Drew Pardoll (@dpardol1) 's Twitter Profile
Drew Pardoll

@dpardol1

Director of @BloombergKimmel Institute for Cancer Immunotherapy at Johns Hopkins. Opinions are my own.

ID: 2358383533

calendar_today23-02-2014 18:56:35

20 Tweet

1,1K Followers

46 Following

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Recent FDA approval of Yervoy+Opdivo combo for MSIhigh colon cancer offers an additional immunotherapyย option. However, combo is significantly more toxic than Opdivo or Keytruda alone so remains to see if combo offers a superior risk/benefit.

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Interesting story emerging re possible synergy btwn anti-PD-1 therapies & drugs targeting receptor for VEGF โ€“ the major tumor angiogenesis growth factor. A # of VEGF receptor targeted drugs + anti-PD-1 show increased response rates in kidney, liver, uterine ca & mucosal melanoma.

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2 more wins in lung ca. Anti-PD1(Keytruda)+chemo approved as first treatment for squamous lung ca & another anti-PD1(Opdivo) approved for small cell lung ca after 2 chemo failures โ€“ needs to be tested earlier. IO now brings hope for EVERY type of lung ca. immuno-oncologynews.com/?p=14950

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#immunotherapy checkpoint inhibitor anti-PD-1 (Keytruda) just approved for first treatment of Head&Neck cancer โ€“ beats chemo. First major advance in treatment of this cancer in over 20 yrs. Many combo trials expanding on anti-PD-1 coming on line. pharmatimes.com/news/keytruda_โ€ฆ

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Combination #immunotherapy (anti-PD1+anti-CTLA4) showed a 56% response rate in melanoma brain metastases, which develop in more than 1/4 of pts โ€“ the scariest place for a cancer recurrence. Half the responses are complete! Could be another IO game-changer. eurekalert.org/e/8n8s

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Iโ€™m concerned the right-to-try-bill/law, which allows โ€œterminally ill ptsโ€ to try drugs not FDA approved for their condition, will divert cancer pts AWAY from clinical trials better suited to their disease. Real unmet challenge is improving ptsโ€™ accessibility to the right trials.

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Keytruda (Merckโ€™s anti-PD1) granted FDA priority review for 1st rx of Merkel Cell cancer (MCC) โ€“ the 2nd most deadly skin cancer โ€“ based on >50% response rate lasting yrs. Chemo never helped w/ MCC. 47% pathologic CR rate when anti-PD1 given before surgery for operable MCC. Wow!

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Misperception in IO is the โ€œHyperprogressionโ€ phenomenon whereby anti-PD1 can โ€œinduceโ€ tumors to grow faster. Many cancers reach an acceleration pt when aggressive clones take over. If that occurs after anti-PD1 started, looks like hyperprogression. Sloppy interpretation of data!

Misperception in IO is the โ€œHyperprogressionโ€ phenomenon whereby anti-PD1 can โ€œinduceโ€ tumors to grow faster. Many cancers reach an acceleration pt when aggressive clones take over. If that occurs after anti-PD1 started, looks like hyperprogression. Sloppy interpretation of data!
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FDA approves Libtayo - Regeneron's anti-PD1 - for advanced cutaneous squamous cancer with a near 50% response rate. 6th PD-1 pathway blocker approved and 14th cancer type with an FDA approved immunotherapy. More to come in the next year. newsroom.regeneron.com/news-releases/โ€ฆ

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Congrats to Jim Allison and Tasuku Honjo on Nobel for immune checkpoints...and to the wonderful clinical researchers and their courageous patients who turned science into transformative cancer therapy.

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1st clear evidence of survival benefit for kidney ca with combo of a โ€œtargetedโ€ drug โ€“ a VEGF receptor TKI (Pfizer's axitinib)- together with a checkpoint inhibitor (Merck's Keytruda). Most impressive combo yet. More TKI+CPI combos to roll out in next yr.โ€‹ onclive.com/web-exclusivesโ€ฆ

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Stay tuned for anti-PD-1 + PARP inhibitor combos in three cancers with only single digit response rates to anti-PD-1 single agent โ€“ breast, ovarian and prostate ca. ORR could go to >20% ORR. And NOT only for BRCA-pathway mutant cancers. Could benefit >300K additional pts/yr.

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Watch This Insatiable Alligator Turn A Huge Python Into Its Afternoon Snack a-z-animals.com/blog/watch-thiโ€ฆ #azanimals