Top Tweets for #Pdac
A new @Gut_BMJ paper out of @sjtu1896 defines the LY6D+ #gastric-like cell state as a key driver linking early pre-malignant heterogeneity to #PDAC initiation and progression. https://t.co/xMuNrbsDSz🚗
LY6D represents a pan-stage therapeutic target 🎯 and a candidate biomarker for early detection and therapeutic targeting.

New in the July 1 issue: Inactivation of CDKN2A(ARF) Promotes #p53-Independent Remodeling of the #PDAC Tumor Microenvironment https://t.co/yzPWo076wu @AttardiLaura @hghmkin @MaraShermanLab

These LY6D+ cells exhibit self-renewal and therapy resistance properties, sustaining tumour growth through distinct transcriptional programs identified in patient-derived models. #Tumourigenesis #PDAC 2/4
Excited to present the first data from our microbial multi-omics pipeline at #UEGW in Barcelona! 🥳 See you there!
#chronicpancreatitis #PDAC #microbiome @albrechtneesse @AmmerHerrmenau @my_ueg

Absolutely. The opportunity extends beyond identifying resistance mechanisms.
The next challenge may be understanding when they emerge and how tumors transition from response to adaptation before clinical progression.
Longitudinal tumor and blood analyses could be key.
#PDAC #KRAS
Teresa Macarulla (@MacarullaTeresa) at #ESMOGI26 discusses zoldonrasib plus chemotherapy in first-line RAS G12D metastatic #PDAC📈 Combinations showed manageable toxicities and encouraging preliminary efficacy to support a Phase III study💪🧬
Watch: https://t.co/MhmGXL6lzC
#Oncology #PancreaticCancer #PancSM #TrialUpdate @myESMO
This video is available on the GI Cancer Channel on VJOncology, an independent medical education platform, which is supported by Gilead Sciences (Silver) and Revolution Medicines (Silver). Supporters have no influence over the production of content. The levels of sponsorship listed are reflective of the amount of funding given.
New @Gut_BMJ study uses single-cell multiomics in #PDAC to identify complement-secreting CAFs (csCAFs) linked to better prognosis in pancreatic cancer!
⭐️csCAFs & iCAFs share transcriptional/epigenetic profiles & chromatin accessibility. csCAF composition declines during carcinogenesis; trajectory analysis shows they can differentiate into iCAFs.
⭐️Higher csCAFs associate with longer OS & RFS, lower TGF-β ligands, fewer M2 TAMs, more lipid mediators & spatially defined CXCL12-CXCR4 interactions with T cells.
❓What does this mean for reprogramming CAFs as therapy?

Precem-TcT, #CEACAM5 ADC in #PDAC at @myESMO #ESMOGI26
PROCEADE trial
Phase Ib/2
Manageable toxicity
ORR 17.4% (24% in 2L)
PFS 4.2m (5.3 in 2L)
#ESMOAmbassadors

Randomised (non-conparative) study #LocallyAdvanced #PDAC at @myESMO #ESMOGI26
👉FOLFIRINOX
👉FOLFIRINOX + P-32 EUS-guided brachytherapy (100Gy)
Similar local disease control (1ry end-point) and resection rate
BUT, may improve PR, R0, PFS and OS (see comment)
#ESMOAmbassadors

Ph2 #Zolbetuximab + GN in #PDAC increased nausea, vomiting & hypoAlb (>10%). These AEs appear early. In an already nutritionally depleted population, they may worsen nutrition, impacting OS or Tx duration despite early responses. Proactive AE management is key. #ESMOGI @OncoAlert
Zolbetuximab plus gemcitabine and nab-paclitaxel in CLDN18.2+ metastatic PDAC: phase II GLEAM study
@ESMO-GI
👉Primary endpoint not met, no OS & PFS benefit
👉Toxicity manageable
🧐Not the right drug, but maybe the right target

Ph3 w/ #KRAS inh combos in #PDAC are starting this year: RAS 303, 305 & 309. Great to see multiple 🇬🇧 centres involved, including @BartsGI_Cancer. Time from Dx to consent and prior Tx are key eligibility criteria. Test for KRAS early and refer pts promptly. #ESMOGI @OncoAlert
🔥Improving RASinhibition with combos: KRAS G12D #PDAC
➡️Ph1 RMC-9805-001 Daraxonrasib+ zoldonrasib (pan-RASi + G12Di)
✅60 pts 2nd/ 3rd+ line
✅ORR 47-50%; DCR 90-97%
✅PFS 2nd line 9.6mths ; mOS NE
❗️Zoldonrasib very well tolerated
@myESMO @OncoAlert

#ESMOGI26: Recent #ClinicalResearch highlights a shift in #GIOncology to incorporate #TargetedTherapies and molecularly driven strategies, such as novel KRAS inhibitors for #CRC and #PDAC. Read Jorge Barriuso’s editorial in the #ESMODailyReporter: https://t.co/KVZGdoocSo

Congrats to all the awardees of the #BestPoster at #ESMOGI26 @myESMO
Very proud to see the work by @Florian_Castet @hospitalclinic in #PDAC being one of them
#ESMOAmbassadors @hospitalclinic


Second day of @myESMO #ESMOGI26 ends with a very fruitful #brainstorming meeting on #PDAC #Biliary and #HCC with the @wearemedsir team
Last time we did this, things happened! 🌱 #JustSaying
@MacarullaTeresa @vicenttianfr @mponzsar #DavideMelissi #GeraldPrager

Ph2 randomised GLEAM trial #PDAC- targeting CLDN18.2
➡️no imp in OS, -ve study 13.7 v 13.6mths
➡️Zolbetuximab impacted peripheral cytokines with ⬆️in IL-18 associating with OS
➡️CLDN story not over!
⭐️Fab presentation with science nuggets @CentralParkWMD
@myESMO @OncoAlert

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