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ESMOGI24 Key Insights Shared By Megan Barnet
Jun 29, 2024, 13:41

ESMOGI24 Key Insights Shared By Megan Barnet

ESMOGI24 is taking place as an onsite event in Munich, Germany, from 26 to 29 June 2024, as well as online, through a dedicated virtual platform. The congress will be the place to present impactful new data in GI oncology.

Megan Barnet, Medical Oncologist at The Kinghorn Cancer Centre, shared a few highlights from the conference.

TOPAZ-1 update

TOPAZ-1 update at mFU 41 months – OS HR strengthened 0.8 —> 0.74, if have a CR/PR 1/3 alive at 3 years vs 16% chemo. 17% ‘long term’ survivors, across all subgroups: iCCA/eCCA/GBC/ROW/PDL1

ESMOGI24

BRAFm and mCRC trials with Dominik Paul Modest

Summary ongoing BRAFm and mCRC trials with Dominik Paul Modest

  • 1L BREAKWATER MSS Phase 3 enco/cetux +/CT vs CT-bev 1L SEAMARK MSI Ph2 enco/cetux/pembro vs pembro
  • 2L SWOG2107 MSS Phase 2 enco/cetux v enco/cetux/nivo
  • 3L BRICKET Phase2 rechallenge enco/cetux if no alternate ctDNA

ESMOGI24

On PDAC trials

PDAC has more negative trials than any other tumour stream… Trying to find Thomas Seufferlein’s summary slide motivating rather than deflating. Nal-iri combos underwhelming and not compared to FOLFIRI/mFFX.

ESMOGI24

Why radio-oncologists dislike PROSPECT

A reminder from Professor Karin Haustermans of why radio-oncologists dislike PROSPECT (…aside from inclusion of patients who didn’t need NA treatment).

ESMOGI24

QoL issues in EOCRC

Thought provoking talk from Irit Ben-Aharon on QoL issues in EOCRC, especially paucity of data on fertility with RT plus oxali (can’t extrapolate GnRHa from CTX – can worsen problem), cardiovascular toxicity (CVD 54% CRC survivors v 17% Gen pop), psychosocial, body image, sexual functions.

ESMOGI24

On Keynote 585

KN585 OS (noting EFS/trial stat. negative despite 20m improvement)

  • OS benefit 6% at 5 years.
  • FLOT (v CF) backbone did better (cis poor PD1 partner), but only 20% cohort
  • Clear benefit CPS >10/MSI-H.
  • Appealing option; may solidify with MATTERHORN survival (100% FLOT)

ESMOGI24

Interesting summary from Chiara Cremolini

Unsurprising QoL data for TRANSMET, late deviation in favour LT+C vs C. Interesting summary from Chiara Cremolini on pattern of relapse liver TP (lung dominant) vs resection (liver dominant).

ESMOGI24

Meta-analysis on gut microbiome

Laurence Zitvogel tour de force microbiome. Meta-analysis:

  • AB use -60 to +42d C1 PD1;
  • surge pathogenic bacteria
  • Post AB down-regulation of gut checkpoint MadCAM
  • exodus immunosuppressive cells increases Th17 from gut to cancer
  • PD1 at this point amplifies exodus/doc/hard place

ESMOGI24

For more coverage on ESMOGI24, visit the OncoDaily website.