Alfonso De Stefano's Avatar

Alfonso De Stefano

@adestefano.bsky.social

MD, PhD. GI Medical Oncologist - Experimental Clinical Abdominal Oncology Unit, Istituto Nazionale Tumori - IRCCS -Fondazione G. Pascale, Napoli, Italy #ESMO #ISLB member #OncSky #GIonc

179 Followers  |  260 Following  |  27 Posts  |  Joined: 06.12.2024
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Posts by Alfonso De Stefano (@adestefano.bsky.social)

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Confirmed great data from #8HW trial at #ESMO25 with the combination NIVO+IPI confirms the standard of care option in 1st line MSI-H/dMMR mCRC patients @oncodaily.bsky.social

20.10.2025 07:11 โ€” ๐Ÿ‘ 3    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Intermittent or Continuous FOLFIRI + Panitumumab RAS and BRAF Wild-Type Metastatic CRC - OncoDaily Intermittent or Continuous FOLFIRI + Panitumumab RAS and BRAF Wild-Type Metastatic CRC / Akhil Santhosh, Alberto Sobrero, Alessandra Leone, Alfonso De

Thanks ๐Ÿ™๐Ÿป to @oncodaily.bsky.social to highlight the results of #IMPROVE trial Intermittent or Continuous FOLFIRI + Panitumumab RAS and BRAF Wild-Type Metastatic #CRC #GIonc #OncSky oncodaily.com/blog/panitum...

18.01.2025 22:11 โ€” ๐Ÿ‘ 5    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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Tremelimumab and durvalumab as neoadjuvant or non-operative management strategy of patients with microsatellite instability-high resectable gastric or gastroesophageal junction adenocarcinoma: theย INF... In resectable gastric/gastroesophageal junction adenocarcinoma, microsatellite instability-high (MSI-H) confers improved survival, but limited benefitโ€ฆ

Exciting #GIonc INFINITY โ™พ #Ph2 trial

Neoadjuvant #IO in #stcsm #esocsm using #treme + #durva ~60% pCR

12m ๐Ÿšซ๐Ÿ”ช#survival ~ 64%.

#Ph3 data needed, but organ preservation possible!

๐Ÿ”—: sciencedirect.com/science/arti...

16.01.2025 19:59 โ€” ๐Ÿ‘ 6    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

#GI25 @ascocancer.bsky.social
For #colorectalcancer, there are many great abstracts-so this is just a few to๐Ÿ”ฆ:
Pre-op:
1โƒฃ@CQvortrup๐Ÿ—ฃ๏ธa Single-cycle of neoadj pembro for Stage I-III MMRdef CRC, Oral Abs 19
2โƒฃ@jonathanloree๐Ÿ—ฃ๏ธusing ctDNA๐Ÿฉธto support Non-Op management in rectal cancer, Oral Abs 20

11.01.2025 19:57 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

#GI25 @ascocancer.bsky.social
The BIG trial in #colorectalcancer will be Scott Kopetz ๐Ÿ—ฃ๏ธBREAKWATER, the 1st line R-Ph3 trial of encorafenib + cetuximab + chemotherapy in BRAF V600E-mutant met CRC, Oral Abs 16

11.01.2025 19:57 โ€” ๐Ÿ‘ 4    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

#GI25 @ascocancer.bsky.social
And 3 immunotherapy trials in #MCRC:
1โƒฃThierry Andre๐Ÿ—ฃ๏ธthe LBA of Ipi-Nivo vs Nivo of dMMR mCRC, ABS LBA143
2โƒฃ Marwan Fakih๐Ÿ—ฃ๏ธa Ph2 trial of BOT +/- Bal in MSS mCRC (no liver mets), Oral Abs 23
3โƒฃJoel R Hecht๐Ÿ—ฃ๏ธa Ph2 trial of a personalized Neo-Ant IO for MSS CRC, Abs LBA13

11.01.2025 19:57 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
Moving towards more personalized approaches in locally advanced and metastatic colorectal cancer - Nature Reviews Gastroenterology & Hepatology Colorectal cancer remains a challenging heterogeneous disease with substantial morbidity and mortality. However, progressive advances over the past year have led to marked improvements and overcome ch...

#GIonc summary
top 3 trials in #crcsm

๐Ÿฅ‡: NICHE-2 - 99% #ORR, 100% 3-year DFS in dMMR colon cancer with โฌ‡๏ธ #tox
๐Ÿฅˆ: KRYSTAL-1 - adagrasib in KRAS G12C cancers โžก๏ธ FDA approval + cetux
๐Ÿฅ‰: TransMet - transplant + ๐Ÿ’‰ improves 5y #OS

๐Ÿ”—: nature.com/articles/s41...

14.01.2025 20:34 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 1
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Neo-adjuvantFOLFOX+/- #panitumumab for pts with KRAS-wt locally advanced #coloncancer: FOxTROT Trial www.annalsofoncology.org/article/S092... โžก๏ธ @jenseligmann.bsky.social #GIonc @oncoalert.bsky.social

๐Ÿ‘‰โฌ‡๏ธrecurrence 12% vs 21%(HR=0.51,p0.09),significant in EREG/AREG โฌ†๏ธ
๐Ÿ‘‰โฌ†๏ธTOX G3 diarrhoea and rash

12.01.2025 16:08 โ€” ๐Ÿ‘ 5    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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PD-1 blockade with Tislelizumab+chemoradiotherapy in unselected MMR locally advanced #rectalcancer
doi.org/10.1038/s415... @natmedicine.bsky.social
โœ…The pCR rates were 27.1%, 32.7% and 14.0% for experiment groups A and B and the control group C, respectively

12.01.2025 07:55 โ€” ๐Ÿ‘ 6    ๐Ÿ” 0    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
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FEBS Press Pancreatic ductal adenocarcinoma (PDAC) is a disease with very poor prognosis due to therapeutic limitations. We investigated the antitumor effects of cystatin A (CSTA) in PDAC murine models. We are ...

Cystatin A promotes the antitumor activity of T helper type 1 cells and dendritic cells in murine models of pancreatic cancer ๐Ÿงช #PancreaticCancer febs.onlinelibrary.wiley.com/doi/10.1002/...

11.01.2025 19:32 โ€” ๐Ÿ‘ 1    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

#GI25 @ascocancer.bsky.social
Finally, two additional abstracts to watch for in #cholangiocarcinoma:
1โƒฃDr. Priyanshi Shah๐Ÿ—ฃ๏ธLong-term outcomes for MSI-H BTC patients on immunotherapy, Abs 592; Post#C18
2โƒฃDr. Christos Fountzilas๐Ÿ—ฃ๏ธ๐ŸŽฏFGFR in the Ph2 trial of Tinengotinib for BTC Pts, Abs 608; Post#D9

11.01.2025 19:33 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

#GI25 @ascocancer.bsky.social
3โƒฃabstracts๐Ÿ”ฌoutcomes of Pts with specific๐Ÿงฌalterations in #cholangiocarcinoma:
1โƒฃ&2โƒฃlook at MDM2amp BTC:
โžก๏ธDr. Iyer, Abs 544; Post#A22
โžก๏ธTeresa Macarulla, Abs 615, Post#D16
3โƒฃRichard Kim๐Ÿ—ฃ๏ธReal-World OS in BTC Pts with IDH1mut or FGFR2fus + BTC, Abs 548; Post#A26

11.01.2025 19:33 โ€” ๐Ÿ‘ 3    ๐Ÿ” 1    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Many thanks to @mpishvaian.bsky.social to share his top abstract titles of the upcoming #GI25 @ascocancer.bsky.social #GIonc

11.01.2025 19:01 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Anti-EGFR re-challenge with chemotherapy in RAS wild-type advanced colorectal cancer (A-REPEAT study): efficacy and correlations with tissue and plasma genotyping Approved treatments for colorectal cancer (CRC) patients pretreated with two lines of therapy are of limited efficacy. Anti-epidermal growth factor reโ€ฆ

A-REPEAT trial: #panitumumab based #rechallenge strategy in pretteated metastatic #crc pts. The study was closed prematurely but highlights the importance of #LiquidBiopsy before rechallenge:48% of pts were RAS mutant #GIonc #OncSky @christianrolfo.bsky.social www.sciencedirect.com/science/arti...

11.01.2025 16:56 โ€” ๐Ÿ‘ 1    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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The OncoAlert๐Ÿšจ Network along with our partners at
ESSO, ESGO, MASCC & SIOG
invite you to the #OncoAlertColloquium

REGISTER for FREE HERE๐Ÿ‘‰ buff.ly/3CChgre
February 3-9, 2025 ๐Ÿ’ฏ% Virtual & Interactive

@erikahamilton9.bsky.social
@drsgraff.bsky.social
@drjnaidoo.bsky.social
@hoperugo.bsky.social

10.01.2025 18:23 โ€” ๐Ÿ‘ 16    ๐Ÿ” 8    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 4

Interesting review on advances in targeting ๐ŸŽฏ#KRAS in #mCRC Development of KRAS Inhibitors and Their Role for Metastatic Colorectal Cancer
by Dr.Dustin Deming on #JNCCN
jnccn.org/view/journal... @oncoalert.bsky.social @oncodaily.bsky.social @medicalwatch.bsky.social

06.01.2025 20:39 โ€” ๐Ÿ‘ 5    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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2024 FDA approvals The FDA approved 50 new therapeutics in 2024, with green lights for a novel schizophrenia drug, a first NASH medicine and much more.

www.nature.com/articles/d41...

The Landscape of @fda.gov drug approvals in 2024. 30% Oncology novel drugs !

04.01.2025 17:43 โ€” ๐Ÿ‘ 27    ๐Ÿ” 9    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Happy New Year to everyone! @oncodaily.bsky.social @oncoalert.bsky.social
@medicalwatch.bsky.social
@katesears.bsky.social

01.01.2025 00:10 โ€” ๐Ÿ‘ 7    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

๐Ÿ“ขVery useful suggestions from @medicalwatch.bsky.social @katesears.bsky.social directly forwarded to your๐Ÿ“๐Ÿ“ฌemail. You can subscribe to get a monthly update on phase 3 interventional clinical trials recruiting near you on your field of interest. Congrats and thanks for this project!๐Ÿ‘๐Ÿป๐Ÿ’ช๐Ÿป #OncSky #GIonc

30.12.2024 15:26 โ€” ๐Ÿ‘ 4    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Another issue on the role of #LiquidBiopsy in #CRC ๐Ÿ‘‰ In these patients with stage II-IV CRC who underwent curative-intent resection,the benefit of adding serial tumor-informed ctDNA assay to the standard surveillance was limited #ISLB #GIonc @oncoalert.bsky.social
jamanetwork.com/journals/jam...

30.12.2024 04:21 โ€” ๐Ÿ‘ 6    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Dear Colleagues,
Wishing you hashtag#MerryChrismas2024 & Happy Holidays from All of us at OncoAlert ๐Ÿšจ

@elisaagostinetto.bsky.social
@drjnaidoo.bsky.social
@lymphomadoc.bsky.social
@realbowtiedoc.bsky.social
@stephenvliu.bsky.social
@drlestercoll.bsky.social
@erikahamilton9.bsky.social

24.12.2024 22:21 โ€” ๐Ÿ‘ 9    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0

Find the results in the open access paper on #JCO @ascocancer.bsky.social at ascopubs.org/doi/pdf/10.1... #OncSky #GIonc

24.12.2024 08:35 โ€” ๐Ÿ‘ 5    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0

Find the results in the open access paper on #JCO @ascocancer.bsky.social at ascopubs.org/doi/pdf/10.1...

24.12.2024 07:49 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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๐Ÿ™๐Ÿป Grateful to @medicalwatch.bsky.social and @katesears.bsky.social to promote the results of IMPROVE trial ascopubs.org/doi/pdf/10.1... in the weekly newsletter! To be always updated on most recent trials, you can subscribe at my.medical.watch/signup

24.12.2024 04:42 โ€” ๐Ÿ‘ 5    ๐Ÿ” 2    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 2

A very interesting course here in Italy, very recommended to all oncology researchers @ascocancer.bsky.social

22.12.2024 17:57 โ€” ๐Ÿ‘ 3    ๐Ÿ” 0    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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#IMPROVE trial #Intermittent (I) or #Continuous (C) Panitumumab+FOLFIRI for First-Line Treatment of RAS/BRAF WT Metastatic Colorectal Cancer #oncsky #JCO

โœ… Endpoint met
๐Ÿ‘‰mPFS 11.2(C)vs17.5 months(I)
๐Ÿ‘‰NO detrimental effect on OS
๐Ÿ‘‰DCR 94.2%(C)vs91%(I)
๐Ÿ‘‰Reduced toxicity
ascopubs.org/doi/pdf/10.1...

06.12.2024 08:29 โ€” ๐Ÿ‘ 12    ๐Ÿ” 1    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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FDA grants accelerated approval The Food and Drug Administration granted accelerated approval to encorafenib.

@oncoalert.bsky.social @medicalwatch.bsky.social Historic milestone ๐ŸŽฏ๐Ÿฅ‡ for first-line #mCRC treatment of #BRAF V600E mut patients based on #BREAKWATER study: FDA grants Accelerated Approval to Encorafenib Plus Cetuximab and Chemo for BRAF V600E+ mCRC patients #GIonc www.fda.gov/drugs/resour...

21.12.2024 09:05 โ€” ๐Ÿ‘ 7    ๐Ÿ” 3    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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FDA grants accelerated approval The Food and Drug Administration granted accelerated approval to encorafenib.

The FDA has approved BRAFTOVI in combination with cetuximab and mFOLFOX6 for first-line treatment in patients with metastatic colorectal cancer with a BRAF V600E mutation. The approval is based on the BREAKWATER study, for which MD Andersonโ€™s Dr. Scott Kopetz is co-PI. 1/2

21.12.2024 02:28 โ€” ๐Ÿ‘ 10    ๐Ÿ” 3    ๐Ÿ’ฌ 1    ๐Ÿ“Œ 0
ClinicalTrials.gov

Great milestone ๐ŸŽฏ๐Ÿฅ‡ for #mCRC treatment #GIonc #OncSky based on the last update clinicaltrials.gov/study/NCT046... FDA grants Accelerated Approval to Encorafenib Plus Cetuximab and Chemo for BRAF V600E+ Metastatic Colorectal Cancer www.fda.gov/drugs/resour...

21.12.2024 08:20 โ€” ๐Ÿ‘ 2    ๐Ÿ” 2    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0
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Accelerating Innovation in Biliary Tract Cancer | LinkedIn Join Us for a Live In-Person and Virtual Symposium on "Accelerating Innovation in Biliary Tract Cancer" during the 2025 ASCOยฎ Gastrointestinal Cancers Symposium. ๐Ÿ“… Thursday, January 23, 2025 ๐Ÿ•ค 6:00-6...

Join Drs. Abou-Alfa, Goyal, Harding, & Prof. Vogel for a PeerView Live Symposium in collaboration with the CholangiocarcinomaFoundation.org during the #GI25
๐Ÿ“… Jan 23, 2025
๐Ÿ•• Reg & Dinner: 6:00 PM PST
๐Ÿ•ก Symposium: 6:15 PM PST / 9:15 PM EST
๐Ÿ“ In-Person & Virtual
#Medsky #Oncsky

20.12.2024 19:26 โ€” ๐Ÿ‘ 5    ๐Ÿ” 5    ๐Ÿ’ฌ 0    ๐Ÿ“Œ 0