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Latest from Vanderbilt-Ingram Cancer Center

Adding patient-specific comorbidities improved the prognostic effect of risk prediction models for patients with primary or secondary myelofibrosis, according to findings from an assessment of data collected in Vanderbilt’s Synthetic Derivative and BioVU Biobank comprehensive electronic health record.

Colorectal Cancer: An Overview on Molecular Profiling
ByTanios S. Bekaii-Saab, MD, Mayo Clinic,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Pashtoon M. Kasi, MD, MBBS, MS,Aparna R. Parikh, MD Shared insight on appropriate molecular lab testing options that should be explored following a diagnosis of colorectal cancer.

Colorectal Cancer: Prevalence, Workup, and Molecular Subtypes
ByTanios S. Bekaii-Saab, MD, Mayo Clinic,Cathy Eng, MD, FACP, FASCO, Vanderbilt-Ingram Cancer Center,Pashtoon M. Kasi, MD, MBBS, MS,Aparna R. Parikh, MD Opening their discussion on colorectal cancer, expert panelists consider its growing prevalence and highlight key molecular subtypes.

Metastatic Colorectal Cancer: Future Directions in Care
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Expert panelists identify key takeaways and share their excitement for future directions in the management of metastatic colorectal cancer.

Novel Combination Strategies in mCRC: The STELLAR-303 and SUNLIGHT Trials
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Before closing out their review of combination therapy in metastatic colorectal cancer, panelists discuss the STELLAR-303 and SUNLIGHT clinical trials.

Combination IO/TKI Strategies in Metastatic Colorectal Cancer
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD A comprehensive review on combination strategies with immune checkpoint and tyrosine kinase inhibitors in patients with metastatic colorectal cancer.

Hematologists and oncologists are uniquely poised to aid in the identification of patients with hereditary hemorrhagic telangiectasia and assist in their care, and it is important for the practicing clinician to familiarize oneself with the symptoms of hereditary hemorrhagic telangiectasia to avoid overlooking the diagnosis.

Clinical Trials in Metastatic Colorectal Cancer: Combination IO Therapy
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD A focused discussion on combination strategies with immune checkpoint inhibitors in patients with metastatic colorectal cancer.

Overview of Immune Checkpoint Inhibitors in Metastatic Colorectal Cancer
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Switching their focus to immune checkpoint inhibitors, panelists provide an overview on the role of immunotherapy in metastatic colorectal cancer.

Investigators are unclear about the factors driving the explosive growth in incidence of appendiceal cancer over the past 2 decades.

Other Combination Strategies in BRAF-Mutated Metastatic Colorectal Cancer
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Before closing out their discussion on BRAF-mutated metastatic colorectal cancer, panelists consider other novel combination strategies in this setting.

Combination Therapy in BRAF-Mutated mCRC: The BREAKWATER Trial
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Shared insight on the BREAKWATER trial, which combined encorafenib, cetuximab, and chemotherapy in patients with BRAF V600E–mutated metastatic colorectal cancer.

Combination Therapy in BRAF-Mutated mCRC: The BEACON CRC Trial
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Expert perspectives on the BEACON CRC trial, which combined encorafenib, cetuximab, and binimetinib in patients with BRAF V600E–mutated metastatic colorectal cancer.

Importance of Identifying HER2 Status in Metastatic Colorectal Cancer
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Following its discussion on trastuzumab deruxtecan and tucatinib therapy in HER2+ mCRC, the panel emphasizes the importance HER2 status identification in metastatic colorectal cancer.

Role of Tucatinib in HER2+ mCRC
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Switching their focus to tucatinib, expert panelists review data from the MOUNTAINEER study and define the role of tucatinib in managing HER2+ metastatic colorectal cancer.

HER2+ mCRC: Managing Adverse Events Associated With Antibody Drug Conjugates
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Comprehensive insight on the adverse event profile of antibody drug conjugate therapy as it compares to other agents in HER2+ metastatic colorectal cancer management.

Brian I. Rini, MD, discusses standard and investigational treatment options for patients with RCC who are refractory to immunotherapy; the potential role of biomarkers in future targeted treatments; and the need for novel mechanisms such as HIF inhibition to meet the needs of patients who don’t respond to immunotherapy or VEGF TKIs.

Trastuzumab Deruxtecan in HER2+ mCRC
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Centering discussion on clinical trials and experience with trastuzumab deruxtecan, expert oncologists identify its value in the HER2+ treatment landscape.

First-Line Treatment Options for mCRC
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD After a brief overview on first-line treatment options for patients with metastatic colorectal cancer, panelists highlight the role HER2 status plays in the selection of novel therapies.

Challenges With Molecular Testing in Metastatic Colorectal Cancer
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD A comprehensive discussion on the barriers to molecular testing in metastatic colorectal cancer, along with challenges in utilizing these tests in the real-world setting.

Circulating Tumor DNA to Guide Treatment Selection for mCRC
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Joel R. Hecht, MD,Pashtoon M. Kasi, MD, MS,Kanwal Raghav, MD Panelists consider the potential role for circulating tumor DNA to inform the selection of therapy for patients with metastatic colorectal cancer.

Brian I. Rini, MD, FASCO, discusses the current treatment landscape for patients with relapsed/refractory renal cell carcinoma.

Tae Kon Kim, MD, PhD, discusses key results on the synergistic effects of PD-1H blockade in acute myeloid leukemia..

Overview of Molecular Testing in Metastatic Colorectal Cancer (mCRC)
ByKristen Ciombor, MD, MSCI,Joleen M. Hubbard, MD,Pashtoon M. Kasi, MBBS, MD, MS,Kanwal Raghav, MD,Joel R. Hecht, MD Experts in metastatic colorectal cancer management highlight the role of molecular testing and testing modalities available in the academic and community settings.

Amanda Cass, PharmD, BCPS, BCOP, discusses strategies to manage the diarrhea that may occur as an adverse effect in patients treated with EGFR TKIs.

Emily Skotte, MSN, discusses common ways to manage the rashes that may occur as adverse effects in patients treated with EGFR TKIs.

Wade T. Iams, MD, discusses the potential for providing small cell lung cancer subtyping in clinical practice.

Kelly Hewitt, MD, discusses treatment considerations for breast conservation vs mastectomy in breast cancer.

Kathryn E. Beckermann, MD, PhD, discusses the future of treatment in renal cell carcinoma.

The addition of fruquintinib to best supportive care improved overall survival compared with BSC alone in patients with metastatic colorectal cancer who progressed on standard chemotherapy and relevant biologic agents, and who had progressed on or were intolerant to trifluridine/tipiracil and/or regorafenib.