🚨🚨Randomized Trial GBM Tumor Treating Fields (TTF) upfront with RT+TMZ and maintenance TTF+TMZ vs. RT/TMZ followed by maintenance TTF+TMZ🚨
NO benefit upfront TTF HR 0.953; p=0.519
Maintenance TTF remains the standard of care
SBRT superior to thermal ablation (and non invasive without tumor size limitations). This is without even accounting for use of advanced technology with adaptive RT or surface monitoring and gating, etc.
Fortunate to have many excellent urologists @LPonsky who have helped champion early studies.
@jeshoag@randy_vincejr@AdamCalaway
This is the beginning of the end for #prostatectomy in localised #prostatecancer. In future, prostatectomy should be reserved for patients with severe LUTS and large prostates. Patients deserve an honest discussion about PACE-A & Protect Trial results, & surgical learning curves
In PACE-B (@nickva1, #ASTRO23), only 3.5% of patients recurred after 5y. In our @Sunnybrook#SBRT series only 5% of fav int risk patients recurred after 10y (Kennedy T, #ESTRO24)
Maybe you could clarify what you meant by “common occurrence”?
DOSIS - RCT in pts with painful vertebral mets
Hypothesis: improved LC -> durable pain response
First randomized trial with 6 mo pain reduction as prim endpoint
N=63 pts randomized to SBRT vs conv. RT
Significant benefit of SBRT: 69.4% vs. 41.9% (p=0.02)
https://t.co/5K6ld5dRKa
Pleased to share our secondary analysis of @NRGonc CC001 evaluating heterogeneity of treatment effect for patients receiving HA-WBRT. https://t.co/aGkKHMoUjG
@OncoAlert#btsm#lcsm
The standard of care for stage III NSCLC changes once again;
Say goodbye to Durvalumab for patients with mEGFR (ex19del & L858R). #radonc
https://t.co/9KhukJ6iVL
In the #PSMA#PETimaging arm of the randomized PSMA-SRT trial @UCLA and @UCSF, M1 disease was detected in ~10% and there was 18% more treatment escalation than in the control arm. Will this lead to improved PSA outcomes? Analysis is planned for 2025.
https://t.co/OuEz4C9YzP
Happy to share our experience of primary ablative radiotherapy for #breastcancer in people that are not surgical candidates. Safe and effective!
Lots of people to @ but special mention to @DMoorePalhares @hanbo_chen @benazir_mir@Sunnybrook@UofTDRO
https://t.co/pk9iBRiPNV
Radiation to asymptomatic bone metastases reduces SREs (incl fractures, cord compression).
Primary results of our phase 2 RCT ⚖️ were published (below).
If you don’t have access to the full manuscript 📑, please DM me. 🙏 #radonc#medonc