The price of immunotherapy can sometimes continue to be paid for years after treatment ends. Therefore, we need to better define the boundaries of adjuvant IO in particular. Does a patient who achieves pCR really need adjuvant IO? If so, for how long?
In this study, 48% of 303 patients with melanoma who received adjuvant anti–PD-1 developed chronic IRAEs. More strikingly, after a mF/U of 5.5 years, toxicity was still ongoing in 34% of pts. Hypothyroidism persisted in 93%, arthritis in 68%, and dermatitis in 76%.
While trying to increase the chance of cure, we also need to consider the possibility of leaving a cured patient with toxicity that may persist for years.
jamanetwork.com/journals/jaman…
Chronic toxicity after adjuvant anti-PD-1 for melanoma: new in @JAMANetworkOpen 🧵
303 patients, 5.6 years of follow-up: 48% developed chronic irAEs, and 1 in 3 still had one at last visit.
@OncoDailyIO@MelanomaAus@ImiItaliano
What risk factors are associated with the development of chronic immune-related adverse events (irAE’s) during ICI therapy?
What biomarkers are elevated in patients who develop these long-lasting toxic effects?
Find answers in our recent JNO article:
jamanetwork.com/journals/jaman…
Review | Fankhauser et al. provide an in-depth review of preclinical mouse models used to study immune checkpoint inhibitor-associated myocarditis and discuss potential improvements to the field to strengthen our understanding.
doi.org/10.1038/s44161…rdcu.be/ek2Dh
Thank you Javid Moslehi @CardioOncology, Douglas Johnson, and Justin Balko @BalkoLab for sharing your expertise in writing this review!
See the article here:
rdcu.be/ek02a
models for ICI-myocarditis, summarize what we’ve learned so far, and discuss possible next steps. We think this will be a useful reference for anyone looking to develop models of their own, with recommendations on how to standardize certain features and maximize reproducibility.
Immune checkpoint inhibitor-associated myocarditis is a complex disease. The number and variety of preclinical mouse models we’ve used to study it reflects that complexity. In my latest review article published in @NatureCVR , we take a deep dive into the history of preclinical
1K Followers 2K FollowingOncologist-scientist. Director, @CU_MSTP and Associate Dean for Physician-Scientist Development, @CUAnschutz. Parent of three amazing daughters. 🥟🍷🏃🎶
14K Followers 8K FollowingResearch lab of Dr. Stephen Waggoner. Opinions expressed are Dr. Waggoner's alone and not on behalf of lab staff or employer.
@labwaggoner.bsky.social
321 Followers 169 FollowingCytopathologist and thyroid cancer researcher | @VUMCPathology @VUMCMolecPath | Vanderbilt University Medical Center @VUMC_MD | views my own | she/her
111 Followers 192 Followingshe/her | M3 @VUMedicine | Aspiring general surgeon | Interested in trauma and peds | Occasional runner | @UCLA '19 | Views are my own
2K Followers 745 FollowingCardiologist and #PhysicianScientist at Stanford. Director, Stanford Translational Cardio-Oncology. Cardio-Immunology. MIT and CWRU alum.
14K Followers 8K FollowingResearch lab of Dr. Stephen Waggoner. Opinions expressed are Dr. Waggoner's alone and not on behalf of lab staff or employer.
@labwaggoner.bsky.social
321 Followers 169 FollowingCytopathologist and thyroid cancer researcher | @VUMCPathology @VUMCMolecPath | Vanderbilt University Medical Center @VUMC_MD | views my own | she/her
2K Followers 238 FollowingCardiovascular Diseases Fellowship for University of California, San Diego | Run by Chief Fellows @SheliefRJ & @KhedagiApurva
8K Followers 934 FollowingOnline-only Nature Research journal that publishes basic, translational, clinical and public health research in cardiac, vascular and blood biology.
2K Followers 497 FollowingThe Cardiovascular Disease Fellowship Program of @MSMorningside of @MountSinaiNYC | A part of @MountSinaiHeart | New York City | #cardiotwitter
4K Followers 500 FollowingTwitter account for the Mount Sinai Fuster Heart Hospital Cardiovascular Medicine Fellowship @mountsinaiheart | @mountsinaiNYC | #cardiotwitter
1.7M Followers 212 FollowingOfficial account of the National Institutes of Health.
NIH...Turning Discovery Into Health®.
Privacy Policy: https://t.co/wOGwZ3gX1M
Engagement ≠ endorsement
1K Followers 2K FollowingOncologist-scientist. Director, @CU_MSTP and Associate Dean for Physician-Scientist Development, @CUAnschutz. Parent of three amazing daughters. 🥟🍷🏃🎶
32K Followers 4K FollowingAn interdisciplinary international journal of the American Cancer Society. Editor-in-Chief: Suresh S. Ramalingam, MD (@RamalingamMD)
326K Followers 3K FollowingPublishing the best of biotech science and business. Find us on Bluesky, Facebook & Instagram. Part of @SpringerNature and @NaturePortfolio.
112K Followers 9K FollowingDana-Farber Cancer Institute - a leading center for expert, compassionate cancer care and advanced research.
Appts: 877-442-3324 | https://t.co/HvCwkLltic
62K Followers 417 FollowingThe Lancet Oncology is the global leader in clinical oncology publishing peer-reviewed research and reviews, comment, news, and Commissions. IF=35·9.
24K Followers 228 FollowingFollow Cancer Discovery for high-impact articles and news covering major advances in basic, translational, and clinical cancer research. Published by @AACR.
9K Followers 383 FollowingOfficial Twitter account of SRP. Cancer stats from National Cancer Institute, part of @NIH. SEER Program: https://t.co/3mcd4jVetR Privacy policy: https://t.co/qUrRAdhvkB
27K Followers 1K FollowingThe leading independent source for information on the issues that shape #oncology since 1973.
Historical initiative: @cancerhistproj
50K Followers 500 FollowingInternal Medicine podcast 🎙️ that uses expert interviews to bring you clinical pearls & practice changing knowledge! ~Join our Patreon Community! 🤝👇🏼
5K Followers 1K FollowingAACI is accelerating progress against cancer by enhancing the impact of academic cancer centers and promoting cancer health equity.
25K Followers 697 FollowingThe AACR Foundation supports the American Association for Cancer Research, the first and largest cancer research organization in the world.
4K Followers 345 FollowingOncologist at Vanderbilt University Medical Center focusing on gastrointestinal cancers and early phase drug development. I like dogs. Views are my own.
142K Followers 4K FollowingOfficial account of The University of Texas MD Anderson Cancer Center. Our mission is to #EndCancer through patient care, research, education & prevention.