Podcasts about veru

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  • Jun 21, 2026LATEST

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Best podcasts about veru

Latest podcast episodes about veru

Tesnou bránou - biblické zamyslenia na každý deň

Ozeáš 9,10-17 10 Ako vinič na púšti našiel som Izrael, ako na skorú figu na figovníku v jej prvom čase hľadel som na jeho otcov. Oni išli do Baal-Peóru, zasvätili sa Hanbe, stali sa ohavnosťou ako ich milenec. 11 Efrajimova sláva odletí ako vták. Nebudú plodiť ani rodiť, ani neotehotnejú. 12 Aj keď vychovajú svojich synov, vezmem ich od nich, aby u nich nebolo ľudí. Veru, beda im, keď sa od nich odvrátim. 13 Efrajim — videl som, ako svoje deti urobil korisťou pre lovca, ako Efrajim vyviedol svoje deti na zabitie. 14 Daj im, Hospodin — čo by si im tak dal? Daj im neplodné lono a vyschnuté prsia! 15 Všetko ich zlo sa prejavilo v Gilgále, áno, tam som ich znenávidel. Pre skazenosť ich skutkov ich vyženiem zo svojho domu; viac ich nebudem milovať, všetci ich veľmoži sú tvrdošijní. 16 Efrajim je ubitý, jeho korene vyschli, už neprinesú ovocie; ale aj keby rodili, usmrtím vytúžené ovocie ich lona. 17 Môj Boh ich zavrhne, lebo ho nepočúvali, a stanú sa zblúdilcami medzi národmi.“ Vinič na púšti a požehnanie. Dnešný text sa začína týmto paradoxom: Ako môže vyrásť a prežiť vinič na púšti? Aj ja som taký „vinič“ – Božie stvorenie predurčené prinášať dobré ovocie. No kde ma Boh našiel? Veru, na púšti tohto sveta. Daroval mi však nový život a ja sa Mu už nechcem odcudziť. Chcem vďačne prijímať každý nový deň s Ním. Ako radi si privlastňujeme slová požehnania a nachádzame potešenie v dobrých dňoch?! Vždy znova a znova si s nadšením pripomíname povzbudzujúce verše z Božieho slova o tom, že nás vody nezaplavia, ani plameň nespáli (Iz 43,2), že hoci aj polia nevydajú potravu, budeme jasať v Bohu našej spásy (Ab 3,17-18) alebo o zasľúbení požehnania (5M 28), či Žalmy 127 a 128 o odmene v podobe vydarených detí a dobrého životného partnera. Božie slovo je trvalé a nemenné. Môžem si ho privlastniť. Hovorí aj dnes ku mne osobne. Keď som oddala svoj život Pánovi Ježišovi, keď Ho túžim nasledovať, milovať blížnych, rásť vo viere a tešiť sa do nebeského domova, akákoľvek starosť a skúška môže byť pre mňa iba požehnaním. Len vytrvať a zostať verná! Zmluva v krvi s mojím Vykupiteľom je večná. Modlitba: Drahý Pane Bože, prosím Ťa, preveď ma časným životom k Sebe do večnej slávy! Viem, že si to nijako nezaslúžim, ale vďaka Tvojej milosti smiem dôverovať! Amen. Modlitba: ES 634 Autor: Iveta Topolčanyová Toto hovorí Hospodin: „Spomínam si na lásku tvojej mladosti, na ľúbosť z čias tvojich zásnub, keď si Ma nasledoval po púšti v krajine bez siatiny.“ Jeremiáš 2,2 Máme účasť na Kristovi, pravda, len ak si zachováme až do konca také pevné rozhodnutie, aké sme mali na začiatku. Hebrejom 3,14 1.Jána 3,19-24 •  Modlíme sa za: Spišské Vlachy − Krompachy (TaS) Otázky na rozjímanie: Ako dnes žijem z istoty, že som „vinič na púšti“, ktorého Boh našiel — či som si vedomý/á, že Boh ma daroval nový život a ja sa Mu už nechcem odcudziť, alebo stále hľadám útechu na púšti tohoto sveta? Kde v mojom živote som ako Efrajim, ktorý „išiel do Baal-Peóru, zasvätil sa Hanbe“ — či som ochotný/á zostať verný/á Bohu a neprinášať ovocie hanby, alebo som sa odvrátil/á od Boha a zasvätil/á sa iným modlám? Ako dnes žijem z poznaním, že „zmluva v krvi s mojím Vykupiteľom je večná“ — či som ochotný/á „vytrvať a zostať verný/á“ až do konca, ako je opisované v Hebrejom 3,14, alebo som nestály/á vo viere? Aplikácia do života: Dnes si spomeňte na jednu situáciu, kde ste sa odvrátili od Boha a zasvätili sa iným modlám. Napíšte si modlitbu: „Drahý Pane Bože, preveď ma časným životom k Sebe do večnej slávy! Viem, že si to nijako nezaslúžim, ale vďaka Tvojej milosti smiem dôverovať!“ Potom urobte jeden krok vernosti: čítanie Bibliu, modlitba, alebo vyznanie hriechu pred niekým. Dnes som vďačný za tieto 3 veci: _________________________________ _________________________________ _________________________________ Viac o vďačnosti, čo to je, prečo je dôležité byť vďačný, ako praktizovať vďačnosť nájdeš na blogu

Tesnou bránou - biblické zamyslenia na každý deň

Ozeáš 8,1-14 1 Roh k ústam!“ Hospodin je ako orol krúžiaci nad domom: „Porušili moju zmluvu a vzbúrili sa proti môjmu zákonu, 2 hoci ku mne kričia: ‚Boh Izraela, my ťa poznáme!‘ 3 Izrael zavrhol toho, ktorý je dobrý, bude ho stíhať nepriateľ. 4 Ustanovili si kráľov, no nie podľa mojej vôle, ustanovili si kniežatá, ale bez môjho vedomia. Zo svojho striebra a zlata si spravili modly, aby boli vykynožení. 5 Zavrhujem tvoje teľa, Samária; môj hnev blčí proti nim — dokedy budú neschopní očistenia 6 synovia Izraela? Teľa nie je Boh; zhotovil ho remeselník. Veru, teľa Samárie bude rozbité na kúsky. 7 Sejú vietor a budú žať víchricu. Vyrastie steblo bez zrna, nebude sa z neho robiť múka; ak by sa aj robila, zhltnú ju cudzinci. 8 Izrael je pohltený, teraz sú medzi národmi ako nikým nechcená nádoba. 9 Keď vystupovali do Asýrie, osamelého divého osla Efrajima si najímali milenci; 10 ale hoci ich najímajú medzi národmi, teraz ich zhromaždím a zakrátko prestanú pomazávať kráľa veľmožov. 11 Keďže Efrajim rozmnožil oltáre, stali sa pre neho oltármi na hriech. 12 Napísal som im množstvo svojich zákonov, no pokladajú ich za cudzie. 13 Ako obety obetujú moje dary, jedia mäso — Hospodin v nich nemá zaľúbenie. Teraz si spomenie na ich vinu a potrestá ich hriechy — oni sa vrátia do Egypta. 14 Izrael zabudol na svojho Tvorcu a staval chrámy, Júda rozmnožoval opevnené mestá. Zošlem však oheň na jeho mestá a ten strávi jeho pevnosti. Strata Božieho požehnania. Celá táto kapitola Ozeášovho proroctva potvrdzuje slová, ktoré čítame v žalme 127, ktorého autorstvo sa pripisuje Šalamúnovi: „Ak Hospodin nestavia dom, márne sa namáhajú stavitelia, ak Hospodin nestráži mesto, márne bdie strážnik.“ Prorok pomerne podrobne opisuje to, ako sa prejavovalo odpadnutie Izraelcov od Toho, Kto pre nich v dejinách tak veľa urobil, napríklad: „Dosadili si kráľov, ale bezo Mňa“, „zo svojho striebra a zlata si urobili modly“, „spreneverili sa môjmu ponaučeniu“. A práve tak do konkrétností rozvádza to, čo obrazne vyjadrujú slová: „Pretože sejú vietor, budú žať víchor.“ Teda: „Nepriateľ ho bude stíhať, steblo nebude mať zrno, nedonesie múku, a ak aj urodí, cudzinci to zhltnú.“ Najsmutnejšie je však konštatovanie: „Hospodin nemá v nich zaľúbenie.“ V celej 8. kapitole nenájdeme nič potešujúce, iba Boží hnev a trestanie izraelského národa. Nech je to pre nás upozornenie, aby sme sa tým viac s pokorou utiekali k Pánu Bohu, Jeho milosť darovanú na kríži Jeho Syna nebrali nadarmo a dennodenne túžili po Jeho vedení a požehnaní. Modlitba: Bože, ďakujem Ti, že si jediný živý Boh! Odpusť, že zbožňujem mnohé veci alebo ľudí! Vyveď ma z takýchto vecí a premeň moju dušu, nech sa zameriavam iba na Teba! Amen. Pieseň: ES 330 Autor: Ivan Novomestský Nech plesajú moje pery, keď Ťa budem oslavovať, i moja duša, ktorú si vykúpil. Žalm 71,23 Zachariáš požiadal o tabuľku a napísal: „Jeho meno je Ján.“ Všetci sa tomu čudovali. Hneď sa mu otvorili ústa, rozviazal jazyk i prehovoril, a velebil Boha. Lukáš 1,63-64 Ján 4,5-14(15-18) •  Modlíme sa za: Spišská Nová Ves (TaS) Otázky na rozjímanie: Ako dnes žijem z istoty, že „Hospodin nestavia dom, márne sa namáhajú stavitelia“ — či sa spolieham na Boha vo všetkom, alebo si ustanovujem kráľov, kniežatá a modly „bez Božieho vedomia“, ako to robil Izrael v Ozeášovi 8,4–5? Kde v mojom živote „sejem vietor a žnem víchricu“ — či moje rozhodnutia vedú k plodu, alebo k prázdnotu, steblo bez zrna, ako je opisované v Ozeášovi 8,7? Ako dnes žijem z poznaním, že „Hospodin nemá v nich zaľúbenie“ — či mám osobný vzťah s Bohom, alebo len prinášam obety bez lásky, ako to robil Efrajim v Ozeášovi 8,11–13? Aplikácia do života: Dnes si spomeňte na jednu situáciu, kde ste si ustanovili „modly“ (peniaze, úspech, imidž) namiesto Boha. Napíšte si modlitbu: „Bože, odpusť, že zbožňujem mnohé veci alebo ľudí! Vyveď ma z takýchto vecí a premeň moju dušu, nech sa zameriavam iba na Teba!“ Potom urobte jeden krok odstránenia modly: odložte jednu vec, ktorá vás odvádzala od Boha. Dnes som vďačný za tieto 3 veci: _________________________________ _________________________________ _________________________________ Viac o vďačnosti, čo to je, prečo je dôležité byť vďačný, ako praktizovať vďačnosť nájdeš na blogu

Z prvej ruky
Vláda musela pre vysoký dlh žiadať o dôveru (19.6.2026 12:30)

Z prvej ruky

Play Episode Listen Later Jun 19, 2026 26:12


Hostia: Martin Hudcovský (ekonóm zo Slovenskej akadémie vied) a Tomáš Majerčák (ústavný právnik z Univerzity P. J. Šafárika v Košiciach). | Verejný dlh Slovenska prekročil hranicu, pri ktorej musela vláda po prvý raz v histórii požiadať parlament o vyslovenie dôvery. Spustil to posun v desatinách percenta — Eurostat vlani v októbri vykázal slovenský dlh na úrovni 59,7 % HDP a krajina sa tým ocitla v najtvrdšom sankčnom pásme dlhovej brzdy. Ústavný zákon o rozpočtovej zodpovednosti, schválený pred štrnástimi rokmi naprieč politickým spektrom, však musel najskôr vykladať aj Ústavný súd. Je dlhová brzda skutočnou poistkou proti zadlžovaniu, alebo len ústavnou formalitou, keď tá istá koaličná väčšina hlasuje o dôvere sebe samej? Aké konsolidačné kroky by museli prísť, aby sa Slovensko vrátilo pod sankčný prah? A čo dnešné hlasovanie reálne mení na trajektórii verejných financií z pohľadu Bruselu, ratingových agentúr či voličov? | Vláda musela pre vysoký dlh žiadať o dôveru. | Moderuje: Soňa Mačor Otajovičová. | Diskusiu Z prvej ruky pripravuje Slovenský rozhlas, Rádio Slovensko, SRo1. Vysielame každý pracovný deň o 12:30 v Rádiu Slovensko.

Tesnou bránou - biblické zamyslenia na každý deň

Ozeáš 2,1-3 1 Izraelitov bude počtom ako piesku v mori, ktorý nemožno zvážiť ani spočítať. Miesto toho, aby im hovorili: ‚Vy nie ste môj ľud,‘ budú im hovoriť: ‚Deti živého Boha‘. 2 Potom sa zhromaždia spolu Júdovci a Izraeliti, ustanovia si jedného vodcu a vyjdú z krajiny. To bude veľký deň Jezreelu. 3 Povedzte vašim bratom: ‚Môj ľud‘ a vašim sestrám: ‚Omilostená‘. Nedá sa zmerať ani spočítať. Aká úžasná štedrosť! Aké úžasné zasľúbenie a naplnenie! Vznešené označenie synov – „Synovia živého Boha“ a sestry – „Omilostená“. Dom Júdov sa pripojí k domu Izraela a vrátia sa spolu. Spolu – aká vzácna je jednota, porozumenie! A napriek tomu cítiť čím ďalej, tým väčšiu absenciu lásky a pokory. Prečo je to tak? Prečo vyprchala z môjho, z tvojho srdca láska a pokora? Prví kresťania sa dokázali rozdeliť s tým, čo mali. Dokážeme sa podeliť s núdznym, biednym človekom aj my? Dokážeš sa hoci aj dlhší čas deliť s tým, kto sa dostal do zlej, zložitej životnej situácie, či už vlastnou nezodpovednosťou alebo to zapríčinil niekto iný? Môžeš napomenúť, no nesmieš nepomôcť. Júdejci s Izraelcami mali mať jednu hlavu. My máme jedného Dobrého Pastiera – Ježiša. Veru, nedá sa zmerať ani spočítať požehnanie, ktoré dennodenne dostávame. Ďakujem za to a najlepšie to vyjadríme jednotou, porozumením a láskou. Modlitba: Náš dobrý Pane, Tvoja dobrota a štedrosť sa nedá spočítať, no naša nevďačnosť je veľká. Prosíme Ťa o odpustenie. Amen. Pieseň:  ES 481 Autor: Zuzana Moncoľová Hospodin, tvoj Boh, ťa vedie do dobrej krajiny, do krajiny s potokmi bohatými na vodu, s prameňmi a jazerami. 5.Mojžišova 8,7 Boh má moc rozhojniť vo vás všetku milosť, aby ste mali vždy a vo všetkom všetkého dostatok na každý dobrý skutok. 2.Korinťanom 9,8 Ján 15,9-17 •  Modlíme sa za: Slovenská Ľupča (ZvS) Otázky na rozjímanie: Ako dnes vnímam zasľúbenie, že budem nazývaný/á „Deti živého Boha“ a „Omilostená“ — či žijem z istoty tejto identity, alebo stále nosením viny a neistou o Božej láske? Kde v mojom živote potrebujem obnoviť jedinu a porozumenie — či som ochotný/á sa deliť s tým, kto je v núdzi, aj keď to znamená dlhšie trpezlivo pomáhať? Ako dnes žijem z jediny pod Dobrým Pastierom Ježišom — či som v jednotě s inými veriacimi, alebo Sống v separácii, crítica, alebo izolácii? Aplikácia do života: Dnes urobte jeden konkrétny krok jediny: napíšte správu, pozvite niekoho na modlitbu, alebo podporte niekoho v núdzi finančne alebo časom. Potom si spomeňte na jednu situáciu, kde ste zažili Božiu štedrost a napíšte si modlitbu vďaky za to. Dnes som vďačný za tieto 3 veci: _________________________________ _________________________________ _________________________________ Viac o vďačnosti, čo to je, prečo je dôležité byť vďačný, ako praktizovať vďačnosť nájdeš na blogu

Radio Wave
Šatníky: Přes 100 hodin šitý korzet: Vedu a Veru zpomalují módu

Radio Wave

Play Episode Listen Later Jun 3, 2026 38:14


V podcastu Šatníky se tentokrát zaměříme na korzet, kus oděvu s dlouhou historií, který v dnešní době hodně trenduje. Pojďte s námi zpomalit a zaposlouchat se do půlhodinového rozhovoru o jedné jediné věci, která vyžaduje čas - na výrobu i oblékání. Odrážíme se od konkrétního korzetu, který si Vedu šila v rámci školního úkolu. A přidáváme zajímavosti o korzetech z minulosti i současnosti.

Audio | CHCEMVIAC — Viac ako dáva tento svet…

Je kresťanská viera ako maratón? V čom tá paralela sedí a v čom môže byť celkom mimo? Tipnete si, za aký čas si trúfa zabehnúť maratón Ondrej? Je trúfalé si myslieť, že mám večný život? Ako a kto vôbec môže mať večný život? A čo to vlastne znamená? Je uveriť ľahké alebo ťažké? Na čom vlastne má stáť moja viera? Pozrieme sa na slová Pána Ježiša: "Veru, veru, hovorím vám: Kto počúva moje slovo a verí Tomu, ktorý ma poslal, má večný život a nejde na súd, ale prešiel zo smrti do života." J 5:24

Tesnou bránou - biblické zamyslenia na každý deň

Hebrejom 6,9-20 9 Milovaní, aj keď takto hovoríme, sme presvedčení, že vy ste na tom lepšie a máte bližšie k spáse. 10 Veď Boh nie je nespravodlivý, že by zabudol na vaše dielo a na lásku, ktorú ste prejavili jeho menu, keď ste slúžili a ešte slúžite svätým. 11 Túžime však, aby každý z vás prejavoval rovnakú horlivosť za plné rozvinutie nádeje až do konca, 12 aby ste nezleniveli, ale aby ste napodobňovali tých, čo sú pre vieru a trpezlivosť dedičmi prisľúbení. 13 Keď Boh dával Abrahámovi prisľúbenie a nemal nikoho väčšieho, na koho by prisahal, prisahal na seba samého 14 slovami: Veru, hojne ťa požehnám a veľmi ťa rozmnožím. 15 A tak Abrahám trpezlivo čakal a dosiahol splnenie prisľúbenia. 16 Ľudia totiž prisahajú na niekoho väčšieho od seba a prísaha je pre nich potvrdením ukončenia každého sporu medzi nimi. 17 A pretože Boh chcel dedičom prisľúbenia presvedčivo dokázať nezmeniteľnosť svojho rozhodnutia, zaručil sa prísahou, 18 aby sme v týchto dvoch nezmeniteľných veciach, v ktorých Boh nemôže klamať, mali silné povzbudenie my, čo sme našli útočisko v tom, že sa budeme verne pridŕžať ponúkanej nádeje. 19 Máme ju ako istú a pevnú kotvu duše, ktorá siaha až dovnútra, za oponu, 20 kde za nás vošiel Ježiš ako predchodca, keď sa stal veľkňazom naveky na spôsob Melchisedeka. Viera, nádej, láska. Kedysi bolo zvykom, že veriaci ľudia nosili na retiazke krížik, srdce a kotvu, čo symbolizuje vieru, lásku a nádej. To sú hodnoty, ktoré sú nosnou myšlienkou aj nášho textu a sú spojené s najväčším darom – spasením. Pán Boh nám pripomína, že nezabudne na našu prácu, lásku a službu, ak sme ju konali v mene Pána Ježiša. Keďže odmenu dostaneme až v budúcnosti, apoštol Pavel nás povzbudzuje, aby sme nestrácali nádej. Viera potrebuje niečo, čoho sa môže chytiť. Pre Abraháma to bolo Božie slovo, ktorému uveril a počítalo sa mu to za spravodlivosť (narodenie Izáka). To, čo platilo pre Abraháma, platí aj pre nás. Pán Boh nám v Pánovi Ježišovi zasľubuje nádej večnosti. Abrahám mal vtedy iba Božie slovo, ktorému uveril a v nádeji sa dočkal jeho naplnenia. My máme ešte viac. Máme Pána Ježiša, Slovo, ktoré sa stalo telom a prebýva medzi nami. Ono je našou istotou. Držme sa tejto nádeje, pretože ona nezávisí od nás, ale od vykupiteľského diela Pána Ježiša, ktorý zomrel, zvíťazil, vstal z mŕtvych a všetkým, ktorí tomu veria, daruje večný život v Božom kráľovstve. Možno sa cítiš ako Abrahám, že Pán Boh mešká so zasľúbením, s pomocou, no pamätaj, keď On niečo povie, vždy to aj vykoná! Buď iba trpezlivý, čakaj! Boh nedrieme ani nespí, ale v pravý čas nám príde na pomoc. Modlitba: Bože, ďakujem Ti, že prinášaš lásku, vieru a nádej, nie ničenie, nenávisť, odsudzovanie a vojnu! Odpusť, že ma často ovláda posudzovanie a chlad! Nech Tvoj Svätý Duch preniká moju dušu a plní ju láskou! Amen. Pieseň: ES 248 Autor: Renáta Madzinová Poďte, spojme sa s Hospodinom, večnou, nezabudnuteľnou zmluvou, ktorá nikdy nebude zabudnutá! Jeremiáš 50,5 Preto sa všemožne usilujte a pridávajte k viere cnosť, k cnosti poznávanie, k poznávaniu sebaovládanie, k sebaovládaniu vytrvalosť, k vytrvalosti nábožnosť, k nábožnosti bratskú oddanosť, k bratskej oddanosti lásku. 2.Petra 1,5-7 Ján 18,33-38 •  Modlíme sa za: Ratkovské Bystré (GeS) Otázky na rozjímanie: Ako dnes verím, že Boh nezabudne na moje dielo lásky k svätým, a horlivo sa snažím o plnú nádej až do konca? Čo pre mňa znamená napodobňovať Abraháma, ktorý trpezlivo čakal na Božie prisľúbenie potvrdené prísahou? Ako môžem dnes chytiť sa nádeje ako pevnej kotvy duše, ktorá siaha za oponu, kde Ježiš vstúpil ako veľkňaz? Dnes som vďačný za tieto 3 veci: _________________________________ _________________________________ _________________________________ Viac o vďačnosti, čo to je, prečo je dôležité byť vďačný, ako praktizovať vďačnosť nájdeš na blogu

Na hrane TV JOJ
Analýzy 24: Opäť sme stratili dôveru našich partnerov, tvrdí Marcinková

Na hrane TV JOJ

Play Episode Listen Later May 12, 2026 50:05


Politickými vodami doznieva Ficova návšteva v Moskve, ako aj jeho odkaz Putinovi od ukrajinského prezidenta Zelenského. A ako to vyzerá so vstupom Kyjeva do EÚ? O týchto, ale aj ďalších aktuálnych politických témach sa v relácii Analýzy 24 rozprávala moderátorka Lucia Stráňavová s poslancami NR SR Vladimírou Marcinkovou (SaS) a Jánom Mažgútom (Smer-SD).

Radio Wave
Šatníky: Móda, kterou chcete mít. To nejlepší z Prague Fashion Weeku

Radio Wave

Play Episode Listen Later Apr 29, 2026 42:19


Veru a Vedu žhaví linku Praha Brno a probírají ty nejpovedenější kolekce z jarní edice českého týdne módy MBPFW. Poslechněte si, kdo zazářil na molu a jak to kolekcím slušelo na nové lokaci s denním světlem.

Radio Wave
Šatníky: Stoletá paráda: Veru a Vedu o obnově historického fitu

Radio Wave

Play Episode Listen Later Apr 14, 2026 29:18


„Kabátek jsem nechala zrekonstruovat, i když mi nepadne. Sukně ale byla poškozená a tak jsem si ji dala přešít. K dekonstrukci ala FKA Twigs z éry Magdalene jsem oslovila designérku filmových kostýmů,“ říká Veronika Ruppert. Spolu s Vedu probírají přešívání starých pokladů. Poslechněte si, jak se vrací do života historický outfit a jaké příběhy jsou v něm zašité.

IAD TALKS
Tichá kríza v tieni súkromného úveru

IAD TALKS

Play Episode Listen Later Apr 13, 2026 6:28


IAD Talks - týždenné spravodajstvo. V dobe nízkych úrokových sadzieb po finančnej kríze v roku 2008 Wall Street objavil produkt, ktorý mal vyriešiť zdanlivo neriešiteľný problém. Súkromný úver, teda priame poskytovanie pôžičiek firmám mimo bežného bankového systému, bez búrz, bez verejného dohľadu a spočiatku aj bez väčšieho záujmu médií. Aké má toto dobrodružstvo výsledky, to sa dozviete v našom tradičnom týždňovom komentári z finančných trhov. ..IAD TALKS, týždenník, IAD Investments,správ. spol., a.s., Malý trh 2/A, 811 08 Bratislava, IČO: 17 330 254, dátum vydania: 13.04.2026, 18/2026, EV 139/23/EPP..*UPOZORNENIE. Tento materiál je marketingovým oznámením. Kompletné znenie upozornenia nájdete na stránke www.iad.sk/marketingoveoznamenia

Audio | CHCEMVIAC — Viac ako dáva tento svet…

„Keď prišli na miesto, ktoré sa menuje Lebka, tam Ho ukrižovali, aj tých zločincov, jedného sprava a druhého zľava. A jeden zo zločincov, ktorí tam viseli, rúhal sa Mu a hovoril: Či nie si Ty Kristus? Zachráň seba i nás! Ale druhý ho zahriakol: Ani ty sa nebojíš Boha, a si celkom tak odsúdený! A my spravodlivo, lebo dostávame zaslúžený trest za to, čo sme spáchali, ale Tento neurobil nič zlého. Potom povedal Ježišovi: Pane, Ježiši, rozpomeň sa na mňa, keď prídeš do svojho kráľovstva. Odpovedal mu (Ježiš): Veru, hovorím ti: Dnes budeš so mnou v raji!" L 23:33,39–43

Zamyslenia EVS
Začať neznamená ukončiť… – 22. marec

Zamyslenia EVS

Play Episode Listen Later Mar 22, 2026 6:53


V Božom slove niekedy stretávame ľudí, ktorí raz začali svoju púť s Bohom. Počas cesty sa však niečo udeje a človek stráca z dohľadu cieľ a začína hľadať uspokojenie srdca na iných miestach ako u Boha. Napríklad Terach. Vtedy vzal Terach svojho syna Abráma a vnuka Lóta, syna Háránovho, i svoju nevestu Sáraj, ženu svojho syna Abráma, a vyšli spolu z Chaldejského Úru, aby putovali do krajiny Kanaán. Došli až po Chárán a usadili sa tam. Terach žil celkom dvestopäť rokov; potom Terach zomrel v Cháráne. (1 M 11,31-32) Jedného dňa Terach začal svoju púť do Kanaánu. Aj keď sa dožil dvestopäť rokov, nikdy nedošiel do cieľa. Jedného dňa spravil rozhodnutie, ktoré ho stálo všetko. Prešiel veľkú vzdialenosť. Na jednej zo životných križovatiek však bolo niečo dôležitejšie než Kanaán. Takže začať cestu nie je to isté, ako dosiahnuť cieľ. Začať, neznamená ukončiť! Alebo Démas, o ktorom Pavol píše svojmu mladému spolupracovníkovi Timotejovi. … lebo Démas ma opustil, zamilujúc si tento svet, a odišiel do Tesaloniky… (2 Tim 4,10) Neviem, čo bol Démasov problém, ale podobne ako Terach, aj on začal cestu za cieľom, ktorý nikdy nedosiahol. Démas jedného dňa vyznal svoju vieru vo vzkrieseného Krista a bol súčasťou prvého spoločenstva kresťanov. Začal dobre. Pavol bol rád, že má so sebou Démasa, keď bol vo väzení. V tom čase napísal Pavol viacero zo svojich listov. Niečo sa ale v živote mladého muža stalo. Tak si zamiloval svet, že zabudol na cieľ. Nie je isté, či Démas vedome odmietol Boha, alebo otvorene odmietol vieru. Vzkriesený Kristus však už nebol cieľom jeho života. Prišlo niečo, čo rozdelilo jeho myseľ. Perspektíva večnosti sa stále viac zahmlievala. Tak sa zamestnal svetom, že Ježiš už nebol Pánom jeho života. Je smutné čítať Pavlove slová, keď Timotejovi píše o tom, že ho Démas opustil.  lebo Démas ma opustil, zamilujúc si tento svet, a odišiel do Tesaloniky… Všetci sme v nebezpečenstve, že stratíme zameranie na cieľ. Je tak veľa vecí a tak veľa hlasov, ktoré chcú získať našu pozornosť. Reklama v poštovej schránke, televízia, noviny, mobil alebo ľudia a vzťahy okolo nás. Keď Ježiš jedného dňa navštívil priateľov, ktorých mal v Betánii, Lukáš rozpráva, že Mária sedela pri Jeho nohách a počúvala Jeho slová, kým Martu zamestnávalo všetko, čo bolo treba pripraviť. Marta sa hnevala, že jej Mária neprišla pomôcť. V tejto súvislosti Ježiš hovorí: „Marta, Marta, starostlivá si a znepokojuješ sa pre mnohé veci.“ (Lk 10,41) Ježiš akoby Marte hovoril, že jej myseľ je rozpoltená. Je naplnená toľkými vecami, že sa nevie koncentrovať na to najdôležitejšie. Ako je to s tebou, keď toto práve čítaš? Keď si si už raz vyvolil veriť v Ježiša a byť Jeho nasledovníkom? Horí ešte tvoje srdce? Je život s Bohom pre teba ešte dôležitý? Máš ešte zrak jasne upriamený na cieľ? Alebo už hmla sebectva a temnota individualizmu uhasili radosť, ktorá kedysi horela v tvojom srdci? Je ti ľahostajná budúcnosť? Drahý brat, sestra, musíme utiecť z kráľovstva sebectva, kde každý žije len pre seba, kde každý koná a rozmýšľa na základe svojich potrieb a vôle. My, ktorí sme sa jedného dňa vydali na cestu s Ježišom, sa nesmieme otáčať späť, ako to urobila Lótova žena. Keď sa jeho žena obzrela, premenila sa na soľný stĺp. (1M 19,26) Kedykoľvek čítame Božie slovo je dôležité, aby sme si pamätali, že cieľom Božieho súdu je vždy prebudiť svoj ľud k rozmýšľaniu, k uvedomeniu si, aké bláznivé je odmietať Boha. Boh nás cez Teracha, Démasa a iných prebúdza kým sa to dá. Máme začať odznova. S ohňom v srdci a cieľom pred sebou. Prorok Izaiáš hovorí: „Nemyslite na predošlé deje, o pradávnych neuvažujte! Ajhľa, tvorím nové; už teraz to raší. Nebadáte to? Veru, robím cestu na púšti, rieky v pustatine.“ (Iz 43,18-19) Začaté neznamená ukončené. Nech Pán chráni naše srdcia živé. Keď tvoje srdce umiera, obráť sa nanovo na Toho, ktorý dokáže obnoviť mŕtvych, podobne ako to spravil u Lazara. Boh túži robiť nové veci v tvojom živote! Curt Westman

Zamyslenia EVS
Ďalšia šanca – 17. marec

Zamyslenia EVS

Play Episode Listen Later Mar 17, 2026 4:46


„Ale choďte, povedzte Jeho učeníkom, aj Petrovi, že vás predchádza do Galiley; tam Ho uvidíte, ako vám povedal.“ Marek 16:7 Okrem Judáša Iškariotského nikto nezlyhal počas udalostí Ježišovho ukrižovania viac ako Šimon Peter, jeden z Ježišových najbližších spoločníkov. Jeho zlyhanie bolo pravdepodobne prekvapením nielen pre neho samého, ale aj pre zvyšok učeníkov. Zo všetkých dvanástich sa Peter určite javil ako najodvážnejší. V správe o Poslednej večeri v Matúšovi 26 Ježiš oznamuje svojim učeníkom: „Vy všetci sa pohoršíte na mne tejto noci“ (verš 31). Peter smelo odpovedá: „Ak sa všetci pohoršia na Tebe, ja sa nikdy nepohorším.“ (verš 33) A potom Ježiš oznamuje správu, ktorá musela Petra zaskočiť: „Veru, ti hovorím, že tejto noci, skôr, ako kohút zaspieva, tri razy ma zaprieš.“ (verš 34) A skutočne, o pár hodín neskôr, keď Peter čakal pred sídlom veľkňaza na správy o Ježišovom súde, ľudia ho rozpoznali a označili za jedného z Ježišových učeníkov. Nie raz, nie dvakrát, ale trikrát. A keď ľudia upriamili svoju pozornosť na neho, keď mal šancu splniť svoj sľub a odvážne sa postaviť za Ježiša, Peter klamal. Poprel, že je učeníkom. Dokonca poprel aj to, že pozná Ježiša. Nie raz, nie dvakrát, ale trikrát. A to, čo začalo odvážnym správaním, skončilo horkými slzami ľútosti, zlyhania a hanby (pozri Mt 26:69–75). Preto je oznámenie o Ježišovom vzkriesení v Markovi 16 také pozoruhodné. Chudák Peter bol zničený svojou vlastnou neverou a tým, že nikdy nemal šancu povedať Pánovi, ako mu  je to ľúto. Naozaj potreboval povzbudenie. S ohľadom na túto skutočnosť si prečítaj nasledovné slová: „Ale choďte, povedzte Jeho učeníkom, aj Petrovi, že vás predchádza do Galiley; tam Ho uvidíte, ako vám povedal.“ Nie je to úžasné? Pán tu priamo reaguje na pochybnosti, obavy a ľútosť jedného zo svojich nasledovníkov. Peter potreboval uistenie viac ako ostatní učeníci. Jeho vzkriesený Pán to vedel – a vedel aj to, ako obnoviť jeho vieru. Príbeh o tom, ako Ježiš obnovil Petra do služby, nájdeme v Jánovi 21:15–25. Ale zamyslime sa nad posolstvom z Marka 16. Čo sa môžeme naučiť z toho, ako Ježiš uistil Petra? Môžeme sa naučiť, že zlyhanie má posledné slovo len vtedy, ak mu to dovolíme. Môžeme sa naučiť, že to, čo môže vyzerať ako koniec niekoho príbehu, je len koniec jednej z prvých kapitol života danej osoby. Ešte je toho veľa, čo sa má napísať. A môžeme sa naučiť, že Ježiš nám nielen odpustí, keď ho sklameme, ale že nás bude hľadať, aby nám dal šancu veci  napraviť. Tak veľmi nás miluje. Otázka na zamyslenie: Ako môžeš zabrániť tomu, aby zlyhanie malo v tvojom živote posledné slovo? Greg Laurie

Radio Wave
Šatníky: Od „pussy hats“ k rasistickým džínům: Veru a Vedu o politické módě

Radio Wave

Play Episode Listen Later Mar 10, 2026 34:03


Kdo dnes v módě dělá revoluci? A jak se politika promítá do našich šatníků? V nové redakční epizodě Šatníků se hlásí se na lince Praha - Brno Veru a Vedu. Poslechněte si o ikonických politických fashion momentech z historie i současnosti.

Radio Wave
Šatníky: Šatníky s Veru a Vedu: O variabilním oblečení a trendu kožichů

Radio Wave

Play Episode Listen Later Feb 17, 2026 24:36


Pravý ze sekáče, nebo nový syntetický? Poslechněte si, jak se Vedu a Veru dívají na aktuální boom kožichů. V první společné reakční epizodě Šatníků rozebírají také velikostně variabilní oblečení a naznačují, jakým směrem se bude podcast v jejich spolupráci ubírat.

Ráno Nahlas
Korupcia je pliaga, ktorá ničí dôveru v štát, motivuje ma prebúdzať svedomie politikov, tvrdí biskup Mihoč (podcast)

Ráno Nahlas

Play Episode Listen Later Feb 10, 2026 55:27


„Demokracia bez mravných zásad sa môže stať tyraniou. To je bod, ktorý ma motivuje prebúdzať svedomie národa aj politických špičiek“, tvrdí Peter Mihoč, biskup východného dištriktu ECAV na Slovensku. „Nie je nič horšie, ako keď svedomie otupie“, dopĺňa.Keď NIE politikom zaznieva aj pod Tatrami. Nedávno takéto Nie zaznelo z úst amerických kardinálov prezidentovi Trumpovi. Pre jeho „polarizáciu, straníckosť a úzke ekonomické záujmy“ pri ťažení na Grónsko.A pod Tatrami?Bolo to len tri dni po tom, ako premiér Fico navštívil agresora Vladimíra Putina v Kremli. Z kazateľnice prešovského evanjelického chrámu – a v priamom prenose verejnoprávnej televízie – si tak premiér mohol vypočuť kritiku o „klaňaní sa moci“, ktorá „porušuje hodnoty ľudskosti a spravodlivosti“. Éterom zneli slová o korupcii, o rozhodnutiach motivovaných vlastným prospechom, o podpore režimov, ktoré šliapu po ľudských právach. A bral si ich do úst biskup Evanjelickej cirkvi augsburského vyznania.Ten istý biskup sa dnes kriticky vyjadruje k úpravám o kajúcnikoch, o rušení úradu pre oznamovateľov korupcie či o útokoch mladého poslanca Barteka na barda slovenskej demokracie Františka Mikloška.Peter Mihoč, prešovský evanjelický biskup. Prečo to robí? Aj toto obsahuje Ježišovo evanjelium? A necíti sa vo svojej angažovanosti osamelý?„Predpokladom úspechu je uznať si vlastnú chybu“, hovorí. „Moc zaslepuje, korupcia je pliaga, ktorá ničí dôveru v štát“, uzatvára.„Ak sa novelou Trestného zákona znižuje citlivosť štátu voči korupcii či extrémizmu, je to otázka, či chceme spoločnosť, kde sa hranice prijateľného posúvajú tak, že sa neresť stane normou. Korupcia je v rozpore s Desatorom. Je to rozkrádanie spoločných hodnôt a budovanie nedôvery. Ak sa ruší špecializovaná prokuratúra alebo oslabuje ochrana oznamovateľov, stáva sa to normou. Bol som v Gregorovciach na hrobe Martinky Kušnírovej. Ak má byť smrť riešením pravdy v spoločnosti, tak sa pýtam, v akej spoločnosti žijeme“, rozpráva biskup Peter Mihoč.Podcast pripravil Jaroslav Barborák.

Podcasty Aktuality.sk
Korupcia je pliaga, ktorá ničí dôveru v štát, motivuje ma prebúdzať svedomie politikov, tvrdí biskup Mihoč (podcast)

Podcasty Aktuality.sk

Play Episode Listen Later Feb 10, 2026 55:27


„Demokracia bez mravných zásad sa môže stať tyraniou. To je bod, ktorý ma motivuje prebúdzať svedomie národa aj politických špičiek“, tvrdí Peter Mihoč, biskup východného dištriktu ECAV na Slovensku. „Nie je nič horšie, ako keď svedomie otupie“, dopĺňa.Keď NIE politikom zaznieva aj pod Tatrami. Nedávno takéto Nie zaznelo z úst amerických kardinálov prezidentovi Trumpovi. Pre jeho „polarizáciu, straníckosť a úzke ekonomické záujmy“ pri ťažení na Grónsko.A pod Tatrami?Bolo to len tri dni po tom, ako premiér Fico navštívil agresora Vladimíra Putina v Kremli. Z kazateľnice prešovského evanjelického chrámu – a v priamom prenose verejnoprávnej televízie – si tak premiér mohol vypočuť kritiku o „klaňaní sa moci“, ktorá „porušuje hodnoty ľudskosti a spravodlivosti“. Éterom zneli slová o korupcii, o rozhodnutiach motivovaných vlastným prospechom, o podpore režimov, ktoré šliapu po ľudských právach. A bral si ich do úst biskup Evanjelickej cirkvi augsburského vyznania.Ten istý biskup sa dnes kriticky vyjadruje k úpravám o kajúcnikoch, o rušení úradu pre oznamovateľov korupcie či o útokoch mladého poslanca Barteka na barda slovenskej demokracie Františka Mikloška.Peter Mihoč, prešovský evanjelický biskup. Prečo to robí? Aj toto obsahuje Ježišovo evanjelium? A necíti sa vo svojej angažovanosti osamelý?„Predpokladom úspechu je uznať si vlastnú chybu“, hovorí. „Moc zaslepuje, korupcia je pliaga, ktorá ničí dôveru v štát“, uzatvára.„Ak sa novelou Trestného zákona znižuje citlivosť štátu voči korupcii či extrémizmu, je to otázka, či chceme spoločnosť, kde sa hranice prijateľného posúvajú tak, že sa neresť stane normou. Korupcia je v rozpore s Desatorom. Je to rozkrádanie spoločných hodnôt a budovanie nedôvery. Ak sa ruší špecializovaná prokuratúra alebo oslabuje ochrana oznamovateľov, stáva sa to normou. Bol som v Gregorovciach na hrobe Martinky Kušnírovej. Ak má byť smrť riešením pravdy v spoločnosti, tak sa pýtam, v akej spoločnosti žijeme“, rozpráva biskup Peter Mihoč.Podcast pripravil Jaroslav Barborák.

Index
Expert Gloss: Ak zvýšime dôveru v spoločnosti o 15%, stúpne aj HDP o 1%

Index

Play Episode Listen Later Jan 7, 2026 44:01


Po Maďarsku je Slovensko druhou najviac polarizovanou krajinou v Európe. Krajina na to dopláca nielen zvýšeným príklonom k antisystému a nenávisti, ale aj menšou schopnosťou produkovať bohatstvo. „Ak si neveríme, tak nespolupracujeme. Potom máme menšiu chuť vytvárať aj obchodné partnerstvá, biznis je ťažkopádny, bujnie byrokracia a krajina je menej atraktívna pre investorov aj mladých ľudí,“ hovorí výskumník Hugo Gloss z DEKK Inštitútu. Dôvera je na Slovensku historicky veľmi nízka a od 90-tych rokov sa prakticky nemení. Iným ľuďom dôveruje len štvrtina slovenskej populácie. To je veľký kontrast s inými vyspelými krajinami, ktorým sa darí ekonomicky napredovať. Napríklad vo Fínsku je dôvera v spoločnosti až na úrovni 70 percent. Krajina pritom dosiahla prosperitu len relatívne nedávno, má za sebou občiansku vojnu v roku 1918 aj zimnú vojnu so Sovietskym zväzom v roku 1939. „Fínom sa podarilo vybudovať novú identitu spoločnosti a fungujúci štát vďaka spolupráci politických a biznisových elít,“ vysvetľuje výskumník Gloss rozdiel medzi Fínskom a Slovenskom. Ak by sa politici rozhodli polarizáciu a nedôveru v spoločnosti potláčať a nie ťažiť z nej voličský potenciál, pomohlo by to aj verejným financiám. Všeobecná dôvera v systém sa totiž prejavuje aj v ochote platiť dane, ktorá je na Slovensku pomerne nízka. Vzniká začarovaný kruh, v ktorom veľa ľudí vyjadruje ochotu platiť dane až po tom, ako sa zlepšia verejné služby, ale tie sa nemôžu zlepšiť, ak sú finančne podvýživené. „Je to podobná debata ako o vajci a sliepke. Možno by pomohlo už len to, ak by občania mali pozitívnu skúsenosť s ochotnými a kompetentnými úradníkmi, aby sa zlepšil ich názor na fungovanie štátneho aparátu a ich ochota financovať ho,“ dodáva H. Gloss. Nedôvera v spoločnosti živí aj antisystém a nostalgiu za socializmom, ktorú pociťujú viac ako dve tretiny spoločnosti. Dôvodom je čiastočne pocit subjektívnej chudoby, ale u veľkej časti manuálne pracujúcich ľudí je to aj strata spoločenského kreditu, ktorý kedysi mali. Mäsiari, baníci a iné podobné profesie mali za bývalého režimu často rovnaké spoločenské postavenie ako profesori, učitelia, či lekári. To sa s nástupom trhového kapitalizmu stratilo a tieto vrstvy sa s tým ťažko vyrovnávajú. „Spolu so všeobecným nárastom narcistických vlastností to vytvára spoločnosť, v ktorej sa časť ľudí necíti dobre a preto sa obracajú proti systému.“ Priveľa ľudí na Slovensku by chcelo „blahobyt kapitalizmu a zodpovednosť socializmu.“ Veria tak chyméram a volia antisystémové strany, ktoré nedokážu krajinu posunúť vpred a ďalej rozkrúcajú špirálu polarizácie a nedôvery. „Ak sa nespamätáme, môže nás čakať scenár ako v Severnom Írsku v podobe občianskej vojny,“ dodáva Hugo Gloss z DEKK Inštitútu. Rozhovor moderuje Eva Mihočková. V rozhovore sa dozviete: Ako dôvera zvyšuje prosperitu a HDP krajiny Ako súvisí polarizácia s byrokraciou a ochotou platiť dane Prečo 65% Slovákov verí, že socializmus je lepší systém Ako by vláda mohla zvýšiť dôveru v spoločnosti Aké následky čakajú Slovensko, ak sa situácia nezlepší See omnystudio.com/listener for privacy information.

Zamyslenia EVS
Judášova mentalita – 4. január

Zamyslenia EVS

Play Episode Listen Later Jan 4, 2026 8:38


Nuž povedal som si: „Veru nadarmo som si srdce čisté zachoval a v nevinnosti som si ruky umýval…“ (Ž 73,13) Keď Asáf hovorí: „… nadarmo som si srdce čisté zachoval,“ v skutočnosti hovorí: „Nič som tým, že dôverujem Bohu nezískal.“ Prečo by mal človek Boha počúvať a slúžiť Mu, keď nič z toho nemá? Judášovo […] Curt Westman

Michal Kevicky
Na čo sa pozeráš

Michal Kevicky

Play Episode Listen Later Dec 29, 2025 44:11


1. Zlo vo sveteŽalmy 73:3 ... keď som videl, ako si bezbožníci pokojne žijú. 6 Preto nosia pýchu ako náhrdelník, odievajú sa rúchom násilia.2. NespravodlivosťŽalmy 73:13 Zbytočne som teda dbal o čistotu srdca a ruky si umýval v nevine.3. Božia slávaŽalmy 73:17 Len keď som vošiel do Božej svätyne, pochopil som, ako skončia. 18 Veru, staviaš ich na klzké miesta, necháš ich padnúť do záhuby. 19 Ako rýchlo vyjdú navnivoč, zmiznú, hrôzou zahynú!4. Božia blízkosťŽalmy 73:23 Ja však zostávam stále s tebou, držíš ma za pravicu. 24 Budeš ma viesť podľa svojho zámeru a potom ma prijmeš do slávy.5. SvedectvoŽalmy 73:28 Mňa však Božia blízkosť blaží. V Pánovi, Hospodinovi mám útočisko, preto ohlasujem všetky tvoje skutky.

Na hrane TV JOJ
Európa od A po Z: Súčasná podoba Európskej komisie si dôveru občanov nezaslúži, tvrdí Mazurek

Na hrane TV JOJ

Play Episode Listen Later Nov 27, 2025 54:17


V relácii Európa od A po Z na JOJ 24 sa europoslanci venovali primárne témam Maďarska a infringementu, ale aj vzťahom medzi krajinami V4. Diskusia skončila otázkou na mierový plán na Ukrajine. V debate vystúpili Milan Uhrík (Republika, ESN), Milan Mazurek (Republika, ESN), Miriam Lexmann (KDH, EPP) a Tomáš Zdechovský (KDU-ČSL, EPP).

ECAV Žilina
23. nedeľa po Svätej Trojici

ECAV Žilina

Play Episode Listen Later Nov 23, 2025 13:40


Večerná kázeň: J(5, 24-30) „Veru, veru, hovorím vám: Kto počúva moje slovo a verí Tomu, ktorý ma poslal, má večný život a nejde na súd, ale prešiel zo smrti do života. Veru, veru, hovorím vám: Prichádza hodina, (už) je tu, keď mŕtvi počujú hlas Syna Božieho, a tí, čo ho počujú, budú žiť. Lebo ako Príspevok 23. nedeľa po Svätej Trojici zobrazený najskôr Evanjelický a.v. cirkevný zbor v Žiline.

Startitup.sk
Kružliak: Pod vplyvom konsolidácie veľa živnostníkov neprejde procesom schvaľovania úveru

Startitup.sk

Play Episode Listen Later Nov 15, 2025 23:11


Celé PREMIUM VIDEO nájdeš tu

ECAV Žilina
Úprimný pohľad do zrkadla

ECAV Žilina

Play Episode Listen Later Oct 31, 2025 29:22


Večerná kázeň: J(8, 31-36) „I riekol Ježiš Židom, ktorí uverili: Ak vy zostanete v mojom slove, ste naozaj moji učeníci. A poznáte pravdu a pravda vás vyslobodí. Odpovedali Mu: Potomstvo Abrahámovo sme a nikdy sme neslúžili nikomu; akože teda hovoríš: Budete vyslobodení? Odpovedal im Ježiš: Veru, veru, hovorím vám: Každý, kto pácha hriech, je otrokom hriechu. Otrok však nezostáva Príspevok Úprimný pohľad do zrkadla zobrazený najskôr Evanjelický a.v. cirkevný zbor v Žiline.

The Water Tower Hour
Veru's CEO Mitch Steiner on Enobosarm's value-added to the booming GLP-1 Weight Loss Drug Market

The Water Tower Hour

Play Episode Listen Later Oct 13, 2025 21:35


Send us a textWe welcome back Veru's CEO Mitch Steiner to our latest WTR Small-Cap Spotligh podcast. In this podcast, Steiner gives us his thoughts on the latest trends in the rapidly evolving GLP-1 market for weight loss, discusses the data from enobosarm's Phase 2b data, and explains  Veru's obesity drug development strategy in the wake of its recent positive interactions with the FDA.

Samfélagið
Evrópskar sjálfsmyndir, Umhverfisráðherra um vernd hafsins, Dýraspjall með Veru

Samfélagið

Play Episode Listen Later Sep 19, 2025 55:00


Málþing um mikilvægi og áhrif evrópsks menningarsamstarfs er haldið í dag og þar er meðal annars verið að kynna verkefni um framleiðslu tíu stuttmynda frá jaðri Evrópu. Meðal umfjöllunarefna eru skynsegin sjálfsmyndir í íslensku landslagi. Dögg Sigmarsdóttir segir okkur frá þessu. Jóhann Páll Jóhannsson, umhverfis- orku og loftslagsráðherra, segir Ísland ekki hafa staðið sig nógu vel í að vernda hafið. Hann vill byrja á að vernda ónýtt svæði utarlega í efnahagslögsögunni. Ísland hefur skuldbundið sig til að vernda 30% hafsvæða við landið fyrir árið 2030 - stökkið er ansi hátt, því í dag nýtur einungis um 0,07% lögsögunnar formlegrar verndar. Vera Illugadóttir kemur í dýraspjall í lok þáttar og segir okkur frá hinum háðsku Ignóbelsverðlaunum, sebrahestar koma þar eitthvað við sögu. Tónlist í þættinum: Norah Jones - Those Sweets Words. Ríó Tríó - Dýrið gengur laust. Nýdönsk - Fullkomið farartæki.

TREND.sk
Chaos, korupcia a nekompetentnosť: Ako Amerika a Slovensko prichádzajú o dôveru

TREND.sk

Play Episode Listen Later May 30, 2025 41:14


V posledný májový týždeň dominovali správam tri prepojené príbehy: právny chaos okolo amerických ciel, tichý odchod Elona Muska z Trumpovej administratívy a pre Slovensko mimoriadne nepríjemné rozhodnutie súdu o vine guvernéra NBS Petra Kažimíra. Každý z týchto prípadov rozpráva niečo zásadné o moci, zodpovednosti a dôvere – doma aj v zahraničí.

Gastromapa Lukáše Hejlíka 111
022 máte rezervaci?!! místo Dobrý den

Gastromapa Lukáše Hejlíka 111

Play Episode Listen Later May 18, 2025 36:07


Noooo, byl to hustý týden! Začalo to už nedělním výletem do Znojma, odkud jde název a téma aktuálního dílu 111, a to je pasivně agresivní servis. Ale byly inspekční žně na Letné, v Olomouci, Brně. Do toho naše výročí s Veru, Klářiny osmnáctiny a naše společná Panelka a podcast, a do mikrofonu opět začmuchá i Karlík..). Venku je stále Zmrzlinová a Podcastová s U Kulatého stolu a Bomby k tyči. Tak slyšte a díky za vaši podporu na herohero.co/gastromapalukasehejlika - z té teď natáčíme 3 pořady (GastroSapa, brněnské anketky a Co je to za podnik s velvyslanci).

The Water Tower Hour
Veru, Inc. CEO Mitch Steiner Discusses Recent Enobosarm Data and Preserving Muscle While on GLP-1 Obesity Drugs.

The Water Tower Hour

Play Episode Listen Later Feb 26, 2025 34:34


Send us a textCEO Mitch Steiner joins us on this week's collaboration with WTR Biotech Spotlight to talk about the next generation of drugs focusing on lean mass (muscle) preservation for obesity patients on the popular GLP-1 therapies. He reviews the recent enobosarm Phase 2b data and highlights the importance of functional clinical benefit in addition to maintaining lean mass. Listen to learn more about Veru and its obesity drug enobosarm.

Víðsjá
Misskilningur í skipulagsmálum, Hjálparsagnir hjartans, uppáhaldstónverk Egils Arnarssonar

Víðsjá

Play Episode Listen Later Feb 25, 2025 50:10


Við komum við í Kling og bang úti á Granda og hittum þar listamanninn Sólbjörtu Veru Ómarsdóttir og ræðum við hana um sína fyrstu einkasýningu sem opnuð var þar í rýminu um síðustu helgi og nefnist Misskilningur í skipulagsmálum. En í verkunum skoðar hún hversdagslega hluti sem til eru innan veggja flestra heimila út frá tengslum okkar við þá en leitast einnig við að mæta hlutunum á þeirra eigin forsendum. Gauti Kristmannsson rýnir í Hjálparsagnir hjartans eftir Pjéter Ezterházy í þýðingu Jónu Dóru Óskarsdóttur, og Egill Arnarsson segir frá sínu uppáhaldstónverki.

pj hj kling granda veru egils gauti kristmannsson
Pharma and BioTech Daily
Pioneering Progress in Pharma and Biotech: A Deep Dive into Innovations and Challenges

Pharma and BioTech Daily

Play Episode Listen Later Jan 28, 2025 1:21


Good morning from Pharma and Biotech daily: the podcast that gives you only what's important to hear in Pharma e Biotech world. Sage has rejected Biogen's unsolicited buyout offer and will seek strategic alternatives. Biogen and Eisai have received approval for a monthly maintenance regimen for Alzheimer's drug Leqembi. Veru's drug has shown promise in sparing lean mass in overweight adults on Wegovy. The Duchenne muscular dystrophy space is on the verge of a pivotal era with several companies developing investigational therapies. Akero has rebounded in a mid-stage trial, Daiichi Sankyo is optimistic for 2025, and Allakos is cutting its workforce. The text discusses the advancements in the Duchenne Muscular Dystrophy (DMD) space as it enters a pivotal era, with companies such as Capricor Therapeutics, Wave Life Sciences, and RegenxBio working on investigational therapies to address unmet needs. It also mentions Daiichi Sankyo's recent success with the approval of Astrazeneca-partnered Dato-DXD. Additionally, new treatments are in development for Achondroplasia to challenge Biomarin's Voxzogo. Novo's obesity drug shows promising results, Merck's Keytruda combo fails in a Phase III trial for GI cancer, and Tris Pharma wins late-stage for a non-opioid painkiller. The text also invites feedback from readers on topics they would like to see covered in the future.

Podcasty Aktuality.sk
Európa: Von der Leyenová a jej kabinet to budú mať ťažké. Získali historicky najslabšiu dôveru

Podcasty Aktuality.sk

Play Episode Listen Later Nov 29, 2024 26:40


Europoslanci tento týždeň schválili nový kabinet Ursuly von der Leyenovej. Za hlasovalo 370, proti bolo až 282 europoslancov. Odborníčka na európsku politiku Barbara Zmušková v podcaste hovorí, že staronová šéfka komisie a jej kabinet získali najslabšiu dôveru poslancov v histórii. „Budú si musieť dávať väčší pozor, aby im prechádzali niektoré hlasovania. Von der Leyenová to bude mať náročnejšie a bude mať užší manévrovací priestor," hovorí.Proti hlasovali aj europoslanci za Smer, a tak v praxi nepodporili vlastného nominanta. „Bolo to viac politické gesto. Najmä keď videli, že sa nájde väčšina," myslí si Zmušková. V podcaste budete počuť aj reakciu europoslankyne Kataríny Róth Neveďalovej (Smer-SD). Spomedzi slovenských europoslancov hlasovali za kabinet Ursuly von der Leyenovej Miriam Lexmann (KDH), Branislav Ondruš (Hlas) a všetci poslanci Progresívneho Slovenska. V podcaste budete počuť Michala Wiezika.Podcast Európa vzniká v spolupráci s Európskym parlamentom.Moderuje Denisa Hopková.

V redakcii
Exminister zahraničia Wlachovský: Strácame dôveru a spojencov, môže za to hlavne Fico

V redakcii

Play Episode Listen Later Nov 25, 2024 32:41


Bývalý minister zahraničia z úradníckej vlády Miroslav Wlachovský opisuje, ako nám škodí zahraničná politika „na štyri strany“. V podcaste s Mirom Kernom vraví, že sme na tom v niektorých ohľadoch horšie ako Maďarsko za Viktora Orbána, ktorý bude mať na rozdiel od Roberta Fica za spojenca aspoň Donalda Trumpa.

Silný výber
#126 – Už je to veru rôčik, čo od správ z vlasti radno bočiť, už je to veru jeden rok a každý deň je to aj tak šok!

Silný výber

Play Episode Listen Later Nov 3, 2024 65:46


#126 Silný výber – PRVÝ VÝROČNÝ DIEL!    Veru, už je to rok, čo na Slovensku vládne štvrtý raz skupina pod vedením Robert Fica. Aj pri takejto smutnej príležitosti, možno priam práve pre ňu, sa patrí obzrieť, že čo a ako. A potom sa zhlboka nadýchnuť a ďalej sa pustiť do tlačenia tej povestnej káry plnej bolesti. Lebo po noci naozaj musí prísť deň. Raz. Niekedy. Silný výber. Prvá z posledných nádejí. Váš obľúbený podcast môžete teraz podporiť aj cez náš Patreon alebo kúpou šalomčeka: https://www.patreon.com/silnyvyber/membership  https://www.buymeacoffee.com/silny_vyber  Pripíjame a pripomíname: In memoriam Ľudka Borloková, narodeniny pána brata. Vivat amicenko Krajniak! Historický kalendár Janka Žideka (výber) 106 rokov od založenia I. ČSR (aj Martinskej deklarácie) Pred 203 rokmi sa narodil Ľudovít Štúr. 86 rokov od Viedenskej arbitráže Pripili sme si s:  https://allesmuelleroderwas.de/produkte/kalinka-kefir-mild/pur  Endorse:  https://www.malamedvedice.cz/  Hudba v podcaste:  George Gershwin – Rhapsody in Blue Odporúčaná hudba:  Stano Petrov – Prečo to stále nejde https://www.youtube.com/watch?v=xP4Jzc3FH1A  IMT Smile – Svet https://www.youtube.com/watch?v=LI3O8F94ndE 

Smart Money Circle
Forget Ozempic & Wegovy. The Biggest Opportunity In Weight Loss Today. Lose Weight, Not Muscle $VERU

Smart Money Circle

Play Episode Listen Later Oct 7, 2024 29:30


Forget Ozempic & Wegovy. The Biggest Opportunity In Weight Loss Today. Lose Weight, Not Muscle $VERU Guest: * CEO: Dr. Mitchell Steiner * Title: Founder, Chairman, CEO, and President * Website: www.verupharma.com * Ticker: NASDAQ: Veru * Bio: Mitchell S. Steiner, M.D., F.A.C.S. has served as President and Chief Executive Officer of Veru and as a director of the Company since October 2016. Dr. Steiner was the co-founder of Aspen Park and served as Aspen Park's Chief Executive Officer, President and Vice Chairman of the Board from July 2014 to October 2016. From 2014 to 2016, Dr. Steiner was a consultant and then the President, Urology and member of senior management of OPKO Health, Inc. (NYSE:OPK) and had responsibilities for the launch, marketing, sales and reimbursement of 4Kscore prostate cancer test to urologists and primary care physicians. Dr. Steiner was also the co-founder of GTx, Inc., a men's health and oncology public company, where he served as Chief Executive Officer and Vice Chairman of Board of Directors from 1997 to 2014. Dr. Steiner is a Board Certified Urologist and a Fellow of the American College of Surgeons and has held numerous academic appointments, including Assistant Professor of Urology, Cell Biology, and Pathology at Vanderbilt School of Medicine from 1993 to 1995 and Chairman and Professor of Urology, Director of Urologic Oncology and Research and the Chair of Excellence in Urologic Oncology at the University of Tennessee from 1995 to 2004. Dr. Steiner holds a B.A. in Molecular Biology and Chemistry from Vanderbilt University and an M.D. from the University of Tennessee. He performed his surgical and urologic training at The Johns Hopkins Hospital and postdoctoral research fellow in cell biology at Vanderbilt School of Medicine. --- Support this podcast: https://podcasters.spotify.com/pod/show/smartmoneycircle/support

nova.rs
Radar Forum, gost vladika Grigorije: Za veru se treba boriti, neverovanje se uvek javlja samo

nova.rs

Play Episode Listen Later Sep 13, 2024 44:25


Peti i poslednji sagovornik Danice Popović, profesorke Ekonomskog fakulteta u penziji, bio je vladika diseldorfski i cele Nemačke Grigorije. U sedamnaestoj epizodi Radar Foruma, sagovornici su razgovarali o zanimljivim religijskim, kulturnim i društvenim temama, i to s pozicija naizgled suprotstavljenih, a zapravo komplementarnih – profesorka Popović sebe određuje kao bogotražitelja, a vladiku je predstavila kao svešteno lice koje razume i crkvu i laike. „Čovek postavlja ateistička pitanja, ali čim ih postavlja, on traži boga. Pravi ateista bi bio samo neko koga ta tema uopšte ne interesuje. Kad u jevanđelju neki čovek moli Hrista da isceli njegovog sina ili slugu, nisam sada siguran, Hrist ga pita: 'Veruješ li', a on mu odgovori: 'Verujem, gospode, pomozi mom neverovanju.' Neverovatno paradokslano, a istovremeno jako istinito. Kad mi ljudi priđu kao svešteniku i kažu: 'Voleo bih da verujem, ali baš i ne verujem', kažem im: 'Ja isto tako', i onda malo zastanu. Jer, za veru se treba boriti. Za neverovanje se ne treba boriti, ono se uvek javlja samo“, predočava vladika. Na pitanje o položaju žene u crkvi, za koje se često može čuti da je podređen – recimo, žene mogu biti svetice, ali ne i sveštenice, vladika Grigorije je rekao da odgovora bezbroj, ali da nijedan neće biti dostatan. „Moj je utisak da je Hristos, glava i osnivač crkve, ženu podigao na mesto koje joj niko nikad pre njega nije dodelio. Žene su njegove učenice, putuju s njim, uče od njega i podučavaju druge. Na kraju su ostale s njim pod krstom, kad su se čak i apostoli razbežali“, kaže vladika. Više na www.radar.rs

Startitup.sk
Analytik Smatana: V Kaliňáka mám dôveru. Štart Dolinkovej bol nádejný, ale kopia sa jej problémy [Pod Tlakom]

Startitup.sk

Play Episode Listen Later Aug 25, 2024 44:07


Do štúdia relácie Pod tlakom prijal pozvanie zdravotnícky analytik Martin Smatana. Ten pred pár mesiacmi oznámil, že spolupracuje s ministerstvom obrany pod vedením Roberta Kaliňáka na výstavbe novej nemocnice v Prešove. V debate odpovedal na to, či má dôveru v Kaliňáka aj po viacerých jeho kauzách a ako garantuje transparentnosť pri výstavbe nového zdravotníckeho zariadenia. Preberali sme aj to, v akom stave je výstavba nových nemocníc po Slovensku, prečo podľa neho nie je dobré, že sa presunuli Rázsochy do Ružinova a zhodnotil aj ťažkú finančnú situáciu vo Všeobecnej zdravotnej poisťovni. Kauza trenčianskej kardiológie, kde je prítomný podľa medializovaných informácií len jeden lekár počas niekoľkých dní, je však podľa Smatanu nafúknutá. Čo si myslí o krokoch Zuzany Dolinkovej na poste ministerky zdravotníctva? Ako hodnotí to, že pandémiu na Slovensku prešetruje Peter Kotlár? Čo vôbec prinesie s tímom, kde sú viacerí popierači pandémie? Pozri si celý rozhovor o aktuálnych témach s Martinom Smatanom.

probl ru tart ako slovensku slovenska analytik kauza veru kopia pozri roberta kali martin smatana
Braňo Závodský Naživo
Duleba: Keď viete obyvateľom nahnať strach a potom im ponúknete ochranu, máte ich dôveru

Braňo Závodský Naživo

Play Episode Listen Later Apr 4, 2024 35:09


Rusi už viac ako dva roky bez prestávky a krvavo útočia na Ukrajincov. Posledné správy z frontu neboli priaznivé. Ukrajincom chýbala munícia či pripravené obranné línie. Rusi naopak stále útočia všetkým, čo majú a rakety neustále lietajú aj do Kyjeva. Putin chce v armáde 100-tisíc nových brancov a jeho štát prepol na vojnovú ekonomiku.Na okraji Moskvy však zabíjali teroristi. Putin tomu zabrániť nedokázal, ani napriek varovaniam Spojených štátov či Turecka.Čaká teda Ukrajinu nová Ruská ofenzíva? Dokáže sa na ňu pripraviť a dokážu jej spojenci pomôcť? Čo sa deje v Rusku po zvolení Putina a teroristickom útoku? A čo robil Erik Kaliňák či Martina Šimkovičová v kremeľskom propagandistickom médiu? Braňo Závodský sa rozprával s analytikom Slovenskej spoločnosti pre zahraničnú politiku Alexandrom Dulebom.

ASCO Daily News
ADCs in Breast Cancer: Sequencing, Resistance, and Managing Toxicity

ASCO Daily News

Play Episode Listen Later Feb 15, 2024 30:14


Drs. Hope Rugo and Sara Tolaney discuss the promise of antibody-drug conjugates (ADCs) in the treatment of breast cancer, highlighting key trials that shed light on matching the right ADC to the right patient in the right setting. They also explore how combinations and sequencing of ADCs can augment their efficacy, the mechanisms of resistance, and the future potential of biomarkers to predict patient response. TRANSCRIPT Dr. Hope Rugo: Hello, I'm Dr. Hope Rugo, your guest host of the ASCO Daily News Podcast today. I'm a professor of medicine and director of breast oncology and clinical trials education at the University of California, San Francisco's Comprehensive Cancer Center. Antibody-drug conjugates, or ADCs, are rapidly changing the treatment landscape for patients with breast cancer. ADCs consist of antibodies that target tumor-specific antigens on the cell surface, chemical linkers, and cytotoxic payloads that can act powerfully to kill cancer cells. On today's episode, we'll be discussing advances in research to match the right ADC to the right patients and in the right setting. We'll also talk about the next steps, assessing how combinations and sequencing of ADCs can augment their efficacy, improve options for patients, and identify biomarkers in the future to predict how patients will respond so that we can match the right treatment to the right patient and their tumor. We need to gain a better understanding of the mechanisms of resistance that occur upfront as well as under the pressure of treatment.  Joining me for this important discussion is Dr. Sara Tolaney. Dr. Tolaney is an associate professor of medicine at Harvard Medical School, associate director of the Susan Smith Center for Women's Cancer, and chief of the Division of Breast Oncology at the Dana-Farber Cancer Institute in Boston.  You'll find our full disclosures in the transcript of this episode and disclosures of all guests on the podcast are available at asco.org/DNpod. Dr. Tolaney, we're delighted to have you on the podcast today. Thanks for being here. Dr. Sara Tolaney: Thank you so much for having me. I'm looking forward to the discussion. Dr. Hope Rugo: Great! So, we'll move forward, and because we're friends and colleagues, I'm going to refer to you as Sara, and I'm Hope, since we'll dispense with formalities in our discussion.  A lot of the talks that we give about ADCs start out with “a revolution in breast cancer therapy.” And indeed, this is a really exciting time with ADCs as treatment for breast cancer, and we're rapidly moving these agents into earlier disease settings. Can you tell us a little bit about the possibilities and challenges of using ADCs for the treatment of breast cancer today? Dr. Sara Tolaney: It's interesting that you say antibody-drug conjugates as revolutionizing outcomes of breast cancer, which I think is true. But on the flip side, I think it's also bringing up a lot of questions about how to use them, when to use them, and how to manage side effects. So there are a lot of good strengths for these antibody-drug conjugates, but a lot of unknowns that we're still trying to figure out. We had an older antibody-drug conjugate T-DM1 that we were all very familiar with that for years had been a treatment that we used very commonly in metastatic disease and now even use in early breast cancer, and I think has changed outcomes for patients. But over time, we've been able to develop newer antibody-drug conjugates as the technology has really evolved so that these agents now are able to deliver a lot of chemotherapy into a cancer cell. We're seeing very high drug-to-antibody ratios, and we're also seeing that these drugs can function via bystander effect, whereas T-DM1, for example, was not able to do that. But our newer ADCs, like sacituzumab govitecan or trastuzumab deruxtecan, are agents that do allow chemotherapy to get into that cancer cell, but also to get into neighboring cells.  And I think the technology evolution in being able to build these so-called next-generation ADCs has allowed for really unprecedented efficacy that we've not seen before. And it's also allowed us to develop these drugs in a way that's been different. Originally, we were developing T-DM1 to turn off HER2 signaling and to deliver chemotherapy into a HER2 cell. At least that's what we thought originally. And now we're really evolving so that we can just find a tiny bit of protein on a cancer cell and use it as a target, really in a subtype-agnostic way. And I think it's just a different way of thinking about how to use these agents to really deliver a lot of chemotherapy into cancer cells and have very robust efficacy. Dr. Hope Rugo: Yes, it is fascinating that some of the suppositions that we made with the first ADC don't seem to really hold true as well. And maybe they hold true in varying levels for the different ADCs. For example, this bystander effect is thought to allow us to target cells that have very low expression of the receptor that can be internalized even lower than our ability to detect these receptors by immunohistochemistry. And maybe we'll talk about that in a little bit.   But first, you mentioned already sacituzumab and trastuzumab deruxtecan, the ADCs that are currently approved for breast cancer. But can you tell us a little more about those ADCs and the key trials that have led to approval of these targeted agents? Dr. Sara Tolaney: Yes, I think when we first saw the data that came out with T-DXd and DESTINY-Breast01, I think my jaw dropped because I had never seen a waterfall plot like that. This was a single-arm study that looked at T-DXd in patients with very heavily pretreated metastatic HER2-positive breast cancer and saw very high response rates of over 60% and a clinical benefit rate of almost 98%, meaning that almost every single patient who got the drug and had a median of six prior lines of therapy had reduction in tumor size. And that's unreal. I think it was revolutionary in the sense that we had never seen that kind of activity in such a pretreated population. The agent was studied in other registration trials, DESTINY-Breast03, which looked at T-DXd and compared it head to head with T-DM1 in a predominantly second-line metastatic HER2-positive population, and here, again, unprecedented results. I've never seen a p value like that or a hazard ratio of, again unreal, of a little under 0.3 and seeing a 28-month PFS with T-DXd relative to just a little under 7 months PFS with T-DM1. We have never seen patients with metastatic HER2-positive breast cancer have a PFS that long. Even in CLEOPATRA, it's a little under 19 months in the first-line setting, where people were predominantly naïve to HER2-directed therapies. This, again, is really changing outcomes for patients.   But then, I think, when we go to the next step, we studied T-DXd in patients with HER2-positive breast cancer and it had again these unprecedented results. But there was some early data suggesting that it could even work in tumors that weren't truly HER2-positive but what we call HER2-low, meaning that they weren't HER2/3+, they weren't HER2-0 but they were 1+ to 2+ and not FISH amplified. And so even with a little bit of protein there, they were seeing activity in the early phase studies and so it led to DESTINY-Breast04, which compared T-DXd to chemotherapy of physician's choice in people who had had one or two prior lines of chemotherapy in the metastatic setting. It was predominantly geared to look at outcomes in hormone receptor-positive breast cancer. But there was a small group of 58 patients with triple-negative disease that were also included in that trial. And here again, a very unprecedented outcome seeing a response rate of about 50%, which, again, we never see in pretreated hormone receptor-positive disease. And a PFS of 10 months, and again, these are people who already had one or two prior lines of chemotherapy. So it's, again, really changing outcomes. And so now I think it leads us to a lot of other questions that we are addressing in trials - can this drug work even if the tumor has maybe no HER2 expression, what about HER2-0, what about HER2-ultra low, meaning a little bit of staining but not quite 1+. And so these are questions that I think we will need to address and there are studies that will help us address that. On the flip side, we saw sacituzumab govitecan get developed in breast cancer. Initially, we saw very impressive results from a single arm study of sacituzumab in metastatic triple-negative disease where we saw response rates of a little over 30%. These are patients who were very heavily pretreated with metastatic triple negative breast cancer where, unfortunately, response rates end up being in a 5% range so it was a home run in that setting. So that led to the ASCENT trial, which compared sacituzumab govitecan to treatment of physician's choice therapy and that study really enrolled people who were, in essence, second line and beyond in the metastatic triple-negative setting and showed almost triple progression free survival, in essence, doubled overall survival. So again, very robust efficacy leading to confirming its approval. And then we saw data from TROPiCS-02, which looked at sacituzumab in metastatic hormone receptor-positive disease and also showed improvements in both progression free and overall survival. And this was in pre-treated populations of 2 to 4 prior lines of chemotherapy. These agents, again, have established robust efficacy, and so now the idea is can we move these drugs earlier in development into earlier line settings and can we even move these agents into the early disease setting and potentially cure more patients? So hopefully, we'll figure out ways to make that happen. Dr. Hope Rugo: Yeah, that was a great summary of this exciting data. And I think we really got an idea of what waterfall plots could tell us from DESTINY-Breast01 where you could count the number of patients whose cancers grew with therapy on one hand. It's been a huge advance. I think it's where we get this “revolution” even in patients with a median of 4 lines of prior chemo, and, in the ASCENT trial, we were able to see this improvement and survival in the hardest-treated subset of metastatic breast cancer triple negative disease. And then the remarkable data in HER2-positive and HER2-low breast cancer hormone receptor positive disease. We're really covering all of the subset of breast cancers.   When we introduce new therapies though, and of course, our interest is moving them earlier as lines of therapy in the metastatic setting, we really have to think about the adverse events and how those are going to affect their patients, and balancing the risk benefit ratio. Obviously when the benefit is so huge, we're more thinking about how do we proactively manage these side effects, educate our patients, use prophylaxis when possible. Can you share with us some of your insights on management strategies for toxicities?  Dr. Sara Tolaney: You bring up a very good point, and I will say the ADCs were designed with the idea being that we could deliver a ton of chemotherapy into a cancer cell. So obviously, my hope had been that we weren't going to see a lot of chemotherapy-like side effects because the goal was to try to spare normal cells of these side effects. But unfortunately, we do see that these agents do have real toxicities, and I think that is an important message. So, for example, with sacituzumab, for people who have hair going into it, they will lose their hair during the course of treatment, and so that's important to make patients aware of. It can lower blood counts, and about 50% of patients who are on sacituzumab will end up needing growth factor support while they're on treatment. So, that is again something that needs to be monitored and managed. But usually, we're pretty good at managing neutropenia, and with the growth factor support, I find that it actually works really well.  Another thing with sacituzumab is the potential risk of diarrhea, but most of the diarrhea is low-grade diarrhea. It's rare that you get someone who has high-grade diarrhea with sacituzumab. Usually, I find it works to just instruct patients to use loperamide as needed. And again, usually that works well. And certainly when needed, dose modification can also help with these side effects and so it is important to keep in mind that this is another option. With T-DXd, one thing that we do have to keep in mind as an unusual side effect is the potential risk of interstitial lung disease. We see that in about 10% to 15% of patients getting T-DXd. That is something that we do have to be very mindful of. For the most part it is low-grade ILD. But there are rare occasions where there have been deaths from ILD. And we're seeing with some of the newer trials, the death rate is usually under 1%, but it is a real potential risk. And so it is really important to counsel patients when getting T-DXd about this potential side effect, that way they are good about communicating with you if they get any new symptoms, such as shortness of breath or dry cough, to get you aware of it and can work it up and get imaging certainly if that occurs.  And then I think the management for ILD is a little unique and a little different truthfully than the way we manage pneumonitis from other drugs. Normally, when I am treating patients who develop pneumonitis, even if it is mildly symptomatic, we often will hold treatment, give steroids, and rechallenge them when it gets better. But with T-DXd, if anyone develops symptomatic pneumonitis, you actually have to permanently discontinue the T-DXd per the guidelines because we just don't know the safety of being able to rechallenge that patient once that pneumonitis resolves. For grade 1 ILD, meaning someone who has, for example, ground glass changes seen on imaging but doesn't have any symptoms, you have to hold the drug and wait until those imaging findings resolve and then you can restart. I usually do treat grade 1 ILD patients with steroids with the hope being that maybe it will allow for the pneumonitis to resolve more quickly, although in truth I don't know if that's the case. I have just taken that approach because I don't like leaving patients off the drug for too long if not needed. Again, I typically treat them with steroids, reimage in three to four weeks, and see if I'm able to restart. If they resolve within 28 days, you can restart at the same dose. If it takes longer to resolve, you need to dose modify.  And then I think the other big thing with T-DXd is to know that it is categorized as a highly emetogenic agent. Most of us are using three-drug prophylaxis, which I think works really well. It is also important to realize that there can be some delayed nausea, which is a little unusual with some of our other agents. And so to warn patients about that and I find that use of olanzapine or ondansetron for the delayed nausea tends to work pretty well.  Hope, do you have any pearls for us? Obviously, you are very experienced in using these agents; are there any things you would recommend for the management of ADCs?  Dr. Hope Rugo: Yes, it's such a great question and an important area because, particularly as we are using these agents earlier, we really need to have strategies for both how long to continue as well as manage the toxicities. I agree with the nausea, olanzapine has been really a great addition, and using a triplet as initial premedication makes a big difference for T-DXd and other deruxtecan ADCs that are in the pipeline. And then I think that the ILD issue, we're really learning more about the risk factors as well as retreatment. And hopefully, we'll have more data this year at ESMO Breast and maybe ASCO on retreatment for grade 1. We certainly now do not have any data on the safety of retreatment for grade 2, so that is really not accepted now. For sacituzumab, I think the interesting area is the metabolism and the impact. So with neutropenia, as we move the drug earlier, it's easier and easier to manage, we see less severe neutropenia. We can give growth factors, which we are all good at in oncology. But I think the question about managing diarrhea and who is at risk still exists. Understanding pharmacogenomics and UGT1A1 is an interesting area where patients who have diarrhea could be tested to see if they are poor metabolizers which affects a little under 10% of the overall population. Because in that group, you could give less drug and get the same benefit with less toxicity. So I think this is all very interesting. It is important for providers and patients to be educated so that we can manage this appropriately. And I think you gave an excellent overview.   We have new agents in the pipeline also and maybe we'll talk about those next, and then we'll talk a little bit about sequencing and resistance, as well as the unmet need for brain metastases. So lots of areas to talk about. There are a number of TROP-2 ADCs that are in the pipeline, and one that has presented phase III data, datopotamab deruxtecan. But other studies are being developed with new TROP-2 ADCs as well. But then there are a huge number of ADCs there with new targets, for example, immune effector targets, and new payloads, even immunotherapy and two different payloads or bispecific antibodies. And then there is interest in combining ADCs with immunotherapy and PARP inhibitors. We saw data in bladder cancer, I think it was bladder cancer, with combined 2 different ADCs at ESMO in 2023. So a lot of new approaches. How are we going to manage this moving forward? And where do you think we are going to position some of these next sort of "me-too" drugs?  Dr. Sara Tolaney: It's an excellent question, and you're right, the field is exploding with new antibody- drug conjugates. So, it's going to leave us with this conundrum of what to do. And you brought up the really interesting example of the fact that we have an approved TROP-2 ADC, we have as sacituzumab govitecan, and for example, we've recently seen some really exciting data come out from TROPION-Breast01 looking at another TROP-2 ADC, datopotamab deruxtecan or Dato-DXd where that ADC performed better than chemotherapy in a head-to-head trial in terms of progression-free survival in a hormone receptor-positive population. Then there's another TROP-2 ADC, moving forward in development moving to phase III that Merck is developing MK-2870. All three of these ADCs are targeting TROP-2 and have a TOPO 1 payload. So, it leaves you with the question of how do you think about that? Is there going to be a role for using serial TROP-2 ADCs? Could one work after the other, even when they have very similar payloads? How are we going to incorporate them? How do you pick one over the other? So, it is going to be tricky for us as we get more and more of these agents. I think we're all excited about seeing ADCs that may have different targets and different payloads, where maybe we will see that sequential utilization will have robust efficacy if we swap things out. Again, we don't have data here yet, but I think there are other agents in development. For example, you could think of like, disitamab vedotin targets HER2 and has an MMAE payload. So, could it be that someone progresses on T-DXd for HER2-low, but then could go on to disitamab vedotin? How will that work? So, we have a lot to learn, but it's really nice to have so many options.  Dr. Hope Rugo: Yeah, it'll be interesting to see whether or not we select the ADC based on a rational understanding of the tumor and the patient, or whether it's simply what's easier to give and has the right toxicity for that patient.  So, that sort of brings us to our next topic, which is how are we going to sequence these agents? How are we going to understand the mechanisms of ADC resistance? At San Antonio in 2023, we saw a presentation where there was a top-alteration, and the patient had a really long response to a top-directed ADC, or an agent that carried a topoisomerase inhibitor. And that really struck me that we're going to see these alterations. There was a fresh autopsy study that suggested that the alterations may be different in different organ sites of disease. How are we going to figure this out? Dr. Sara Tolaney: Yeah, I also was really puzzled to see those data from San Antonio where we've sort of simplified ADC resistance in our heads to say, well, maybe someone becomes resistant because they lose target expression, or maybe someone becomes resistant because they've developed resistance to the payload, kind of like the way we think of someone developing resistance to getting chemotherapy. But obviously, it's probably far more complex than that. With these ADCs, they need to be able to internalize the ADC and could there be mechanisms of resistance related to the internalization process? So, I think there are lots of potential areas where resistance could be occurring. I think, we don't understand it very well. We've seen patients, for example, who have responded. This is just anecdotal, but we have data, for example looking at, Dato-DXd in the phase 1 triple-negative study where there were some patients who responded despite having progressed on sacituzumab. Well, why is that? You would think if it's target resistance or payload resistance, it would be the same target and a very similar payload. So, why would those drugs work one after the other? And that's why I think we just don't understand this well enough at this point in time.   So, it's clearly an area where more research is needed because it does have significant implications on how we think about using these drugs sequentially. We will need to understand these resistance mechanisms because there do seem to be some rare patients who benefit from these sequencing strategies and then others who don't. So, it would be nice to be able to figure this out and hopefully in the future, we'll be able to test patients and know what drugs to give them. But I think we're far off from that, unfortunately, right now. Dr. Hope Rugo: Yeah, it does seem to be a relatively elusive approach, and I think, in part, it's due to the heterogeneity of cancer. And maybe, as we're better and better at analyzing tumor cells in the blood, which are a rare group, and ctDNA, which, of course, we do now to look for mutations, maybe that'll be an approach that we'll be able to take. And also, of course, moving the drugs earlier into the disease setting with less heterogeneity and mechanisms of resistance might help as well.  I was fascinated by the fact that although the PFS to the first ADC seems to be overall much greater than the PFS to the second ADC, when you sequence them, there are a few patients who have a longer PFS with the second, even if these are just sacituzumab T-DXd sequencing in various directions. So, it's clearly very complex. And right now, I think we're just sequencing and we don't really know how to do it. We just choose what we think is best for that patient first and go on to the next one later, which is interesting. And one of the choices might be treating brain metastases, which of course remains a huge unmet need. And if we could find effective treatment for brain metastases, maybe we could also prevent them in some patients more. What do we know about the central nervous system (CNS) penetration of ADCs and the clinical results? Dr. Sara Tolaney: At first, we were not optimistic that these drugs would have activity in the brain because we thought that these were very large agents that probably couldn't penetrate into the blood-brain barrier. But in fact, I think we were all very excited to see that there is actually data suggesting that these drugs can actually have robust efficacy in the CNS in patients who have active brain metastases. And so what we've seen so far is data with trastuzumab deruxtecan or T-DXd, there have been some trials that have been done, including studies like DEBRA and TUXEDO, which have looked at T-DXd in patients who have active brain metastases and are showing very robust response rates within the CNS. So, we're seeing intracranial response rates on the order of 40% to 50%. And clinically, this is what we're seeing as well. These are smaller studies and there's a larger trial, DESTINY-Breast12, which will hopefully validate the robust efficacy in the CNS with T-DXd. So, again, it's really nice to see this.  To your point, though, one area that I'm curious about, as you were alluding to, is will these drugs be able to prevent CNS disease? And I think that is a very different question because here the blood-brain barrier is not intact when patients have progressive brain metastases, and so these ADCs are causing robust activity. But if you look, for example, and I'll be curious to see what happens, DESTINY-Breast05 is looking at T-DXd in the post preoperative setting for patients who have residual disease and comparing it to T-DM1. And unfortunately, we saw that T-DM1 was not able to prevent brain metastases when looking at data from KATHERINE, where in fact, rates of CNS as the first site of recurrence were similar with T-DM1 and trastuzumab. So, now we'll be interested to see, will it be any different with T-DXd? Will T-DXd be able to have any role in prevention? I think we haven't seen anything like that with ADCs to date, so that would be a paradigm shift in our way of thinking.  Right now, there are strategies being taken from a prevention standpoint of trying to add a tyrosine kinase inhibitor in that early-stage setting, such as what is being done in the COMPASS-RD trying to add tucatinib to T-DM1 to see if that would do it. But again, we really need to understand, again, how these drugs work, particularly when the blood-brain barrier may not be intact. But again, very exciting data with T-DXd in an ongoing trial, actually through SWOG looking at sacituzumab for patients with CNS disease. And we've seen some preliminary data with sacituzumab showing that it actually does penetrate into the brain when they've looked at drug levels in the tumor in the brain, comparing it to plasma, it actually looks similar. So, we know it's getting in there and we'll have more robust efficacy data, hopefully coming soon. Dr. Hope Rugo: Yeah, that was a great summary of that data. It's been exciting also to see some responses in patients with leptomeningeal disease as well, where we've really been struggling with anything that works for more than a few weeks or months at the most. So I'm holding out great hope that we're going to see a big difference because even though TDM-1 had some efficacy, it was nothing like what we're seeing with T-DXd. So we'll see. And the same with sacituzumab with triple negative disease, where sometimes brain metastases can be an isolated site of recurrence, even in patients who have a pathologic complete response. So it has been a big challenge.  So I think that what we've learned from you is a lot about the mechanisms and the data about these new ADCs, the tremendous hope that these are bringing to our patients, but also the really exciting new approaches with new payloads, new targets of drugs that are in development, as well as potentially some different ADCs that have the same target and similar mechanisms of action of this payload. Really fascinating to hear about this, the future work on sequencing, on mechanisms of resistance, and on brain metastases. We have, of course, 2 prospective trials that we'll be looking at sequencing, one with T-DXd and Dato-DXd, and one registry trial with T-DXd and sacituzumab govitecan in the US. So that's also going to, I think, provide us with some important information.  We could talk for a long time about this, but I just wonder if you have any closing comments to sum up your thoughts.  Dr. Sara Tolaney: I think you did a great job leading us through thinking about ADCs, and I think it'll be really interesting to see what happens in the future. While again, these agents have become a standard for us for patients with metastatic disease, I'm going to be curious to see how everything evolves and to see if we'll be able to substitute chemotherapy with ADCs in early disease settings and change outcomes. Will we be able to have novel combinations? Will we be able to sequence these drugs one after another? Will we actually have biomarker predictors to help us sort out which drug to give when? So, still a lot to learn, but clearly a very exciting field right now. Dr. Hope Rugo: Indeed. Sara, thank you for sharing your valuable insights with us today on the ASCO Daily News Podcast on your great work to develop novel therapies for breast cancer. It's always a pleasure to talk to you, and even greater to work with you on the future progress of treatment for breast cancer. Dr. Sara Tolaney: Thank you so much, Hope. Again, really nice to always discuss these data with you. I always learn a lot, so thank you. Dr. Hope Rugo: Thank you. And thank you to our listeners for joining us today. You'll find a link to all of the studies discussed today in the transcript of this episode. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcasts. Disclaimer: The purpose of this podcast is to educate and inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experiences, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of a product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.   Follow today's speakers:   Dr. Hope Rugo  @hoperugo  Dr. Sara Tolaney @stolaney1     Follow ASCO on social media:   @ASCO on Twitter    ASCO on Facebook    ASCO on LinkedIn      Disclosures:   Dr. Hope Rugo:  Consulting or Advisory Role: Napo Pharmaceuticals, Puma Biotechnology, Mylan, Eisai, Daiichi Sankyo Research Funding (Inst.): OBI Pharma, Pfizer, Novartis, Lilly, Genentech, Merck, Daiichi Sankyo, Sermonix Pharmaceuticals, AstraZeneca, Gilead Sciences, Astellas Pharma, Talho Oncology, Veru, GlaxoSmithKline, Hoffmann-LaRoche AG/Genentech, Inc, Stemline Therapeutics Travel, Accommodations, Expenses: Merck, AstraZeneca   Dr. Sara Tolaney: Consulting or Advisory Role: Novartis, Pfizer, Merck, AstraZeneca, Genentech, Eisai, Sanofi, Bristol-Myers Squibb, Seattle Genetics, CytomX Therapeutics, Daiichi Sankyo, Immunomedics/Gilead, BeyondSpring Pharmaceuticals, OncXerna Therapeutics, Zymeworks, Zentalis, Blueprint Medicines, Reveal Genomics, ARC Therapeutics, Umoja Biopharma, Menarini/Stemline, Aadi Bio, Artio Biopharmaceuticals, Incyte Corp, Zetagen, Bayer, Infinity Therapeutics, Jazz Pharmaceuticals, Natera, Tango Therapeutics, Systimmune, eFFECTOR Therapeutics, Hengrui Pharmaceutical (USA), Sumitovant Biopharma Research Funding (Inst.): Genentech/Roche, Merck, Exelixis, Pfizer, Lilly, Novartis, Bristol-Myers Squibb, Eisai, AstraZeneca, NanoString Technologies, Seattle Genetics, OncoPep, Gilead Travel, Accommodations, Expenses: Eli Lilly, Sanofi, Gilead Sciences

Handkastið
Vond ára yfir Rúnari Kára - Rasimas spilar fyrir áframhaldandi veru í Olís

Handkastið

Play Episode Listen Later Feb 8, 2024 71:21


15.umferðin í Olís-deildinni var gerð upp í þætti kvöldsins. Slúðurmolarnir voru fjölmargir og áhyggjuefnin ekki færri. Hvaða fimm félög heyrðu í Halldóri Jóhanni? Hvert fer Einar Baldvin? Rasimas hefur fengið kveðjubréfið á Selfossi og AP4 hefur fengið hvíld fyrir bikarleikinn gegn Haukum. Sjö umferðir eftir og staðan í fallbaráttunni er stórhættuleg.

Dobré ráno | Denný podcast denníka SME
Ficova vláda má dôveru parlamentu. Šetriť sa príliš nechystá (22. 11. 2023)

Dobré ráno | Denný podcast denníka SME

Play Episode Listen Later Nov 22, 2023 24:07


Vyplňte podcastový prieskum a pomôžte nám zlepšiť váš poslucháčsky zážitok - sme.sk/prieskum  Takmer 90-stranový dokument s názvom Lepšie, pokojnejšie a bezpečnejšie žiť odobril parlament. Kým koalícia programové vyhlásenie považuje za obraz silného a sociálne spravodlivého štátu, opozícii v ňom chýbajú opatrenia, ktoré skutočne dokážu zlepšiť stav verejných financií. Nakoľko vôbec plánuje súčasný vládny kabinet šetriť, kde chce získať peniaze na ďalšie sociálne opatrenia a treba sa pripraviť na vyššie dane alebo pôjde cestou výdavkov? Eva Frantová sa v podcaste Dobré ráno pýta ekonomického redaktora magazínu Index a denníka SME Jozefa Ryníka. Odporúčanie: Budúci rok nečakajú prezidentské voľby len Slovensko, ale aj Spojené štáty americké. Skutočnosť, že by Joea Bidena vystriedal exprezident Donald Trump pritom nevylučujú viaceré prieskumy. Ak sa chcete dozvedieť viac o tom, akým obvineniam v súčasnosti čelí, odporúčam utorkové (21. 11.) vydanie denného podcastu Today in Focus od spravodajského portálu Guardian, kde sa Trumpovmu vyčíňaniu venujú do detailov. – Všetky podcasty denníka SME nájdete na⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ sme.sk/podcasty⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ – Odoberajte aj audio verziu denného newslettra ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ SME.sk⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ s najdôležitejšími správami na⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ sme.sk/brifing⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ – Odoberajte mesačný podcastový newsletter nielen o novinkách SME na ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠sme.sk/podcastovenovinky⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠  – Ďakujeme, že počúvate podcast Dobré ráno.

NAHLAS |aktuality.sk
Ficová vláda žiada o dôveru. Oklamali voličov a neplnia predvolebné sľuby, reaguje opozícia

NAHLAS |aktuality.sk

Play Episode Listen Later Nov 14, 2023 17:53


Premiér Robert Fico dnes predložil v Národnej rade programové vyhlásenie vlády a zároveň nová vláda žiada aj o dôveru v parlamente. Opozícia programové vyhlásenie kritizuje a podľa nej je vágne, plné vaty a nekonkrétne. „Nechcem o vláde, ktorá sedí za mnou hovoriť, že je najlepšia na svete, že je najreformnejšia. Chcem o nej hovoriť ako o vláde Slovenskej republiky, ktorá sa vyskytla v konkrétnom čase a vznikla z výsledku parlamentných volieb a stojí pred viacerými výzvami,“ reagoval Robert Fico v úvode svojho dnešného vystúpenia pred poslancami Národnej rady. Igor Matovič počas dnešného dňa v parlamente kritizoval vládu näjme z dôvodu, že podľa neho oklamali svojich voličov a neplnia sľúbi, ktoré im pred voľbami dali. Michal Šimečka z Progresívneho Slovenska označil plán vlády ako vágny, nekonkrétny a deravý. Očakáva, že rovnaké bude aj vládnutie Ficovej vlády.Opoziční poslanci sa dnes pokúsili odvolať podpredsedu parlamentu Ľuboša Blahu. Návrh na jeho odvolanie v parlamente ale neprešiel. Opozícia mala len 69 hlasov, pričom potrebných bolo minimálne 76 poslancov. Lídrovi KDH Milanovi Majerskému sa nepáčia kroky novej koalície, ktorá sa hlási k EÚ, no zároveň podpredseda parlamentu schováva jej vlajku do skrine. Majerský bol kritický aj k programovému vyhláseniu vlády, ktoré je podľa jeho slov nekonrétne. Vidí tam ale aj pozitíva, medzi ktoré patrí zmena volebného systému. KDH by takúto zmenu podporilo.

ASCO Daily News
Navigating the Complexities of Next-Generation Endocrine Therapy in HR+ Breast Cancer

ASCO Daily News

Play Episode Listen Later Sep 28, 2023 30:39


Drs. Hope Rugo and Nancy Davidson discuss the next generation of endocrine therapy in hormone receptor-positive breast cancer – SERDs, SERMs, CERANs, and PROTACs – and challenges relating to the optimal sequence of therapeutic options. TRANSCRIPT Dr. Hope Rugo: Hello, I'm Dr. Hope Rugo, your guest host of the ASCO Daily News Podcast today. I'm a professor of medicine and director of breast oncology and clinical trials education at the University of California San Francisco's Comprehensive Cancer Center. Hormone receptor-positive (HR+) breast cancer is the most common subset of this disease and breast cancer is the most common cancer diagnosed in women worldwide. Endocrine therapy (ET) is the cornerstone of management in hormone receptor-positive breast cancer and may involve suppressing estrogen production with aromatase inhibitors in the cancer cell itself, or directly blocking the estrogen receptor pathway through selective estrogen receptor modulators, such as tamoxifen, or the injectable selective estrogen receptor degrader, fulvestrant. However, despite the availability of these therapies, the largest unmet need lies in treatment of HR-positive HER-negative disease lies after progression on endocrine therapy. On today's episode, we'll be discussing the emerging generation of endocrine therapies in breast cancer, some of which were designed to overcome common mechanisms of endocrine resistance, and the challenges relating to the optimal sequence of therapeutic options. Today, I'm delighted to welcome the world-renowned breast cancer researcher, Dr. Nancy Davidson, to the podcast. She's a professor and the executive vice president for clinical affairs at the Fred Hutchinson Cancer Center and professor of medicine at the University of Washington as well as past president of ASCO and AACR. You'll find our full disclosures in the transcript of this episode and disclosures of all guests on the podcast can be found in our transcripts at asco.org/DNpod. Nancy, it's great to have you on the podcast today. Thanks so much for being here. Dr. Nancy Davidson: Thank you so much, Hope, for the opportunity. Dr. Hope Rugo:  You've done incredible work in the area of treating HR+ disease, but also in understanding some of the agents and pathways that are most important to our understanding of how we treat and really think about developing new drugs for HR+ breast cancer. The first generation of anti-estrogen drugs really included selective estrogen receptor modulators, but now we have a new generation of these anti-estrogen drugs. And there's also orally administered selective estrogen receptor degraders, so-called SERDs, that we hope someday will be an alternative with already one approved for the injectable SERD, fulvestrant. But there's a whole additional class of drugs, complete estrogen receptor antagonists, referred to as CERANs, and proteolysis targeting chimerics, PROTACs. These agents are all at various stages of development in both early and metastatic settings and really represent, I think, a confusing array of different treatments that are being studied, some of which of course are approved. Nancy, it would be great if you could tell us some about these exciting new agents, starting with our approved drugs and moving on to the agents that we're studying in clinical trials. Dr. Nancy Davidson: Hope, this is a terrific example of how basic science has really begun to inform clinical practice. For us as breast cancer practitioners, it was really easy for a long time because we only had tamoxifen. And then things like the aromatase inhibitors as a means of decreasing the estrogen ligand came into practice, as did fulvestrant, as you mentioned, a selective estrogen receptor degrader. Thanks though to a lot of understanding about estrogen receptor biology, and specifically, the discovery about a decade ago of estrogen receptor mutations, something that we didn't think exist ed for a long time, but which we now know exists in maybe a third to a half of breast cancers after exposure to aromatase inhibitors, that's led to really an explosion, this alphabet soup of possibilities that you talked about. SERMs, selective estrogen receptor modulators, tamoxifen is the classic one—something that acts as an agonist and as an antagonist, depending on the tissue. The SERDs, the selective estrogen receptor degraders, lead to estrogen receptor destruction. Fulvestrant is the classic example of this right now. But we're very excited that a second one has been FDA approved. That's elacestrant that was approved earlier this year, and it has specifically been developed to try to target those estrogen receptor mutant breast cancers because those are the ones that are particularly resistant. So that's the first of this new generation of SERDs that's coming on the market, has come on the market. As you say, a key advantage there is that it's oral, unlike  fulvestrant, which requires 2 monthly injections and is very, very inconvenient and uncomfortable for patients. Other SERDs are coming along. I think another one that is well along in clinical development is giredestrant, which is in the same family and being tested in clinical trials of the classic varieties. It's been tested in a window trial, looking at its ability to down-regulate Ki67. It's being tested against standard of care in first-line metastatic breast cancer. And there are some studies that are going to begin looking at it in the adjuvant setting as well. There are other members of this particular family, but I think that elacestrant is the one that we have at our fingertips right now, and giredestrant is one that's certainly coming along in clinical trials, and we should look forward to those results. For those who are interested in the giredestrant, the trials in question right now that are going on are persevERA, which is in stage 4 breast cancer, and lidERA, which is in the adjuvant setting. Now that's one new category, or it's an old category with a new twist. A second is these agents that are called complete estrogen receptor antagonists, CERANs, as you talked about them. The key here is that what they do is, the estrogen receptor has a couple of domains, and in particular, it has 2 different activation domains, AFT1 and AFT2. And these CERANs are complete estrogen receptor antagonists, so they block both of those domains. And the hope would be that they might end up being more effective than the other agents that we have available to us right now. So those are also in clinical trial at the present time, and we're waiting to see whether or not there's going be any value in that particular area that's going to able to go forward for us.   Another area that I think we want to talk about is the PROTACs, as you mentioned. These are proteolysis targeting chimeric entities. So, this is a kind of a complicated situation where you have a kind of bivalent situation where you have something that binds both to the estrogen receptor and then also to E3 ubiquinase. So, it leads to degradation again of the agents; that's another area for us to be watching. And then finally the SERCAs. So those are the selective estrogen receptor covalent antagonists, and what they do is they bind very specifically to a cysteine 530 that exists in the estrogen receptor but not in other steroid receptors. So that's where the selective part of this comes along. Now these are all in various stages of clinical investigation. Some of them are pretty early at this point, but I think the ones that are well established are elacestrant, giredestrant is coming along as we just talked about. Camizestrant is also coming along through the SERENA series of trials, and imlunestrant is also coming on through the EMBER series of trials. Hope, I would also be remiss if I didn't go back to an old drug that's a new drug, and that's lasofoxifene, which is also in the SERM family. Those who have been in our field for a while will remember that lasofoxifene was actually originally kind of tested in the prevention setting, where it seemed to have some activity. It came back into our interest because it has really strong activity against estrogen receptor mutant breast cancer models in the laboratory. And as a consequence of that, it's coming back into the clinic through a series of trials that are called the ELAINE trials, where we're looking to see whether or not it might also be better than fulvestrant. It too is an oral agent, so that's a real plus for us, and the first set of ELAINE trials would suggest that there's some nice activity without a lot of toxicity. So, lots going on in this field. You know, I think for all of these things, obviously, we're also working very hard to think about the toxicities. All of these, as I recall, are oral agents. So that gets rid of  1 huge toxicity, which is you don't have the need for some sort of injection. But they all do have some side effects. Frequently, [the toxicities] are like GI side effects or fatigue. In a couple of cases, there might be some concern about cardiac arrhythmias, but I think GI turns out to be one of the most important things that we have seen in some of these trials. Generally, it's very well tolerated, though. I think another important question, which I'm sure is in your head and is in mine, is that how are we going to integrate these into what we already have? And so, I think a lot of the work right now is looking at patients who have already received an aromatase inhibitor plus a CDK4/6 inhibitor and are now going on to one of these new agents. But you might wonder, if they turn out to be effective and well-tolerated, whether they too should be perhaps combined with CDK4/6 inhibitors in place of the aromatase inhibitors or the fulvestrant that we use now. So, I think that we can imagine that those clinical trials are either in progress in some cases or will be coming on as we try to think about how to integrate these new approaches into our existing standard of care, which is already quite complicated, right? We've gone far from tamoxifen, which was good for everybody, to now a really complex algorithm about how we think about hormone therapy, both in early breast cancer and in metastatic breast cancer.  Dr. Hope Rugo: Well, that was a fabulous discussion about the new agents and our existing agents and both the exciting aspects, as well as the challenges. One question that comes up, I think a lot, and this is of course a huge question in many ways, but for ER-positive metastatic breast cancer, where these drugs are first being tested, maybe we'll talk about that first. There's one trial at SERENA-6, looking at camizestrant in patients who have developed evidence of an ESR1 mutation in circulating tumor DNA, who are on first-line therapy with an AI and a CDK4/6 inhibitor. What do you think about that study and where do you think that progress might go? Of course, that's based on data from another trial, which wasn't definitive, but suggested, had sort of a suggestion, you know, without studying the sequencing in detail that maybe you would have improved progression-free survival with that approach. Dr. Nancy Davidson: Yeah, by which you mean the idea of monitoring pre-ESR1 mutations and circulating DNA and then making therapy changes based on that? Is that what you're talking about? Dr. Hope Rugo:  The PADA-1 trial, yes, and that led to this huge SERENA-6 trial, which of course is now accruing. Dr. Nancy Davidson: So, you know, we would love that, right? I think that obviously breast cancer for many years has been interested in trying to have circulating markers that we could use to help to guide our therapy in a more meaningful way than we have in the past. And I think that the trial that you've talked about is certainly one that's trying to make that see whether that's a possibility for us based on information like the PADA trial. I'm hopeful it's going to work out. I would say, let's see what that looks like, whether it's going to be useful or not. It seems to me in some cases, some of these trials have not been quite what we hoped for, but I don't think we necessarily had the molecular techniques or the sensitivity, nor did we necessarily have other things to move to because, you know, those two approaches require both a really good test, but also the ability to use the test to define a new therapy that's going to lead to improved patient outcomes. And I think that these are ingredients that we now have available to us at our fingertips more than we did, say, a decade or 2 decades ago. Exciting approach. Dr. Hope Rugo:  I do think there's a lot of challenges inherent in this process, monitoring blood on a regular basis and following up and then randomizing based on results. But I think [SERENA-6] is an incredibly important trial, as you have mentioned, to try and think about moving past using circulating tumor cells, which didn't work, to just change blindly to the next therapy, but more have a rational reason to change to a drug that may be more effective before the disease itself progresses. And just for our listeners, the unique aspect of trials like this in SERENA-6 is that you change therapy before you have evidence of disease progression, but only this molecular evidence of a mutation that is associated with resistance to the therapy you're on. So, it's a really important question. We'll see what happens, as you mentioned, sometimes we're not clever enough to really get around the fact that there are multiple mutations driving resistance in this setting, so we'll see how straightforward this is. The question also comes up, and I think that's a question with many of these trials now, is they're randomizing patients after a progression on an AI and CDK4/6 inhibitor to receive the novel endocrine therapy or fulvestrant. One of, I think, the concerns of treating oncologists is that then you're sort of eliminating the possibility of a targeted agent in that setting. And of course, we have new targeted agents we're studying as well, AKT inhibitors and new inhibitors of the PI3 kinase pathway. So, the newer trials are now combining, as you mentioned. There's a lot of concerns about drug-drug interactions here and how you might really combine them. And then there are triplet studies looking at CDK4/6 inhibitors, oral SERDs primarily, and pi3-kinase and CDK4/6 inhibitors. What's your thought on these and will they really help to move the needle forward? Dr. Nancy Davidson: I think that's a really interesting question, Hope, is whether or not we're going to find that combination therapies from the get-go are the way to go, or whether we're going to end up having to use maybe more serial therapies. Because not only is it a question about whether or not you can tackle all of these different resistance mechanisms simultaneously, but I think the other question is, as you say, are there negative drug-drug interactions, and are there toxicities that are intolerable? Although these are targeted in all cases and they're relatively benign in terms of side effects from the breast cancer perspective, they're not devoid of toxicity. And so, I think that's going to be another issue for us – whether they're well tolerated during the time that patients are taking them. I guess the other thing I always think about, Hope,  is that it's hard to know about value of cancer care, but you know, we are talking about agents that are not inexpensive. You know, when you think about the financial toxicity, in addition to the side effect toxicity that you and I just talked about, trying to think about what that value is going to look like is going to be very important for us. Also, as somebody who worked for a long time in the lab and in the clinic, you know, there are an infinite number of combinations that you and I could think about that are rational. And so, the question is, how are we going to pick the ones that are the most rational, if you will, the ones that seem to be the most promising, and take them forward into clinical trials? Because patients are our most precious resource. And so, we want to make sure that we are bringing forward only those things that really seem to have a very strong foundation and the opportunity to improve outcomes over time. Tough, tough question for us to try to think about, as you've talked about. The other thing is that, you know, these trials are not only for postmenopausal women, who are the majority of patients, but we also want to target them to premenopausal women. So, in those women, we're also looking at using an LHRH agonist on top of this, right, because many of these things are really at least so far designed for the postmenopausal state. So stay tuned. Lots of work going on. I think one of the interesting things will be making the leap from using these in metastatic disease at time of progression to taking them forward into the early breast cancer space. And several of the agents are now beginning to do that because of very strong preclinical and clinical data to date. Dr. Hope Rugo: So, we have new agents that we're studying in the metastatic setting, and we've seen a trend to move fairly rapidly from phase 1B trials directly into phase 3 trials, because as you pointed out so clearly, there are a number of drugs in this setting, and we don't really know not only which agent is better, but even what class of agents is better. So, as we move more quickly from phase 1B to phase 3, the question comes up about how we're going to study these agents optimally in the early-stage setting. They, I think we all thought that maybe changing based on ctDNA evidence of a mutation might be an approach, but that's complicated. A big question for you is whether or not you think that's ready for prime time as it's being marketed as such. And then the second question is really, are we better changing our whole approach upfront in high-risk disease or should we wait until after patients are exposed to their endocrine therapy and then switch as we go along; the EMBER-4 trial is looking at that switching approach? Dr. Nancy Davidson: Yeah, I think that this is obviously the billion-dollar question for many companies and for many of us as investigators. I don't know that I have a crystal ball into what the best approach might be. We know that already some of these have been abandoned. For example, amcenestrant. So, I don't even have to learn how to say it because it has been abandoned. It did go to phase 3, as you pointed out, in the advanced setting, looking at it with palbo vs letrozole plus palbo, and it didn't really show a whole lot that the company wanted to pursue.  So, I think that sometimes these things are going to be abandoned based on the metastatic setting, which is a large trial, and that's a trial where obviously it might be a little easier to the circulating markers, as you talked about, than maybe in the early-stage breast cancer setting.  I think that probably these early-stage trials are going to end up being big; they're going to have be clean. I'm guessing that most companies and most investigators will want to target them towards high-risk individuals, as you talked about, for 2 reasons. One is that ethically, I think we feel more comfortable with that. These are individuals where standard therapies are maybe not serving them as well as we would like and where we have information to think that we can at least have equipoise about a new approach. And the second is that from a trial design point of view, the event rate is likely to be higher, and therefore you might get answers earlier and with a smaller clinical trial. So that's where I suspect we're going to go. But it's a challenging question, and I think that many investigators and many companies are really trying to struggle with that right now because we do have so many options. And we're not quite sure how to, first, develop these new drugs, but then really importantly, put them in the context of our existing drugs. And as you say, we're also simultaneously trying to develop superior molecular or circulating markers to guide us. So, there's so many variables that are going on right now in this field that, from my point of view, itmakes it really exciting, but it also makes it pretty complicated, both for investigators and for pharma as we try to think about how to position these going forward. But what a great problem to have, Hope, because remember when you and I started in breast cancer, pretty much all you needed to know was tamoxifen. And I think you and I also probably started at the tail end of the time when we were using androgens and progestins and agents that now have basically completely fallen out of favor. Dr. Hope Rugo: Estrogen Dr. Nancy Davidson: Estrogen, yeah, and your side effect profiles were not as good. So, it's a good problem to have. It's a nice situation when science can inform our clinical investigation, our clinical practice. Dr. Hope Rugo: Yes, I think it'll be fascinating to see where we end up at the end, but of course, the complexities of this include the fact that sometimes just the clinical trial design leads to a less than positive result because of the way the trial itself has been designed, which I think is the nice part about moving these earlier into treatment of high-risk disease, but also brings up the question of all sorts of areas we're not really a place to discuss today, like how the statistical design is made, et cetera, that can sometimes result in poor evaluation of excellent agents. One of the questions that comes up, and you brought this up earlier, which I think is really important, is that we are in the era of combining our endocrine agents with targeted agents, and, oral agents, in a fascinating way, really bring up drug-drug interactions in a way that the injectable fulvestrant hasn't, and aromatase inhibitors were kind of quiet on the impacting metabolism, unlike tamoxifen. But we are seeing some drug-drug interactions and certainly the discussions about using these agents may include the question about whether or not you're having more diarrhea or nausea or fatigue or one drug causes photopsia, flashing lights, things like that. Keratitis is becoming a new toxicity to follow.  How are we going to figure out how to sequence these drugs and are they only going to work better all of them as a class in patients with ESR1 mutations in their tumors? Dr. Nancy Davidson: I think we don't know the answer to the second question yet. That's something that really needs to be sorted out. Even if they do, that's still a really important subset of patients, assuming that we continue to start with the aromatase inhibitors, right? That's where those things really seem to emerge right now. I don't know how we're going to figure those things out. I guess that I'm hoping that maybe a couple of agents in these classes will become kind of the lead agents. And so, we'll be able to do this work with a handful of things as opposed to a whole array of things. But we'll see. I think that even within classes, obviously, these agents are going be slightly different, probably. And so it may be that one member of a class may be slightly better from a, maybe not from an efficacy point of view, but from a toxicity point of view. And we'll just have to see how it goes. I don't think I have any magic answers about that. Dr. Hope Rugo: Yes, it'll be interesting to see whether or not the agents work in sequence too. You know, could you use a PROTAC after an oral SERD, for example, or a CERAN? That'll be fascinating to see. Dr. Nancy Davidson:  I'm hoping that preclinical modeling may help with that a little bit, though of course we all know that there are plenty of things that do well in preclinical models, GEMS and rodent models and PDXs, and sometimes those things translate nicely into clinical practice, but sometimes they don't. Dr. Hope Rugo: You mentioned, Nancy, that when we started out, that it was a fairly simple decision about what endocrine therapies, and we ran out very quickly. We're seeing some of those old classes come up with new agents. And you mentioned lasofoxifene, the oral SERM that seems to have some benefits and works in the later-line setting and also can be combined with a CDK4/6 inhibitor; [and also] has data with abemaciclib. There's also a new androgen receptor agonist, enobosarm, that's being tested as well. Do you think that these older mechanisms have a future as well? Dr. Nancy Davidson: I do. I think that because we'll be able to understand the biology better than we did in the past. A lot of our hormone therapy was pretty empiric several decades ago. But I think with better understanding of mechanisms and better understanding of what the patterns of resistance might be for a particular tumor, that we might be able to think about those things. You're right that there's a whole parallel universe right now in androgen receptor targeted therapies that we're not talking about today, both in perhaps in hormone-responsive breast cancers, but also in triple-negative breast cancers in a certain subset. And so that's an area where we probably need to be watching what our prostate cancer colleagues are doing as they develop these agents and thinking about where they might mechanistically make sense to apply in the breast cancer field. It won't be the first time that we've received insights from them because remember, prostate cancer people knew about androgen receptor mutations a really long time before we figured out that they existed in estrogen receptor as well. So, there's a nice cross talk, I think, between the prostate cancer field and the breast cancer field in that regard. Dr. Hope Rugo:  That's an excellent point. And we learn a lot from our colleagues studying other malignancies, and prostate cancer has been a big area there for us and hopefully will help us with studying these agents because there's different toxicity profiles, of course, as well. And then you mentioned the approval of elacestrant, the first oral SERD to have regulatory approval, and it's approved in patients who have ESR1 mutations in their tumors. We're also studying it in the ELEVATE trial in combination with all of the different targeted agents, the CDK4/6 inhibitors, mTOR inhibitor, everolimus, and the PI3 kinase inhibitor, alpelisib, to really try and understand how these can be optimally combined. Would you check for ESR1 mutations at diagnosis of metastatic disease, or would you do this more after progression or start of progression of disease on an aromatase inhibitor? Dr. Nancy Davidson: I tend to be a conservative, Hope, and so unless there's a clinical trial that might be able to be considered, I would tend to check it only after progression on the aromatase inhibitor. But I think some people are earlier adopters, and I suppose it's possible that they might want to know from the get-go. Having said that, I do think elacestrant has an approval after aromatase inhibitor, as I recall. So, presumably the patient would have to have that exposure before you would be able to act on the ESR1 mutation by administering the oral SERD. This is also a new area that may well change with time, right? You know, as we develop different agents, as the agents have different requirements or different indications, and as we perhaps have better tests, it may be things that we don't do routinely now will become very routine in the future. And perhaps in series like you talked about in a serial fashion. Dr. Hope Rugo: Absolutely. I think that's a really important comment about how we're going to think about treating hormone receptor positive disease and potentially, you know, we have new chemo options, of course, not part of our talk discussion today and antibody drug conjugates. So, the future is certainly challenging in terms of understanding this appropriate sequencing. We need data, but it's exciting to have these options. As you pointed out, this is this is a great problem to have, you know, too many drugs with efficacy to try and understand how to use these in the most appropriate way. And as you also pointed out, the use in young women is particularly important. Whether or not you need to suppress the ovaries with all of these new agents is going to be important to understand as well as a next step. I don't know if you have specific thoughts on that area as well. I mean, that may reduce toxicity for younger women. Dr. Nancy Davidson: I guess our approach right now has been to suppress them, but I agree with you; you wonder if you look at some of the mechanisms of action, whether that's really a requirement biologically and medically, or whether it's something that's kind of a leftover from the approval process. You know, that for the drug approval, these women were suppressed. I think we need to work that out because that's another area where certainly women could have ovaries removed. That's pretty straightforward, although it requires a surgical procedure. But otherwise use of LHRH agonists continues to be injections, right? And so, if we're trying to minimize convenience or maximize convenience and minimize toxicity for women with any stage of breast cancer, anything we can do, it seems to me to eliminate an injection is going to be a good thing. So important for us to be able to work that out as well, even though numerically it's a smaller number of women, it's obviously a very important number. population of women. Dr. Hope Rugo: Last question for you. One question that comes up and sent to me and panels all the time is, if you have done your next generation sequencing and you see an ESR1 mutation and a P13CA mutation, what do you prioritize in terms of your choice of treatment, because we have the choice of either using elacestrant or a fulvestrant in combination with an agent targeting the PI3 kinase pathway? Dr. Nancy Davidson: I don't know that there's a right answer to that medically right now. So, when I talk about it with patients, I suggest to them that it's probably not one or the other. It's kind of the question of which one to use first. So, we talk a little bit about side effect profiles. We talk a little bit about patient preference and neither of these drugs is devoid of problems, but sometimes patients have pretty strong feelings about which set of side effects seems the least unattractive to them or the possibility of having those side effects. And I know that if one isn't well tolerated, you can swap over to the other. Dr. Hope Rugo: Absolutely. I think that's a very important way to think about next therapies in our era of not really knowing what's right. And this idea of shared decision-making is so incredibly important. Nancy, thank you so much for sharing your insights and knowledge with us today. I could talk to you for hours about this. Dr. Nancy Davidson: Hope, thank you so much for the opportunity. It is an exciting area and I really enjoyed talking with you about what we know and the many things that we don't yet know, but we're working on. Dr. Hope Rugo: Indeed, it's certainly an exciting time. Thank you to our listeners for joining us today. And thanks to the ASCO Daily News Podcast for highlighting this important area. You'll find a link to all of the studies discussed today in the transcript of this episode. Finally, if you value the insights that you hear on the ASCO Daily News Podcast, please take a moment to rate, review, and subscribe wherever you get your podcasts. Thanks so much.   Disclaimer:    The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.    Follow today's speakers:     Dr. Hope Rugo  @hoperugo  Dr. Nancy Davidson     Follow ASCO on social media:     @ASCO on Twitter    ASCO on Facebook    ASCO on LinkedIn      Disclosures:     Dr. Hope Rugo:  Consulting or Advisory Role: Napo Pharmaceuticals, Puma Biotechnology, Mylan, Eisai, Daiichi Sankyo Research Funding (Inst.): OBI Pharma, Pfizer, Novartis, Lilly, Genentech, Merck, Daiichi Sankyo, Sermonix Pharmaceuticals, AstraZeneca, Gilead Sciences, Astellas Pharma, Talho Oncology, Veru, GlaxoSmithKline, Hoffmann-LaRoche AG/Genentech, Inc Travel, Accommodations, Expenses: Merck, AstraZeneca   Dr. Nancy Davidson: No Relationships to Disclose    

Rozhovory ZKH
Sudca Šamko: Justícia nebude mať vyššiu dôveru, ak budem každý deň fňukať, že v 2009 tu bol Harabin

Rozhovory ZKH

Play Episode Listen Later Jun 23, 2023 42:08


"Žiadna súdna reforma neprebehla. Nebola žiadna reforma pripravená. Bola pripravená, slušne povedané súdna reorganizácia, alebo neslušne, škatule hýbte sa. Imituje sa reorganizácia súdov, aby sa vybralo 250 miliónov z plánu obnovy. Ten chaos je veľký," hovorí sudca krajského súdu v Bratislave Peter Šamko, ktorého nedávno zvolili do Súdnej rady. "Vôbec by som spotrebnú držbu marihuany nekriminalizoval. Ak to chce mať štát ako protiprávne konanie, nech to presunú do priestupkov. Máte 17 ročných chlapcov, ktorí na Kolibe fajčia jointy, a policajti ich zoberú, za každého jedného majú čiarku za vznesené obvinenie, štatisticky sa to vykáže ako drogová kriminalita a máte zničené životy," komentuje sudca Šamko novelu trestného zákonníka v parlamente. Ako sa pozerá na kritiku, že by mal byť zdržanlivý? Čo by chcel dosiahnuť ako nový člen Súdnej rady? Ako sa pozerá na dedičstvo Štefana Harabina? A ako teraz v praxi vyzerá súdna reforma na súdoch? Pozrite si rozhovor Zuzany Kovačič Hanzelovej so sudcom Petrom Šamkom. Newsletter Zuzany Kovačič Hanzelovej: ⁠⁠⁠⁠⁠⁠⁠https://komentare.sme.sk/t/9122/zkh-pise⁠⁠⁠⁠⁠⁠⁠ – Ak máte pre nás spätnú väzbu, odkaz alebo nápad, napíšte nám na podcasty@sme.sk – Všetky podcasty denníka SME nájdete na ⁠⁠⁠⁠⁠⁠⁠sme.sk/podcasty⁠⁠⁠⁠⁠⁠⁠ – Podporte vznik podcastu Rozhovory ZKH a kúpte si digitálne predplatné ⁠⁠⁠⁠⁠⁠⁠SME.sk⁠⁠⁠⁠⁠⁠⁠ na ⁠⁠⁠⁠⁠⁠⁠sme.sk/podcast⁠⁠⁠⁠⁠⁠⁠ – Odoberajte aj denný newsletter ⁠⁠⁠⁠⁠⁠⁠SME.sk⁠⁠⁠⁠⁠⁠⁠ s najdôležitejšími správami na ⁠⁠⁠⁠⁠⁠⁠sme.sk/suhrnsme⁠⁠⁠⁠⁠⁠⁠ – Ďakujeme, že počúvate podcast Rozhovory ZKH

ak bola sme ako nebude petrom veru budem pozrite nebola harabin podporte harabina odoberajte
Denník N podcast
Týždňový newsfilter: Ódor mohol mať o čosi viac hlasov, ale nie toľko, aby získal dôveru

Denník N podcast

Play Episode Listen Later Jun 18, 2023 9:23


1. Tu ide o strany, nie o celok. 2. Chceli pomôcť hotovosti, ale len ju diskreditujú. 3. Pellegrini vystupuje z komfortnej zóny. 

The Healthy Tapes
Veronika Allister o tom, jak se biohacknout pomocí doplňků stravy // EP. 11

The Healthy Tapes

Play Episode Listen Later Apr 13, 2023 43:11


Přidej se k The Tapes komunitě na herohero.co/thetapes pro epizody s předstihem a v plné délce, bonusy, tipy, Q&As, epizody navíc a další! Poslední epizoda s Veronikou, zakladatelkou projektu Systers.bio, měla obrovský úspěch a dnes bychom na ni volně navázaly s tématem, které do biohackingu taky hodně zasahuje a to doplňky stravy 

Follow Your Magic
67 | Business make-up artistky & mateřství s Veronikou Petrás

Follow Your Magic

Play Episode Listen Later Feb 27, 2023 62:51


Představuji vám Veroniku Petrás! Artistku permanentního make-upu, která mi tetuje obočí, ale hlavně podnikatelku, maminku,  organizátorku světové soutěže permanentního make-upu WULOP pro Českou a Slovenskou republiku, organizátorku konference SKYPERMANENT a úžasnou žena, která se nám otevřela nejen ohledně tetování obočí, ale hlavně taky ohledně podnikání v kombinací s mateřstvím, psychiky a vyhoření. Moc si Tě cením, děkuju za krásnou epizodu Veru!Příjemný poslech!Veroniky Instagram: https://www.instagram.com/lamajja.veronikapetras/Veroniky webová stránka: https://lamajja.cz/Magic Academy Newsletter: https://www.magicacademy.cz/newsletter/Web Magic Academy: https://www.magicacademy.cz/Instagram Magic academy: https://www.instagram.com/magicacademy_cz/VIP members only: https://herohero.co/followyourmagic

Hæ Hæ - Ævintýri Helga og Hjálmars
"Ég var að keyra alltof hratt og gat ekki stoppað" -#332

Hæ Hæ - Ævintýri Helga og Hjálmars

Play Episode Listen Later Nov 17, 2022 7:08


HÆ hæ Live Show verður 17. Nóvember í Sykursal hjá Mathöll Veru. Þemað: Sambönd eða single?Þetta er stóri bílaþátturinn. Hjálmar rústaði bílnum sínum þegar hann var nýkominn með bílpróf. Helgi hefur aldrei keyrt á neinn nema að láta vita af því. Hvað má og má ekki gera í búningsklefa í leikskólum?
Þættina má finna inni í áskrift á pardus.is!IG: helgijean & hjalmarorn110 Takk fyrir að hlusta - og munið að subscribe'a!

Hæ Hæ - Ævintýri Helga og Hjálmars
“Við eigum að vera sjálfstæð í öllu sem við gerum” -#331

Hæ Hæ - Ævintýri Helga og Hjálmars

Play Episode Listen Later Nov 14, 2022 67:00


HÆ hæ Live Show verður 17. Nóvember í Sykursal hjá Mathöll Veru. Þemað: Sambönd eða single?Ef HÆ hæ myndi eignast barn hvað myndi það heita?
Hvað myndi Ágústa vilji mikinn pening fyrir að heita Hrágústa Majones Skinka?Hvað eru skrítnustu veislurnar?IG: helgijean & hjalmarorn110 Takk fyrir að hlusta - og munið að subscribe'a!