
🩺🧬Internal Medicine-Medical Oncology. @pghoncology 🇵🇭 🫁Thoracic Oncology Fellowship at Cross Cancer Institute. @crosscancer50 🇨🇦 @PSO1964 Vice-President, 2025
Edmonton, Alberta
Joined February 2022
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Excellent talk on ctDNA analysis of the #CROWN trial by Dr @bensolomon1 . Definitely a lot of things to learn esp on the early progressors and how to improve their outcomes. #ESMO26
Median PFS was 6.8 mos and median OS was 13.8 in the overall EGFRwt cohort #ESMO26
ctDNA analysis of the CROWN trial by @bensolomon1 #ESMO26
✅️ early progressors : higher no. Of mutations, including TP53
✅️ inflammatory response was the predominant EP-associated pathway
✅️ ctDNA noted new ALK resistance mutations
✅️ higher mutations and higher inflammatory response -> may help identify early progressors (question is, what can we do for them, tx escalation?)
#ESMO26
Interesting integration of ctdna directed therapy in NSCLC
✅️ baseline non-detectable ctDNA -> good prognosis, might be an option for Osimertinib mono
✅️ if without ctDNA clearance after 3-4 weeks -> better median PFS if chemo is addred to osi mono
#ESMO26
#FLAURA2 analysis of CTDNA analysis @dplanchard #ESMO26
• baseline detected plasma EGFRm correlated with shorter PFS
• plasma EGFR clearance was prognostic but not predictive
• combi tx > osi mono regardless of plasma EGFR clearance status
#ESMO26
Kenn Samala retweeted
1/ My top 7 thoracic picks for #ESMO26 (Madrid, Oct 23–27), ranked. @myESMO
5 of these phase 3s already announced positive toplines. ESMO is where we finally see effect sizes.
The question each one answers 🧵 #LCSM
@LungCancerRx @OncoAlert @oncodaily
Never miss an opportunity for a selfie when you bump into your Thoracic Oncology Idols - Dr Natasha Lieghl and Dr James Chih-Hsin Yang 😊🫁 #ESMO26
Excellent talk on liquid biopsies by Dr Natasha Leighl. Also, priviliged to work with her for the ESMO PAGA on Early Lung Cancer 🫁
So nice to see you, Natasha and hopefully more collaborations in the future! 😊
#ESMO26
Liquid biopsies in advanced lung cancer: The Future has arrived by Dr Natasha Leighl of @pmcancercentre
#ESMO26
Key Takeaways of liquid biopsies
• use as a "screening" test - pre diagnostic pladma ctDNA
• screening test for molecular diagnosis in targeted therapy resistance
#ESMO26
Interesting how liquid biopsy in detecting SCLC transformation
#ESMO26
Use of Pre-diagnostic plasma NGS can dec time to treatment by ~50%
#ESMO26






















