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Latest from Vanderbilt-Ingram Cancer Center

Precise stratification of hormone receptor–positive, HER2-negative breast cancer using BluePrint and MammaPrint assays revealed comparable 3-year recurrence-free survival rates between Black and White patients despite observed racial differences in the distribution of molecular subtypes.

Wade T. Iams, MD, discusses the impact of adagrasib on the treatment of patients with KRAS G12C-mutant NSCLC in the second line, as well as its integration into clinical practice.

Expression of DLL3, an inhibitor ligand of the Notch pathway associated with tumorigenesis, has emerged as a target of interest for drug development.

Although renal cell carcinoma remains a difficult-to-treat disease, with patients with clear cell histology experiencing a median overall survival of approximately 13 months and a 5-year overall survival rate of less than 10%, updated results from clinical trials examining emerging therapeutic strategies have spurred optimism.

Wade T. Iams, MD, discusses the impact of the phase 3 FLAURA2 trial in patients with EGFR-mutant non–small cell lung cancer, highlighting the notable improvements in progression-free survival that the approach elicits.

Most fellows are incredibly busy and face emotional challenges as they navigate the path of cancer diagnosis to death with patients.

Mariana X. Byndloss, DVM, PhD, discusses how the gut microbiome influences human health, highlighting the relationship between the gut microbiome and a person’s risk for developing gastrointestinal cancers, as well as characteristics of a healthy gut microbiome.

Bhagirathbhai Dholaria, MBBS, discusses next steps for investigating subcutaneous talquetamab and daratumumab in relapsed/refractory multiple myeloma based on data from the phase 1 TRIMM-2 trial.

Brian C. Grieb, MD, PhD, discusses unmet needs for patients with colorectal cancer, including the identification of novel pan-CRC biomarkers for drug development.

Metastatic Colorectal Cancer: Ongoing Challenges and Future Directions in Care
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Closing out their panel on metastatic colorectal cancer, expert oncologists consider ongoing challenges and future evolutions within the treatment landscape.

Renal Cell Carcinoma: Future Evolutions in Care
ByBrian I. Rini, MD, Cleveland Clinic,Eric Jonasch, MD, University of Texas MD Anderson Cancer Center,Elizabeth R. Plimack, MD, MS, Fox Chase Cancer Center,Bruno R. Bastos, MD, Miami Cancer Institute ,Stephanie A. Berg, DO Shared insight on the evolving state of renal cell carcinoma management and hope for future growth in the treatment landscape.

Selecting Optimal Therapy for Advanced Non-Clear Cell RCC
ByDiscussant: Brian I. Rini, MD, Cleveland Clinic,Eric Jonasch, MD, University of Texas MD Anderson Cancer Center,Elizabeth R. Plimack, MD, MS, Fox Chase Cancer Center,Bruno R. Bastos, MD, Miami Cancer Institute ,Stephanie A. Berg, DO Focusing their discussion on a real-world patient scenario, expert panelists discuss treatment options in the setting of advanced non-clear cell renal cell carcinoma.

Brian I. Rini, MD, FASCO, highlights key clinical trial updates from the genitourinary cancers landscape presented at the 2023 ASCO Annual Meeting, details the implications of the CONTACT-03 data, expands on the long-term data from the phase 3 KEYNOTE-426 trial in clear cell RCC, discusses findings from the phase 3 TALAPRO-2 trial in patients with metastatic castration-resistant prostate cancer, and more.

HER2+ Metastatic Colorectal Cancer: Clinical Trial Data With T-DXd
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Focused discussion on clinical trial data with trastuzumab deruxtecan in the setting of HER2+ metastatic colorectal cancer.

HER2+ Metastatic Colorectal Cancer: Clinical Trial Data With Tucatinib
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD A panel of oncologists shares comprehensive insight to clinical trial data with tucatinib in patients with HER2+ metastatic colorectal cancer.

Assessing HER2 Expression in Metastatic Colorectal Cancer
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Switching their focus to HER2+ metastatic colorectal cancer, panelists discuss best practices in testing HER2 to aid in the timely selection of best available therapies.

Novel Combination Strategies in BRAF-Mutant Metastatic Colorectal Cancer
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Expert perspectives on novel combination and immunotherapy strategies within BRAF-mutated metastatic colorectal cancer management.

Metastatic Colorectal Cancer: Tumor Sidedness and EGFR-Targeted Therapy
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Shared insight to the importance of tumor sidedness and its impact on the selection of EGFR-targeted therapy in metastatic colorectal cancer.

BRAF V600E–Mutant Metastatic Colorectal Cancer: BREAKWATER Study
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Key opinion leaders in metastatic colorectal cancer management review data from the BREAKWATER study in BRAF-V600E–mutated disease.

Closing out their discussion on biliary tract cancers, Milind Javle, MD, and Laura Goff, MD, highlight current treatment guidelines and unmet needs as the landscape continues to evolve.

Expert perspectives on the KEYNOTE-966 and IMbrave151 clinical trials and novel chemoimmunotherapy combination strategies in biliary tract cancers.

Advanced Clear Cell RCC: AE Profile of First-Line Combination Therapies
ByBrian I. Rini, MD, Cleveland Clinic,Eric Jonasch, MD, University of Texas MD Anderson Cancer Center,Elizabeth R. Plimack, MD, MS, Fox Chase Cancer Center,Bruno R. Bastos, MD, Miami Cancer Institute ,Stephanie A. Berg, DO Expert perspectives on the adverse event profiles of first-line combination therapies in the advanced clear cell renal cell carcinoma space.

Treatment Options for BRAF V600E–Mutant Metastatic Colorectal Cancer
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Centering discussion on patients with BRAF-V600E mutations in metastatic colorectal cancer, panelists reflect on the treatment armamentarium in this setting.

Colorectal Cancer: Evolving Role of ctDNA Testing in Practice
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD A brief review of how circulating tumor DNA testing has impacted the real-world management of patients with metastatic colorectal cancer.

Centering discussion on data from TOPAZ-1, Milind Javle, MD, and Laura Goff, MD, reflect on the value of chemoimmunotherapy combinations in biliary tract cancer management.

Drs Javle and Goff review standard of care treatment strategies for the management of biliary tract cancer and discuss recent NCCN guideline updates for the combination of durvalumab + cisplatin + gemcitabine.

ctDNA and MRD Testing in Nonmetastatic Colorectal Cancer
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD A focused discussion on the respective roles of circulating tumor DNA and minimal residual disease testing in the management of patients with nonmetastatic colorectal cancer.

Biomarker Testing in Metastatic Colorectal Cancer
ByJohn Marshall, MD, Georgetown University Lombardi Comprehensive Cancer Center,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Tanios S. Bekaii-Saab, MD, FACP, Mayo Clinic,Aparna R. Parikh, MD,Stacey A. Cohen, MD Expert panelists provide their perspective on the current state of molecular testing in metastatic colorectal cancer and how it impacts treatment pathways.

Shared insight on the role of molecular testing in the diagnosis of biliary tract cancers and how it may inform the selection of optimal therapy.

Expert oncologists Milind Javle, MD, and Laura Goff, MD, reflect on the subsets of biliary tract cancers and consider best practices in making an accurate diagnosis.