#ASCO26
7 years later… the median PFS with lorlatinib is STILL not reached in advanced ALK+ NSCLC.
CROWN continues to deliver one of the most durable targeted therapy signals ever seen in solid tumors.
🧬 CROWN Trial
Lorlatinib vs Crizotinib
1L advanced ALK+ NSCLC
📌 Key results:
• Median PFS: NR vs 9.1 mo
• HR 0.19
• 7-year PFS: 55% vs 3%
• No new intracranial progression after 30 months on lorlatinib 🧠
Most striking finding:
Patients progression-free at 24 months had a 79% chance of remaining progression-free at year 7.
44% of patients are STILL on lorlatinib at 7 years.
Despite higher grade 3/4 AEs (77%), discontinuation due to TRAEs remained low:
• 5% lorlatinib
• 6% crizotinib
This is no longer just “disease control.”
For many ALK+ patients, this is beginning to resemble long-term functional remission.
📖 Full abstract in comment ⬇️
#OncoTwitter #MedTwitter #LungCancer #NSCLC #ALK @asco@myesmo@esmo_open@OncoAlert@larvol
The OncoAlert🚨 GI faculty’s TOP 10 abstracts In GI Oncology for #ASCO26 are here — selected by our leads and finalized through a Delphi voting process with our senior experts across #ColorectalCancer#ColonCancer#LiverCancer#PancreaticCancer and more
A snapshot of what will shape GI oncology at #ASCO26 👇
🚨 OncoAlert Top 10 — #GIcancer at #ASCO26
1️⃣ LBA5 | RASOLUTE 302 — Daraxonrasib vs chemo in previously treated metastatic pancreatic adenocarcinoma
2️⃣ #4017 | FIGHT-302 — Pemigatinib in untreated unresectable/metastatic FGFR2-rearranged cholangiocarcinoma (Ph3)
3️⃣ LBA4000 | EMERALD-3 — Tremelimumab + durvalumab + lenvatinib + TACE in unresectable HCC (Ph3)
4️⃣ #3506 | PUMP Trial — Adjuvant HAIP floxuridine in resectable colorectal liver metastases
5️⃣ LBA3500 | CIRCULATE — ctDNA-guided adjuvant therapy in Stage II colon cancer
6️⃣ LBA3503 | BREAKWATER — Encorafenib + cetuximab + FOLFIRI as 1L in BRAF V600E mCRC (Ph3)
7️⃣ LBA3508 | EPISODE-III — Adjuvant aspirin vs placebo in Stage III CRC post-resection (Ph3)
8️⃣ #3505 — Trastuzumab rezetecan vs SOC in chemo-refractory HER2+ advanced CRC (Ph3)
9️⃣ #4006 | ATTRACTION-6 — Nivo + ipi + chemo as 1L in HER2− advanced gastric/GEJ cancer
🔟 #3504 | SWOG S2107 — Encorafenib + cetuximab + nivo in MSS BRAF V600E mCRC (Ph2)
Leads
@realbowtiedoc@p_ciracimd@WeOncologists
Senior faculty
@CathyEngMD@ARosen380@GillSharlene@BenWestphalen@graokane
Participating AF
@DrVilmaPBarcia@Erman_Akkus@GIMedOnc
The OncoAlert🚨 GU faculty’s TOP 10 abstracts In GU Oncology for #ASCO26 are here — selected by our leads and finalized through a Delphi voting process with our senior GU cancer experts across #ProstateCancer#KidneyCancer#BladderCancer .
A snapshot of what will shape GU oncology at #ASCO26 👇
1️⃣ LBA5007 — TALAPRO-3
Talazoparib + enzalutamide vs placebo + enzalutamide in mCSPC with HRR alterations
2️⃣ LBA1 — PROTEUS
Perioperative apalutamide + ADT vs ADT in high-risk localized/locally advanced prostate cancer (final Phase 3)
3️⃣ 5001 — ENZAMET genomic analysis
Decipher >0.85 to identify benefit from adding docetaxel to ADT + enzalutamide
4️⃣ LBA4511 — KEYNOTE-564 ctDNA
ctDNA dynamics in RCC treated with adjuvant pembrolizumab vs placebo
5️⃣ 4502 — RAMPART
Durvalumab vs active monitoring after resection in RCC (Phase 3 RCT)
6️⃣ 4500 — RADICAL (A031801)
Radium-223 + cabozantinib in RCC with bone metastases
7️⃣ 4507 — EV-302 long-term follow-up
Enfortumab vedotin + pembrolizumab vs chemotherapy in 1L LA/mUC
8️⃣ 4513 — AMBASSADOR (A031501)
HRQoL with adjuvant pembrolizumab vs observation in high-risk MIBC
9️⃣ 4503 — SAKK 06/19
Perioperative intravesical rBCG + chemo-IO strategy in MIBC (primary analysis)
🔟 4510 — KEYNOTE-905
HRQoL with perioperative enfortumab vedotin + pembrolizumab in cisplatin-ineligible MIBC
Leads
@nataliagandur@scocmem@AmandaNizamMD@WeOncologists
Senior Faculty
@montypal@DrDanielHeng@apolo_andrea@DrChoueiri@PGrivasMDPhD@TiansterZhang@neerajaiims@amerseburger@Silke_Gillessen@tompowles1@AndreaNecchi@cdanicas@AOmlin
Pinging
@crisbergerot@HHammersMD@ravikanesvaran@sonpavde@drenriquegrande@scserendipity1@EfstathiouEleni@BraunMDPhD@brian_rini
The OncoAlert🚨 Lung faculty’s TOP 10 abstracts In Thoracic🫁 Oncology for #ASCO26 are here — selected by our leads and finalized through a Delphi voting process with our senior #LungCancer experts across #NSCLC & #SCLC .
A snapshot of what will shape LUNG oncology at #ASCO26 👇
🔹 HARMONI-6 — Ivonescimab + chemo vs tislelizumab + chemo in sqNSCLC (OS, Ph3)
🔹 LIBRETTO-432 — Adjuvant selpercatinib in RET+ NSCLC (EFS, Ph3)
🔹 WU-KONG28 — Sunvozertinib vs chemo in EGFR Ex20ins NSCLC (Ph3)
🔹 OPTITROP-LUNGO5 — Sac-TMT + pembrolizumab in PD-L1+ NSCLC (Ph3)
🔹 TRITON — Tremelimumab/durvalumab/chemo in STK11/KEAP1/KRAS-mut NSCLC
🔹 CROWN 7-year update — Lorlatinib vs crizotinib in ALK+ NSCLC
🔹 LORIN — Neoadjuvant lorlatinib in stage III ALK+ NSCLC
🔹 ACCELERET-LUNG — 1L pralsetinib in RET+ NSCLC
🔹 Silevertinib (BDTX-1535) — Non-classical EGFR-mut NSCLC
🔹 Concurrent CRT + durvalumab in ES-SCLC (Phase III)
Leads
@HHorinouchi@UOzkerim@WeOncologists
Senior Faculty
@GlopesMd@StephenVLiu@peters_solange@CharuAggarwalMD@MartinReck2@christine_lovly
Participating AF
@DrMirallas
Pinging faculty
@bmassutis@UmbertoMalapel1@jillfeldman4@bensolomon1@VanitaNoronha@DrSanjayPopat@DrJNaidoo@Latinamd@JulienMazieres@TerriConneran@BRicciutiMD
ASCO season officially begins. 🫁
From ADCs and bispecifics to perioperative targeted therapy and biomarker-driven immunotherapy strategies, the #ASCO26 lung cancer program is shaping up to be one of the most exciting in recent years.
Excited to be part of the @OncoAlert lead team for the Top 10 Lung Cancer abstracts selection.