Podcasts about her2

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ScienceLink
Chicago26: Recap día 5

ScienceLink

Play Episode Listen Later Jun 3, 2026 35:27


En este último RECAP de la Reunión Anual de la Sociedad Americana de Oncología Clínica, el Dr. Fabián Martínez, oncólogo médico del Centro Médico ABC, dialoga con la Dra. Alejandra Martínez, oncóloga médica adscrita a la Clínica de Cáncer de Mama y Tumores Ginecológicos del Instituto Nacional de Ciencias Médicas y Nutrición, ambos de la Ciudad de México. La discusión inicia abordando el cáncer de mama avanzado con receptores hormonales positivos (RH+), destacando el estudio VIKTORIA-1, el cual evalúa el uso de gedatolisib frente al estándar con alpelisib en pacientes con progresión a inhibidores de CDK4/6 e inhibidores de aromatasa. Asimismo, se debate el papel de los degradadores selectivos del receptor de estrógeno (SERD) orales en primera línea y el valor de la intervención temprana ante la detección de mutaciones en ESR1 mediante biopsia líquida, a través del análisis del estudio SERENA-6 con camizestrant y su contexto frente a estudios como persevERA.El diálogo transita hacia el escenario de los tumores gastrointestinales con la revisión del estudio HERIZON-GEA-01 en adenocarcinoma gastroesofágico metastásico con sobreexpresión de HER2. Los expertos resaltan el beneficio clínico en supervivencia libre de progresión y supervivencia global al añadir zanidatamab y tislelizumab a la quimioterapia, con actividad observada independientemente del nivel de expresión de PD-L1. Posteriormente, se abordan los retos en el tratamiento del colangiocarcinoma irresecable o metastásico con rearreglos de FGFR2; al respecto, se analizan los datos de primera línea del estudio FIGHT-302 con pemigatinib frente a la quimioterapia en primera línea.Finalmente, se discuten los resultados de supervivencia del estudio TROPION-Breast02 en cáncer de mama triple negativo avanzado en pacientes no candidatas a inmunoterapia. Se destaca el beneficio consistente con el uso de datopotamab deruxtecan frente a la quimioterapia estándar. Referencia:Este contenido se basa en la interpretación crítica de la evidencia científica disponible, así como en la experiencia clínica del o los ponentes como profesionales de la salud en instituciones de referencia.Para profundizar en los conceptos discutidos, se recomienda al profesional de la salud consultar literatura científica vigente, guías clínicas internacionales y la normatividad aplicable en su país.Material exclusivo para profesionales de la salud. Este material ha sido desarrollado únicamente con fines educativos e informativos y no tiene la intención de sustituir el juicio clínico de los profesionales de la salud. Las opiniones y declaraciones presentadas en este contenido son responsabilidad exclusiva de los ponentes y no reflejan necesariamente la postura institucional de ScienceLink ni de terceros mencionados. La información presentada se basa en el conocimiento y la experiencia profesional de los ponentes. La veracidad, exactitud y actualidad científica de los datos son de su exclusiva responsabilidad. Así mismo garantizan que el contenido utilizado no infringe derechos de autor de terceros y asumen toda responsabilidad por su uso. Se deberán de revisar las indicaciones aprobadas en el país con estricto apego al marco regulatorio aplicable para cada uno de los tratamientos y medicamentos comentados. ASCO® es una marca registrada de la American Society of Clinical Oncology. Este material ha sido producido de manera independiente y no está autorizado, patrocinado ni avalado por dicha organización.

Mr. Worldwide and His Bride: Living Your Best Life
Stage 4 & Thriving: How Chelsea Hassink Merged Medicine + Integrative Healing | Not Today Cancer

Mr. Worldwide and His Bride: Living Your Best Life

Play Episode Listen Later Jun 2, 2026 60:56


What do you do when you're 40, building a "perfect on paper" life, and a routine first mammogram turns into a stage 4 cancer diagnosis? In this episode, Jen sits down with Chelsea Hassink, who was diagnosed with HER2-positive breast cancer that had metastasized to her liver — and later her brain — at just 40 years old, with two young kids at home. Chelsea takes us through her entire journey: the intuition that told her it was worse than the doctors first said, six rounds of chemo, her decision to stop treatment and spend a year going fully integrative, and her transformative three weeks at Hope for Cancer in Mexico. She opens up about the brain tumor that led to a craniotomy, temporary paralysis, and a recovery she credits as much to mindset as to medicine. This is a raw, hopeful conversation about refusing to be put in a box, advocating fiercely for yourself, and merging the medical and integrative worlds on your own terms. Chelsea shares the exact framework she lives by, the role faith and prayer have played in her healing, and why she believes the stress she was carrying — not genetics — created the terrain her cancer thrived in. In this episode, we cover: Chelsea's original diagnosis and the "boring" checkup that missed every red flag Why she trusted her intuition over her initial stage 2 diagnosis Stopping chemo after 6 rounds and going integrative for a full year What Hope for Cancer is really like — and the mind, body, spirit work that changed her The bold, specific prayer and the "messenger in the parking lot" that led her to her craniotomy Losing and regaining mobility after brain surgery Where her scans stand today — and how she handles a curveball Finding an oncologist who meets you where you are (without guilt or scare tactics) Her 4-bucket healing framework: Nutrition & Movement, Emotional & Spiritual, Non-Toxic Therapies, and Detoxification Specific therapies: mistletoe, high-dose vitamin C (and how to do it safely), SPDT / sono-photodynamic therapy, hyperthermia, coffee enemas, sauna, red light, vibration plate, acupuncture Her go-to supplements and why supplementation is deeply individual The #1 thing she wishes someone had told her at diagnosis: you have time to pause Resources & mentions: Hope for Cancer (integrative clinic, Mexico) SPDT — sono-photodynamic therapy (light + sound device) Supplements mentioned: black seed oil, beta-glucan, PectaSol (modified citrus pectin), Vitamin D3, curcumin with K2, greens powder Follow Chelsea on Instagram: https://www.instagram.com/hassink_health_bites/ Chelsea's book — currently in the works Community: Not Today Cancer — The Inner Circle GET BrocElite: Mara Labs supplements - Use code NotTodayCancer for 20% off Instagram: https://www.instagram.com/jendelvaux/ Email me: coachjennyd@gmail.com A note: This episode shares personal experiences and is not medical advice. Always work with your own care team before changing your treatment, diet, or supplement routine — especially while on chemo. Don't forget to share this episode so it reaches more people who need it. And as always — not today, cancer.

Keeping Current CME
Ready for Launch in Gastroesophageal Adenocarcinoma: Anti-HER2 Innovation in First-Line Management

Keeping Current CME

Play Episode Listen Later Jun 1, 2026 35:16


Is your gastroesophageal adenocarcinoma (GEA) treatment plan ready for the latest human epidermal growth factor receptor 2 (HER2) innovations? Credit available for this activity expires: 05/29/2027 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/ready-launch-gastroesophageal-adenocarcinoma-anti-her2-2026a1000gtw?ecd=bdc_podcast_libsyn_mscpedu

Breastcancer.org Podcast
Losing Weight Boosts Quality of Life in Early-Stage Breast Cancer

Breastcancer.org Podcast

Play Episode Listen Later Jun 1, 2026 11:33


At the 2026 American Society of Clinical Oncology Annual Meeting, Dr. Jennifer Ligibel, director of the Leonard P. Zakim Center for Integrative Therapies and Healthy Living at the Dana-Farber Cancer Institute, presented early results from the Breast Cancer Weight Loss (BWEL) study. The findings showed that among women with early-stage breast cancer, losing weight led to better physical and mental health, and also helped ease fatigue. Listen to the episode to hear Dr. Ligibel explain: the design of the BWEL study why the women in the study had to have hormone receptor-positive, HER2-negative or triple-negative breast cancer the next steps for the study

Breastcancer.org Podcast
Does Breast Cancer That Seems to Have High Recurrence Risk Always Need Chemo?

Breastcancer.org Podcast

Play Episode Listen Later May 31, 2026 16:04


Results from the OPTIMA trial suggest that people with early-stage hormone receptor-positive, HER2-negative breast cancer that seems to have a high risk of recurrence based on clinical features — like a high number of positive lymph nodes — may be able to safely skip chemotherapy if they have a low Prosigna risk of recurrence score. The findings were presented at the 2026 American Society of Clinical Oncology Annual Meeting. Iain MacPherson, professor of breast oncology at the University of Glasgow, was chief investigator of the study. Listen to the episode to hear Dr. MacPherson explain: the design and results of the OPTIMA study why he thinks the trial results are groundbreaking whether or not the results apply to men with this type of breast cancer

Keeping Current CME
Expert Panel Decision Framework: Progressive Strategies for Managing HER2-Mutated Advanced NSCLC

Keeping Current CME

Play Episode Listen Later May 29, 2026 29:26


Listen to expert insights on the latest clinical evidence for biomarker testing and treatment selection in patients with HER2-mutated NSCLC. Credit available for this activity expires: 05/29/2027 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/expert-panel-decision-framework-progressive-strategies-2026a1000diy?ecd=bdc_podcast_libsyn_mscpedu

Oncology Brothers
ESMO Breast 2026 Highlights - VERITAC-2, PREcoopERA, PHERGain, SATEEN/BRE-354, TROPION-Breast02

Oncology Brothers

Play Episode Listen Later May 26, 2026 21:45


Welcome back to the Oncology Brothers podcast! In this episode, we were joined by Dr. Erika Hamilton from the Sarah Cannon Cancer Research Institute to discuss the latest advancements in breast cancer treatment following ESMO Breast 2026. Listen us on: Spotify: https://open.spotify.com/show/31BXhY9FM4gPWG10WgE11o Apple Podcast: https://podcasts.apple.com/us/podcast/oncology-brothers-practice-changing-cancer-discussions/id1653340966 Follow us on social media: X/Twitter: https://twitter.com/oncbrothers ⁠Instagram: https://www.instagram.com/oncbrothers Website: https://oncbrothers.com/ We dived into key studies and recent FDA approvals, including: The exciting approval of Vepdegestrant from the VERITAC-2 study for ESR1-mutated breast cancer. The importance of ovarian function suppression in premenopausal patients, even with the advent of oral SERDs. Updates on HER2-positive disease treatments, including the newly approved T-DXd in neoadjuvant settings and the implications of de-escalation strategies. Insights from the SATEEN and BRE-354 studies on the use of antibody-drug conjugates (ADCs) after previous ADC treatments. A look at the Dato-DXd and Sacituzumab in frontline triple-negative breast cancer and how to choose between them. Join us as we unpack these critical findings and their implications for clinical practice. Don't forget to check out our other episodes for more treatment algorithms and conference highlights. Stay tuned for ASCO 2026, and remember, we are the Oncology Brothers! #ESMO2026, #ESR1mutation, #BreastCancerResearch, #PrecisionMedicine, #OncologyBrothers

Keeping Current CME
Interprofessional Approach to Adverse Event Care for the Patient With High-Risk Hormone Receptor-Positive/HER2-Negative Early Breast Cancer

Keeping Current CME

Play Episode Listen Later May 26, 2026 23:28


Adherence drives outcomes: Lead your team in proactive AE care for high-risk EBC success. Credit available for this activity expires: 5/26/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/interprofessional-approach-adverse-event-care-patient-high-2026a1000gez?ecd=bdc_podcast_libsyn_mscpedu

Breast Cancer Conversations
298. The Truth About Cold Capping During Chemo

Breast Cancer Conversations

Play Episode Listen Later May 24, 2026 37:41


Love the podcast? Send us a text!Hair loss during chemotherapy is often talked about as if it is expected, inevitable, or even superficial. But for many people diagnosed with breast cancer, losing your hair can affect identity, privacy, confidence, and the way others see you.In this episode of Breast Cancer Conversations, Laura talks with Jen Fernandez about her experience being diagnosed with breast cancer twice. The first time, Jen lost her hair. The second time, after a local recurrence, she decided to try cold capping.Jen shares what the process was really like: the prep, the discomfort, the time commitment, the shedding, the hair care changes, and why she would do it again.Listen now for an honest conversation about cold capping, chemo hair loss, and finding small ways to feel like yourself during treatment.In This Episode, We Discuss Jen's initial breast cancer diagnosis at age 39  What it felt like to be fast-tracked into chemotherapy  Finding a new lump and dimple three years later  Navigating a local recurrence of HER2-positive breast cancer  Why Jen decided to try cold capping the second time  How long cold capping added to infusion appointments  The physical discomfort of cold capping  Hair shedding, bald spots, and regrowth  How hair loss affects identity, work, confidence, and privacy  The emotional difference between looking sick and feeling like yourself  Why cold capping is a personal decision, not a vanity decisionSupport the showListener FeedbackIf this episode resonated with you, we invite you to leave a review on Apple Podcasts or Spotify.You can also click the link in the show notes that says "Love this episode? Send us a text" to share feedback.Messages are completely anonymous.If you would like us to follow up directly, please include your email address in your message so we can respond.Latest News: Join our Mailing List - New content drops every Monday! Discover FREE programs, support groups, and resources from SurvivingBReastCancer.org! Become a Breast Cancer Conversations+ Member! Sign Up Now. Enjoying our content? Please consider supporting our work. 

PVRoundup Podcast
HER2+ Genitourinary Cancers: Targeted Therapy Highlights From ESMO 2025

PVRoundup Podcast

Play Episode Listen Later May 22, 2026 14:00


Drs. Mantia and Berg continue their discussion of ESMO 2025 data on HER2‑directed antibody–drug conjugates in urothelial cancer and the importance of routine HER2 testing. They highlight the promising efficacy and manageable toxicity of these agents across disease stages and raise future questions about how best to sequence them.

OncoPharm
BCL2 & HER2 Targeting Agent Updates

OncoPharm

Play Episode Listen Later May 21, 2026 13:45


The FDA has been a bunch of busy bees with new approvals: 1. Sonrotoclax, an exciting new BCL2 inhibitor approved for 3rd-line Mantle Cell Lymphoma 2. An all PO regimen of decitabine/cedazuridine + venetoclax is approved for AML. 3. Zenoctuzumab gets an FDA approval for cholangiocarcinoma with an efficacy patient population = 19 4. T-DXd is a good drug and continues to pile on FDA approvals 5. Adjuvant atezolizumab in bladder cancer is approved in conjunction with ctDNA serial monitoring to determine who gets treatment Check out the Oncology Insights Newsletter: www.kelleycpharmd.com/newsletter-oncopharm

Research To Practice | Oncology Videos
Immunotherapy and Targeted Therapy for Advanced Gastroesophageal Cancers — Microlearning Activity 4: Proceedings from a Session Held Adjunct to the 2026 ASCO GI Cancers Symposium

Research To Practice | Oncology Videos

Play Episode Listen Later May 20, 2026 8:27


Featuring proceedings from a live event on January 9, 2026, held adjunct to the 2026 ASCO Gastrointestinal Cancers Symposium and moderated by Dr Samuel J Klempner, including the following topics: Treatment approach for metastatic HER2-negative, claudin 18.2-positive, microsatellite instability-high gastroesophageal (GE) cancer (0:00) Duration of chemotherapy for patients with advanced GE cancers receiving nivolumab/chemotherapy (3:06) Younger patient with metastatic PD-L1-positive gastric cancer (5:29) CME information and select publications

OncLive® On Air
S17 Ep24: Evolving ESR1 Mutation Testing Directions Complicate the Future of Metastatic Breast Cancer Management: With Pedram Razavi, MD, PhD; and Dara S. Ross, MD

OncLive® On Air

Play Episode Listen Later May 20, 2026 37:01


In today's episode, we welcomed Pedram Razavi, MD, PhD, and Dara S. Ross, MD. Dr Razavi is a breast medical oncologist and director of Liquid Biopsy & Genomics at Memorial Sloan Kettering Cancer Center in New York, New York. Dr Ross is an associate attending pathologist at Memorial Sloan Kettering Cancer Center.In our exclusive interview, Drs Razavi and Ross discussed the evolution of ESR1 mutation–directed breast cancer management, emphasizing the role of comprehensive genomic testing at metastatic recurrence, including liquid biopsy and tissue sequencing. They highlighted that ESR1 mutations can develop in patients receiving aromatase inhibitors and that the detection of these mutations is crucial for treatment decisions. They also highlighted findings from the phase 3 SERENA-6 trial (NCT04964934), which tested switching to camizestrant upon the emergence of an ESR1 mutation during treatment with an aromatase inhibitor and a CDK4/6 inhibitor ahead of radiographic disease progression in patients with hormone receptor–positive, HER2-negative metastatic breast cancer. Despite concerns from the FDA's Oncologic Drugs Advisory Committee (ODAC) about SERENA-6's design and overall survival outcomes, the experts praised the trial's innovative approach to personalizing breast cancer management based on biomarkers and noted ways that the ODAC decision may affect future clinical research in this field.

Keeping Current CME
Sharing the Decision of Treatment Planning in High-Risk HR+/HER2- Early Breast Cancer

Keeping Current CME

Play Episode Listen Later May 20, 2026 24:25


Tackle high-risk early breast cancer (EBC) challenges with confidence and better patient engagement. Credit available for this activity expires: 5/19/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/sharing-decision-treatment-planning-high-risk-hr-her2-early-2026a1000f67?ecd=bdc_podcast_libsyn_mscpedu

The Oncology Podcast
S4E3 The Oncology Journal Club Podcast: ‘Mouthwatering' RAS(ON), Bob Marley's Melanoma, ADT Hot Flushes + Prostate Cancer Terminology

The Oncology Podcast

Play Episode Listen Later May 20, 2026 45:13 Transcription Available


Send us Fan MailIn this episode of The Oncology Journal Club, the team cover one of the most talked-about pancreatic cancer papers of the year, unpacking the promising early results for daraxonrasib in previously treated RAS-mutated pancreatic cancer and the science behind new RAS(ON) therapeutics. The team also discuss a fascinating phase II study of single-cycle neoadjuvant pembrolizumab in MMR-deficient colon cancer, new recommendations from the Prostate Cancer Working Group 4 and why the terminology we use in prostate cancer matters.Along the way, there's discussion of Bob Marley's acral melanoma, multidisciplinary lung cancer meetings, androgen receptor-positive TNBC, HER2-mutant lung cancer and whether oxybutynin could help men experiencing androgen deprivation-related hot flushes.The Oncology Journal Club Podcast is hosted by Professor Craig Underhill, Dr Kate Clarke and Professor Chris Jackson, and proudly produced by The Oncology NetworkVisit oncologynetwork.com.au for Show Notes, to send us Voice Notes and more information. 

Digital Pathology Podcast
237: Why Pathology Vendor's Don't Speak the Same Language?

Digital Pathology Podcast

Play Episode Listen Later May 18, 2026 33:08 Transcription Available


Send us Fan MailWhy are pathology vendors still speaking different image languages when radiology solved that problem decades ago?In this episode of DigiPath Digest #46, I talk through four papers that all point to a bigger issue in digital pathology: we are not only dealing with better algorithms. We are dealing with interoperability, workflow design, explainability, and whether the field is actually ready to use these tools well.I start with DICOM in digital pathology, because I think this is still one of the most important infrastructure questions in the field. Digital pathology has clear value for consultation, image analysis, archival, and workflow, but vendor-specific whole slide image formats still create silos. In the episode, I explain why DICOM matters, why adoption is still low, how the multi-resolution pyramid works, and why this is really about enterprise imaging and future-proofing, not just file conversion. Then I move into kidney transplant rejection, where the paper makes a strong case for multimodal precision diagnostics. Creatinine is late. Antibody testing can miss important biology. Biopsies can miss the area that matters. So the opportunity is not to replace pathology, but to combine biomarkers, biopsy, and machine learning in a way that is more useful than any one signal alone. I also talk about explainability here, because if a model gives a risk score, we need to know what contributed to it. The third paper focuses on perineural invasion in solid tumors, and I liked this one a lot because it shows how AI can help standardize something that is clinically important but still inconsistently detected and reported. Perineural invasion is not just a passive pathway of spread. The biology is more active than that, and the quantification can go far beyond a simple yes-or-no answer. This is a good example of where digital pathology can do something humans cannot realistically do by eye at scale. The last paper is on gastric cancer immunohistochemistry biomarkers and advanced quantification, including HER2, PD-L1, mismatch repair, and CLDN18.2. This section is really about complexity. We are now asking pathologists to visually score biology that is getting harder and harder to summarize consistently, especially when markers, spatial context, and multiplexing all start to matter at once. I make the case that computational pathology is becoming necessary here, not because pathologists are failing, but because the biology is outgrowing purely visual workflows. What ties these four papers together is simple: digital pathology is not only about remote reading anymore. It is about interoperability, quantification, explainable AI, and making pathology more precise in places where the old workflow is reaching its limit. If you are a pathologist, lab leader, or digital pathology trailblazer trying to figure out what actually matters right now, this episode will help you connect the dots.Episode Highlights 07:41 – Why DICOM still matters if we want digital pathology systems to work together. 14:39 – Current adoption of SVS, MRXS, and DICOM, and why DICOM is still lagging. 16:44 – How the DICOM whole slide image pyramid works and why it matters for workflow. 24:29 – Why kidney transplant rejection is still difficult to diagnose with any single marker. 29:18 – Why perineural invasion is clinically important and still inconsistently reported. 34:44 – How AI can quantify tumor-nerve relationships more consistently than visual review alone. 46:39 – Why gastric cancer biomarker scoring is getting too complex for purely visual workflows. 54:55 – Multiplexing, spatial biology, and why explainable AI matters in biomarker interpretation. 01:04:01 – What is really blocking digital pathology adoption: cost, workflow, regulation, or mindset? Resources mentionedDICOM / digital pathology interoperability paper https://pubmed.ncbi.nlm.nih.gov/42093730/Kidney transplant rejection, biomarkers, and artificial intelligence https://pubmed.ncbi.nlm.nih.gov/42073482/Perineural invasion in solid tumors with AI and machine learning applications https://pubmed.ncbi.nlm.nih.gov/42100436/Gastric cancer IHC biomarkers, advanced detection methods, and perspectives https://pubmed.ncbi.nlm.nih.gov/42075555/Digital Pathology Place https://digitalpathologyplace.comDigital Pathology 101 Free PDF book mentioned at the end of the episode through Digital Pathology Place.Support the showGet the "Digital Pathology 101" FREE E-book and join us!

Project Oncology®
ReDiscover-2: Currently Enrolling Patients With PIK3CA-Mutated Advanced Breast Cancer

Project Oncology®

Play Episode Listen Later May 15, 2026 16:45


Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Sarah Sammons, MD Despite advances in the treatment of HR-positive HER2-negative advanced breast cancer, patients with PIK3CA-mutated disease who progress after a CDK4/6 inhibitor still face limited effective and tolerable treatment options.1 This unmet need has fueled interest in zovegalisib (formerly RLY-2608), a next generation, pan-mutant-selective PI3Kα inhibitor designed to spare wild-type protein and potentially reduce class-related toxicities.2 Dr. Sarah Sammons joins Dr. Charles Turck to review key findings from the first-in-human ReDiscover trial of zovegalisib + fulvestrant that supported initiation of the Phase 3 ReDiscover-2 study3,4, which is currently enrolling. They also discuss ReDiscover-2 eligibility criteria, along with patient selection and screening considerations, using hypothetical case scenarios. Dr. Sammons is the Associate Director of the Metastatic Breast Cancer Program at the Dana-Farber Cancer Institute in Boston, Massachusetts. References: Mishra R, Patel H, Alanazi S, Kilroy MK, Garrett JT. PI3K inhibitors in cancer: clinical implications and adverse effects. Int J Mol Sci. 2021;22(7)doi:10.3390/ijms22073464 Varkaris A, Pazolli E, Gunaydin H, et al. Discovery and clinical proof-of-concept of RLY-2608, a first-in-class mutant-selective allosteric PI3Kα inhibitor that decouples antitumor activity from hyperinsulinemia. Cancer Discovery. 2024;14(2):240–257. doi:10.1158/2159-8290.cd-23-0944 ClinicalTrials.gov. NCT06982521. Accessed April 12, 2026. https://clinicaltrials.gov/study/NCT06982521 Rugo HS, Saura C, Jhaveri K, et al. Poster PS5-08-25: …

patients massachusetts discovery phase associate director clinical trials rediscover pharmd rmd enrolling dana farber cancer institute her2 bcps mutated sammons cdk4 pi3k reachmd advanced breast cancer pik3ca oncology and hematology int j mol sci medical industry feature charles turck host charles turck oncology - hematology
Medical Industry Feature
ReDiscover-2: Currently Enrolling Patients With PIK3CA-Mutated Advanced Breast Cancer

Medical Industry Feature

Play Episode Listen Later May 15, 2026 16:45


Host: Charles Turck, PharmD, BCPS, BCCCP Guest: Sarah Sammons, MD Despite advances in the treatment of HR-positive HER2-negative advanced breast cancer, patients with PIK3CA-mutated disease who progress after a CDK4/6 inhibitor still face limited effective and tolerable treatment options.1 This unmet need has fueled interest in zovegalisib (formerly RLY-2608), a next generation, pan-mutant-selective PI3Kα inhibitor designed to spare wild-type protein and potentially reduce class-related toxicities.2 Dr. Sarah Sammons joins Dr. Charles Turck to review key findings from the first-in-human ReDiscover trial of zovegalisib + fulvestrant that supported initiation of the Phase 3 ReDiscover-2 study3,4, which is currently enrolling. They also discuss ReDiscover-2 eligibility criteria, along with patient selection and screening considerations, using hypothetical case scenarios. Dr. Sammons is the Associate Director of the Metastatic Breast Cancer Program at the Dana-Farber Cancer Institute in Boston, Massachusetts. References: Mishra R, Patel H, Alanazi S, Kilroy MK, Garrett JT. PI3K inhibitors in cancer: clinical implications and adverse effects. Int J Mol Sci. 2021;22(7)doi:10.3390/ijms22073464 Varkaris A, Pazolli E, Gunaydin H, et al. Discovery and clinical proof-of-concept of RLY-2608, a first-in-class mutant-selective allosteric PI3Kα inhibitor that decouples antitumor activity from hyperinsulinemia. Cancer Discovery. 2024;14(2):240–257. doi:10.1158/2159-8290.cd-23-0944 ClinicalTrials.gov. NCT06982521. Accessed April 12, 2026. https://clinicaltrials.gov/study/NCT06982521 Rugo HS, Saura C, Jhaveri K, et al. Poster PS5-08-25: …

patients massachusetts discovery phase associate director clinical trials rediscover pharmd rmd enrolling dana farber cancer institute her2 bcps mutated sammons cdk4 pi3k reachmd advanced breast cancer pik3ca oncology and hematology int j mol sci medical industry feature charles turck host charles turck oncology - hematology
Empowered Patient Podcast
Next Generation Bispecific Antibody Drug Conjugates Improves Targeting of Solid Tumors with Dr. Mayank Gandhi NEOK Bio

Empowered Patient Podcast

Play Episode Listen Later May 14, 2026 20:28


Dr. Mayank Gandhi, CEO of NEOK Bio, discusses the company's work on bispecific antibody drug conjugates and the limitations of conventional ADCs, which target a single antigen. Using a bispecific antibody to target two unique antigens on a tumor can address the shortcomings of earlier approaches by improving delivery of the toxic payload, overcoming tumor heterogeneity, and reducing off-target toxicity.  NEOK has drugs in development for prostate cancer, and lung, head, neck, and gastrointestinal tumors. The trend for ADCs is toward multi-specific and multi-payload drugs, though Mayank warns it is not a simple task to go from one to many in designing these drug conjugates. Mayank explains, "There have been a lot of advancements in the last couple of decades, and especially the last few years, in various modalities in the treatment of hematological cancers, as well as to a certain degree in solid tumors. However, for many, many solid tumors, there's still a high unmet need given the still significant outcome, poor outcomes that patients experience, particularly with patients having metastatic disease across a variety of solid tumors. Now, if you look at specific modality like ADC or antibody drug conjugates, which is where NEOK Bio is, there's been a renaissance, if you will, with this modality in the last five to six years, particularly after the approval of a drug called Enhertu, which targets HER2 mutation. Now, many ADCs have been approved with different payloads. And so definitely that's made a dent in a variety of tumors, particularly in hematological cancers and select solid tumors as well."   "Conventional ADCs thus far target one antigen or one target on a tumor. So it's an antibody-based approach. The antibody is typically pursuing one specific antigen that's usually an antigen that's expressed on tumors selectively versus normal tissue or normal cells. And then you have a linker and a payload, usually a toxic payload that's conjugated via a linker to the antibody. So that's an antibody drug conjugate construct."   "Thus far, all the ADCs approved have been targeting only one antigen with a couple of different payloads. And so our bispecific approach is targeting two different antigens. If we use a bispecific antibody that targets two unique antigens on the tumor, we have more than one place that a potential antibody can bind and deliver the toxic payload. And then we have made some very significant improvements or changes in the antibody itself." #NEOKBio #DrugDevelopment #Innovation #AntibodyDrugConjugates #ADC #Oncology #Biotech#Oncology #SolidTumors #BispecificADC #CancerResearch #TranslationalResearch #MedicalOncology #HematologyOncology #ClinicalTrials #Biotech #Pharma #DrugDevelopment #PrecisionOncology #TumorMicroenvironment #TargetedTherapy NEOKBio.com Download the transcript here

Empowered Patient Podcast
Next Generation Bispecific Antibody Drug Conjugates Improves Targeting of Solid Tumors with Dr. Mayank Gandhi NEOK Bio TRANSCRIPT

Empowered Patient Podcast

Play Episode Listen Later May 14, 2026


Dr. Mayank Gandhi, CEO of NEOK Bio, discusses the company's work on bispecific antibody drug conjugates and the limitations of conventional ADCs, which target a single antigen. Using a bispecific antibody to target two unique antigens on a tumor can address the shortcomings of earlier approaches by improving delivery of the toxic payload, overcoming tumor heterogeneity, and reducing off-target toxicity.  NEOK has drugs in development for prostate cancer, and lung, head, neck, and gastrointestinal tumors. The trend for ADCs is toward multi-specific and multi-payload drugs, though Mayank warns it is not a simple task to go from one to many in designing these drug conjugates. Mayank explains, "There have been a lot of advancements in the last couple of decades, and especially the last few years, in various modalities in the treatment of hematological cancers, as well as to a certain degree in solid tumors. However, for many, many solid tumors, there's still a high unmet need given the still significant outcome, poor outcomes that patients experience, particularly with patients having metastatic disease across a variety of solid tumors. Now, if you look at specific modality like ADC or antibody drug conjugates, which is where NEOK Bio is, there's been a renaissance, if you will, with this modality in the last five to six years, particularly after the approval of a drug called Enhertu, which targets HER2 mutation. Now, many ADCs have been approved with different payloads. And so definitely that's made a dent in a variety of tumors, particularly in hematological cancers and select solid tumors as well."   "Conventional ADCs thus far target one antigen or one target on a tumor. So it's an antibody-based approach. The antibody is typically pursuing one specific antigen that's usually an antigen that's expressed on tumors selectively versus normal tissue or normal cells. And then you have a linker and a payload, usually a toxic payload that's conjugated via a linker to the antibody. So that's an antibody drug conjugate construct."   "Thus far, all the ADCs approved have been targeting only one antigen with a couple of different payloads. And so our bispecific approach is targeting two different antigens. If we use a bispecific antibody that targets two unique antigens on the tumor, we have more than one place that a potential antibody can bind and deliver the toxic payload. And then we have made some very significant improvements or changes in the antibody itself." #NEOKBio #DrugDevelopment #Innovation #AntibodyDrugConjugates #ADC #Oncology #Biotech#Oncology #SolidTumors #BispecificADC #CancerResearch #TranslationalResearch #MedicalOncology #HematologyOncology #ClinicalTrials #Biotech #Pharma #DrugDevelopment #PrecisionOncology #TumorMicroenvironment #TargetedTherapy NEOKBio.com Listen to the podcast here

The Burn
Ready for Battle with Liz McFarland

The Burn

Play Episode Listen Later May 13, 2026 30:49


Liz McFarland was diagnosed with HER2+ breast cancer at 39. A realtor and proud choice mom to two young adults, Liz joins this episode to read her essay “Ready for Battle” from the 2025 Body issue of Wildfire Journal.Her piece explores beauty and body image, the lasting impact of middle school shame, and the complicated realities of silicone, surgery, sensation, and sagging. At its heart, it's about vulnerability — about what happens when we stop pretending to be warriors and simply tell the truth.Liz and April discuss the need to control the small things during cancer, how adolescent experiences shape our emotional terrain, the persistence of body shame, and what survivorship looks like for Liz now, thirteen years after diagnosis.More about episode sponsor Resensation: https://www.resensation.com/Learn more about Liz:https://www.instagram.com/lizzymcfarland/Purchase the Body issue of Wildfire Journal: `https://www.wildfirecommunity.org/shop/p/print-body25Buy the Wildfire book Igniting the Fire Within: Stories of Healing, Hope & Humor, Inside Today's Young Breast Cancer Community: https://www.amazon.com/dp/B0BJVJ629F?ref_=pe_3052080_397514860Get the free Wildfire “Hot Flashes” email newsletter: https://www.wildfirecommunity.org/newsletter?rq=newsletterLearn about Wildfire writing workshops: https://www.wildfirecommunity.org/workshopsShop Wildfire merch & more: https://www.wildfirecommunity.org/shop*Free* Get Wildfire and The Burn freebies here: https://www.wildfirecommunity.org/freeMore about Wildfire Journal: https://www.wildfirecommunity.orghttps://www.instagram.com/wildfire_bc_magazine/https://www.facebook.com/wildfirecommunityInformation on submitting your story for consideration to be published in Wildfire Journal: https://www.wildfirecommunity.org/submissions

Oncology Brothers
How to Treat Metastatic NSCLC with Targetable Mutations – Treatment Algorithm with Dr. Eric Singhi

Oncology Brothers

Play Episode Listen Later May 11, 2026 21:17


Welcome to the Oncology Brothers podcast! In this episode, we dived deep into the exciting world of metastatic non-small cell lung cancer (NSCLC) with a focus on targeted mutations in the frontline setting. Listen us on: Spotify: https://open.spotify.com/show/31BXhY9FM4gPWG10WgE11o Apple Podcast: https://podcasts.apple.com/us/podcast/oncology-brothers-practice-changing-cancer-discussions/id1653340966 Follow us on social media: X/Twitter: https://twitter.com/oncbrothers ⁠Instagram: https://www.instagram.com/oncbrothers Website: https://oncbrothers.com/ We were joined by Dr. Eric Singhi from MD Anderson Cancer Center, to discuss the latest advancements in treatment options, including: Common EGFR mutations and the benefits of combination therapies over single-agent osimertinib. The role of CNS involvement in treatment decisions and the importance of patient-centered care. Strategies for managing disease progression and the significance of re-biopsy. Insights into ALK-positive disease, including the efficacy of lorlatinib and alectinib. The latest developments in treating rare mutations like NTRK, MET, RET, and HER2. With a wealth of clinical data and practical insights, this episode is packed with valuable information for oncologists and healthcare professionals. Tune in to learn how to navigate the complexities of NSCLC treatment and improve patient outcomes. Don't forget to subscribe for more discussions on oncology topics and share your thoughts in the comments below! #LungCancer, #TargetedTherapy, #PrecisionMedicine, #NGS, #OncologyBrothers

VOV - Việt Nam và Thế giới
Tin thế giới - Trung Quốc phê duyệt thuốc điều trị ung thư vú tiên tiến cho sử dụng rộng rãi

VOV - Việt Nam và Thế giới

Play Episode Listen Later May 9, 2026 1:13


VOV1 - Cục Giám sát, quản lý dược phẩm quốc gia Trung Quốc vừa phê duyệt một loại thuốc điều trị ung thư vú tiên tiến do nước này phát triển mang tên Culmerciclib, cho phạm vi sử dụng rộng rãi, mở ra lựa chọn điều trị mới cho bệnh nhân mắc ung thư vú tiến triển.Culmerciclib là thuốc dạng viên nang do Tập đoàn dược phẩm Chia Tai Tianqing (Chia Tai Tianqing Pharmaceutical Group), một công ty con của Tập đoàn dược phẩm Sino (Sino Biopharmaceutical) phát triển.Theo thông báo từ công ty, thuốc đã được Cục Giám sát, quản lý dược phẩm quốc gia Trung Quốc phê duyệt để kết hợp với fulvestrant, sử dụng làm phương pháp điều trị cơ bản cho bệnh nhân ung thư vú tiến triển tại chỗ hoặc di căn, có thụ thể hormone dương tính, HER2 âm tính (HR+/HER2−).Việc phê duyệt này đánh dấu chỉ định thứ hai cho Culmerciclib tại Trung Quốc, mở rộng phạm vi từ điều trị cho bệnh nhân tiến triển sau khi điều trị nội tiết trước đó sang điều trị cơ bản. Culmerciclib là thuốc ức chế CDK2/4/6 đầu tiên trên thế giới, thuộc nhóm thuốc nhắm mục tiêu, được thiết kế để ngăn chặn các protein mà tế bào ung thư dựa vào để phát triển và phân chia.Trước đó, vào tháng 12 năm ngoái, Culmerciclib cũng đã được phê duyệt kết hợp với fulvestrant cho bệnh nhân ung thư vú HR+/HER2− sau điều trị nội tiết, mang lại lợi ích cho hơn 1.000 bệnh nhân trong thực tiễn lâm sàng.Ung thư vú là loại ung thư phổ biến nhất ở phụ nữ trên toàn cầu và tại Trung Quốc. Trong đó, ung thư vú HR+/HER2− chiếm khoảng 65–70% tổng số ca mắc. Việc mở rộng chỉ định Culmerciclib được kỳ vọng sẽ nâng cao hiệu quả điều trị và cải thiện chất lượng sống cho bệnh nhân tại Trung Quốc./.Trung Kiên/VOV Bắc KinhCulmerciclib đã được phê duyệt làm thuốc điều trị cơ bản cho ung thư vú tại Trung Quốc. Ảnh trên trang chủ của Chia Tai Tianqing Pharmaceutical Group

Mr. Worldwide and His Bride: Living Your Best Life
She Almost Skipped Her Follow-Up Mammogram. Her Results Changed Everything. Triple Positive Breast Cancer

Mr. Worldwide and His Bride: Living Your Best Life

Play Episode Listen Later May 8, 2026 55:39


Melissa Mariano is a 43-year-old Canadian flight attendant living in Dubai who was diagnosed with triple positive (ER+, PR+, HER2+) breast cancer after a routine mammogram...zero symptoms, zero lumps. She almost skipped her follow-up appointment. In this episode, she shares how she went from stage 0 DCIS to navigating Herceptin without chemo, low-dose "Baby Tam," the Dutch test, and a radical people-pleasing wake-up call that changed everything. In this episode we cover: How calcifications on a mammogram went from "nothing to worry about" to a biopsy — and why she delayed 4 months The vacuum-assisted biopsy that may have removed her invasive cancer entirely before surgery even happened Why her final pathology came back DCIS only, stage 0 — and what triple positive actually means 18 rounds of Herceptin (anti-HER2) with NO chemo — and the NCCN guideline that made that possible The Italian Clancy study on "Baby Tam" (5mg Tamoxifen) and why she's tapering down from 20mg Dutch test results: high estrogen, good methylation — what it means and what she's doing about it Supplements she's using: L-theanine, Relora, liposomal glutathione, DIM (cycled), NAC Sauna 2x/week, red light therapy, hyperbaric oxygen, yin yoga, sound healing, Reiki, breathwork — her full protocol Egg freezing for fertility preservation before starting Tamoxifen The people-pleasing pattern she believes contributed to her diagnosis — and the shift that changed everything Why she says: "I'm no longer a phony — but I am my priority" Links & Resources: Clancy Study on Low-Dose Tamoxifen (Baby Tam / 5mg): READ HERE NCCN Guidelines for Breast Cancer: READ HERE Connect with Melissa Mariano: https://www.instagram.com/melidubai/ Not Today Cancer Inner Circle (weekly live calls, community support): [INFO HERE] BrocElite: 20% off here Chapter Markers (estimated) 00:00 — Intro: Meet Melissa — Dubai life, flight attendant, Italian roots 04:00 — The mammogram that almost didn't happen: calcifications and a delayed follow-up 08:30 — Biopsy results: triple positive, Grade 2 IDC + high-grade DCIS 13:00 — MRI showed no mass enhancement — the biopsy may have removed the cancer 19:00 — Surgery, clear margins, final pathology: stage 0 DCIS 22:00 — 20 rounds radiation — spinning and yoga the whole way through 25:00 — Herceptin without chemo: the NCCN guideline that changed everything 28:00 — Tamoxifen side effects, Baby Tam, and the Italian Clancy study 34:00 — Dutch test results, functional gynecologist Dr. Maria, supplement protocol 38:00 — Sauna, red light, hyperbaric oxygen, yin yoga, sound healing 44:00 — "I'm no longer a phony — but I am my priority": the people-pleasing shift 50:00 — What cancer gave her: resilience, perspective, advocacy 54:00 — Closing: the "Nope. Not Today." shirt moment + not today cancer Medical disclaimer: This episode is for informational and educational purposes only and is not intended as medical advice. Always consult your own oncologist, physician, or qualified healthcare provider before making any decisions about your diagnosis, treatment, or supplement protocol.

OncLive® On Air
S17 Ep20: Biomarker-Directed Therapies Move the GI Oncology Paradigm Beyond a One-Size-Fits-All Approach: With Michael J. Pishvaian, MD, PhD

OncLive® On Air

Play Episode Listen Later May 8, 2026 22:55


Welcome to OncLive On Air®! I'm your host today, Courtney Flaherty.OncLive On Air is a podcast from OncLive®, which provides oncology professionals with the resources and information they need to provide the best patient care. In both digital and print formats, OncLive covers every angle of oncology practice, from new technology to treatment advances to important regulatory decisions. In today's episode, Michael J. Pishvaian, MD, PhD, sat down to discuss the evolving role of biomarker-directed strategies in gastrointestinal (GI) oncology, as well as the importance of early comprehensive testing to identify molecular drivers and resistance mechanisms when approaching frontline treatment selection and sequencing. Pishvaian serves as director of the Gastrointestinal, Developmental Therapeutics, and Clinical Research Programs for the Johns Hopkins Kimmel Cancer Center in the National Capital Region.Pishvaian began the discussion by highlighting the shift from a disease-site-specific approach to a molecularly defined paradigm, noting that microsatellite instability–high status and NTRK fusions now dictate therapy regardless of tumor origin. He reviewed the transformational data from the phase 3 HERIZON-GE-01 trial (NCT04276493), positing that zanidatamab (Ziihera) could become the new standard of care for HER2-positive upper GI cancers due to unprecedented survival outcomes. He also emphasized the emergence of Claudin 18.2-directed therapies, noting that data from the phase 2 ILUSTRO study (NCT03505320) demonstrates remarkable progression-free survival when adding zolbetuximab (Vyloy) to mFOLFOX6 and nivolumab (Opdivo) for high-expressing subgroups.The conversation then shifted to colorectal cancer, where Dr. Pishvaian detailed how data from the phase 3 BREAKWATER trial (NCT03845036) has "locked in" a paradigm requiring frontline testing for BRAF V600E mutations to guide the use of encorafenib (Braftovi) plus cetuximab (Erbitux). He also discussed the "care revolution" in KRAS inhibition, spotlighting the significant survival benefits seen with daraxonrasib in pancreatic cancer and the potential for novel allele-specific inhibitors to combat disease resistance.Finally, Pishvaian addressed the practicalities of implementation, noting that testing rates in the community remain low. He advocated for prioritizing testing, including liquid biopsies and ctDNA, at the time of initial diagnosis to ensure no patient is left behind.This content is a production of OncLive; this OncLive On Air podcast episode is supported by funding, however, content is produced and independently developed by OncLive.

Oncology Brothers
How to Treat Metastatic NSCLC W/O Targeted Mutations – Treatment Algorithm with Dr. Christine Garcia

Oncology Brothers

Play Episode Listen Later May 7, 2026 23:04


Welcome to the Oncology Brothers podcast! In this episode, we dived deep into the treatment algorithm for metastatic non-small cell lung cancer (NSCLC) without actionable driver mutations in frontline settings. Listen us on: Spotify: https://open.spotify.com/show/31BXhY9FM4gPWG10WgE11o Apple Podcast: https://podcasts.apple.com/us/podcast/oncology-brothers-practice-changing-cancer-discussions/id1653340966 Follow us on social media: ⁠X/Twitter: https://twitter.com/oncbrothers ⁠Instagram: https://www.instagram.com/oncbrothers Website: https://oncbrothers.com/ We discussed the latest updates in lung cancer treatment, including the recent approval of Teliso-V for C-MET overexpressing disease and Zongertinib for HER2 positive cases. We explored the nuances of choosing between single-agent and dual checkpoint inhibitors, the role of PD-L1 scores, and the impact of molecular testing on treatment decisions. Special guest Dr. Christine Garcia, a thoracic medical oncologist and fellowship program director at Weill Cornell Medicine, shared her insights on the importance of biomarker testing, the implications of STK11 and KEAP1 mutations, and the evolving landscape of KRAS inhibitors. Key topics covered in this episode: The significance of NGS testing and PD-L1 scores in treatment decisions The role of chemotherapy in high PD-L1 patients Insights on dual checkpoint inhibitors based on recent clinical trials The latest options for KRAS G12C mutations and C-MET overexpression Practical considerations for managing treatment-related side effects Tune in for an informative discussion that bridges the gap between academic research and community practice in oncology. Don't forget to subscribe for more episodes on treatment algorithms and the latest in cancer care! #MetastaticNSCLC, #Immunotherapy, #KRASG12C, #BiomarkerTesting, #OncologyBrothers

OncLive® On Air
S17 Ep18: Metastatic Bladder Cancer 2026 UPDATE

OncLive® On Air

Play Episode Listen Later May 4, 2026 9:20


Two Onc Docs, hosted by Samantha A. Armstrong, MD, and Karine Tawagi, MD, is a podcast dedicated to providing current and future oncologists and hematologists with the knowledge they need to ace their boards and deliver quality patient care. Dr Armstrong is a hematologist/oncologist and assistant professor of clinical medicine at Indiana University Health in Indianapolis. Dr Tawagi is a hematologist/oncologist and assistant professor of clinical medicine at the University of Illinois in Chicago.In this episode, OncLive On Air® partnered with Two Onc Docs to provide a comprehensive review of metastatic urothelial carcinoma management, contrasting historical standards with the rapidly evolving frontline paradigm. As the field transitions into a new era of care, Drs Armstrong and Tawagi emphasized the importance of understanding trial data and toxicity management for both board preparation and clinical practice.The discussion began with details about the historical treatment paradigm, which relied on platinum-based chemotherapy followed by maintenance avelumab for patients who did not progress. However, the experts noted that the current SOC has shifted dramatically following findings from the landmark EV-302 trial, which evaluated the combination of enfortumab vedotin and pembrolizumab.They also explained that the toxicities associated with enfortumab vedotin plus pembrolizumab are highly testable and clinically relevant. Key adverse effects include skin toxicity and peripheral neuropathy, they said. Additionally, the hosts highlighted hyperglycemia and the risk of diabetic ketoacidosis, and emphasized that ocular toxicities, specifically dry eyes, also necessitate referrals to ophthalmology.In the second-line setting following enfortumab vedotin plus pembrolizumab, Drs Armstrong and Tawagi noted that the paradigm unclear, though treatment options include platinum-based chemotherapy or targeted agents. They recommended testing for FGFR mutations to determine patient eligibility for erdafitinib, as well as testing for HER2 expression to determine eligibility for trastuzumab deruxtecan.They also reported that for localized high-grade upper tract urothelial carcinoma, treatment options include neoadjuvant split-dose gemcitabine/cisplatin or upfront surgery followed by adjuvant chemotherapy. In the metastatic setting, they noted that rare disease variants like small cell carcinoma are treated with platinum doublets and immunotherapy, whereas adenocarcinoma management may require FOLFOX.

Pharma and BioTech Daily
AstraZeneca's $5B Setback: FDA Rejects New Cancer Drug | Pharma and Biotech Daily

Pharma and BioTech Daily

Play Episode Listen Later May 4, 2026 5:46


Good morning from Pharma Daily: the podcast that brings you the most important developments in the pharmaceutical and biotech world. Today, we delve into the transformative dynamics shaping the industry, from financial innovations to regulatory hurdles, each having profound implications for patients and stakeholders alike. The pharmaceutical and biotech industries are in the midst of a transformative period, grappling with the challenge of making advanced therapies, particularly cell and gene therapies, both financially sustainable and accessible. These treatments, often delivered in a single dose with curative potential, pose significant financial challenges due to their high upfront costs. The existing healthcare framework, especially in the U.S., struggles to accommodate these costs because of its reliance on annual insurance cycles and employer-based coverage. This issue is further exacerbated by the pricing strategies adopted by pharmaceutical companies, which often set high list prices to fulfill shareholder expectations while inadvertently creating barriers to accessibility. A notable proposal to address this challenge comes from Jennifer Hinkel, president of Sigla Sciences. She suggests a novel approach through the securitization of therapeutic risks—a financial innovation that holds potential to revolutionize funding for these therapies. Her model envisions a consortium of banks and hedge funds pooling resources to make immediate payments to pharmaceutical companies based on clinical success milestones. This setup allows risk distribution across payers through subscription fees, making high-cost therapies predictable rather than catastrophic expenses. Drawing parallels with parametric insurance models like weather derivatives, Hinkel's approach requires robust data infrastructure for tracking patient outcomes and standardized contracts for clarity in transactions. The successful implementation of this model necessitates bridging communication gaps between finance and biotech sectors, as both operate under different paradigms. Standardizing contracts akin to those used in mortgage-backed securities could further enhance clarity and comparability. Several key developments are essential for this model to materialize: building comprehensive data systems for accurate patient outcome tracking, creating uniform contracts to ease transaction complexities, fostering cross-sector communication for mutual understanding, adapting regulatory frameworks to support these financial instruments while safeguarding patient safety, and educating industry professionals on these innovations' benefits. The implications of such an approach could be groundbreaking, potentially reshaping how therapeutic risks are managed across stakeholders. Despite significant challenges like data infrastructure and cross-sector collaboration, the potential rewards justify further exploration. As biotech innovations continue with advancements like CRISPR gene editing and personalized medicine becoming more prevalent, sustainable financial models will be critical for ensuring these life-saving therapies reach those in need. Turning now to recent developments within the sector that highlight both scientific breakthroughs and regulatory challenges: AstraZeneca faced a setback with its oral selective estrogen receptor degrader camizestrant. An FDA panel voted against its use in first-line settings for hormone receptor-positive, HER2-negative metastatic breast cancer—a blow to AstraZeneca's strategy targeting $5 billion in peak sales. This decision underscores the regulatory hurdles involved in leveraging new mechanisms of action for cancer treatments, emphasizing the necessity for robust clinical data. In another significant shift, Johnson & Johnson has decided to discontinue its CAR-T cell therapy programs despite earlier projections of promising efficacy and potential peak sales Support the show

Breast Cancer Conversations
295. Stage 4 De Novo with Brain Mets Virginia Rodriguez First Line Treatment on Verzenio

Breast Cancer Conversations

Play Episode Listen Later May 3, 2026 16:59


Love the podcast? Send us a text!In this episode of Breast Cancer Conversations, Laura speaks with Virginia Rodriguez, who was diagnosed with stage 4 de novo metastatic breast cancer after experiencing progressive weakness, digestive issues, dehydration, and a dramatic decline in her ability to walk and function.Virginia shares what it was like to go from hiking the Camino de Santiago to struggling to climb the stairs in her own home, the emotional experience of finally receiving a diagnosis after months of unanswered symptoms, and how her care team identified breast cancer that had spread to multiple areas, including her brain, spine, liver, spleen, and bones.Virginia was placed on Verzenio, also known as abemaciclib, as part of her first line of treatment. Verzenio is an oral CDK4/6 inhibitor used in certain HR-positive, HER2-negative advanced or metastatic breast cancers, including in combination with endocrine therapy depending on a person's treatment history and clinical situationSupport the showListener FeedbackIf this episode resonated with you, we invite you to leave a review on Apple Podcasts or Spotify.You can also click the link in the show notes that says "Love this episode? Send us a text" to share feedback.Messages are completely anonymous.If you would like us to follow up directly, please include your email address in your message so we can respond.Latest News: Join our Mailing List - New content drops every Monday! Discover FREE programs, support groups, and resources from SurvivingBReastCancer.org! Become a Breast Cancer Conversations+ Member! Sign Up Now. Enjoying our content? Please consider supporting our work. 

PVRoundup Podcast
HER2 in Genitourinary Cancers: Clinical Relevance and Real-World Testing Considerations

PVRoundup Podcast

Play Episode Listen Later May 1, 2026 11:14


Drs. Mantia and Berg discuss HER2 as a biomarker in genitourinary cancers, focusing on testing strategies, prevalence, and the clinical implications of HER2 expression and ERBB2 mutations for patient management. They also review new data from ESMO 2025, highlighting the DISTINCT-1 trial and a HER2-targeted approach for high-risk upper tract genitourinary carcinoma.

OncLive® On Air
S17 Ep12: ADCs Change Treatment Paradigms and Challenge Standard AE Management Protocols in TNBC: With Sara Nunnery, MD, MSCI; and Irene Morae Kang, MD

OncLive® On Air

Play Episode Listen Later Apr 30, 2026 47:23


Breast Cancer Briefing, hosted by Sara Nunnery, MD, MSCI, a breast medical oncologist and the director of Breast Cancer Research at Tennessee Oncology in Nashville, is a podcast series that breaks down the latest news in breast cancer research, one conversation at a time.In part 2 of this conversation, filmed live onsite at the 43rd Annual Miami Breast Cancer Conference, Dr Nunnery sat down with Irene Morae Kang, MD, an assistant professor in the Department of Medical Oncology & Therapeutics Research and the medical director of Women's Health Medical Oncology at City of Hope Orange County in Irvine, California.Their discussion focuses on the rapidly evolving treatment paradigm for first-line metastatic triple-negative breast cancer (TNBC), including the emergence of new data that is shifting standards of care. Dr Kang explained that TNBC is defined by the absence of estrogen, progesterone, and HER2 receptors, which historically restricted treatment options to non-targeted chemotherapy. A primary focus of the conversation was the role of PD-L1 expression and the use of immunotherapy. Dr Kang described PD-L1 as a checkpoint inhibitor protein on cancer cells that shuts off the immune system. By blocking this protein, oncologists can keep the body's T-cells vigilant to fight the cancer. However, she noted that immunotherapy is typically reserved for the approximately 40% of patients who express PD-L1 and may be contraindicated for those with active autoimmune diseases or a history of severe immune-related toxicities.The dialogue transitioned into the use of antibody-drug conjugates (ADCs). Dr Kang reviewed data from major trials using TROP2-targeting ADCs in the first-line setting. Dr Kang emphasized the importance of using these highly effective agents early, as many patients with TNBC do not survive to receive a second line of therapy.Finally, Dr Kang highlighted the distinct toxicity profiles and administration schedules that guide clinical decision-making. Although sacituzumab govitecan-hziy (Trodelvy) is frequently associated with neutropenia and alopecia, the primary toxicities associated with datopotamab deruxtecan-dlnk (Dato-DXd; Datroway) are stomatitis and ocular adverse effects like dry eye. Using Dato-DXd in practice requires a rigorous prophylactic regimen, including steroid mouthwash and lubricating eye drops. Ultimately, Dr Kang noted that because efficacy appears similar between the 2 ADCs, the choice often rests on the patient's lifestyle, their ability to adhere to preventative AE protocols, and infusion schedule preference.

NEJM This Week — Audio Summaries
NEJM This Week — April 30, 2026

NEJM This Week — Audio Summaries

Play Episode Listen Later Apr 29, 2026 22:10


This week, we feature advances in targeted therapy for HER2-mutant lung cancer, interventions to reduce maternal infection, an emerging treatment for hemophilia A, and a new diagnostic test for tuberculosis. We review Barrett's esophagus and follow a case of systemic illness with kidney failure. Perspectives address GLP-1 drugs and eating disorders, directed blood donation, generic drug safety, and an in-flight medical emergency.

Keeping Current CME
Advancing Care in HER2-Mutated NSCLC: Evidence, Diagnostics, and Future Directions

Keeping Current CME

Play Episode Listen Later Apr 29, 2026 16:07


Do you know how to apply best practices for HER2 testing and identify patients who may benefit from targeted therapies? Join us to learn more! Credit available for this activity expires: 4/28/27 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/advancing-care-her2-mutated-nsclc-evidence-diagnostics-and-2026a1000d6g?ecd=bdc_podcast_libsyn_mscpedu

OncLive® On Air
S17 Ep9: Medical Crossfire®: Optimizing ESR1 Mutation Detection and Next-Generation Endocrine Therapy Integration in HR+/HER2– Breast Cancer

OncLive® On Air

Play Episode Listen Later Apr 28, 2026 31:02


In this podcast, experts V.K. Gadi, MD, PhD; Neil M. Iyengar, MD; and Heather McArthur, MD; discuss advances in breast cancer treatment, endocrine resistance and mutations, and emerging targeted therapies for early-stage and metastatic disease.

Real Pink
Episode 382: Faith. Survival. Purpose. The Journey from Survivor to Advocate

Real Pink

Play Episode Listen Later Apr 27, 2026 27:22


What does it take to turn the most terrifying moment of your life into a movement? For Yvonne McLean Florence, it started with discovering a lump she acted on right away. Yvonne is a HER2-positive breast cancer survivor, ordained minister, Worship in Pink Ambassador, former founder of Sisters R Us Circle of Survivors (SRUCOS) and is currently the reigning Ms. Pennsylvania Senior America 2025. But before all of that, she was a wife, a mother, a grandmother — and suddenly, a patient. In this powerful episode of Real Pink, Yvonne joins host Adam Walker to talk about what it felt like to receive a life-changing diagnosis, how her faith in God, family and friends carried her through chemotherapy and Herceptin infusions, and why she didn't stop when treatment ended. She'll share how she's bringing the conversation about breast health into churches across Philadelphia through Worship in Pink, what it means to build a Cancer Survivorship Resource Nook inside a congregation, and why she would like every survivor to discover how they can also reach back. This episode is part of our Health Equity Revolution series, which lifts up the voices, stories and solutions of the communities most impacted by breast cancer disparities.

Research To Practice | Oncology Videos
EGFR-Mutant Non-Small Cell Lung Cancer — Year in Review Series on Relevant New Datasets and Advances

Research To Practice | Oncology Videos

Play Episode Listen Later Apr 27, 2026 57:26


Featuring perspectives from Dr Suresh S Ramalingam and Dr Helena Yu, including the following topics: Introduction: Genomics of EGFR (and HER2) (0:00) Metastatic Disease (9:30) Localized Disease (30:22) EGFR Exon 20 Insertion Mutations (46:57) New Agents (54:20) CME information and select publications

Keeping Current CME
Cracking the Code: Optimizing Outcomes in All Patients With High-Risk HR+/HER2-Negative Early Breast Cancer

Keeping Current CME

Play Episode Listen Later Apr 27, 2026 34:46


Master assessing high-risk hormone receptor (HR)-positive/HER2-negative early breast cancer (EBC): outsmart recurrence with data-driven precision. Credit available for this activity expires: 04/27/2027 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/cracking-code-optimizing-outcomes-all-patients-high-risk-hr-2026a1000crj?ecd=bdc_podcast_libsyn_mscpedu

IDEA Collider
Vir Biotechnology: Marianne De Backer on Immuno-Oncology, Hepatitis Delta, and Biotech Turnarounds

IDEA Collider

Play Episode Listen Later Apr 27, 2026 36:29


In this episode of the IDEA Collider, host Mike Rea sits down with Marianne De Backer, CEO of Vir Biotechnology, to explore how she is leading one of biotech's most complex transformations.  After the rapid rise and decline of COVID-19 revenues tied to sotrovimab, Marianne stepped into Vir Bio in 2023 and led a bold strategic reset—refocusing the company on immuno-oncology, infectious disease, and platform-driven innovation.  The conversation dives into Vir Bio's next chapter, including its masked T-cell engager (TCE) pipeline and the PRO-XTEN® masking platform, which is designed to overcome the safety challenges of TCEs in the treatment of solid tumors by shielding therapies until they reach the tumor microenvironment.  They also discuss Vir Bio's advancing hepatitis delta program, currently in registrational Phase 3 trials, and the company's growing pipeline leveraging the synergy of its AI-driven discovery, protein engineering capabilities, and universal PRO-XTEN® masking technology.  Marianne shares what it takes to lead through a biotech downturn—from restructuring and capital discipline to rebuilding culture, integrating new teams, and positioning for long-term growth.  This episode is a deep dive into biotech turnaround strategy, next-generation cancer therapies, and leadership in times of uncertainty. Episode  Timestamps  00:00 – Introduction and Vir's transformation story  00:40 – Marianne De Backer's 30+ year pharma journey  02:42 – Vir's origins and post-COVID strategic pivot  04:42 – Taking over as CEO during a crisis  06:33 – Lessons from the biotech downturn (“biotech winter”)  08:56 – Astellas partnership and T-cell engager strategy  09:52 – ProXtend platform: masked T-cell engagers explained  13:24 – Clinical data, safety, and tumor targeting  15:32 – Integrating new teams and scientific expertise  17:38 – Expanding the pipeline (HER2, EGFR, oncology)  19:50 – Hepatitis delta program and commercialization plans  22:11 – Funding strategy and biotech market outlook  25:37 – FDA interactions and regulatory perspective  28:13 – AI in drug discovery and clinical trials (Daisy platform)  31:34 – Culture: grit, ingenuity, collaboration, authenticity  34:21 – Personal reflections and leadership mindset  35:46 – Closing thoughts  Don't forget to Like, Share, Subscribe, Rate, and Review!      Keep up with Marianne De Backer;  LinkedIn: https://www.linkedin.com/in/marianne-d-de-backer-msc-phd-mba-73403411/  Website: https://www.vir.bio/      Follow IDEA Pharma On;  Website: https://www.ideapharma.com/  LinkedIn: https://www.linkedin.com/company/idea-pharma   Listen to more fantastic podcast episodes: https://ideacollider.simplecast.com/

OncLive® On Air
S17 Ep5: Medical Crossfire® Expanding Options, Evolving Challenges in Advanced HR+/HER2– Breast Cancer: How Experts Apply the Latest Data

OncLive® On Air

Play Episode Listen Later Apr 23, 2026 29:34


In this podcast, experts Kevin Kalinsky, MD, MS; Adam Brufsky, MD, PhD; Kelly Elizabeth McCann, MD, PhD; and Sara Nunnery, MD, MSCI, review pivotal clinical trials investigating novel endocrine therapies and targeted combination regimens for hormone receptor-positive, HER2-negative metastatic breast cancer, and discuss strategies for selecting the optimal treatment approach for individual patients.

Keeping Current CME
Challenging the Confines of Risk of Recurrence in High-Risk HR+/HER2- Early Breast Cancer

Keeping Current CME

Play Episode Listen Later Apr 23, 2026 25:44


Are you confident in identifying the risk for recurrence in early-stage HR-positive, HER2-negative breast cancer? Credit available for this activity expires: [04/21/27] Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/challenging-confines-risk-recurrence-high-risk-hr-her2-early-2026a1000bq3?ecd=bdc_podcast_libsyn_mscpedu

Keeping Current CME
Lessons From the Real World: Treating High Risk HR+/HER2- Breast Cancer According to the Latest Evidence

Keeping Current CME

Play Episode Listen Later Apr 22, 2026 32:24


Risk vs Biology: Which carries more weight in the decision to escalate therapy? Credit available for this activity expires: 04/21/2027 Earn Credit / Learning Objectives & Disclosures: https://www.medscape.org/viewarticle/lessons-real-world-treating-high-risk-hr-her2-breast-cancer-2026a1000bhd?ecd=bdc_podcast_libsyn_mscpedu

OncLive® On Air
S17 Ep4: Show Me the Data: Translating Clinical and Practice-Based Evidence on Oral SERDs Into Everyday Care for HR+/HER2– Metastatic Breast Cancer

OncLive® On Air

Play Episode Listen Later Apr 21, 2026 30:08


In this podcast, experts Reshma L. Mahtani, DO; Kamel Abou Hussein, MD; and Irene Kang, MD; discuss how to translate clinical and real-world evidence regarding oral selective estrogen receptor degraders (SERDs) and targeted combination therapies into everyday clinical practice for managing hormone receptor–positive/HER2-negative metastatic breast cancer.

OncLive® On Air
S17 Ep3: OncoBytes Adaptive Learning Pathways: Personalizing Treatment Plans to Optimize Adjuvant Therapy in Early-Stage HR+/HER2– Breast Cancer

OncLive® On Air

Play Episode Listen Later Apr 20, 2026 30:30


In this podcast, experts Joyce O'Shaughnessy, MD; Virginia Kaklamani, MD, DSc; and Seth A. Wander, MD, PhD; discuss real-world insights into tailoring adjuvant therapy regimens in hormone receptor–positive/HER2-negative (HR+/HER2–) early breast cancer (eBC).

Cardionerds
446. The SGLT2i Effect – Protection Against Cancer Therapy-Related Cardiac Dysfunction with Dr. Manu Mysore

Cardionerds

Play Episode Listen Later Apr 16, 2026 16:19


CardioNerds (Drs. Natalie Marrero, Shivani Reddy, and Rebecca S. Steinberg), discuss the role of SGLT2i in cancer therapy-related cardiac dysfunction (CTRCD) with Dr. Manu Murali Mysore. This episode was produced as part of the CardioNerds Academy curriculum by House Taussig under the guidance of House Chief, Dr. Natalie Marrero, and Academy Program Director, Dr. Gurleen Kaur. A matching review article will be published in US Cardiology Review, the official journal of CardioNerds. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Summary: Cancer therapy-related cardiac dysfunction (CTRCD) spans a spectrum from subclinical biomarker elevation to overt heart failure, with risk amplified by preexisting cardiovascular disease, diabetes, hypertension, obesity, and exposure to therapies, such as anthracyclines, HER2-targeted therapies, or radiation. This episode explores the emerging and promising role of SGLT2 inhibitors as a cardioprotective adjunct in cardio-oncology — examining mechanisms, clinical evidence, ongoing trials, and critical knowledge gaps — while affirming that guideline-directed medical therapy remains the cornerstone of prevention and treatment. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. US Cardiology Review is now the official journal of CardioNerds! Submit your manuscript here. CardioNerds Cardio-Oncology PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls CTRCD is a spectrum — catch it early. CTRCD ranges from subclinical injury detected by imaging and biomarkers to overt heart failure. Early identification in high-risk patients (preexisting CVD, diabetes, HTN, obesity, anthracycline/HER2/radiation exposure) is essential, and early initiation of guideline-directed medical therapy — including ACE inhibitors/ARBs/ARNIs, mineralocorticoid receptor antagonists, and beta-blockers — remains the backbone of prevention and treatment to preserve LVEF and allow safe continuation of cancer therapy. SGLT2 inhibitors are a promising new pillar of cardioprotection in cardio-oncology. They act through a unique combination of mechanisms: renal effects, metabolic reprogramming of the myocardium, anti-inflammatory and antioxidant pathways, and vascular fibrosis modulation — making them a compelling complement to standard therapies rather than a replacement. Early clinical data is encouraging but not yet definitive. The 2024 EMPACARD-PILOT trial demonstrated preserved LVEF and reduced CTRCD in higher-risk patients with diabetes or kidney disease. Ongoing trials — EMPACT and PROTECT — are actively exploring SGLT2 inhibitors for primary prevention during anthracycline and HER2-targeted therapy. SGLT2 inhibitors are NOT yet indicated for ICI-related myocarditis. Immune checkpoint inhibitor (ICI)-related myocarditis is mechanistically immune-driven. While SGLT2 inhibitors have theoretically anti-inflammatory benefits, there is currently no clinical evidence to support their use in this specific setting. The use of SGLT2 inhibitors should be guided by patient risk, existing indications, and ongoing research. Large prospective trials, clarity on timing and patient selection, long-term safety data, and deeper mechanistic understanding in humans remain the most urgent gaps in the field before broader adoption can be recommended. References Theofilis P, Vlachakis PK, Oikonomou E, et al. Cancer therapy-related cardiac dysfunction: A review of current trends in epidemiology, diagnosis, and treatment. Biomedicines. 2024;12(12):2914. doi:10.3390/biomedicines12122914. https://pubmed.ncbi.nlm.nih.gov/39767820/ Lyon AR, Dent S, Stanway S, et al. Baseline cardiovascular risk assessment in cancer patients scheduled to receive cardiotoxic cancer therapies: a position statement and new risk assessment tools from the Cardio-Oncology Study Group of the Heart Failure Association of the European Society of Cardiology in collaboration with the International Cardio-Oncology Society. Eur J Heart Fail. 2020;22(11):1945-1960. doi:10.1002/ejhf.1920. https://pmc.ncbi.nlm.nih.gov/articles/PMC8019326/ Li X, Li Y, Zhang T, et al. Role of cardioprotective agents on chemotherapy-induced heart failure: A systematic review and network meta-analysis of randomized controlled trials. Pharmacol Res. 2020;151(104577):104577. doi:10.1016/j.phrs.2019.104577. https://pubmed.ncbi.nlm.nih.gov/31790821/ Lee YH, Lim S, Davies MJ. Cardiometabolic and renal benefits of sodium-glucose cotransporter 2 inhibitors. Nat Rev Endocrinol. 2025;21(12):783-798. doi:10.1038/s41574-025-01170-4. https://pubmed.ncbi.nlm.nih.gov/40935880/ Dabour MS, George MY, Daniel MR, Blaes AH, Zordoky BN. The cardioprotective and anticancer effects of SGLT2 inhibitors: JACC: CardioOncology state-of-the-art review. JACC CardioOncol. 2024;6(2):159-182. doi:10.1016/j.jaccao.2024.01.007. https://pubmed.ncbi.nlm.nih.gov/38774006/ Armillotta M, Angeli F, Paolisso P, et al. Cardiovascular therapeutic targets of sodium-glucose co-transporter 2 (SGLT2) inhibitors beyond heart failure. Pharmacol Ther. 2025;270(108861):108861. doi:10.1016/j.pharmthera.2025.10886. https://pubmed.ncbi.nlm.nih.gov/40245989/ Góes-Santos BR, Castro PC, Girardi ACC, Antunes-Correa LM, Davel AP. Vascular effects of SGLT2 inhibitors: evidence and mechanisms. Am J Physiol Cell Physiol. 2025;329(4):C1150-C1160. doi:10.1152/ajpcell.00569.2025. https://pubmed.ncbi.nlm.nih.gov/40908107/ Daniele AJ, Gregorietti V, Costa D, López-Fernández T. Use of EMPAgliflozin in the prevention of CARDiotoxicity: the EMPACARD – PILOT trial. CardioOncology. 2024;10(1):58. doi:10.1186/s40959-024-00260-y. https://pubmed.ncbi.nlm.nih.gov/39237985/ Clinicaltrials.gov. Clinicaltrials.gov. Accessed April 16, 2026. https://clinicaltrials.gov/study/NCT05271162 Greco A, Quagliariello V, Rizzo G, et al. SGLT2i Dapagliflozin in primary prevention of chemotherapy induced cardiotoxicity in breast cancer patients treated with neo-adjuvant anthracycline-based chemotherapy +/- trastuzumab: rationale and design of the multicenter PROTECT trial. CardioOncology. 2025;11(1):79. doi:10.1186/s40959-025-00368-9. https://pmc.ncbi.nlm.nih.gov/articles/PMC12400668/ Key Guideline Reference: Lyon AR, López-Fernández T, Couch LS, et al. 2022 ESC guidelines on cardio-oncology developed in collaboration with the European hematology association (EHA), the European society for therapeutic radiology and oncology (ESTRO) and the international cardio-oncology society (IC-OS). Eur Heart J Cardiovasc Imaging. 2022;23(10):e333-e465. doi:10.1093/ehjci/jeac106. https://pubmed.ncbi.nlm.nih.gov/36017575/ Be sure to check out the corresponding review article on the cardioprotective role of SGLT2 inhibitors in CTRCD that will be published in US Cardiology Review, the official journal of CardioNerds. Additionally, please reference CardioNerds Cardio-Oncology Episodes 261 and 274 for related content.

Research To Practice | Oncology Videos
HR-Positive Metastatic Breast Cancer — An Interview with Dr Seth Wander on Biomarker Assessment and Related Treatment Decision-Making

Research To Practice | Oncology Videos

Play Episode Listen Later Apr 16, 2026 60:14


Featuring an interview with Dr Seth Wander, including the following topics: Deciding between liquid and tissue biopsy; role of epigenetics in oncogenic events (0:00) Potential role of thymidine kinase testing in monitoring response to therapy (4:56) Interpretation of next-generation sequencing testing; use of targeted therapy (10:59) Phase III lidERA Breast Cancer trial and its implications for the use of giredestrant (14:19) Interpreting plots from the Guardant360® test; future applications of circulating tumor DNA (19:07) Toxicity surrounding use of agents targeting the PAM signaling pathway; treatment for patients with PAM pathway alterations and ESR1 mutations (25:15) Potential role of artificial intelligence in profiling biomarkers; comparative efficacy of first- and later-line use of CDK inhibitors (30:26) Case: A woman in her mid 60s diagnosed with hormone receptor (HR)-positive, HER2-low metastatic breast cancer experiences disease progression after 5 years despite letrozole/ribociclib and is found to have ESR1 mutations, treated sequentially with elacestrant then trastuzumab deruxtecan (39:10) Case: A woman in her mid 50s who previously received treatment for localized disease develops progressive metastatic HR-positive, HER2-negative, PIK3CA-mutated breast cancer (45:31) Case: A woman in her late 70s with HR-positive, HER2-negative breast cancer who previously received treatment for localized disease is now diagnosed with progressive PTEN-deficient metastatic disease (51:36) Case: A woman in her early 70s with HR-positive, HER2-low metastatic breast cancer and bone metastases initially receives letrozole in combination with abemaciclib, then abemaciclib monotherapy (53:59) CME information and select publications

Breast Cancer Conversations
293. Starting Verzenio? Debbie's Experience May Help You Prepare

Breast Cancer Conversations

Play Episode Listen Later Apr 15, 2026 33:45


Love the podcast? Send us a text!Every breast cancer treatment plan is highly personalized, and understanding potential side effects can help patients feel more prepared, informed, and empowered throughout care.In this episode of Breast Cancer Conversations, Laura speaks with Debbie Ciak, a breast cancer survivor diagnosed with Stage 2B ER/PR-positive, HER2-negative breast cancer with lymph node involvement.Due to features associated with a higher risk of recurrence, Debbie's care team recommended treatment with Verzenio (abemaciclib), a CDK4/6 inhibitor commonly prescribed alongside endocrine therapy for certain HR+, HER2- breast cancers.During treatment, Debbie experienced significant gastrointestinal symptoms and later developed respiratory symptoms that were ultimately identified as drug-induced interstitial lung disease (ILD), also known as pneumonitis.Debbie also shares how integrative support resources and survivorship programming helped her continue moving forward after treatment.Her story underscores the importance of individualized care, ongoing monitoring, and open communication between patients and healthcare providers when incorporating newer therapies into treatment plans.While every patient responds differently to therapy, conversations like this help support more informed discussions between patients and their care teams.Topics Covered• Stage 2B ER/PR+ breast cancer diagnosis • understanding recurrence risk factors • treatment decision-making • why Verzenio was recommended • managing common CDK4/6 inhibitor side effects • Debbie's experience with ILD/pneumonitis • recognizing respiratory symptoms early • coordinating care across oncology and pulmonology • survivorship and ongoing monitoring • exercise and recovery • patient empowerment and advocacyThis episode is part of an ongoing series sharing real-world patient experiences on various therapies, highlighting the importance of education, communication, and personalized treatment decisions in breast cancer care.Support the showListener FeedbackIf this episode resonated with you, we invite you to leave a review on Apple Podcasts or Spotify.You can also click the link in the show notes that says "Love this episode? Send us a text" to share feedback.Messages are completely anonymous.If you would like us to follow up directly, please include your email address in your message so we can respond.Latest News: Become a Breast Cancer Conversations+ Member! Sign Up Now. Join our Mailing List - New content drops every Monday! Discover FREE programs, support groups, and resources from SurvivingBReastCancer.org! Enjoying our content? Please consider supporting our work. 

Research To Practice | Oncology Videos
ER-Positive, HER2-Positive Metastatic Breast Cancer — What Clinicians Want to Know About First-Line and Maintenance Therapy

Research To Practice | Oncology Videos

Play Episode Listen Later Apr 14, 2026 57:59


Featuring perspectives from Dr Virginia F Borges and Dr Ian E Krop, including the following topics: Introduction: Biology of "Triple-Positive" Breast Cancer; Implications for Therapeutic Development (0:00) Cases from the GMO Survey (13:01) First-Line Therapy for Metastatic HER2-Positive Disease (20:01) Maintenance Therapy for HR-Positive, HER2-Positive Disease (30:03) Maintenance Therapy for HR-Negative, HER2-Positive Disease (46:30) Cases from the GMO Survey (50:00) CME information and select publications

OncLive® On Air
S16 Ep51: Medical Crossfire®: Translating Risk Into Action—Redefining Adjuvant Strategies for Early HR+/HER2– Breast Cancer

OncLive® On Air

Play Episode Listen Later Apr 14, 2026 28:52


In this podcast, experts Ann H. Partridge, MD, MPH; Saranya Chumsri, MD; and William J. Gradishar, MD, FASCO, FACP, discuss the roles of adjuvant chemotherapy and CDK4/6 inhibitors and neoadjuvant checkpoint inhibitors for patients with early-stage, hormone receptor–positive breast cancer.

Cannabis Health Radio Podcast
Episode 490: Given One Year to Live She Beat Stage 4 Breast Cancer Using Cannabis Oil and Holistic Healing

Cannabis Health Radio Podcast

Play Episode Listen Later Apr 8, 2026 36:23


Purpose of the episode: Ian Jessop interviews Slavka Geary, a UK-based stage 4 HER2-positive breast cancer patient now in remission, about her use of natural therapies and cannabis oil alongside partial conventional treatment. 00:37 Originally diagnosed at stage 2 in 2021, Slavka was restaged to stage 4 metastatic after a CT scan found cancer spread to her lungs within six months, with doctors giving her one year to live without chemotherapy. 02:55 Skepticism toward chemotherapy was shaped by witnessing relatives and friends decline rapidly after conventional treatment, leading Slavka to question whether treatment accelerated their deaths. 04:25 Initial natural therapies, including those recommended by a naturopathic doctor, were deemed insufficient against the fast-growing HER2-positive subtype; cannabis oil was not initially pursued due to UK legal stigma. 05:01 Introduction to cannabis oil came through a church acquaintance, Joshua, who was battling brain cancer; oil was sourced from Czech Republic, but reached Joshua too late—two weeks before his death. 06:14 After Joshua's passing, his wife offered Slavka the remaining oil; she began using it and found it effective, with her stage 4 lung metastases remaining stable and later reducing in size over two years without conventional treatment. 09:49 Cannabis oil is taken as a nightly maintenance dose of 4 drops (1:1 ratio), down from 8 drops during active treatment; earlier protocol also included daily suppositories, which aided sleep, relaxation, and pain relief post-surgery. 10:55 Slavka voluntarily stopped the palliative chemotherapy drug Enhertu (prescribed for life) after seven months, citing severe side effects including acute diarrhea, hospitalization, and feeling mentally and physically suppressed even at a reduced 60% dose. 13:16 Residual effects post-treatment include neuropathy in the left arm and hand, linked to lymph node removal and mastectomy; fatigue persists, though Slavka returned to work after stopping chemotherapy to regain quality of life. 17:09 Hyperbaric oxygen chamber sessions were used alongside cannabis oil during chemotherapy; the combination likely mitigated the severity of side effects, as Slavka appeared visibly unwell during sessions shortly after chemo doses. 18:48 Dietary changes included two years on a modified Gerson protocol—primarily vegan with weekly white fish or organic yogurt, daily fresh juicing, and one coffee enema per day; diet has since returned to a balanced, vegetable-rich normal diet. 24:02 Mind-body connection was identified as central to recovery; Slavka emphasized that fear-inducing prognoses from doctors can negatively impact healing by triggering a cycle of anxiety that affects physical health. 27:22 Cancer diagnosis fundamentally altered Slavka's worldview and emotional life; persistent background anxiety about recurrence and social isolation from non-cancer peers are ongoing psychological realities. 30:59 Most recent scan showed lung metastases have reduced in size compared to the prior scan, with no conventional treatment since September 2024—only nightly cannabis oil and natural remedies. 33:19 Slavka now informally supports one to two people per week affected by cancer, sharing her personal experience with natural remedies while being careful not to prescribe, focusing on emotional reassurance. 34:03 Visit our website: CannabisHealthRadio.comFind high-quality cannabis and CBD + get free consultations at MyFitLife.net/cannabishealthDiscover products and get expert advice from Swan ApothecaryFollow us on Facebook.Follow us on Instagram.Find us on Rumble.Keep your privacy! Buy NixT420 Odor Remover Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Behind The Knife: The Surgery Podcast
Clinical Challenges in Colorectal Surgery: Management of Metastatic Colorectal Cancer

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Mar 19, 2026 45:34


With the increasing incidence of colorectal cancer in those less than 50 years of age, one must wonder how many patients present with a Stage IV diagnosis. Take a deep dive with us discussing the management of metastatic colorectal cancer by joining our team and guests, Drs. Cathy Eng, Michael D'Angelica, and Nina Sanford.Hosts: - Dr. Janet Alvarez - General Surgery Resident at New York Medical College/Metropolitan Hospital Center- Dr. Wini Zambare – General Surgery Resident at Weill Cornell Medical Center/New York Presbyterian- Dr. Philip Bauer, Assistant Professor of Surgery, Division of Colon and Rectal Surgery, The Ohio State University Wexner Medical Center, Arthur G. James Cancer Hospital-  Dr. J. Joshua Smith MD, PhD, Chair, Department of Colon and Rectal Surgery at MD Anderson Cancer Center Guest Speakers:- Dr. Michael D'Angelica MD, FACS – Hepatopancreatobiliary Surgery, Memorial Sloan Kettering Cancer Center, Enid A. Haupt Chair in Surgery, Vice Chair, Education- Dr. Cathy Eng MD, FACP - Division of Hematology and Oncology, Vanderbilt-Ingram Cancer Center, David H. Johnson Endowed Chair in Surgical and Medical Oncology, Professor of Medicine, Hematology and Oncology, VICC Associate Director for Strategic Relations and Research Partnerships, Executive Director, Young Adult Cancers Program - Dr. Nina Sanford, MD – Radiation Oncology, UT Southwestern Medical Center, Chief of Gastrointestinal Radiation Oncology Service, Associate Professor Learning Objectives:1.     Review the epidemiology, prognosis, and common metastatic patterns of metastatic colorectal cancer (mCRC).2.     Discuss the role of systemic chemotherapy and targeted therapies in the first- and subsequent-line treatment of mCRC, including the impact of molecular biomarkers such as MSI/MMR, RAS, BRAF, and HER2.3.     Evaluate the indications and timing of surgical and locoregional therapies for metastatic colorectal cancer, particularly in patients with liver-limited or oligometastatic disease.4.     Describe the multidisciplinary management of mCRC, including the roles of radiation therapy, systemic therapy sequencing, and palliative interventions to optimize outcomes and quality of life.References:Singh, M., Morris, V. K., Bandey, I. N., Hong, D. S. & Kopetz, S. Advancements in combining targeted therapy and immunotherapy for colorectal cancer. Trends Cancer 10, 598–609 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38821852/Napolitano, S. et al. BRAFV600E mutant metastatic colorectal cancer: Current advances in personalized treatment and future perspectives. Cancer Treat. Rev. 134, (2025). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/40009904/Ciardiello, F. et al. Clinical management of metastatic colorectal cancer in the era of precision medicine. CA. Cancer J. Clin. 72, 372–401 (2022). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/35472088/Kim, S. Y. & Kim, T. W. Current challenges in the implementation of precision oncology for the management of metastatic colorectal cancer. ESMO Open 5, e000634 (2020). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/32188714/Biller, L. H. & Schrag, D. Diagnosis and Treatment of Metastatic Colorectal Cancer: A Review. JAMA 325, 669–685 (2021). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/33591350/Smith, J. J. et al. Genomic stratification beyond Ras/B-Raf in colorectal liver metastasis patients treated with hepatic arterial infusion. Cancer Med. 8, 6538–6548 (2019). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/31503397/Saadat, L. V. et al. Hepatic Artery Infusion Chemotherapy Compared to Transarterial Radioembolization For Unresectable Colorectal Liver Metastases. Ann. Surg. 10.1097/SLA.0000000000006851 doi:10.1097/SLA.0000000000006851. PubMed Link: https://pubmed.ncbi.nlm.nih.gov/?term=10.1097/SLA.0000000000006851 (Linked via DOI search as the direct PMID is still indexing)Xiao, A. & Fakih, M. KRAS G12C Inhibitors in the Treatment of Metastatic Colorectal Cancer. Clin. Colorectal Cancer 23, 199–206 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38825433/André, T. et al. Pembrolizumab in Microsatellite-Instability–High Advanced Colorectal Cancer. N. Engl. J. Med. 383, 2207–2218 (2020). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/33264544/Morris, V. K. et al. Treatment of Metastatic Colorectal Cancer: ASCO Guideline. J. Clin. Oncol. 41, 678–700 (2023). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/36252154/Xu, Z. et al. Treatments for Stage IV Colon Cancer and Overall Survival. J. Surg. Res. 242, 47–54 (2019). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/31071604/Smith, J. J. & D'Angelica, M. I. Surgical Management of Hepatic Metastases of Colorectal Cancer. Hematol. Oncol. Clin. North Am. 29, 61–84 (2015). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/25475573/Strickler, J. H. et al. Tucatinib plus trastuzumab for chemotherapy-refractory, HER2-positive, RAS wild-type unresectable or metastatic colorectal cancer (MOUNTAINEER): a multicentre, open-label, phase 2 study. Lancet Oncol. 24, 496–508 (2023). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/37142372/Kruijssen, D. E. W. van der et al. Upfront resection versus no resection of the primary tumor in patients with synchronous metastatic colorectal cancer: the randomized phase III CAIRO4 study conducted by the Dutch Colorectal Cancer Group and the Danish Colorectal Cancer Group. Ann. Oncol. 35, 769–779 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38852675/Hitchcock, K. E., Romesser, P. B. & Miller, E. D. Local Therapies in Advanced Colorectal Cancer. Hematol. Oncol. Clin. North Am. 36, 553–567 (2022). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/35562258/Hitchcock, K. E. et al. Alliance for clinical trials in Oncology (Alliance) trial A022101/NRG-GI009: a pragmatic randomized phase III trial evaluating total ablative therapy for patients with limited metastatic colorectal cancer: evaluating radiation, ablation, and surgery (ERASur). BMC Cancer 24, 201 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38350888/Adam, R. et al. Liver transplantation plus chemotherapy versus chemotherapy alone in patients with permanently unresectable colorectal liver metastases (TransMet): results from a multicentre, open-label, prospective, randomised controlled trial. The Lancet 404, 1107–1118 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/39306468/Elez, E. et al. Encorafenib, Cetuximab, and mFOLFOX6 in BRAF-Mutated Colorectal Cancer. N. Engl. J. Med. 392, 2425–2437 (2025). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/40444708/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US