GI Medical Oncologist @UHhospitals Seidman Cancer Center @caseccc. Hematology/Oncology & IM trained via @ClevelandClinic. IUSM grad. Tweets are my own.
For decades, NIH-funded scientists studied KRAS when pharma considered it "undruggable." KRAS-targeted therapies like daraxonrasib are the result of decades of federally funded basic science. This is exactly the wrong moment to be cutting federal research funding
The timing could not be worse. At #ASCO2026, we saw #daraxonrasib double survival in #PDAC, a reminder that decades of NIH research investment are paying off. Yet federal research funding is being cut. The biggest victims won't be scientists... They'll be future patients
Fantastic educational session happening right now @ASCO on immunotherapy in colorectal cancer. Such thoughtful and brilliant colleagues (Stacey Cohen, Chris Lieu and @KaiKeenShiu) and friends!
Historic. Daraxonrasib did not come from nowhere. It stands on decades of #NIH & #NCI supported work on RAS biology to tackle one of cancer’s most stubborn “undruggable” targets.
Credit Revolution Medicines for execution and clinical development. We should also credit the public federally funded research ecosystem that made the target, tools, and translational path possible.
Twice today already at ASCO I have heard presenters say “patients failed treatment”.
Can we please, please stop that?
Treatments fail patients, not the other way around…
Cheers, chills, and a standing ovation when RASolute 302 showed unprecedented survival on daraxonrasib for patients with progressive pancreatic cancer
Seldom do you sense you’re witnessing a historic moment in cancer care but this feels like ras targeting has arrived
#ASCO26
The overall survival curves for Daraxonrasib in 2nd line advanced #PancreaticCancer leave no doubt how impactful this advance is for the field & for patients. Congratulations Brian Wolpin, @EileenMOReilly & @md_oberstein et al.
A seminal #ASCO26 plenary!
https://t.co/ub099PSsOq
I just learned #cancer#surgical icon of the #nonoperativemanagement approach to #rectalcancer Dr. Angelita Habr-Gama just passed away today at the age of 93. She was AMAZING! She has changed our views on the necessity of surgery in the setting of cCR. #groundbreaking #cancerresearch #originaldisruptor
Come check out a phase I study of a novel ADC (BC3195) targeting cadherin-3 (CDH-3) at poster 172! #ASCO26
Also - find yourself colleagues that bring you grilled cheese and caffeine during your 2nd poster session of the day! ☺️😋 #readytogo@LumishMelissa@lauren_henke
1/A few years into my career, I started a quiet game at #ASCO. I would stop at a poster, read the title, and try to work out what the team actually had going for them. Do this for the past 5 years and a pattern appears:
Cancer survival in the U.S. just crossed 70%.
It was 63% in the 1990s.
That gap = 4.8M people alive today.
This one chart captures survival gains across 29 cancer types.
The wins are real.
So is the unfinished work.
▪️CML: 31% → 72%
▪️Multiple myeloma: 32% → 62%
▫️Kidney: 59% → 82%
▫️Metastatic melanoma: 16% → 35%
▫️Childhood ALL: 80% → 92%
But some cancers barely moved.
Cervical cancer outcomes actually worsened.
None of this is abstract progress, though.
These are birthdays, grandkids, and years of life returned.
This is what funded science does.
Next time someone asks if cancer research works, show them this (full) chart.
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Source: ACS Cancer Statistics 2026 · SEER · 𝘷𝘪𝘢 @Jori_health
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Every cancer drug you prescribe today
was once an NIH grant nobody noticed.
Pharma celebrates launches.
Few notice the 20–40 year runway behind that.
Gleevec took 41 years from NIH-funded discovery of the Philadelphia chromosome → FDA approval.
Behind every “breakthrough” sits a graveyard of failed attempts that made it possible.
Cut that lineage today,
the next Gleevec doesn’t arrive in 2067.
Funded science matters.
If someone says NIH funded science is inefficient,
show them this.
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Source: NIH RePORTER · FDA · via @Jori_health
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Early phase daraxonrasib trial data out. Safety study (with high grade 3 AEs). For those looking for some idea of response, appears to be about 30-35%, median duration 8mo in previously treated PDAC