Vladmir C. Cordeiro de Lima, MD, PhD (@claudiovladmir) 's Twitter Profile
Vladmir C. Cordeiro de Lima, MD, PhD

@claudiovladmir

Medical Oncologist at A C Camargo Cancer Center
Sci-fi/Fantasy fan
Love family, friends, food, travel
The opinions and comments hereby presented are my own.

ID: 1094680962447884288

calendar_today10-02-2019 19:34:14

4,4K Tweet

1,1K Followers

526 Following

GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

🔥 HARMONi-2: Ivonescimabe x Pembro - 1L mCPNPC PD-L1+ 📌 Fase 3, randomizado (NCT05499390) 💉 Mab biespecífico anti-PD1/ anti-VEGF 🔹️Análise interina: 📈 SLP: 11,1 x 5,8 m (HR 0,51; p<0,0001) Benefício: TPS 1–49% e ≥50% ⚠️ EA G3+: 29 (ivo) x 16% (pembro) 🆕 Futura opção 1L?

🔥 HARMONi-2: Ivonescimabe x Pembro - 1L mCPNPC PD-L1+
📌 Fase 3, randomizado (NCT05499390)
💉 Mab biespecífico anti-PD1/ anti-VEGF
🔹️Análise interina:
📈 SLP: 11,1 x 5,8 m (HR 0,51; p&lt;0,0001)
Benefício: TPS 1–49% e ≥50%
⚠️ EA G3+: 29 (ivo) x 16% (pembro)
🆕 Futura opção 1L?
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

Estudo multicênt. retrospectivo 🇰🇷: AdenoCA EC I–III EGFR mut. N= 759 Taxa recorrência global 39,1% Sobrevida livre de recorrência: 59,8m. Fatores de risco: idade ≥65a, IMC <18,5 kg/m², subtipo Del19, T ≥2,3 cm, N1 e N2, padrão micropapilar ou sólido e inv. visceral pleural.

Estudo multicênt. retrospectivo 🇰🇷:
AdenoCA EC I–III EGFR mut.
N= 759 
Taxa recorrência global 39,1%
Sobrevida livre de recorrência: 59,8m. 
Fatores de risco: idade ≥65a, IMC &lt;18,5 kg/m², subtipo Del19, T ≥2,3 cm, N1 e N2, padrão micropapilar ou sólido e inv. visceral pleural.
Dana-Farber’s Breast Oncology Center (@dfci_breastonc) 's Twitter Profile Photo

ACS Journal Cancer📰: Outcomes and treatment patterns for stage I human epidermal growth factor receptor 2-positive #BreastCancer in the Surveillance, Epidemiology, and End Results database, 2010-2019. 🔓pubmed.ncbi.nlm.nih.gov/39887682/ ✍️Ada Waks Paolo Tarantino Nancy Lin, MD Nabihah Tayob

<a href="/JournalCancer/">ACS Journal Cancer</a>📰: Outcomes and treatment patterns for stage I human epidermal growth factor receptor 2-positive #BreastCancer in the Surveillance, Epidemiology, and End Results database, 2010-2019. 🔓pubmed.ncbi.nlm.nih.gov/39887682/
✍️<a href="/adawaksmd/">Ada Waks</a> <a href="/PTarantinoMD/">Paolo Tarantino</a> <a href="/nlinmd/">Nancy Lin, MD</a> <a href="/NabihahTayob/">Nabihah Tayob</a>
Rami Manochakian MD, FASCO Cancer Education (@rmanochakian) 's Twitter Profile Photo

🚨🔥OncoAlert Hot off the press Just published Nature Medicine Results of longitudinal analysis of #Molecular #Residual #Disease (#MRD) from #ADAURA phase 3 trial of adjuvant #Osimertinib in resected #EGFR+ stage IB–IIIA non-small-cell #LungCancer 👇🏻 nature.com/articles/s4159…

🚨🔥<a href="/OncoAlert/">OncoAlert</a> Hot off the press

Just published <a href="/NatureMedicine/">Nature Medicine</a>

Results of longitudinal analysis of #Molecular #Residual #Disease (#MRD) from #ADAURA phase 3 trial of adjuvant #Osimertinib in resected #EGFR+ stage IB–IIIA non-small-cell #LungCancer 
 
👇🏻
nature.com/articles/s4159…
Hidehito HORINOUCHI (@hhorinouchi) 's Twitter Profile Photo

🔥 Nature Medicine 🆙 ✅A B7H3-targeting antibody–drug conjugate (YL201) in advanced solid tumors: a phase 1/1b trial 🎯ORR ES-SCLC 63.9%, lung adenocarcinoma 28.6%, and lymphoepithelioma-like carcinoma 54.2% 👥Dr. Yuxiang Ma #LCSM OncoAlert #ADC nature.com/articles/s4159…

Massimo (@rainmaker1973) 's Twitter Profile Photo

Volcano snails, or Alviniconcha, live deep in the ocean near hot vents where water can reach 750°F (400°C). They survive by feeding on chemicals like sulfur and methane. Their shells are rich in iron, bearing extreme heat and pressure. [🎞️ Earth 2.0]

Benjamin Besse (@benjaminbessemd) 's Twitter Profile Photo

Debate on L1 for EGFR mut NSCLC : ‘easy osi’ then escalate to CT-ami, or use doublet upfront? Lazertinib+amivantmab likely to extend OS by ~ 1 yr vs osimertinib, but without cross over to CT-ami. Intensify only if ctEGFR not cleared after 4w of osi? #ELCC25

Debate on L1 for EGFR mut NSCLC :  ‘easy osi’ then escalate to CT-ami, or use doublet upfront? 
Lazertinib+amivantmab likely to extend OS by ~ 1 yr vs osimertinib, but without cross over to CT-ami.
Intensify only if ctEGFR not cleared after 4w of osi? #ELCC25
Jordi Remon (@jordiremon) 's Twitter Profile Photo

We had efficacy data ADCs after osi-PD in EGFRm NSCLC. Today good mPFS (9.5-11.7) with Osi+DatopotamAb Dxd after osi-PD. Data looks ➕promising than chemo+Amiv. Better 🧠 protection maintaining osi? Biomarker for dato? Toxicity is imp. Future trial: osi-DATOD vs Ami-CT? #ELCC25

We had efficacy data ADCs after osi-PD in EGFRm NSCLC. Today good mPFS (9.5-11.7) with Osi+DatopotamAb Dxd after osi-PD. Data looks ➕promising than chemo+Amiv. Better 🧠 protection maintaining osi? Biomarker for dato? Toxicity is imp. Future trial: osi-DATOD vs Ami-CT? #ELCC25
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️GBOT no ELCC: SAVANNAH: fase 2 - pts CPNPC EGFRmut pós PD a Osimertinibe c/ hiperexpressão e/ou amplificação de MET ➡️ Savolitinib + Osi N=80 ORR:56% PFS: 7,5m EA ≥G3: 57% Potencial tratamento para esses pacientes! Estudo fase 3 em andamento no Brasil 🇧🇷

⚠️GBOT no ELCC:
SAVANNAH: fase 2 - pts CPNPC EGFRmut pós PD a Osimertinibe c/ hiperexpressão e/ou amplificação de MET ➡️ Savolitinib + Osi
N=80
ORR:56%
PFS: 7,5m
EA ≥G3: 57%
Potencial tratamento para esses pacientes!
Estudo fase 3 em andamento no Brasil 🇧🇷
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

SOHO-01: Fase I/II ➡️BAY 2927088 (TKI) em CPNPC HER2 mut. coorte D (virgens dentro.) e coorte E (prev. tratados c/ ADC). coorte D: ORR 70,5%; mDoR 8,7m coorte E: ORR 35,3%; mDoR 9,5m EA: diarreia, rash, náusea e paroníquia 🚫Doença Intersticial Pulmonar. Fase III em andamento!

SOHO-01: Fase I/II ➡️BAY 2927088 (TKI) em CPNPC HER2 mut.
coorte D (virgens dentro.) e coorte E (prev. tratados c/ ADC).
coorte D: ORR 70,5%; mDoR 8,7m
coorte E: ORR 35,3%; mDoR 9,5m
EA: diarreia, rash, náusea e paroníquia
🚫Doença Intersticial Pulmonar.
Fase III em andamento!
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️GBOT no ELCC ❗️Estudo ORCHARD 🎯CPNPC EIV EGFRm 2L (pós Osi) 🔍Osi+ Dato-DXd (4mg/kg x 6mg/kg) Fase 2 ✅️ mPFS favoreceu 6mg/kg (11,7x 9,5m) ✅️ %ORR similar (43 x 36) ⬆️EAs na coorte 6mg/kg (mucosite, eventos oculares, pneumonite).

⚠️GBOT no ELCC
❗️Estudo ORCHARD
🎯CPNPC EIV EGFRm 2L (pós Osi)
🔍Osi+ Dato-DXd (4mg/kg x 6mg/kg)  Fase 2 
✅️ mPFS favoreceu 6mg/kg (11,7x 9,5m)
✅️ %ORR similar (43 x 36)
 ⬆️EAs na coorte 6mg/kg (mucosite, eventos oculares, pneumonite).
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️GBOT no ELCC COCOON: Fase 2 - tto. dermatológico profilático (DM) vs. tto. padrão de toxicidade (SC) em CPCNP EGFRmut c/ AMI + LAZER N=138 12ºsem: EA ≥2 39% x 76% (DM x SC) EA G3: 4% x 9% (DM x SC) ⬇️ Descontinuação: 11% x 19% ✅ Melhora no manejo dos efeitos adervsos!

⚠️GBOT no ELCC
COCOON: Fase 2 - tto. dermatológico profilático (DM) vs. tto. padrão de toxicidade (SC) em CPCNP EGFRmut c/ AMI + LAZER
N=138
12ºsem: EA ≥2 39% x 76% (DM x SC)
EA G3: 4% x 9% (DM x SC)
⬇️ Descontinuação: 11% x 19%
✅ Melhora no manejo dos efeitos adervsos!
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️GBOT no ELCC MK-3475A-D77: Pembro 790mg SC q6w vs. Pembro 400mg IV q6w (+ QT ) em CPNPC sem mutação driver 1L N=377 ORR: 45,4% X 42,1% (SC x IV) PFS: 8,1 X 7,8m (SC x IV) OS: NR EA ≥G3: 47,0% X 47,6% (SC x IV) Pembro SC com exposição e concentração não-inferior a Pembro IV👏🏻

⚠️GBOT no ELCC
MK-3475A-D77: Pembro 790mg SC q6w vs. Pembro 400mg IV q6w (+ QT ) em CPNPC sem mutação driver 1L
N=377
ORR: 45,4% X 42,1% (SC x IV)
PFS: 8,1 X 7,8m (SC x IV)
OS: NR
EA ≥G3: 47,0% X 47,6% (SC x IV)
Pembro SC com exposição e concentração não-inferior a Pembro IV👏🏻
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️GBOT no ELCC BO44178: Fase 2, randomizado: CPNPC 1L sem driver ➡️ QT + Tobemstomig (anti-PD-1 e anti-LAG-3) ❌ QT + Pembro ORR: 41% X 46% (tobe x pembro) PFS: 7,6 X 7,1m (HR: 0,99) (tobe x pembro) >EA G3/4: 66% X 50% (tobe x pembro). Dados não muito animadores…

⚠️GBOT no ELCC
BO44178: Fase 2, randomizado: CPNPC 1L sem driver ➡️ QT + Tobemstomig (anti-PD-1 e anti-LAG-3) ❌ QT + Pembro
ORR: 41% X 46% (tobe x pembro)
PFS: 7,6 X 7,1m (HR: 0,99) (tobe x pembro)
&gt;EA G3/4: 66% X 50% (tobe x pembro).
Dados não muito animadores…
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️GBOT no ELCC KRYSTAL-7: Adagrasib + Pembro em CPNPC KRAS G12C e PD-L1 > 50%. ✅ORR: 59% ✅DCR: 81% ✅mDOR: 26,3m ✅PFS: 27,7m ✅OS: NR Perfil de toxicidade compatível (3 G5❗️) Ph3 em andamento!

⚠️GBOT no ELCC
KRYSTAL-7: Adagrasib + Pembro em CPNPC KRAS G12C e PD-L1 &gt; 50%.
✅ORR: 59%
✅DCR: 81%
✅mDOR: 26,3m
✅PFS: 27,7m
✅OS: NR
Perfil de toxicidade compatível (3 G5❗️)
Ph3 em andamento!
GBOT Alerta (@gbot_alerta) 's Twitter Profile Photo

⚠️ GBOT no ELCC ❗️KROCUS: Ph2 - CPNPC KRAS G12C 1L: Fulzerasib (KRAS G12C) + Cetuximab (EGFR) ORR: 80% 👏🏻 mDoR: NR PFS: 12,5m OS: NR Analise preliminar com eficácia em Meta cerebral 👍🏻 EA: rash (53,2%), prurido, astenia e náusea Ph3 em planejamento!

⚠️ GBOT no ELCC
❗️KROCUS: Ph2 - CPNPC KRAS G12C 1L: Fulzerasib (KRAS G12C) + Cetuximab (EGFR)
ORR: 80% 👏🏻
mDoR: NR
PFS: 12,5m
OS: NR
Analise preliminar com eficácia em Meta cerebral 👍🏻
EA: rash (53,2%), prurido, astenia e náusea 
Ph3 em planejamento!
Jarushka Naidoo (@drjnaidoo) 's Twitter Profile Photo

#ELCC25 Mini Orals Ph II AMAZE-Lung Trial: 2L ami-laz-bev post 3rd gen TKI by #RossSoo ETOP IBCSG Partners Foundation: - 61pts - ORR at 12wks 33% - mDOR 13.9m, mPFS 10.9m, mOS 15.5m An example of targeting VEGF in EGFR+ NSCLC, &another chemo-free approach ESMO - Eur. Oncology EGFR Resisters OncoAlert #LCSM

#ELCC25 Mini Orals

Ph II AMAZE-Lung Trial: 2L ami-laz-bev post 3rd gen TKI by #RossSoo <a href="/etop_ibcsg/">ETOP IBCSG Partners Foundation</a>:
- 61pts
- ORR  at 12wks 33%
- mDOR 13.9m, mPFS 10.9m, mOS 15.5m

An example of targeting VEGF in EGFR+ NSCLC, &amp;another chemo-free approach 
<a href="/myESMO/">ESMO - Eur. Oncology</a> <a href="/EGFRResisters/">EGFR Resisters</a> <a href="/OncoAlert/">OncoAlert</a> #LCSM
Vladmir C. Cordeiro de Lima, MD, PhD (@claudiovladmir) 's Twitter Profile Photo

Sadly, I decided leaving X. Unfortunately, this app serves someone who has no respect or consideration for other people's lives, and cares only about his money and power.