Mya Tran

159 posts

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Mya Tran

Mya Tran

@MyaPrecisionG

Precision Genomics Oncology Pharmacist, PharmD, BCOP, Indiana University Health - Simon Comprehensive Cancer Center

Indianapolis, IN Katılım Şubat 2024
243 Takip Edilen148 Takipçiler
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Mihaela Aldea
Mihaela Aldea@mihaela_aldea·
MTAP loss is frequent in oncogene-driven #NSCLC, with highest rates in ALK+ (up to 45%), followed by RET+ (up to 36%) and EGFR+ (up to 24%). IHC and NGS may be complementary for detection. #PRMT5i shows activity regardless of prior TKI exposure. PRMT5i + targeted therapy may outperform monotherapy in models with at least partial TKI sensitivity. @RETpositive @AlkPositive @EGFRResisters @DanaFarber @GustaveRoussy @Annals_Oncology
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Misty Dawn Shields
Misty Dawn Shields@drshieldsmd·
Is there a role for stigma in lung cancer? What about in small cell lung cancer? No!🚫👎🙅‍♀️ 1) no one deserves lung cancer. 2) lung cancer can impact anyone with lungs, that’s everyone! 3) stigma hurts others with tangible negative impacts - delays in screening, follow ups, treatments and impacts how patients feel. Stigma, out the door. 🚪 You’re not welcome here. ✌️ @lungoncdoc @LUNGevity @SclcSMASHERS @IUCancerCenter @ASCO @TheShieldsLab
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Misty Dawn Shields
Misty Dawn Shields@drshieldsmd·
What’s the key 🔑 ingredient to being a translational cancer researcher 🧬🔬? Both a physician and a scientist 👩🏼‍🔬? 1) It takes a team. Science and medicine is a team effort, and we cannot do it alone. “Rising tides floats all boats.” 🛥️ Lift up your team, be kind, work hard, have joy, and show appreciation. Often. 2) Be present. Balance is about being where you are - when you are there. Hack back at distractions - emails 📧 , alerts 🚨, and stay present. 💝 #lcsm #sclc @TheShieldsLab @lungevity @IUCancerCenter @nireyal
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Raffaele Colombo
Raffaele Colombo@raffcolo·
cell.com/cancer-cell/fu… ARTMIS-001, phase 1a/b study of HS-20093 (GSK5764227), a B7H3 TOPO1i ADC, in lung cancer published on @Cancer_Cell 52.3% ORR in ES-SCLC (N=65) 22.4% ORR in NSCLC (N=152) B7-H3 expression levels did not significantly correlate with clinical efficacy
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Stephen V Liu, MD
Stephen V Liu, MD@StephenVLiu·
Data on izalontamab brengitecan (iza-bren, EGFR-HER3 bispecific ADC) in AGA+ NSCLC (excluding common EGFR, reported separately) after standard treatment @JCO_ASCO. In EGFRex20 RR 69.2%, PFS 10.5m. HER2 RR 52.9%, PFS 7.5m. Only 1 case of ILD (G2). ascopubs.org/doi/10.1200/JC…
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CrozrX
CrozrX@CrozrX·
Opening the door wide with phenomenal clean tolerability evolution, this is the new generation of KRAS G12D inhibitors. 🎯 Both RVMD agents are excellent and advancing fast (daraxonrasib in multiple Ph3s, zoldonrasib with BTD), but the January US safety read for VS-7375 raises the bar on “clean” for next-gen KRAS inhibitors. VS-7375 (GFH375) US Ph1/2a (VS-7375-101, Jan 30 2026 cutoff, N=23 mono escalation): • no >G1 nausea/diarrhea/vomiting (standard prophylaxis), • no >G2 neutropenia, zero drug-related LFT abnormalities. • Any initial G1 events resolved quickly (often within 1–2 weeks) with supportive care. • 900 mg QD cleared with no DLTs; now escalating to 1200 mg QD for optimal exposure in mono & combos. Unlike the early-generation KRAS G12D agents (e.g. MRTX1133, discontinued due to tolerability issues), this next wave delivers clean profiles from day one, enabling smooth dose escalation and combo potential. Builds on: • WCLC 2025 NSCLC (96% prior ICI): 🔸️68.8% ORR (11/16) + 93.8% DCR at 600 mg QD RP2D • ESMO 2025 2L+ PDAC: 🔸️58.3% ORR in true 2L (n=12 at 600 mg), overall ~41% (n=59), DCR 96.7%, mPFS 5.52 mo In a field where 43–57% of stage IV PDAC patients never even see 1L chemo and <30% reach 3L, this tolerability edge isn’t just exciting, it’s potentially practice-changing. @FDAOncology momentum accelerating, Fast Track (PDAC all lines), China Breakthrough + Ph3 2L PDAC, US cetuximab combo advancing, H1 2026 interim. Early conditional approval pathways now realistic? Patients with KRAS G12D PDAC, NSCLC & CRC are yearning for this cleaner safety, both monotherapy and combinations. Real hope on the horizon for thousands. Inclusive, equitable access can’t come soon enough. (Real-world attrition & subtreatment realities in PDAC/NSCLC in follow-up thread, why this changes everything.) @Aiims1742 @DrMakaryFDA @Timothee_MD @BenjaminBesseMD @Tony_Calles
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Misty Dawn Shields
Misty Dawn Shields@drshieldsmd·
No real progress was made in small cell lung cancer for almost four decades. Recent studies with new agents brought hope. Deciding what therapy for which patients still remains a challenge. Treatment options for #SCLC after progression are limited. In @TheShieldsLab at @IUCancerCenter, we exclusively focus on identifying novel biomarkers, targets, and combinations for #SCLC. Give us a follow if you want to hear more about SCLC research and updates! @LUNGevity @SclcSMASHERS @OTtheScientist @PareshKumaaar
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Paolo Tarantino
Paolo Tarantino@PTarantinoMD·
The waterfall plot of DV in #HER2low urothelial cancer is extremely similar to the first ever data we saw with T-DXd in HER2-low breast cancer in 2018. Bodes well for the future of HER2 targeting in urothelial cancer.
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Martín Angel@Martin_AngelMD

DV in HER2 #BCSM in second line: ⬆️pCR. who are this patients? ❓how can we selcet this population? ⁉️effectiveness is due to the target or the payload ??? @tompowles1 @ASCO #GU26 @Blatam_urology

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Stephen V Liu, MD
Stephen V Liu, MD@StephenVLiu·
Case report @JTOonline shows acquired ERBB2 amplification as a mechanism of resistance to the HER2 TKI zongertinib. This patient then responded to the HER2 antibody drug conjugate, trastuzumab-deruxtecan. Will combination strategies be the future here? jtocrr.org/article/S2666-…
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Linda Martin
Linda Martin@LindaMThoracic·
Oscar Tahuahua@OscarTahuahua

This skin finding predicted lung cancer risk before cancer existed @JAMADerm describes a rare but provocative syndrome. Early, severe, NORMOGLYCEMIC acanthosis nigricans driven by EGFR L858R, identified by WES as de novo germline or somatic mosaicism. No patient had lung cancer, yet germline cases developed multiple bilateral lung nodules. Biopsy showed atypical adenomatous hyperplasia with a second somatic EGFR hit (p.V834L), a clonal precancerous state. Erlo/Osimertinib led to near complete skin remission & lung nodule regression. This is oncogenic interception. In early severe acanthosis nigricans think EGFR & consider testing. jamanetwork.com/journals/jamad… @OncoAlert #lcsm #EGFR

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Paolo Tarantino
Paolo Tarantino@PTarantinoMD·
Wonderful study. Large part of the resistance to T-DXd derives from PAYLOAD resistance, via SLFN11 loss or efflux pump amplification. Thus, sequencing 2 ADCs with similar payload can lead to cross resistance, while switching payload is more likely to work. jto.org/article/S1556-…
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Oscar Tahuahua@OscarTahuahua

Do HER2 mutant #NSCLC tumors progressing on T DXd lose HER2 dependence? No. Resistance is mainly driven by payload related mechanisms such as SLFN11 loss or ABCC1 gain, or impaired antibody binding due to domain IV mutations, rather than loss of the HER2 driver. HER2 signaling persists, and tumors retain sensitivity to #HER2 TKIs (zongertinib/poziotinib). Progression on #TDXd opens a rational path to TKIs jto.org/article/S1556-… @OncoAlert @AndresFCardonaZ

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Mya Tran
Mya Tran@MyaPrecisionG·
couldn’t agree more 👏🏻🧬
Vivek Subbiah, MD@VivekSubbiah

🚨Pleased to share our paper published @ASCO @JCO_ASCO - Please read the paper & tweetorial +share your thoughts 🧵THREAD: Is It Time to Retire the Unified Cancer of Unknown Primary Concept in the Precision Oncology Era? Our new @JCO_ASCO commentary challenges a 50-year-old paradigm. Here's why CUP isn't one disease, it's many 1/n @OncoAlert #PrecisionOncology #CUP ascopubs.org/doi/full/10.12…

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Veera Rajagopal 
Veera Rajagopal @doctorveera·
Another incredible genomics paper from Po-Ru Loh’s team just dropped in Nature. The team analyzed whole genome sequence (WGS) data of 900,000 individuals from the UK Biobank and All of Us and report fascinating insights on short tandem repeat (STR) mutations in the human genome. At the core of the paper is the authors’ creative methodologies to overcome the challenges involved in using short read WGS data of unrelated individuals to study germline and somatic repeat expansions. Must read for anyone interested in repeat mutations and genetics of repeat expansion disorders. Hujoel et al. Nature 2026 nature.com/articles/s4158…
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