
Congrats to all the authors for this great collaborative effort🏆
ICI retreatment after durvalumab for relapsed stage III NSCLC should be offered to selected patients💥📢
These results also confirm our previous findings🎯
@HendriksLizza@AndrearicFili
https://t.co/UMmzRt3Gz3
Real world outcomes in pts with relapse after durvalumab consolidation post CRT for stage III NSCLC @LungCaJournal. With chemo-immunotherapy, PFS 12m; with platinum-based chemo alone, PFS 4.1m; non-platinum based chemo PFS 2.7m; targeted therapy PFS 6m.
https://t.co/ffVX9For3h
Personalised approach at osimertinib PD with savolitinib and osimertinib in MET deregulated EGFRm NSCLC looks promising. Is it better than CT+Ami or ADC? Hwr, it is a chemofree strategy and other treatments could be applied later #ELCC25
We had efficacy data ADCs after osi-PD in EGFRm NSCLC. Today good mPFS (9.5-11.7) with Osi+DatopotamAb Dxd after osi-PD. Data looks ➕promising than chemo+Amiv. Better 🧠 protection maintaining osi? Biomarker for dato? Toxicity is imp. Future trial: osi-DATOD vs Ami-CT? #ELCC25