Nicole Casasanta, MD

@ncasasanta.bsky.social

Breast Medical Oncologist @YaleCancer interested in clinical/translational research

🚨Wisdom Trial🚨 🔹randomized women to risk based bca screening vs annual screening 📍risk based: 9 genes, PRS, BCSC v2 model➡️ 4 risk groups guided frequency of screening ✅ rate of stage IIB ca noninferior to annual screening 🔹rate of breast biopsies was not lower #SABCS25

JAMA@jama.com · 8mo ago

In WISDOM, researchers compared risk-based breast cancer screening to standard annual mammography among more than 28 000 US women aged 40 to 74 across all 50 states. #SABCS25 @sabcs.bsky.social ja.ma/494994l

JAMA Research Summary: Risk-Based vs Annual Breast Cancer Screening. Trial aimed to assess if risk-based screening is as safe as annual screening. Risk-based screening: 30.0. Annual screening: 48.0. Findings suggest risk-based screening is a safe alternative.

📣lidERA trial📣 🔸Pts with HR+ eBC high/medium risk ➡️ giredestrant vs SOC ET x 5 years 🔸At 32 m, iDFS events 6.7% vs 9.4%, HR 0.7, p=.0014 🔸Arthralgias similar 📍1st trial to report benefit of SERD in the adjuvant tx 📋Looking forward to further data & other trials including CDK4/6i & SERDs💊 #SABCS25

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🚨HER2CLIMB05 🚨 🔹Pts HER2+ MBC s/p THP x 4-8 cycles ➡️ HP + tucatinib vs HP 🔹PFS 24.9m vs 16.3m p<.0001 🔹HR- 24.9m vs 12.6m 🔹HR+ 25m vs 18m ⚠️ Increase in diarrhea and hepatic AEs 🔹Control arm had inferior PFS when compared to DB-09 control arm #SABCS25 #bcsm

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Excited to have joined Dr. Winer and Etienne to discuss medical oncology training, the future of oncology, and more! 🎙️🩺 @yalecancer.bsky.social

Yale Cancer Center@yalecancer.bsky.social · 11mo ago

Yale Fellows Drs. Etienne Leveille + @ncasasanta.bsky.social join Dr. Eric Winer for Yale Cancer Answers to talk about the future of #cancer care and the next generation of oncologists. 🎧 Listen live on WNPR 🍎 Download Apple Podcasts 💻 Watch on YouTube

Lots of buzz around TBCRC 040 PREDICT-DNA trial presented by Dr. Natasha Hunter 🐝 ➰ ➡️ Among pts w/ Stg II-III HER2+ & TNBC receiving NAT ctDNA may be may be a better biomarker than pCR for longterm outcomes 🧬 🔸54% ctDNA <100 ppm after NAT 🔸NPV for residual disease 60%

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Innovative SERENA-6 trial: at molecular progression switch to SERD w/ continuation of CDK4/6i in HR+ MBC improved PFS1✅ 🔹PFS2 & OS not mature 🔹 Improved TTD in QOL 🔹Control group PFS still 9.2 m 🔹Awaiting data on clearance of ctDNA after switch #ASCO2025

NEJM.org@nejm.org · last yr.

SERENA-6 phase 3 trial: In patients with advanced breast cancer, switching to camizestrant with a CDK4/6 inhibitor after ESR1-mutation detection (and before disease progression) led to significantly longer progression-free survival. nej.md/4k1dRml #ASCO25 @ascocancer.bsky.social

Outstanding talk by Dr. Ian Krop on antibody drug conjugates in the era of targeted therapies. 🔬So much groundbreaking work has been done and there’s still more work to do in understanding mechanism, mechanisms of resistance, and biomarkers for response📈📌 #ASCO2025

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