Shivani Modi MD

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Shivani Modi MD

Shivani Modi MD

@smodimd

PGY 3 Resident @im_residency HemOnc Aspirant #Hemoncfellow #ASCO IMG Advocate. Hem/Onc research fellowship @UNMC

Katılım Ekim 2021
458 Takip Edilen307 Takipçiler
Shivani Modi MD retweetledi
Nicholas Hornstein
Nicholas Hornstein@GIMedOnc·
BREAKWATER Cohort 3 at #GI26 👀 Presented by @skopetz @ASCO Important context first. This is unlikely to be practice changing in the US, where we generally favor upfront FOLFOX. But in Europe and Canada, FOLFIRI is used upfront a meaningful amount of the time, so these data matter 🌍 BREAKWATER Cohort 3 1L BRAF V600E–mutant mCRC, n=147 FOLFIRI plus encorafenib and cetuximab vs FOLFIRI control What we saw: 1️⃣ ORR 64% vs 39% 2️⃣ OS trend favoring EC plus FOLFIRI HR 0.49 (95% CI 0.24 to 1.03), median OS not reached 3️⃣ Results look very consistent with what we saw in the FOLFOX cohort 4️⃣ No new safety signals Takeaway: Not a paradigm shift in the US, but reassuring and useful data, especially for 🇨🇦 and parts of 🇪🇺 where FOLFIRI is commonly used upfront. Always good to have more validated options for BRAF-mutant disease. Lingering question for me: If you start EC with FOLFIRI, do you continue EC at progression the same way many of us do after FOLFOX? Would love to see data addressing that. At least we know toxicity is ok now. #GI26 @OncoAlert @TheGutOncLabi
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Shivani Modi MD
Shivani Modi MD@smodimd·
NEOSUMMIT-01 (Ph II) suggests meaningful improvement in outcomes with perioperative oxaliplatin-based chemotherapy + PD-1 inhibitor toripalimab in cT3–4N+ GC/GEJ cancers. Promising signal in a space with historically modest gains. #GI26
Nicholas Hornstein@GIMedOnc

#GI26 NEOSUMMIT-01, now presented 🔥 Randomized Ph II perioperative oxaliplatin-based doublet (CAPEOX or SOX) ± PD-1 inhibitor toripalimab in cT3–4N+ GC/GEJC. For context: perioperative chemotherapy alone has produced only modest gains for decades, with relapse (especially peritoneal) remaining the dominant failure pattern. NEOSUMMIT-01 delivers something we have not seen before 👇 📈 3-year EFS 74.7% vs 56.2%, HR 0.51, P=0.044 📊 3-year OS 81.3% vs 72.2%, HR 0.45, P=0.036 🚫 Metastasis/relapse nearly cut in half: 18.5% vs 38.9%, P=0.019 ⏳ mEFS not reached with perioperative chemoIO vs 38.2 months with chemo alone Benefits held up in per-protocol analyses and after excluding dMMR patients. 🔥 The dramatic reduction in peritoneal relapse is the standout. CAVEAT: China only study. Unclear if results will translate to a global population. These are fantastic results and set a high bar for perioperative chemoIO in locally advanced GC/GEJC. @OncoAlert @TheGutOncLab

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Shivani Modi MD
Shivani Modi MD@smodimd·
KEYNOTE-937 highlights that adjuvant pembrolizumab after complete radiologic response in HCC does not improve RFS or OS, with higher ≥G3 AEs. Important negative trial shaping practice. #GI26 #HCC
Nieves Martinez Lago MD PhD@DraMartinezLago

#GI26 KEYNOTE-937 (phase III) 🔀 Adj HCC (PEM vs PBO) after complete radiologic response (resection/ablation) 📉 RFS: 46.7 vs 45.5 mo; (HR 1.06; P=0.72) 📉 OS: 48-mo OS 79% vs 81% 🛡️ Higher grade ≥3 AEs with pembrolizumab ➡️ Adj PEM does not improve outcomes in this setting @OncoAlert @Larvol

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Shivani Modi MD
Shivani Modi MD@smodimd·
The evolution of KRAS inhibitors represents a major turning point in GI oncology—shifting the focus toward mutation-specific biology, resistance pathways, and strategic combinations across treatment settings. #GI26
Dr. Despina Siolas, MD, PhD@DrDespina123

As highlighted @asco #gi26, the development of #KRAS inhibitors underscores not only therapeutic promise, but the critical need to understand mutation-specific biology and resistance. Trials are looking at front-line combinations, perioperative settings, maintenance strategies.

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Shivani Modi MD retweetledi
Mark Lewis, MD, FASCO
Mark Lewis, MD, FASCO@marklewismd·
A very nice summary of the current state of evidence for neoadjuvant chemo-immunotherapy in gastric cancer by Dr. Christopher Hallemeier @MayoClinic #GI26
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Shivani Modi MD
Shivani Modi MD@smodimd·
Nicholas Hornstein@GIMedOnc

#GI26 LBA285 🔥 HORIZON-GEA-01 is presenting now. We have a new first line. Phase III, 1L HER2+ GEA Zanidatamab + chemo ± tislelizumab vs trastuzumab + chemo Key takeaways 👇 PFS significantly improved in both zanidatamab arms OS significantly improved with zanidatamab + chemo + tislelizumab Zanidatamab + chemo alone not significant at first interim Cross-trial context matters. Median OS 26.4 months here vs ~20 months in KEYNOTE-811. Zanidatamab + chemo + tislelizumab is a new 1L standard for HER2+ GEA 🚀 @OncoAlert @TheGutOncLab

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Anh Lam (she/her)
Anh Lam (she/her)@anhbl9·
I’m so thrilled to have matched at @fredhutch for my hematology oncology training!!🥹 This couldn’t have been possible without the stellar mentorship I’m so lucky to have received and the endless support from so many people who have been a part of my journey🛤️
OU Internal Medicine Residency@OU_internalmed

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Nishant Rajendra Tiwari
Nishant Rajendra Tiwari@Nischistocyte·
Pre-emptive rituximab stopped relapses in our iTTP patients. 💪 After 3-5 prior relapses each, and 1 exacerbation, 4 patients received scheduled Rituximab for 2 years. Result? No relapses during a median 17.5-month follow-up. (Range 3 - 68 months) This is a big deal for a tough disease. Grateful to my mentor Dr. Khawandanah & our team. More studies needed, but hope is here. Super thankful to all of ours mentor - Dr James N George, truly a difference maker in these patients, and in his mentees careers. The fellows at @StephensonCC continue to shine, we have the best leadership and the fellowship program director (#DrSamiIbrahimi) 🤩 #TTP #iTTP #MedTwitter #HopeInResearch
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Ummul. Asfeen. DO, MBBS
Ummul. Asfeen. DO, MBBS@asfeen_ummul·
I'm so thrilled 🎉🎉🎉and grateful to the Almighty 🙏to bless me with this great opportunity to become a hematologist-oncologist💜The journey has been great. Met so many, learned from so many and enjoying every experience. #HemOncFellows #SuppOnc #PallOncCop
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