New in #practicalRO: Stereotactic Body Radiation Therapy for Non-Spine Bone Metastases: A Case-Based Radiosurgery Society Review. #radonc https://t.co/hv2T4Nbvpx
📢 New in this week's ASTROgram:
⭐ 2026 Publication Awards nominations now open!
⭐ Public comment open: Draft guideline on radiation therapy for Hodgkin lymphoma
⭐ Join ASTRO President, Neha Vapiwala for two new prostate cancer webinars
⭐ Catch up on the delivery code town hall
⭐ President’s Corner: Expanding indications for radiation therapy
🔗 https://t.co/Esv2yt7ldr
2026 Genitourinary Oncology Spring Refresher - Dry Run
Updates in the management of cancers of the prostate, bladder, kidney, testes, from @NCCN@ASTRO_org@ESTRO_RT@Uroweb#Radonc residents @ARRO_org, I hope it helps you ace the board exams!
https://t.co/5X8nP1NX0j
10-yr Survival and Toxicity Outcomes of Stereotactic Body Radiotherapy for Prostate Cancer: A Nonrandomized Clinical Trial - European Urology https://t.co/4gtw2VLuLg
Effect of one or two cycles of dual IO with nivolumab and ipilimumab in patients with dMMR rectal cancer (RESET-R): single-arm, phase 2 trial
cCR➡️100%💯
None of the patients underwent surgery or RT, and there was no recurrence at a median F/U of 16 mo.
https://t.co/wwSuPGQnkP
A MUST-READ!
This is probably one of my most important papers where I try to teach how to fish rather than offer fish.
How I Read a Clinical Trial Report?
BG’s primer for Busy Clinicians.
Thank you @JCOOP_ASCO@EthicsdoctorP for the kind invitation. I hope the readers will find this useful.
https://t.co/HJhZlsBpU2
Found this extremely helpful while working on a locally advanced rectal cancer case!
https://t.co/C5PNSkURYX
Thanks to @Jane__Pearce and @DrEmmaHolliday for creating this.☢️🤓
#radonc
🚨 Practice-changing in pancreatic cancer?
Daraxonrasib shows a massive OS benefit in phase 3 RASolute 302.
👥 Study population:
Previously treated metastatic PDAC (RAS-mutant & WT)
⚔️ Trial arms:
🟣 Daraxonrasib 300 mg OD
🔵 Investigator’s choice chemotherapy
📊 Key results:
✔️ OS: 13.2 vs 6.7 months
✔️ HR 0.40 (p < 0.0001)
✔️ PFS also significantly improved
🛡️ Safety:
Well tolerated, no new safety signals
💡 Why this matters:
Post-progression options in PDAC have been weak.
A ~2x OS improvement is something we’ve almost never seen here.
⚠️ But:
Topline press release data only
Full breakdown (subgroups, ORR, QoL) awaited at ASCO
🔥 Takeaway:
If confirmed, RAS(ON) inhibition may redefine PDAC beyond KRAS G12C
#OncoTwitter #MedTwitter #GIOnc #PancreaticCancer
@OncoAlert@myesmo@esmo_open
Today’s KRAS win didn’t start today.
It took decades.
Daraxonrasib nearly doubled survival in pancreatic cancer. That’s extraordinary!
But lets zoom out for a sec:
▪️KRAS was called “undruggable.”
▫️NIH quietly poured ~$172M behind it.
▫️Funding grew 9x.
💡One insight (Shokat lab, 2013) changed everything.
This is how breakthroughs are supposed to work:
public money → basic insight
academic labs → first leap
industry → drug + survival curve
Today’s headline has MANY authors.
Congrats to @Revolution_Med and every scientist who stayed on KRAS when it looked impossible.
🎈this is what compounding science truly looks like
= = = = =
Source: NIH RePORTER via @Jori_health
= = = = =
🔥Our review highlights irAE management in #HCC! @j_livercancer@ILCAnews
1️⃣ In HCC pts on ICIs, irAEs are generally managed with steroids initially.
2️⃣ If refractory, consider immunosuppressive agents.
⚠️ Infliximab should be avoided in hepatitis.
full text: https://t.co/lC5kXm6oaM
💫🌟Immunotherapy escalation in BCG-naïve NMIBC: time to pause and think
A sharp editorial in European Urology Oncology calls for selectivity over enthusiasm.
@EurUrolOncol@OncoAlert
1️⃣ The temptation
🟣 Early IO escalation is attractive… but are we overtreating?
2️⃣ The reality
🔵 BCG still cures a significant proportion of patients
🔵 Not all NMIBC carries the same biological risk
3️⃣ The risk
🔴 Escalation without selection → toxicity, cost, and unclear long-term benefit
💡 Take-home
We are entering an era where “who” matters more than “what”.
Precision must guide escalation, not excitement.
🔗 https://t.co/TdWFVCh81a
@oncologytube@urotoday@ecancer@OncBrothers@uroweb@mroupret@GPloussard@jteoh_hk@Ric_Campi@LauraMarandino@RenuEapen@Ecastromarcos@Sciencedirect
#BladderCancer #NMIBC #Immunotherapy #PrecisionOncology #UroOnc
💥 10 Must-Read Posts in GI Oncology | First Week of April
Key updates across GI oncology this week 👇
▪️ NIVACOR phase II results
▪️ COLOR III (rectal surgery)
▪️ EMERALD-3 (HCC)
▪️ Borderline resectable pancreatic cancer strategies
▪️ CXCR4 in mCRC
▪️ BRAF V600E in CRC
▪️ Biliary tract molecular profiling
▪️ RASolute-302 (AI simulation)
▪️ Pancreatic metastasis research
▪️ SANO (esophageal preservation)
📌 Takeaway: Precision, biomarkers & multidisciplinary care are shaping GI oncology.
@MegidThais@ArndtVogel@coloncancermike@fedenichetti
📎 https://t.co/twezkeCG32
#OncoDaily #GIoncology #CRC #PancreaticCancer #HCC #EsophagealCancer