Samragnyi Madala

Hematology/Oncology fellow at UIHC

[Udhayvir Grewal @UGrewalMD]

Thrilled to share our new paper led by Jeremy Chang @UIowa_Surgery and Dr. James Howe! @UIowaCancer @WinshipAtEmory

Peritoneal metastases (PM) in small bowel neuroendocrine tumors (SBNETs) are uniquely challenging; patients face worse oncologic outcomes, and complications such as obstruction which further complicate care.

Our approach:
🔹 Pre-op imaging with DOTA PET/CT + arterial/venous phase CT to map disease and guide surgery
🔹 Disease biology drives decisions — synchronous liver mets don’t exclude surgery
🔹 For G1–G2 well-diff SBNETs → aim for CC-0/1 and >70% cytoreduction
🔹 Even G3 well-diff tumors may benefit from surgical consideration
🔹 If cytoreduction isn’t feasible, palliative surgery or systemic therapy (SSAs, chemo, PRRT*) are options
🔹 Multidisciplinary collaboration is key

PM in SBNETs demands nuanced, individualized, and team-based management — balancing oncologic control, symptom relief, and patient goals.

📖 https://t.co/wHasm9rjrF

(PRRT may increase bowel obstruction risk)

[Udhayvir Grewal @UGrewalMD]

👏 Huge congratulations to @NicoleFleege on receiving the Faculty of the Year award! So richly deserved! Your unique ability to make an extremely complex disease like breast cancer easy to understand is nothing short of remarkable. You’ve set the bar so high on how I should take care of my patients. We’re incredibly lucky to have you! 🌟@UIowaCancer

[Samragnyi Madala @madala_sam]

@UGrewalMD @UIowaCancer @gkirkpatrick7 @BuzickJustin @BenStaum @LAcharyaMD Congratulations Udhay! You will be an amazing GI Oncologist! Have fun in Atlanta

[Udhayvir Grewal @UGrewalMD]

🚨D-FLOT new SOC for perioperative therapy in GEJ/Gastric adenocarcinoma.
pCR, EFS ⬆️
OS immature ⏰
AEs similar ✅
I (along with many others) will be patiently waiting for OS data. This is great progress for the field and for our patients 💯🙏🏻
🩸 We also need more biomarker stratified data. #ASCO25

[Udhayvir Grewal @UGrewalMD]

Looking forward to the upcoming @uiowa DeGowin Lecture on “Smoldering Myeloma: Should You Treat It?” by Dr @AaronGoodman33 @UCSDHealth

Wednesday, Feb 12, 2025
8-9 AM @ The Bean Auditorium (GH)

@IntMedatIowa @UIowaCancer

[Aparna Raj Parikh @aparna1024]

Delighted to be here and to start with a lovely evening with this wonderful group of heme/onc fellows. The future of oncology is so very bright. I did challenge @UGrewalMD social media onc educator extraordinaire to get over to Bluesky !

[Udhayvir Grewal @UGrewalMD]

Thrilled to welcome (back) @OncoThor to @UIowaCancer @IntMedatIowa for The Hamilton Lecture (supported by the @uiowa foundation), a talk on “Diagnosis and Management of Carcinoma of Unknown Primary”. The division, my Co-fellows and I are excited and looking forward to a great learning experience.
@GrerkS @BuzickJustin @IHC_guy @NicoleFleege @IM_Iowa

[Samragnyi Madala @madala_sam]

@md_anusha @KUHemOncFellow @KUMC_GME @KUMedCenter @KUcancercenter Congratulations Anusha🎉🎊

[Robby Starbuck @robbystarbuck]

The American College of Pediatricians just put out a 🔥🔥🔥 statement calling out all the major medical associations by name for pushing the gender transition craze on kids.

They ask for these groups to "IMMEDIATELY stop the promotion of social affirmation, puberty blockers, cross-sex hormones and surgeries for children and adolescents who experience distress over their biological sex."

The full @ACPeds statement ⬇️

"Therefore, given the recent research and the revelations of the harmful approach advocated by WPATH and its followers in the United States, we, the undersigned, call upon the medical professional organizations of the United States, including the American Academy of Pediatrics, the  Endocrine Society, the Pediatric Endocrine Society, American Medical Association, the American Psychological Association, and the American Academy of Child and Adolescent Psychiatry to follow the science and their European professional colleagues and immediately stop the promotion of social affirmation, puberty blockers, cross-sex hormones and surgeries for children and adolescents who experience distress over their biological sex.  Instead, these organizations should recommend comprehensive evaluations and therapies aimed at identifying and addressing underlying psychological co-morbidities and neurodiversity that often predispose to and accompany gender dysphoria. We also encourage the physicians who are members of these professional organizations to contact their leadership and urge them to adhere to the evidence-based research now available.”

They link to MANY studies on their site: https://t.co/Rjw4geZVvI

[Udhayvir Grewal @UGrewalMD]

Congratulations to my mentor @ChandrikhaC for being awarded the faculty teacher of the year (2024) award at @UIowaCancer fellowship graduation. I’m truly grateful to have the opportunity to train and flourish under your mentorship. @IntMedatIowa

[Udhayvir Grewal @UGrewalMD]

🔥Hot off the press-
Happy to share our real world post-marketing pharmacovigilance analysis on hematological toxicities (focus on MDS/AML) with Lutathera (Lu177-DOTA-TATE) in 🇺🇸 .
👉🏽Post-marketing surveillance data from the @US_FDA (2018-2023)
👉🏽 3443 adverse events, 243 (7.1%) were hematologic
👉🏽 majority thrombocytopenia, leukopenia, anemia and pancytopenia
👉🏽 MDS & AML comprised 2% of the reported events each.
👉🏽For context we compare the reporting of hematological toxicities (esp MDS and AML) with topoisomerase inhibitors
👉🏽This is a helpful reference that may potentially inform discussions with patients planning to receive PRRT (now referred to as radioligand therapy or RLT).
Limitations- captures only 🇺🇸 data and the events reported to @US_FDA.
Thank you @thakre_anuj for your help with the project.
Link- https://t.co/0b8dJSTtEq

[Samragnyi Madala @madala_sam]

@UGrewalMD We would still offer cross regimen to all our standard older population based on tolerance I suppose

[Dr. Cathy Eng @CathyEngMD]

Plenary @asco #asco24 with Perioperative ESOPAC of FLOT vs CROSS for #esophageal #adenocarcinoma
🔵 median F/U 55M
🔵pCR = 16.8% vs 10%
🔵 3 yr OS = 57.4% vs 50%, HR= 0.70
🔵 3 yr PFS = 51.6% vs 35%, HR = 0.66
👉🏻 *New standard of care
#colorectal #cancer @asco #asco24 @ASCO #cancerresearch

[Oncology Brothers @OncBrothers]

Day 1 #ASCO24 Highlights:

1. #CROWN: Lorlatinib in ALK mNSCLC

2. #PALOMA3: SC #Amivantamab in EGFR mNSCLS

3. #MARIPOSA: Ami in EGFR mNSCLC

4. #GlobalOncCoP @inas_md

5. #SocialMedia: Leveraging this @fumikochino @lungoncdoc

#OncTwitter #MedEd #MedTwitter @ASCO #lcsm

1/6

[Toni Choueiri, MD @DrChoueiri]

Great presentation by Martin Zarba discussing therapeutic options in pts with favorable and very favorable risk #mRCC from the #IMDC database!

@DrDanielHeng @TalalZarif1 @eddy_saad @KarlSemaan
@ASCO @Oncoalert #ASCO24

[Samragnyi Madala @madala_sam]

@rprobinpark @AnwaarSaeed3 @NEJMEvidence Congratulations 🎉🎈

[Collin Rugg @CollinRugg]

HAPPENING NOW: President Donald Trump receives massive wave of support after he was found guilty in the New York City trial, crashing his donation page.

Sequoia Capital's Shaun Maguire: Donated $300,000 to Trump's campaign.

Lee Zeldin: Secured an $800k donation for Trump’s Joint Fundraising Committee.

Tim Pool: "I have just donated the maximum to Donald Trump."

Tucker Carlson: "Import the Third World, become the Third World. That’s what we just saw. This won’t stop Trump. He’ll win the election if he’s not k*lled first."

Megyn Kelly: "Guilty on all counts. The country is disgraced. Alvin Bragg should be disbarred. They will rue the day they unleashed this lawfare to corrupt a presidential election."

Scott Adams: "I just donated to Trump. The donation page crashed from traffic. This is the hill to die on."

Tristan Tate: "Trump donation page? Link?"

Piers Morgan: "Trump’s donation websites are crashing… my guess is this verdict will propel him back into the White House."

Supporters on X: Donating amounts of $3300 and $1000.

[Udhayvir Grewal @UGrewalMD]

Our team got FUNDED 💰 for (my first) phase 1 clinical trial focused on esophageal cancer 💊 🩼!!
Extremely thrilled and excited for this amazing opportunity! 🏆 So looking forward to my final year of oncology fellowship. @UIowaCancer

[Samragnyi Madala @madala_sam]

@UGrewalMD @UIowaCancer Congratulations 🎉🎈

[Vivek Ramaswamy @VivekGRamaswamy]

I’m calling on Biden to come out & debate. The election is supposed to be about offering competing visions for the country & letting the people decide, not using police power to prosecute your opponents & removing them from the ballot. Let’s make our Founders proud.