OncoPharm

The 1st menin inhibitor, revumenib, is approved for relapsed/refractory acute leukemias.

Understanding the Pathway: https://doi.org/10.1200/JCO-24-01265

A nice editorial succinctly summarizes a framework for thinking about how to incorporate anthracyclines into the treatment of early stage breast cancer patients.

Anthracyclines in Early Breast Cancer: The Long Goodbye -https://doi.org/10.1200/JCO-24-01916

10-year Outcomes of READ trial: https://doi.org/10.1200/JCO.24.00836

Bonus - Practical Guide for Testing for Pharmacogenomics: https://doi.org/10.1200/OP.24.00191

Reviewing the data to support use of dexamethasone solution mouthwash for PIK3/AKT/mTOR inhibitor-induced stomatitis, caused by drugs like everolimus, alpelisib, capivasertib, & inavolisib.

SWISH: https://doi.org/10.1016/s1470-2045(17)30109-2

Alliance MIST Trial: https://doi.org/10.1053/j.seminoncol.2023.01.001

The first Cldn 18.2 targeting monoclonal antibody has been improved. Let's talk about it!

Discussing two excellent articles from earlier this month.

S1826: N-AVD vs. Bv-AVD (DOI: 10.1056/NEJMoa2405888)

&

INTERLACE: induction chemo prior to concurrent cisplatin/RT in locally advanced cervical cancer (DOI: https://doi.org/10.1016/S0140-6736(24)01438-7)

A new PIK3Ca inhibitor is approved for breast cancer.

Reviewing 3 recent AML publications

Double-Dauno (90 mg/m2 vs. 60 mg/m2): https://doi.org/10.1200/JCO.24.00235

AML60+ Risk Stratification: https://doi.org/10.1200/JCO.23.02631

Decitabine-Ven as bridge to Allo HSCT: https://doi.org/10.1016/S2352-3026(24)00241-2

MSI-high/MMRd rectal cancer treatment guidelines are being re-written. A brief synopsis of why treatment guidelines are changing so quickly in this space.

Also, listeners helped out in explaining the ribociclib storage & stability change. Hint: https://www.novartis.com/news/novartis-implements-manufacturing-adjustments-ribociclib-ensure-alignment-latest-regulatory-standards-ebc-end-q2

FDA has been busy the last week approving:

-ribociclib x 3 years in high risk stage II & III breast cancer based on the NATALEE trial as well as a new storage requirement

-osimertinib indefinitely following chemoradiation in stage III EGFR-mutated NSCLC

-amivantamab + chemotherapy following progression on osimertinib (Mariposa-2)

-a subcutaneous formulation of atezolizumab

-isatuximab + VRD for multiple myeloma

-pembrolizumab + chemotherapy for metastatic pleural mesothelioma

Recapping just some of the notable data coming out of ESMO 2024:

-Final OS results from Keynote-522 (perioperative pembrolizumab in TNBC)

-AMBASSADOR (adjuvant pembrolizumab in bladder cancer)

-NIAGRA (perioperative durvalumab in bladder cancer)

-ADRIATIC (discussed on ASCO recap Pod, but publication now available)

-LEANOX (impact of lean body mass adjustment on oxaliplatin dose)