Professor, Director of Clinical Research, Section Chief Aggressive Lymphoma
@MDAndersonNews
, past chair of
@ASCO
government relations committee, Opinions mine
Proud to share that I have been promoted to Professor at
@MDAndersonNews
. I am profoundly grateful for my patients, team, colleagues, collaborators, and mentors. Looking forward to the next steps to
#EndCancer
Big news: our Smart Start trial is now online in
@JCO_ASCO
! The first trial to show targeted therapy, alone and with chemo, can have excellent outcomes in patients with newly diagnosed DLBCL. A new precedent established!
#lymsm
#ASCO19
pro tip: want a copy of a slide from a talk? Don’t hold up your phone for a photo - instead open the iPlanner app, click “interact”, and the slides are shown on your device. Be sure to cite the speaker.
@DGlaucomflecken
This is not a good post. Thousands of doctors do research via clinical trials and take care of patients and write grants and advocate for their patients. Most of your posts are great, but not this one.
This incredible reporting should result in Congressional hearings where CEOs of
@Cigna
and other insurance companies should publicly defend this exploitative practice. Sick patients deserve answers from the companies they pay for health insurance.
#FixPriorAuth
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told
@ProPublica
&
@Capitol_Forum
. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
Excellent news for our patients: CAR T-cell therapy (axi-cel) is now approved for patients treated in second line for large B-cell lymphoma. My team at
@MDAndersonNews
was honored to play a role in the pivotal result.
ZUMA-7 is the first trial in nearly 30 years to significantly improve overall survival for patients with relapsed/refractory large B-cell in 2L therapy. Thank you to all the patients who participated in this paradigm shifting trial.
#ASCO23
Late breaking at
#ASCO23
: In the phase 3 ZUMA-7 trial, patients with relapsed or refractory large B-cell lymphoma who received axi-cel (CD19-specific CAR T cells) had a 27.4% lower risk of death than patients who received standard therapy. Full trial results:
My annual
@ASH_hematology
meeting gripes. Add yours
#ASH22
1. CR = complete response. Response is categorical, remission is not.
2. Patients do not “fail therapy”, they are “failed by therapy”.
#lymsm
Thank you
@RonWyden
&
@MikeCrapo
and
@SenateFinance
for the important hearing today on drug shortages. On behalf of
@ASCO
, I testified “we have life saving drugs, and life threatening shortages”
Wow! 👀
@GMA
talked about cancer drug shortages this morning, including my testimony for
@ASCO
to
@SenateFinance
. “We have life saving drugs and life threatening shortages” Tell Congress to act: ⬇️
At
@MDAndersonNews
, we are so fortunate
@ppisters
is leading us to
#endcancer
in the
#COVID19
era.
Starting tomorrow, all people on our main campus will wear a mask.
Given the new data showing up to HALF of COVID infecteds have no symptoms, this will keep our patients safe
Reminder to speakers at
@icmlugano
: patients don’t “fail therapy”. Words matter, and we need to be careful not to blame our patients when our treatments don’t work. Instead, says patients “were failed by therapy”.
#ICML
#lymsm
We are excited to announce the
#ASCO23
presentation of the primary Overall Survival analysis from ZUMA7 (axi-cel vs chemo/ASCT in patients with 2L) will be featured in a special clinical science symposium. See you in Chicago!
#lymsm
Our poster of patients with r/r DLBCL in Zuma-7 who are 65y+ found excellent outcomes and rapid improvement in quality of life with axi-cel compared to SOC chemo.
#ASCO22
#lymsm
The word genius is used too often, but Dr Freireich was a true genius. Countless lives have been saved by his pioneering work: platelet transfusions, randomized trials, combination therapy, plasmapheresis to name a few. His legacy is immense and enduring
New: MD Anderson has prohibited work related travel, both foreign and domestic, for at least the next 8 weeks for employees to minimize the risk to our patients.
Incredible news: We are proud to announce that we have treated 1000 patients with immune effector cell therapy (CAR T-cell) at
@MDAndersonNews
. This is a huge milestone for our patients and their families!
#lymsm
Missing our annual date in Chicago, but
#ASCO21
at home has better ambiance and cheaper beverages (but more kids). Can’t wait to see all of our
@ASCO
friends in 2022!
Huge congratulations to Dr Herrera and all
@SWOG
colleagues on the
#ASCO23
plenary presentation on S1826. 1L Hodgkin lymphoma with advanced stage: PFS HR 0.48 favoring Nivo-AVD over BV-AVD, 94% at 1 year. Dr LaCasce described as “practice changing”, eagerly awaiting > follow up
Very important letter from
@ASH_hematology
leadership on ABIM
#MOC
.
Key points:
-eventually do away with high stakes tests
-remove the clock on LKA to allow discussion instead of rushed guess
-change to 15 LKA questions/quarter
-eliminate CME reporting requirement to ABIM
Very impressive: ADI-001, CD20 CAR gamma delta T-cells have a high CR rate and low CRS/neurotox in r/r B-cell lymphoma, need more patients but early data look great, presented by Neelapu from
@MDAndersonNews
#ASCO22
#lymsm
Glad to present “State of the Art: CAR T-cell therapy for B-cell lymphoma” at the
@ESHaematology
. We are now clearly in the CAR T-cell era for patients with B-cell lymphomas: we’ve come so far, but still have much more to do to.
#ESHLymphoid2023
#lymsm
Happy Thanksgiving!
I’m grateful for family, friends, and to be useful for our patients.
The
@ASCO
election is open, and I’m honored to be a candidate for Board of Directors. Learn more and vote here: 🗳️🍗🗳️
We are proud to share the manuscript published in
@CCR_AACR
today: patients >65y with 2L LBCL from ZUMA7 trial. TL:DR Axi-cel is better than chemo/ASCT in efficacy and PROs in older patients, perhaps better than whole population.
#lymsm
🎉 Join us in congratulating the following members on earning the Fellow of ASCO (FASCO) distinction this quarter! We're grateful for your extraordinary volunteer service, dedication, and commitment to ASCO. Learn more about the FASCO distinction:
Excellent news: In the Feb 1
@JCO_ASCO
, our Smart Start trial is now published! Rituximab, Lenalidomide, and Ibrutinib in Patients with newly diagnosed DLBCL. Funded in part by
@ConquerCancerFd
#lymsm
#EndCancer
Since 1995, the standard for fit patients with DLBCL relapsed after or refractory to initial therapy has been chemo/AutoSCT. 28 years later, we finally have a change to the treatment algorithm.
#lymsm
Huge news! ZUMA-7 trial shows axi-cel improves overall survival in patients with second-line aggressive lymphoma, compared to chemo/autoSCT. Statistically significant, which should end the “try chemo first” argument. Full data to be presented in the next few months.
#lymsm
#NEWS
: Today, we announced the primary overall survival (OS) analysis results, a key secondary endpoint, of our Phase 3 study of CAR T-cell therapy for initial treatment of relapsed/refractory large B-cell lymphoma.
Today’s a big day:
1. The last day of the
@ASCO
election. I’m honored to be a candidate for the board of directors. Learn more below & please vote!
2. I’m traveling to Washington to testify to
@SenateFinance
tomorrow for
@ASCO
about drug shortages.
#ASCOAdvocacy
I’m honored to be selected for the
@ASCO
Leadership Development Program to further our mission to
#EndCancer
. The support I’ve received from ASCO &
@ConquerCancerFd
(YIA 12, CDA 15) is incredible and critical to develop a new generation of leaders.
On behalf of
@ASCO
, I’m honored to testify to
@SenateFinance
next week regarding the impact of drug shortages on cancer patients. Thank you Senators
@RonWyden
&
@MikeCrapo
for focusing your efforts on this important and unfortunately recurring issue.
Arrived at
#ASCO23
and excited for our awesome Clinical Science Symposium on moving CAR T-cells to earlier lines of therapy. Thanks to the organizers for creating this session and highlighting our abstract as “Best of
@ASCO
”.
#lymsm
Very important data set presented by Dr Orellana-Noia on lack of benefit of CNS prophylaxis with *EITHER* IV or IT methotrexate. Thought provoking, unclear if we should abandon prophylaxis in high risk patients yet tho. Eagerly anticipating the manuscript.
#ASH20
A huge advance for our DLBCL patients! Axi-cel should be a new standard for second-line therapy.
#lymsm
Presentation tomorrow at
#ASH21
Plenary session
In a trial involving patients with relapsed or refractory large B-cell lymphoma, the CAR T-cell therapy axicabtagene ciloleucel led to significantly longer event-free survival than standard salvage chemotherapy.
#ASH21
Landmark FDA decision: Polatuzab is the first drug approved for patients with newly diagnosed DLBCL since rituximab in 2006. Congrats to all who designed and conducted the Polarix trial, and to the patients who will benefit.
#lymsm
🚨Huge news! I got a lymphoma question correct on the
@ABIMcert
LKA, end my streak of wrong answers at 3! 🚨 Back to answering questions about cholangiocarcinoma…
#burnout
#timewaste
This is so important: Prior Authorization is often abused to delay justified treatment/tests.
@ASCO
and others have advocated for change for years. CMS is now finalizing a rule on improvements.
Congratulations to Eric J. Small, MD, FASCO, elected as ASCO President for the 2025-2026 term! He will take office as President-Elect in June. 6 additional members were elected to positions on the ASCO Board of Directors & Nominating Committee. Read more:
Wow - time flies! I’m honored to work at the
#1
place to
#EndCancer
:
@MDAndersonNews
. I tell my team “what we do here matters”, and 17 years on its more true each day.
Dr. Persky presents the S1001 Intergroup NCTN trial of DLBCL limited stage confirms that RCHOP4 is the new standard of care for PET negative, with IFRT if PET positive. Small numbers of localized Double Hit/Expressor lymphoma did well with less intensive therapy.
#ASH19
#lymsm
CAR T-cells are clearly a great advance for patients with DLBCL, but toxicity remains a big problem.
We have a trial open which aims to reduce toxicity with an FDA approved drug - anakinra.
Dr. Strati from
@MDAndersonNews
is leading this key trial.
I was honored to represent
@ASCO
on Capitol Hill where I testified “we have life saving drugs and life threatening shortages”. Please click below to tell Congress to this matters.
Our manuscript "Circulating Tumor DNA Measurements As Early Outcome Predictors in Diffuse Large B-Cell Lymphoma", led by Drs Kurtz, Scherer, and
@ahaheisalizard
is now online at
@JCO_ASCO
.
@ASCO
🚨Practice changing trial presented at
#ESMO23
today by the brilliant
@ShannonWestin
: DUO-E: Durvalumab + Carbo/Paclitaxel with Durva +/- Olaparib maintenance in pts with newly diagnosed Endometrial Cancer. Simultaneous publication in
@JCO_ASCO
!
#gynsm
Hey
@ASCO
members:
The big survey about ABIM MOC was sent to your inbox this morning. Please share and take a minute to provide your feedback on this crucial issue so ASCO can advocate for us.
With the start on
#ASCO21
, it reminded me the last in person meeting was 2 years ago. The speaker ready room in Chicago has nicer screens, but the room at home has dogs.
#ASCOiSpy
Thank you to
@ASH_hematology
for inviting me to tell
#ASH18
about my run for Congress & why it is essential for us to engage in advocacy for our patients.
Thanks to
@MDAndersonNews
for featuring our Department of Lymphoma & Myeloma contribution to the ZUMA7 clinical trial which showed Axicel was superior to chemo/autoSCT in therapy of patients with early relapsed/refractory DLBCL.
#Teamwork
#lymsm
@NEJM
The
@MDAndersonNews
Lymphoma team is glad to be part of the excellent
#iwNHL23
meeting. Cutting edge science, latest clinical updates, and robust discussions to improve outcomes for lymphoma patients.
Tough week for the
@MDAndersonNews
family, losing two giants (Drs Mendelsohn and Hong), but we know that after a rainstorm comes a rainbow 🌈. We will continue our fight to
#EndCancer
.
The
#ASH21
Plenary Session starts in a few minutes where
@DrFredLocke
will present the Zuma 7 trial: 24m EFS was 41% for axi-cel vs 16% for chemo/ASCT (HR 0.4) in patients with 2L therapy for DLBCL. A paradigm shift!
#lymsm
🙏 to
@ASCO
leadership for conducting a detailed survey re the ABIM MOC.
🗯️: practicing oncologists see very little value in the existing MOC
💡: ASCO’s task force will propose alternative options and seek your feedback.
Advocacy Works!!!
@DGlaucomflecken
Sometimes IRBs try to take our lunch money too, but I’m glad you recognize your joke was a wrong note. Clinical research is the best weapon we have to make new discoveries so that we can better help our patients.
The
@ASCO
LDP is awesome, training tomorrow’s leaders to ensure ASCO continues to thrive and help our patients.
@DrSGraff
&
@CharuAggarwalMD
and I were classmates, and are now on the leadership ballot. Encourage your rising star colleagues to apply!
The
@ASCO
Leadership Development Program is excellent. Early-mid career Oncologists who want to accelerate their career growth should absolutely apply. Plus - you get to know current/future ASCO superstars!
Connect with ASCO members and leadership, learn valuable skills, and take part in developing the future of cancer care. The Leadership Development Program application deadline is approaching! Learn more and apply today.
Long awaited data from the Transcend JCAR17 Liso-cel pivotal trial presented by Abramson: very low severe CRS (2%) and ICANS (10%), ORR 73%, CRR 53%. Very interesting but difficult to compare across early CAR T-cell trials.
#ASH19
#lymsm
1/2
Another
#CARTcell
infusion at
@MDAndersonNews
. Our team is leading the way in developing tomorrow’s treatments today with cutting edge clinical trials.
This is excellent! Dr Bertagnolli will be a superb
@NIH
Director, just as she was great as
@NCIDirector
. As a former
@ASCO
president, we hope she will remain a strong advocate for continued collaboration and will push to bring innovative solutions to American healthcare.
ASCO applauds Dr. Monica Bertagnolli for becoming the 17th director of the
@NIH
. We look forward to collaborating w/ her & the dedicated staff at NIH to further our shared goals to advance U.S. medical research & the health of all Americans.
Important: we have a problem with a lack diversity in patients in clinical research.
@ASCO
and
@ACCCBuzz
just released important recommendations of steps for cancer trials to do better.
We’re excited to present the final results of our Smart Start trial at
#ASH19
, ORR of 86% to rituximab, lenalidomide, ibrutinib alone in high risk 1L DLBCL, combo with chemo = 100%, PFS 92% at 1 year. N=59. Poster on Saturday.
#lymsm
#ASH2019
Very important data from Dr Neelapu from
@MDAndersonNews
on relapse after CAR T: CD19 antigen loss is common late, but other B cell antigens remain. Co-targeting may over come escape.
#ASH19
#lymsm
Belinda: a global phase 3 trial of Tisagenlecleucel vs Chemo/ASCT for patients w DLBCL IN 2L online in
@NEJM
, EFS not different, trial design elements and time to infusion impacted results.
#ASH21
#lymsm
Congratulations to the
#Polarix
clinical trial team. RCHP-Polatuzmab improved PFS by 6.5% compared with RCHOP, the first positive ph3 1L trial for patients with DLBCL in decades! Online now in
@NEJM
We will present our “Smart Start” trial at
#ASCO19
- rituximab + lenalidomide + ibrutinib alone followed by chemo for newly diagnosed non-GCB DLBCL. ORR 85% prior chemo - allowing for synergy of targeted agents.
#Lymsm
Getting ready for the
#ASCOAdvocacySummit
with
@ASCO
and the government relations committee team. We’re on Capitol Hill to fight for our patients and for cancer research. Huge turnout!
Lots of friends at
#ASH18
are asking about my run for Congress. If you’re at the meeting, come hear my talk tomorrow at the
@ASH_hematology
Grassroots Network Lunch!
The
@ASCO
election is open until Monday. If you haven’t voted yet, it only take a few moments but can have an enormous impact. Learn more about the candidates ⬇️ and 🗳️
@AaronGoodman33
If they spent 10 minutes asking a few academic doctors why this isn’t already happening, they’d save themselves and their future clients a lot of trouble.
Great to see my friend
@mtmdphd
at the
@ASCO
board of directors meeting. Thank you to
@ConquerCancerFd
for funding our innovative research with a YIA and CDA, an incredible boost for early career oncologists.
Instead of nihilism about CNS prophylaxis for high risk DLBCL, we should focus on what we use. Methotrexate was created in 1947. Perhaps we could use a targeted therapy instead?
#ASH20
Dr. Strati from
@MDAndersonNews
shows steroid treatment for axi-cel
#CARTcell
toxicity is associated with inferior outcomes. Is this due to the steroids or due to why steroids needed, the chicken or the egg?
#ASCO20
#lymsm