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Eliogreg

@eliogreg.bsky.social
21 followers 25 following 36 posts

MD, Medical Oncologist @ospNiguarda #LCSM #ThoracicOncology Always find a way to have fun!

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Eliogreg @eliogreg.bsky.social · 01/05/2026
TRACERx/PEACE: 501 samples from 24 #NSCLC pts (diagnosis→autopsy) reveal the metastatic cascade. Each met harbors a median of 7 subclones; 60% of mets seeded by OTHER mets (not primary); CIN drives extrathoracic spread. Single met biopsies massively underestimate disease complexity
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Eliogreg @eliogreg.bsky.social · 07/04/2026
Circulating Tumor Cells Predict Response to the DLL3-Targeting Bispecific Antibody Tarlatamab url: aacrjournals.org/cancerdiscov...
aacrjournals.org
Circulating Tumor Cells Predict Response to the DLL3-Targeting Bispecific Antibody Tarlatamab
AbstractThe bispecific antibody tarlatamab recruits T cells to cancers expressing the neuroendocrine epitope delta-like ligand 3 (DLL3). Tarlatamab is effective in small cell lung cancer (SCLC), but c...
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Eliogreg @eliogreg.bsky.social · 27/03/2026
💫 Best of #ELCC26 #gotistobart — novel pH-sensitive anti-CTLA-4 antibody that selectively depletes intratumoral Tregs — vs docetaxel in metastatic sqNSCLC after anti-PD-(L)1 + platinum: → Median OS: not reached vs 10 months 12mOS: 63vs30% (HR 0.46) → ORR: 20% vs 4.8% → Manageable safety profile
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Eliogreg @eliogreg.bsky.social · 27/03/2026
🕐 more about #time-of-day and ICI 📋 IPD meta-analysis across 8 Roche/atezolizumab RCTs (n=3,060 #lung cancer pts). First 2 ICI cycles administered before vs. after 12:00 pm 🎯 OS HR late vs early: 1.039 (95% CI 0.925–1.168) → Upper limit < 1.18: non-inferiority demonstrated ✅ #ELCC2026
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Eliogreg @eliogreg.bsky.social · 22/03/2026
#AI on routine CT scans quantifies thymic health → predicts ICI outcomes in 3,476 patients across NSCLC, melanoma, renal & breast cancer — independent of PD-L1 and TMB. Healthy thymus → ↑ TCR diversity → ↑ ICI efficacy. 🫁 #Immunotherapy #LungCancer #LCSM
nature.com
Thymic health and immunotherapy outcomes in patients with cancer - Nature
A deep-learning approach applied to routine CT scans is used to quantify the health of the thymus in a cohort of patients with cancer, and shows that thymic function is associated with immunotherapy&n...
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Eliogreg @eliogreg.bsky.social · 16/03/2026
MTAP loss has highest rates in ALK+ (up to 45%), followed by RET+ (up to 36%) and EGFR+ (up to 24%) NSCLC IHC and NGS may be complementary for detection. #PRMT5i shows activity PRMT5i + targeted therapy may outperform monotherapy in models www.annalsofoncology.org/article/S092...
annalsofoncology.org
MTAP Loss Is Frequent in Oncogene-Driven NSCLC and May Confer Sensitivity to Combined PRMT5 Inhibitors and Targeted Therapies
Homozygous loss of MTAP (methylthioadenosine phosphorylase) occurs in approximately 15% of cancers and leads to partial PRMT5 inhibition, creating a selective vulnerability to PRMT5 inhibitors. The fr...
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Eliogreg @eliogreg.bsky.social · 14/03/2026
HS-20093, a B7-H3-targeted antibody-drug conjugate in lung cancer: Results from the ARTEMIS-001 phase 1a/b trial: Cancer Cell www.cell.com/cancer-cell/... In SCLC, RR 52%, DOR 7.1m with greater RR if topoisomerase I inhibitor naive vs treated (60% vs 17%)
cell.com
HS-20093, a B7-H3-targeted antibody-drug conjugate in lung cancer: Results from the ARTEMIS-001 phase 1a/b trial
Wang et al. conducted an open-label, multicenter phase 1a/b study to evaluate the safety, pharmacokinetics, and efficacy of HS-20093 in patients with advanced solid tumors. HS-20093 demonstrated a man...
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Eliogreg @eliogreg.bsky.social · 02/03/2026
ESMO-ESTRO consensus statements on the safety of combining radiotherapy with EGFR, ALK, or BRAF/MEK inhibitors - ESMO Open www.esmoopen.com/article/S205...
esmoopen.com
ESMO-ESTRO consensus statements on the safety of combining radiotherapy with EGFR, ALK, or BRAF/MEK inhibitors
Combining radiotherapy (RT) with targeted agents may lead to improved treatment outcomes across various tumor types. However, there is a risk of increased toxicity. Unfortunately, high-quality toxicit...
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Eliogreg @eliogreg.bsky.social · 16/02/2026
Heads or the Tail? | New England Journal of Medicine www.nejm.org/doi/full/10....
nejm.org
Heads or the Tail? | NEJM
Survival in patients with cancer, affected by myriad factors, is notoriously difficult to predict. But while oncologists find it hard to communicate the uncertainty, patients are the ones who must ...
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Eliogreg @eliogreg.bsky.social · 16/02/2026
Case series detailing immune checkpoint inhibitor related encephalitis (lung cancer, SCC, melanoma, lymphomas…). Most recovered with therapy academic.oup.com/oncolo/artic... In my experience, io-related encephalitis in mesothelioma are more dangerous
academic.oup.com
Immune-related encephalitis after immune checkpoint inhibitor therapy
Immune checkpoint inhibitors have revolutionized cancer treatment but can trigger immune-related encephalitis. This article reports one of the largest case
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Eliogreg @eliogreg.bsky.social · 13/02/2026
15% of LUAD lacked TTF-1 expression -> lower PD-L1 & more frequent KRAS and high-risk mutations, such as STK11, KEAP1, & SMARCA4 -> TTF-1 negativity stratified outcomes even among pts with high-risk mutations
jto.org
TTF-1 expression in lung adenocarcinoma: clinicopathologic, genomic, and immunophenotypic correlates and outcomes to immunotherapy-based treatments and KRASG12C inhibitors
Thyroid transcription factor-1 (TTF-1) expression, routinely assessed through immunohistochemistry (IHC) in the diagnostic evaluation of lung adenocarcinomas (LUAD), is negative (TTF-1Neg) in ∼15-20% ...
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Eliogreg @eliogreg.bsky.social · 13/02/2026
Selective RET inhibitors: Non-KIF5B → better PFS (17.0 vs 5.5 months)
lungcancerjournal.info
RET Fusion–Positive lung Adenocarcinoma: Partner-Specific clinicopathological Characteristics, co-mutation Profiles, and Implications for targeted and Immunotherapy
Rearranged during transfection (RET) gene fusions are rare but actionable oncogenic drivers in non-small cell lung cancer (NSCLC), occurring in approximately 1.0%–2% of cases and predominantly in lung...
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Eliogreg @eliogreg.bsky.social · 07/02/2026
Too good to be true?
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Eliogreg @eliogreg.bsky.social · 07/02/2026
Interesting hypothesis about anti-TIGIT failure “Selecting an unmutated IgG1 targeting TIGIT, LAG-3, TIM-3, or PD-1 may deplete effector T cells through CDC, ADCC, and/or ADCP, thereby counteracting anticancer efficacy” #lcsm #tigit
ascopubs.org
Is Unmutated IgG1 a Wrong Choice for Therapeutic Antibodies Targeting Immune Checkpoints? Lessons From the Clinical Failures of the First Anti–TIGIT Antibodies
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Eliogreg @eliogreg.bsky.social · 03/02/2026
In long-term responders to 2y first-line ICB, PET/CT-guided Tx discontinuation was associated with improved OS vs continued therapy, HR 0.35 Re-biopsy identified frequent second primary lung cancers and distinct resistance biology ➡️ local management #lungcancer #NSCLC #immunotherapy #ICI #PETCT
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Eliogreg @eliogreg.bsky.social · 02/02/2026
This is huge. Time of the day has an enormous impact on #immunotherapy outcome Early immunochemo (<15:00) vs late: 📈 mPFS: 11.3 vs 5.7 mo (HR 0.40) ⏳ mOS: 28.0 vs 16.8 mo (HR 0.42) 🧬 ↑ CD8⁺ activation | similar safety www.nature.com/articles/s41... #lcsm #nsclc
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Eliogreg @eliogreg.bsky.social · 30/01/2026
ascopubs.org/doi/10.1200/...
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Eliogreg @eliogreg.bsky.social · 28/01/2026
#Izalontamab brengitecan (Iza-bren; BL-B01D1), a first-in-class EGFR-HER3 bispecific antibody–drug conjugate, for patients with #EGFR-mutated #NSCLC: Pooled analysis of phase 1 and phase 2 trials www.annalsofoncology.org/article/S092...
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Eliogreg @eliogreg.bsky.social · 27/01/2026
Prof Xiuning Le from MDACC on EGFR PACC mutation #LCSM #EGFR #NSCLC #uncommonEGFR
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Eliogreg @eliogreg.bsky.social · 26/01/2026
www.jtocrr.org/article/S266... #lcsm #nsclc #zongertinib #tdxd #lungcancer
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Reposted by Eliogreg
Eliogreg @eliogreg.bsky.social · 20/11/2024
#ARTICUNO study 📊 largest dataset of #NSCLC with uncommon #EGFR alterations treated with #osimertinib 🧬data on very rare alterations (snv, fusion, KDD), #intracranial activity, and #resistance mechanisms 🔎 #E709 mut->lack of benefit #LCSM www.sciencedirect.com/science/arti...
sciencedirect.com
Activity of osimeRTInib in non-small-cell lung Cancer with UNcommon epidermal growth factor receptor mutations: retrospective Observational multicenter study (ARTICUNO)
Osimertinib represents the standard of care for the treatment of advanced non-small-cell lung cancer (NSCLC) harboring classical epidermal growth fact…
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Reposted by Eliogreg
Alessandro @alessandro1968.bsky.social · 16/01/2026
BOYCOTT USA NOW!!! It's time for all countries to stop doing business with this fascist country!! Enough with the blackmailing and intimidations!!!
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Eliogreg @eliogreg.bsky.social · 14/08/2025
MISSIONE INTERNAZIONALE – SALPIAMO PER GAZA chuffed.org/project/1406...
chuffed.org
MISSIONE INTERNAZIONALE – SALPIAMO PER GAZA
MISSIONE INTERNAZIONALE – SALPIAMO PER GAZAMentre il genocidio in corso a Gaza peggiora di giorno in giorno e le istituzioni restano in silenzio, persone da tutto il mondo si stanno mobilitando per co...
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Eliogreg @eliogreg.bsky.social · 26/03/2025
A new standard of care for mEGFR #NSCLC. #MARIPOSA (Ami + Lazer) shows significant OS (HR 0.75, 3yr 60% vs 51%, going even better over time) vs #osimertinib. More effort is needed to manage toxicity. #ELCC2025
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Eliogreg @eliogreg.bsky.social · 10/03/2025
Gut Microbiota in Advanced Non-small-cell Lung Cancer Receiving Chemo-immunotherapy: An Ancillary Biomarker Study from the Phase III trial JCOG2007 (NIPPON) - Journal of Thoracic Oncology www.jto.org/article/S155...
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Eliogreg @eliogreg.bsky.social · 08/03/2025
#Ivonescimab versus #pembrolizumab for PD-L1-positive non-small cell lung cancer (HARMONi-2): a randomised, double-blind, phase 3 study in China www.thelancet.com/journals/lan...
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Eliogreg @eliogreg.bsky.social · 13/02/2025
PFS≥12 on #durvalumab might be a positive predictive factor for ICB re-treatment #nsclc #lcsm www.ejcancer.com/article/S095...
ejcancer.com
Comparative Efficacy of Immunotherapy-based treatment versus Chemotherapy-only in Patients with Unresectable NSCLC with Disease Progression Post Chemoradiation and Durvalumab
The current standard of care for fit patients with unresectable stage III NSCLC involves concurrent chemoradiation (CRT) followed by durvalumab. Disease recurrence occurs in approximately 2/3 of patie...
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Reposted by Eliogreg
Hidehito HORINOUCHI @hhorinouchi.bsky.social · 24/01/2025
🔥Annals of Oncology🆙 ✅Teliso-V and osimertinib: the METamorphosis of EGFR-mutant lung cancer? 🎯Performing biopsies at treatment resistance is crucial to aid drug development 👥Drs. Jordi Remon and Stephanie Saw #LCSM @oncoalert.bsky.social #EGFR www.annalsofoncology.org/article/S092...
annalsofoncology.org
Teliso-V and osimertinib: the METamorphosis of EGFR-mutant lung cancer?
For epidermal growth factor receptor (EGFR)-mutated non-small cell lung cancer (NSCLC), overexpression of c-MET has been associated with resistance to EGFR tyrosine kinase inhibitors (TKIs). Upon prog...
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Reposted by Eliogreg
Stephen Liu @stephenvliu.bsky.social · 07/01/2025
Press release: MARIPOSA regimen of first-line amivantamab plus lazertinib shows a significant improvement in overall survival over osimertinib alone in #EGFR NSCLC. Full data to be presented but improvement in median OS expected to be over 12 months. www.jnj.com/media-center...
jnj.com
RYBREVANT® (amivantamab-vmjw) plus LAZCLUZE™ (lazertinib) shows statistically significant and clinically meaningful improvement in overall survival versus osimertinib
Median overall survival improvement expected to exceed one year First and only regimen with a survival benefit over current standard of care in first-line treatment of EGFR-mutated lung cancer
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Eliogreg @eliogreg.bsky.social · 15/01/2025
How to reduce skin toxicity from #amivantamab #lazertinib in #NSCLC? 📝 oral antibiotic (doxycycline or minocycline) twice daily for 12 weeks 💊, then topical antibiotic (clindamycin 1 percent), antibacterial wash (chlorhexidine 4 percent), and daily ceramides-based noncomedogenic moisturizer 🧴
innovativemedicine.jnj.com
COCOON study meets primary endpoint demonstrating statistically significant and clinically meaningful reduction in dermatologic reactions with easy-to-use prophylactic regimen for patients with EGFR-m...
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Eliogreg @eliogreg.bsky.social · 23/12/2024
nejm.org
Ponsegromab for the Treatment of Cancer Cachexia | NEJM
Cachexia is a common complication of cancer and is associated with an increased risk of death. The level of growth differentiation factor 15 (GDF-15), a circulating cytokine, is elevated in cancer ...
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Eliogreg @eliogreg.bsky.social · 08/12/2024
A cancer was detected in 48.6% of participants who initially received nonreportable or unusual #prenatal #cfDNA-sequencing results
nejm.org
Prenatal cfDNA Sequencing and Incidental Detection of Maternal Cancer | NEJM
Cell-free DNA (cfDNA) sequence analysis to screen for fetal aneuploidy can incidentally detect maternal cancer. Additional data are needed to identify DNA-sequencing patterns and other biomarkers t...
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Eliogreg @eliogreg.bsky.social · 26/11/2024
3 molecular subgroups of pulm carcinoid can be identified by IHC www.jto.org/article/S155...
jto.org
Identification of defined molecular subgroups based on immunohistochemical analyses and potential therapeutic vulnerabilities of pulmonary carcinoids
Multi-omic studies have identified three molecular separated pulmonary carcinoid (PC) subgroups (A1, A2, B) with distinctive mRNA expression profiles (e.g. OTP/ASCL1/HNF1A). We aimed to establish an i...
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Eliogreg @eliogreg.bsky.social · 24/11/2024
Final survival from phase II study of #lorlatinib in #ALK #NSCLC. In treatment naive (n=30), 5y OS 76% www.jto.org/article/S155...
jto.org
Brief Report: Final overall survival and long-term safety of lorlatinib in patients with ALK-positive non-small cell lung cancer from the pivotal phase 2 study
Lorlatinib is a potent, brain-penetrant, third-generation inhibitor of anaplastic lymphoma kinase (ALK) and ROS1 tyrosine kinases with broad coverage of ALK resistance mutations. We present overall su...
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Eliogreg @eliogreg.bsky.social · 20/11/2024
#ARTICUNO study 📊 largest dataset of #NSCLC with uncommon #EGFR alterations treated with #osimertinib 🧬data on very rare alterations (snv, fusion, KDD), #intracranial activity, and #resistance mechanisms 🔎 #E709 mut->lack of benefit #LCSM www.sciencedirect.com/science/arti...
sciencedirect.com
Activity of osimeRTInib in non-small-cell lung Cancer with UNcommon epidermal growth factor receptor mutations: retrospective Observational multicenter study (ARTICUNO)
Osimertinib represents the standard of care for the treatment of advanced non-small-cell lung cancer (NSCLC) harboring classical epidermal growth fact…
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