Laura Alder, MD

@lauraaldermd.bsky.social

Thoracic Medical Oncologist @DukeCancer. Asst Prof @DukeMedicine. Deputy Director Duke Center for Brain and Spine Mets. Passionate about #LCSM 🫁🎯🧬, clinical trials, PROs, #MedEd

Important study and data in a patient group lacking strong next line options. Additionally notable with suggestion of CNS efficacy. Also looking forward to approval and additional data on promising Patritumab Deruxtecan (HER3-DXd) in such a setting

Stephen Liu@stephenvliu.bsky.social · 2y ago

CHRYSALIS-2 Cohort A: amivantamab + lazertinib in #EGFR NSCLC after osimertinib and chemotherapy @jtoonline.bsky.social (n=162). BICR RR 35%, CBR 58%, DOR 8.3m, PFS 4.5m, OS 14.8m, and CNS efficacy noted. AEs included rash in 81% (G3 10%), paronychia in 52%. www.jto.org/article/S155...

We have known for decade+ that you can detect progression using ctDNA months before you see it on scans. But until we show that it impacts outcomes to change tx earlier all it does is make ppl anxious and abandon treatments (TKIs) that may still be helping. Most MRD use today is marketing over data.

Laura Book@laurajbook.bsky.social · 2y ago

Why aren’t more oncologists using MRD tests like Signatera or Guardant Reveal to proactively treat NSCLC before PD shows up on imaging especially in later treatment lines? www.jto.org/article/S155...

Durvalumab now FDA approved for limited stage #SCLC based on the phase III ADRIATIC trial showing a PFS and an OS benefit (HR 0.73) with 2y of durvalumab after completion of definitive chemoradiation (avoid concurrent use). #LCSM #OncSky www.targetedonc.com/view/durvalu....

Durvalumab Wins FDA Approval in Limited-Stage Small Cell Lung Cancer

The approval of durvalumab, based on data from the phase 3 ADRIATIC study, offers a new standard of care for patients with limited-stage small cell lung cancer.

targetedonc.com

Great summary in @Annals_Oncology of an intensive few days in March 2024 discuss the key issues confronting lung cancer care globally, thanks to Dr. @mayluciemeyer for her excellent leadership on this manuscript! #lcsm @IASLC @myESMO www.sciencedirect.com/science/arti...

Lung cancer research and treatment: global perspectives and strategic calls to action

Lung cancer remains a critical public health issue, presenting multifaceted challenges in prevention, diagnosis, and treatment. This article aims to r…

sciencedirect.com

Intriguing paper utilizing unique DNA methylation signatures of LUAD brain metastases to predict risk and aid in noninvasive diagnosis via plasma. Many applications if prospectively validated: surveillance imaging timepoints, optimal treatment selection and timing. www.nature.com/articles/s41...

Using tumor DNA methylomes to predict cancer metastasis to the brain - Nature Medicine

Metastatic spread of cancer to the brain has a devastating effect on patient outcomes, yet identifying patients who will develop brain metastases is difficult in current clinical practice. We show tha...

nature.com

76% 5 year OS, even with small numbers, represents such magnificent accomplishments in #LCSM! Taken with CROWN data (5 year PFS 60%, 92% pts free from intracranial progression!) helps cement Lorlatinib as clear 1st line choice for metastatic #lungcancer #oncsky @alkpositiveuk.bsky.social

Stephen Liu@stephenvliu.bsky.social · 2y ago

Final survival results from phase II study of lorlatinib in #ALK NSCLC @jtoonline.bsky.social. In treatment naive (n=30), 5y OS 76%. Post 2nd gen ALK TKI ± chemo (n=28), 5y OS 45%, median OS 37.4m. Post ≥2 ALK TKIs ± chemo (n=111), 5y OS 23%, median OS 19.2m. #LCSM www.jto.org/article/S155...