Top Tweets for #PAPMET
Great talk by @Sonampuri @MoffittNews at @SWOG, highlighting the “meandering” path @theNCI cooperative groups can often take as they evolve. I recall the same as @PrimoLaraMD & I were designing #PAPMET. The lesson learned: stick with it! #SWOGonc studies take time but represent unique efforts that only the cooperative groups are willing to take on!

Looked into my medical records just now for something else, and realized exactly on this day 9 years ago, I signed the consent forms and officially enrolled in @SWOG S1500 #PAPMET. In a few weeks, I’ll be in Chicago for SWOG’s fall
meeting.
Life is crazy. #patientadvocate
In this final analysis of OS from #S1500, we show no OS advantage with #cabozantinib over #sunitinib. #PFS & #OS curves are shown below. The #PAPMET data have inspired #PAPMET2, led by @maughanonc @huntsmancancer, which I will discuss shortly. (2/n)

@DrYukselUrun @montypal @ASCO @JCO_ASCO @OncoAlert @yekeduz_emre @VivekSubbiah @OncBrothers @TwoOncDocs @Larvol @brian_rini @KidneyCancerDoc @ShuchiGulati @Daniel_J_George @PrimoLaraMD Thank you @DrYukselUrun!! It as awesome to work on this important trial #PAPMET with wonderful leadership @montypal and all @SWOG leadership @DrVaishampayan @NaomiHaas5 . Results stress out importance of ongoing trials to identify survival signal new therapies vs TKI monotx
#PAPMET finally gave us 1st line SOC for mPRCC. #PAPMET2 will give us more answers. Incredibly important study for those of us w/ rare subtypes of #kidneycancer. Enrollment is open! #rarekidneycancers #stage4kidneycancer #stagefourneedsmore
Please see our TIP for S2200 (PAPMET2). Randomized study for mPRCC. Important—in my opinion—to test combination vs sequential tx in pts with the heterogenous dz PRCC. @SWOG @montypal @PBarataMD @DrVaishampayan @KidneyCancerDoc

Christmas 2016: I’d just had my 1st great results on #PAPMET but still scared it’d be my last. I was skinny bc I couldn’t keep anything down, hair & brows had gone white, had blisters on my feet & tongue & was tired as hell on Cabo 60. Merry Xmas 2023, y’all. Miracles happen 🧡🎄

Thanks @DebMaskens for bringing this up. As you know, I invested considerable effort in #PAPMET. Despite the PFS advantage we saw w #cabozantinib v #sunitinib, guidelines (such as those from @Uroweb below; downloaded today!) give it a “weak” rating - this has a MAJOR impact on access. I’ve had certain insurance companies deny #cabozantinib for my patients in this setting.
Can I fault guidelines (& resultant payor decisions)? Not entirely. As proud as I am of the study, I have to concede that #PAPMET was a RP2 study (only 152 pts across 4 arms - #caobzantinib, #savolitinib, #crizotinib & #sunitinib) & no significant OS benefit. Many have brought this shortcoming of the study up with me & I cannot discount their perspective.
Also, in most of the world, #sunitinib remains the only available option. In trials like #SAMETA & #STELLAR304, the choice of control arm reflects what most of the world presently has access to in this treatment setting. I think that’s appropriate for a phase 3 #international trial.
Of course, keep in mind that the eligibility criteria for studies in this space vary widely. #STELLAR304 includes #translocation & #unclassified #kidneycancer, for which there is an even greater paucity of evidence (and certainly no de facto standard).
My hope is that the more sizable randomized P3 #STELLAR304 will offer more definitive evidence of what we should use in this setting. If positive, I think this study will finally change guidelines.

@maughanonc with discussion of @SWOG #PAPMET2 trial, based on #PAPMET completion! #IKCSNA23 @KidneyCancer @kcCURE

Advancing treatment for non-clear #RenalCellCarcinoma: Insights and future directions (#PAPMET & PAPMET 2). @maughanonc @huntsmancancer joins @PBarataMD @caseccc to discuss advancements in this space on UroToday > https://t.co/47vAg8KvZA

Advancing treatment for non-clear #RenalCellCarcinoma: Insights and future directions (#PAPMET & PAPMET 2). @maughanonc @huntsmancancer joins @PBarataMD @caseccc to discuss advancements in this space on UroToday > https://t.co/47vAg8KvZA

Pathologic concordance rate and outcomes by histologic subtype in advanced papillary #RenalCellCarcinoma: an analysis from the SWOG S1500 #PAPMET trial. Presentation by @AbhiTrip87 @cityofhope. #ASCO23 written coverage by @tchandra_uromd @UCDavisUrology > https://t.co/XNgLEDCPNE

.@SWOG S2200 now enrolling: phase II randomized trial of cabozantinib with or without atezolizumab in patients with advanced papillary #renalcellcarcinoma (#PAPMET2). https://t.co/yuK0A3xNg8 @kcCURE @KidneyCancer @IKCCtrials @ACKCancer #kcsm #kidneycancer @OncoAlert #PAPMET

@montypal always brilliant w comprehensive digest of papillary #kidneycancer, #PAPMET, #SAVOIR trials & coalescing to next trial of cabo vs cabo-atezo led by @maughanonc in @SWOG #SWOG2200 #NCTN @NCICTEP_ClinRes #ESMO22 @OncoAlert @myESMO

Thank you @ZeynepZengin for highlighting @maughanonc @huntsmancancer's @SWOG 2200 trial, #PAPMET2, evaluating cabo +/- atezo in #papillary #kidneycancer. Impt study that builds on #SWOG1500, #PAPMET.

#IKCS2021 - @BradMcG04 highlights the different #kidneycancer subtypes - collecting duct, #PAPMET cabozantinib & bev-erlotinib for papillary, Lenvatinib-everolimus for chromophobe. @KidneyCancer @kcCURE

@ERPlimackMD discussing the oscars of kidney cancer trial results in 2021 — #keynote564, #belzutifan, #PAPMET, #CANTATA and kudos for her on stage final inclusion and support for early career investigators!! 👏👏 #kcrs21 @kidneycan

Thx @ERPlimackMD @FoxChaseCancer for including @SWOG 1500 (#PAPMET) in the list of “Top 5 Trials” in #kidneycancer at #KCRS21. A huge team effort w @PrimoLaraMD @KidneyCancerDoc @DrVaishampayan @TiansterZhang @Daniel_J_George et al in @TheLancet. Now onto #PAPMET2 by @maughanonc!

Also @maughanonc @huntsmancancer & I will build on data from #COSMIC021 & #PAPMET in the upcoming @SWOG #PAPMET2 clinical trial for #papillary #kidneycancer - he developed protocol at the prestigious @SupportingSWOG @SWOG YITC course! (7/9)

A groundbreaking study led by City of Hope’s @montypal offers hope for patients with a rare form of kidney cancer.
#SWOG1500 #PAPMET #ASCO21 #worldkidneycancerday
https://t.co/HE2hwKysJE https://t.co/HE2hwKysJE
Efficacy assessment of multiple MET kinase inhibitors in metastatic papillary #RenalCellCarcinoma - The #SWOG1500 #PAPMET trial. @montypal @cityofhope and @DrChoueiri @DanaFarber join @PGrivasMDPhD @fredhutch for a discussion on UroToday > https://t.co/7zdXXL0YcE @SWOG

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