Another day, another practice-changing trial in gastric cancer ๐๐๐
Thanks to
@myESMO
for allowing me to discuss KEYNOTE 859 with
@FlorianLordick
&
@BHenickMD
โก๏ธKEYNOTE-859 met the OS primary endpoint in the ITT (all-comer population)
Practice changing 3 month+ OS gain for CPS5 patients in CheckMate649 ๐๐๐ Biggest study ever in
#stomachcancer
! Breaking through the one year barrier is meaningful in gastric cancer trials.
#ESMO2020
So happy to meet my
#EORTC
friends in Brussels!
Today I was elected next EORTC GI Trials Group Chair ๐
I'd like to say thank you everyone who has supported me on my journey from early career investigator to this role. Now I want to give that support back and
#fightcancer
#ESMO24
Upper GI track is hot, hot hot ๐ฅ๐ฅ๐ฅ
Join us for a BLOCKBUSTER oral session at 2pm 20/10 to answer some BIG questions...
๐ฏ ICI in operable GEA. YES or NO?
๐ฏ Surgery in operable ESCC. Do we need it?
๐ฏ HER2 + PD-1 in 1L GEA. A new standard?
See you in Madrid!
#ESMO21
Presidential Session
CheckMate649 - a practice changing trial
โ๏ธ 1L nivolumab-chemo shows sustained OS benefit for PD-L1 CPS >5 with longer follow up
โ 1L nivolumab-ipilimumab does not improve OS compared to chemo alone.
@myESMO
@YJanjigianMD
@OncoAlert
So pleased to see this in print at last ๐๐
DESTINY Gastric 02: trastuzumab deruxtecan in 2L non-Asian gastroesophageal adenocarcinoma
โก๏ธORR 38%
โก๏ธmedian OS > 1 year (x2 better than chemotherapy!)
A positive new option for
#GastricCancer
patients
This is so important...,๐๐
Olanzapine works really well for my oesophageal and gastric cancer patients.
Better nutrition = better quality of life.
Please share this evidence based practice with your oncology colleagues ๐
๐will change my practice today
RDBPCT, N= 124
#gastric
#HPB
#lung
#cancer
@JCO_ASCO
๐ Olanzapine 2.5mg/day โฌ๏ธ appetite, weight and QoL
โญ๏ธ simple inexpensive intervention for a common and difficult problem for our pts with
#GIcancer
Congrats to the study team ๐ฎ๐ณ
๐
๐๐๐ Incredibly proud today of my other half
@ElisaFontana83
who has just been appointed Medical Director at Sarah Cannon Research Institute UK ๐๐ฉโโค๏ธโ๐ฉ๐
What an amazing achievement! And also Secretary of
#EORTC
GI Trials Group.
#clinicaltrials
๐ธ
@YJanjigianMD
@FlorianLordick
๐ข๐ข Less than a week to go until
#ESMO23
โณ
@myESMO
asked the Upper GI track chair ๐ฉโโ๏ธ to share some upcoming highlights below โฌ๏ธ
Whether you're on a โ๏ธ, ๐ or watching ๐ป Friday 2pm CET is when the transformative Upper GI starts...see you in Madrid....
๐.....NeoAegis results in
@LancetGastroHep
Great academic study (well done ๐ฎ๐ช!) but results overtaken by changes in standard of care.
Is the equation for perioperative OG cancer like this?
ECX ๐ฐ CROSS (NeoAegis)
But...
FLOT ๐ช> ECX (FLOT-4 AIO)
So ...
FLOT ๐ช> CROSS ? ๐
New research - Reynolds et al - Trimodality therapy vs perioperative chemotherapy for locally advanced adenocarcinoma of the oesophagus and oesophagogastric junction: the Neo-AEGIS phase 3 trial
#OncTwitter
#GITwitter
#EsoCSM
#ESMO21
@myESMO
@FilippoPietran4
@CR_UK
Promising results in MAYA trial show temozolomide might induce hypermutation in MGMT low MSS mCRC
1/3 oesophageal cancers are MGMT low. We are investigating this approach in the ELEVATE trial
@CRUKCamThoracic
๐๐ ESMO22 Upper GI Oral Session ๐๐
@myESMO
AIO MOONLIGHT trial in
Advanced 1L gastric cancer
What we learned:
FOLFOX + Nivo-ipi โฌ๏ธโฌ๏ธ than FOLFOX then nivo-ipi
mOS > 16m for PD-L1 CPS1+ is encouraging โก๏ธ need 1L chemo anti-CTL4/PD-1 trial
#colorectal
#cancer
is ๐ in younger patients
โก๏ธ new IDEA/
#EORTC
collaboration shows younger patients with Stage III CRC have โฌ๏ธ survival despite receiving โฌ๏ธ chemo.
โก๏ธ need better treatments and earlier detection
๐๐
@ElisaFontana83
and team!
DESTINY-Gastric02
#ESMO21
@myESMO
Fantastic results for 2L HER2+
#gastriccancer
Trastuzumab deruxtecan shows equivalent activity in Western patients compared to Asian trials
ORR 40%
Median duration of response 8 months
DESTINY-Gastric04 opening soon
@CRUKCamThoracic
Oh oh.... ๐ซข
An all female panel in GI oncology!
What is the world coming to?
Well done TTD ๐๐ป๐๐ป
Very proud to share the stage with my friends
@tfleitask
and Maria Alsina in the beautiful city of Cordoba โบ๏ธ
Grupo Espaรฑol de Tratamiento de Tumores Digestivos
๐ด Arrancamos la tarde con la 3ยช Mesa del 31 Simposio Internacional
#TTD23
โฉ CรNCER ESรFAGO-GรSTRICO
โ๏ธ Dra. Tania Fleitas
โ๏ธ Dra. Marรญa Alsina
โ๏ธ Dra. Elizabeth Smyth
MODERAN: Dra. Paula Jimรฉnez Fonseca y Dr. Ramรณn Rodrรญguez Mowbray
๐ข๐
#ESMOGI24
๐ข
Calling all GI oncology colleagues ๐ฉโโ๏ธ๐งโโ๏ธ๐ฉโ๐ฌ
See you in Munich next June for a brand new
@myESMO
meeting!
Mark your agenda for the ESMO Gastrointestinal Cancers Congress 2024 (26-29 June in Munich). For the most impactful new data in
#GIoncology
, w/ the high-quality educational programme & unrivalled networking opportunities that define ESMO meetings
#ESMOGI24
So happy to meet my
#EORTC
friends in Brussels!
Today I was elected next EORTC GI Trials Group Chair ๐
I'd like to say thank you everyone who has supported me on my journey from early career investigator to this role. Now I want to give that support back and
#fightcancer
Not your average scientific meeting...
#ESMOAsia23
@myESMO
Fantastic opening ceremony with Dragon Dance ๐!
Looking forward to great science and collaboration with our Asian colleagues!
#ESDE23
Chemotherapy wins again in CROSS vs FLOT ๐
Just wait until we oncologists add IO with next generation targeted therapy for HER2 and CLD18.2..
Good news for patients!
But surgeons might be out of a job ๐
Outstanding debate on Chemo vs Chemoradiation for esophago- gastric junction cancers between โฆ
@LizzySmyth1
โฉ and Karin Haustermans โฆ
@esde2023
โฉ. Chemo is winning IMHO. โฆ
@ISDE_net
โฉ
Anti-PD-1 is an effective option most but not all MSI
#gastriccancer
patients. Now we know why.
Really great work
@KlempnerSam
and colleagues ๐๐๐
So pleased to have a great case from our Ukrainian ๐บ๐ฆ colleagues at the
@myESMO
gastric cancer
#preceptorship
!
They are delivering excellent care and even running clinical trials under enormous pressure๐ช. Well done!!
๐ฏ Another new option for GC/GEJ cancers ๐
Very proud to comment on this important trial with
@sundar__raghav
in
@TheLancet
.
Immune context matters for combination therapy!
Pembrolizumab, trastuzumab + chemotherapy for HER2-positive GC or GEJ: interim analyses from the phase 3 KEYNOTE-811
@TheLancet
๐Practice changing & already approved by EMA & FDA
๐ Don't miss comment by
@LizzySmyth1
@myESMO
New EU approval for chemo-trastuzumab-pembro in 1L HER2+ PD-L1+ gastroesophageal
#Cancer
We haven't seen the survival data yet!
Looking forward to peer-reviewing ๐ต๏ธโโ๏ธthese results at
#ESMO2023
@myESMO
โฐ Three days to go until the KEYNOTE-859 results are revealed ๐ โฐ
Join
@FlorianLordick
@BHenickMD
and me online at 6pm CET on 16/2 at this
#ESMO
plenary webinar for a clincal and scientific appraisal of this global phase 3 RCT.
@myESMO
@AACR
๐ฅ Tislelizumab โฌ๏ธ survival for untreated advanced squamous oesophageal cancer ๐ฅ
RATIONALE-306 results at
#WCGIC2022
โฌ๏ธ OS by > 6m in PD-L1 CPS>10 and all comers
โbenefit in PD-L1 negative (not shown)
โก๏ธ mixed chemo backbones (+oxali & 5FU free)
More options for patients ๐
Adjuvant Nivolumab in Resected Esophageal or Gastroesophageal Junction Cancer | comment: Elizabeth Smyth MD via
@practiceupdate
Great news for
#esophagealcancer
patients....
โFor all-comers, adeno, ESCC or PD-L1 CPS>5?
โฐโฐ Times are changing quickly in
#gastric
#cancer
The new
@myesmo
Living Guidelines allow us to rapidly update our evidence based recommendations for clinical practice.
๐ข There is a new recommendation for trastuzumab deruxtecan for 2L+ HER2 positive patients๐ข
โก๏ธWe need a collaborative PD-L1 Blueprint type study in gastroesophageal adenocarcinoma to be satisfied that we are using a biomarker which is reliable and reproducible..
Watch this space
@EORTC
@sundar__raghav
Well done Emma Ococks
@RFitzgerald_lab
PhD candidate ๐ฉโ๐ฌ for her excellent work on ctDNA ๐งฌin resected gastroesophageal cancer
What next?
We are developing ctDNA guided risk stratified adjuvant trials ๐
@Annals_Oncology
@OncoAlert
@CRUKCamAero
๐ข๐ข Excellent news for
#Gastric
#cancer
patients ๐ข๐ข
Positive PFS and OS results for zolbetuximab in claudin 18.2+ve (40% mGC) ๐๐๐
Really importantly zolbe adds minimal toxicity once nausea ๐คขis controlled.
Really looking forward to seeing the full results!
Moving the needle in
#GastricCancer
. The addition of Zolbetuximab to FOLFOX in 1st line CLDN18.2 positive disease. โฌ๏ธPFS โฌ๏ธOS - eager to see full data
Trastuzumab deruxtecan is a powerful ๐ฅ drug in HER2+ve oesophagogastric cancer.
Recent 2L EMA approval based on DESTINY Gastric 02 results is great news for patients โ
โcan we replicate TdXD activity in HER2 low GC as seen in HER2 low mBC?
Promising ORR but need โฌ๏ธ numbers.
Looking forward to seeing the KEYNOTE 811 results at
#ESMO
2023
โ PFS endpoint met for **PD-L1 โ only**
โOS.. trend but not there yet...
FDA label being amended for PD-L1 status; EMA right to wait?
๐ฅ๐ฅ TdXD as effective in non-Asian population compared to Asian ๐ฅ๐ฅ
DG02 Trial results @
#ESMO22
โก๏ธ ORR 41.8%
โก๏ธ mOS > 12.1 months
Should we have European license?
Great discussion by
@FlorianLordick
@myESMO
Thank you
@AndresC27622123
for the invitation to write this discussion with you on
#ESMO2020
immunotherapy results!
Addition of nivolumab to chemotherapy in patients with advanced gastric cancer: a relevant step ahead, but still many questions to answer
After a champion ๐
#ESMO2020
for immunotherapy in
#gastric
and
#oesophageal
cancer; is adjuvant nivolumab post CRT + surgery the right treatment for ALL patients?
@DrRonanKelly
and Salah Al-Batran debate at
#ESMO2020
Educational weekend ๐ฅ๐ฅ! Join at
Don't miss the
#ESMO20
Education weekend kick-off 16/10 (9:35 CEST):
๐Upper GI: Are CheckMate 577 results applicable to both EC & GEJC pts?
๐GU: Is comb VGEF-R TKI + immune checkpoint or dual immune checkpoint modulation the way to go?
๐Access here:
This is innovative and important work in
@JCO_ASCO
from
@sundar__raghav
Computational analysis can accurately derive unpublished subgroup results in clinical trials ๐คฏ๐คฏ !
This approach has the potential to be a game changer! Well done ๐๐
@OncoAlert
@VJOncology
@myESMO
Pleased to present data that most GI oncologists have been asking for, but not gotten so far: role of Nivolumab in CPS 1-4 gastric cancer.
Answer: Minimum to none.
EMA has restricted approval to only CPS >= 5. What about FDA?
Pembro in 1L
#GastricCancer
Win, lose or draw? Read the KEYNOTE-062 results and our editorial
@JAMAOnc
. Looking forward to
#ESMO2020
for more exciting trial results!!!
How do we put the results of the KEYNOTE-062 trial of pembrolizumab vs chemotherapy or pembro/chemo combo as first line therapy for loc adv gastric or GE junction cancer into context? Editorial reviews data & clinical implications
#GICSM
World GI Barcelona Jun 28-Jul 1
The best oncology & science ๐ฉโ๐ฌ๐งฌ in a gorgeous setting โ๏ธ๐
Gender balanced โ๏ธ programme in the works from the hard working scientific committee
There are travel โ๏ธ๐ awards for junior faculty and developing country abstracts so please submit!
๐ซ๐ท
#ESMO22
๐ซ๐ท je suis arrivรฉe (almost!)
On the๐
#traintoesmo
and looking forward to seeing my
@ESMO
friends ๐
Join
@stephenchan1
, Jennifer Knox and Thierry Conroy and me for our Updates on Peri-op and Adjuvant for UGI Cancers at 4pm in Cannes Auditorium for a great session!
What happens when
#ESMO
๐ช๐บ๐ฎ๐ช๐ฌ๐ง goes to
#ASCO
๐บ๐ธ?
Join me and an amazing panel of speakers to discuss new targets ๐ฏ in gastroesophageal cancer at this
#ASCO
plenary on 7th November!
Save the best til last!
#ESMOAcademy23
rounded up by an awesome Upper GI session ๐
Thanks to
@myESMO
for the invite to speak.
So great to see
@DrAngelaLamarca
even as Spain Vs England โฝโฝ ongoing!
โฐOne week until ESMO Coloradoโฐ
Looking forward to the 1st ESMO Colorado Conference at the Hilton Denver Inverness!
Please join us for FREE in-person or virtually.
๐ Oct. 15-16, 2022
Register for free at:
@TotalHealthConf
@myESMO
Where melanoma goes first, oesophagogastric cancer goes later (I hope..)
โ๏ธEncouraging long-term results for TIL in ICI-pretreated melanoma @
#ESMOImmuno23
@myESMO
If any TIL researchers are interested in gastric cancer do get in touch!
These are not the type of Kaplan-Meier curves I like to see ๐คฆโโ๏ธ
I am glad to work with so many great women and supportive men but we need to do better.
Women Physicians and Promotion in Academic Medicine | NEJM
โฐToday is the day!โฐ
Real life is sometimes more complicated than guidelines...
Join me and our wonderful panel at 6.30pm CET to discuss how best to treat
#oesophagealcancer
based on the
@myesmo
guidelines
What a great inaugural meeting!
#UKIOG2023
๐๐
Here's Sarah Gwynne discussing the future of PIPAC in the UK
Thanks to everyone for getting involved and to our industry sponsors ๐
๐ข๐ข
#ESMO
Gastric Cancer Guidelines Webinar ๐ข๐ข
When
#Guidelines
meet
#RealLife
what do the experts do?
โฐ 25th October 5.30pm GMT / 6.30pm CET โฐ
@myESMO
#Gastriccancer
: Join the experts developing and implementing ESMO Guidelines for best practice recommendations applied to a real-world case. Register now for free and get 1 ESMO-MORA point.
โฐ 25 Oct at 18:30 CEST
๐
@FlorianLordick
@LizzySmyth1
@RADUVIDRA
The Oncology PRO Working Group is responsible for keeping the
@myESMO
OncologyPRO website content high quality and up-to-date.
I'll be chairing the group for the next two years and we are looking for new members. Please join us!
The ESMO OncologyPRO Working Group is looking for 3 ESMO members to join this dynamic group by the beginning of 2022 - a unique opportunity to contribute to ESMO's digital educational activities & LT developmt of OncologyPRO
Full details ๐
@LizzySmyth1
It's a privilege to be able to report from
#ESMO21
in Paris!
โ Cutting edge trials
โ Great friends
โก๏ธโก๏ธ ESMO
#Community
Thanks
@myESMO
for the opportunity!
Ok...Honeymoon is over & now time to dissect the exciting new data presented @
#ESMO2020
for
#GEC
#KN590
#CM649
#ATTRCN4
#CM577
1st, thank you to all the pts who participated!
& 2nd, congrats to all the investigators involved!
It's fantastic to have +ve studies! Lets dive deep:
#ESMO21
Non-colorectal mini oral 17.30 CET
Looking forward to LBA55: First report of trastuzumab deruxtecan efficacy in Western patients!
Also efficacy of immune checkpoint inhibitors in
#gastriccancer
and
#esophagealcancer
โก๏ธevolving better options for patients
@myESMO
It's wonderful to see everyone in person again at last!
#ESMO
#preceptorship
#IO
I'm learning lots and having new ideas already in the basic science talks ๐ค!
@myESMO
Brilliant session this with the
#ESMOYOC
at
#WCGIC
this morning ๐๐
Great to see so many young doctors interested in a career in academic oncology!
Surgeons! ๐ฉโโ๏ธ๐จโโ๏ธ
Please do consider a job in UGI in Oxford below.
These guys are a truly great bunch - pushing the boundaries in every direction.
Oncologists not bad either ๐
๐ข Are you interested in
#ESMO
and digital education?
Join us in the
#OncologyPRO
working group
@myesmo
There are plenty of places available so don't be shy and get stuck in!
ESMO Members get involved ๐ข OncologyPRO Working Group Open Call for Working Group Members: take this unique opportunity to contribute to the development of digital educational activities within ESMO & OncologyPRO's long-term journey. Deadline: 6 Feb
โก๏ธ Important research from UK gastroesophageal cancer audit
๐>4000 patients treated with surgery + chemo for operable cancer
๐Adjusted for known confounders patients who had post-op chemo after neoadjuvant chemo + surgery had โฌ๏ธsurvival
โก๏ธ Give the adjuvant chemo if possible
Great to see our most recent NOGCA paper published open access in the BJS today: . This has been a labour of love with help from
@TimTheSurgeon
@maynard_nick
@tomcrosby12
and many others at the NOGCA.
ORIENT-15 ESCC anti-PD-1 (sintilimab) โฌ๏ธOS vs chemo
โฌ๏ธโฌ๏ธin PD-L1 CPS >10
ORIENT-16 GEA anti-PD-1 (sintilimab) โฌ๏ธOS vs chemo
โฌ๏ธโฌ๏ธ in PD-L1 CPS >10
Consistent evidence of an immune sensitive population in
#esophageal
and
#gastriccancer
#ESMO21
@myESMO
So happy to catch up with
@iaintan_mdphd
at the excellent
#AGIGT22
We first met as trainees more than a decade ago. Look how far we've come!
Thanks to
#AGIGT
for the invitation to speak. The group's work in
#CancerResearch
is inspiring ๐๐
@antonyruggeri
@ILSONDavid
@YJanjigianMD
@FlorianLordick
@DocCatenacci
Right now the options we discuss at MDT are:
โก๏ธContinue FLOT with limited expectations of efficacy (but does tumour = micrometastatic disease?)
โก๏ธEnroll in VESTIGE trial (FLOT vs nivo-ipi)
What we should be doing in future
โ ctDNA based trials
I'm very proud of the UK Sarah Cannon physician leader at 0:50! ๐๐
Happy International Women's Day! ๐ฉโโ๏ธ๐ฉโ๐ฌ๐งโ๐๐ฎโโ๏ธ๐งโ๐ซ๐งโ๐ผ๐งโโ๏ธ๐งโ๐๐ฉโ๐ง
In celebration of International Womenโs Day, physician and operational leaders from across our network are sharing how they strive to โEmbrace Equityโ every day. How do you plan to Embrace Equity for women this year?
@AndresC27622123
@myESMO
Andres, there some who just "talk the talk" but not you! You truly have given so much support to young women in oncology.
Bravo for "walking the walk" ๐๐๐
#leadership
#ESMOAcademy23
kicking off today in Zurich ๐ฃ exploring key topics in
#medicaloncology
, such as methodology and interpretation of clinical trials, standard of care and future perspectives in main tumour types, pharmacokinetics and drug interactions.
Iโm an oncologist and I love my job. But Iโm striking because I know first-hand that the NHS is failing our patients with cancer and Iโm striking because I know first-hand that the NHS is failing its workforce.
#ConsultantsStrike