
Thoracic Medical Oncologist @BartsHospital, PhD in genomic medicine @Imperialcollege, Representative @ACPUK & @BTOGorg, @FMLM_UK clinical Fellow β18
London, England
Joined March 2012
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π¨ #ESMO26 Another promising ADC in 2L EGFRm NSCLC!
Ph3 HER3 ADC ruzaltatug rezetecan vs chemo:
π PFS 8.3 vs 5.4m (HR 0.47)
π ORR 60% vs 34%
π OS HR 0.70 (immature)
β οΈ ILD 2.4%
Competitive ADC landscape! More mature OS & global data needed.
π¨ #ESMO26 Iza-bren π¨π³ Ph3 in EGFRm NSCLC post-TKI:
π PFS 11.1 vs 5.7m (HR 0.40)
π OS HR 0.66 (immature)
β
ILD 0.9%
A top contender among 2L ADCs?
π¬π§ Excited to open global Ph3 IZABRIGHT-Lung01 at Barts in the next 2 weeks!
π¨ #ESMO26 Another Ph3 study reinforcing MET amp as a key target in EGFRm NSCLC!
Dalmelitinib + aumolertinib vs chemo post-EGFR TKI:
π PFS 6.2 vs 4.4m (HR 0.60)
π¬ Reinforces importance of rebiopsy at progression, MET-amp accounts for ~10β15% (definition-dependent).
π¨ #ESMO26 SANOVO Ph3 π¨π³ (China-only)
Impressive 1L savolitinib + osimertinib in EGFRm/MET-OE NSCLC:
π PFS 24.9 vs 13.8m (HR 0.56)
π OS 44.5 vs 34.9m (HR 0.48)
MET is a key target!
βTarget MET in 1L or 2L? Amivantimab already targets MET. Efficacy similar. Tox will be key
π¨ Practice-changing KRAS G12C NSCLC #ESMO26
Divarasib may be the most potent inhibitor yet
π PFS: 9.8 vs 5.7m (HR 0.58)
π OS: 17.7 vs 12.0m (HR 0.56)
π― ORR: 58% vs 32%
Rapid π¬π§ reimbursement needed given challenges with sotorasib.
π¬ KRASCENDO-2 is OPEN at Barts!
π« #ESMO2026 OptiTROP-Lung04: Final OS analysis of sac-TMT vs chemotherapy in EGFRm NSCLC after EGFR-TKI progression.
π¨π³ Chinese-only phase III (n=376)
π OS: 25.9 vs 17.4m (HR 0.69)
Impressive OS benefit. Global data will be important
2nd line EGFR setting v. complex
π« #ESMO2026 OptiTROP-Lung06: sac-TMT + pembro vs chemo + pembro in PD-L1-negative NSCLC in china.
High never smoker (30%) and male (60%) popn.
Promising PFS: 15.0 vs 5.7m (HR 0.49). OS immature.
Global data awaited
Sac-TMT is also in clinical trials at @NHSBartsHealth
π« PERSEE phase III: Pembro + chemo vs pembro alone in PD-L1 β₯50% NSCLC.
π PFS: 16.1 vs 6.9m (HR 0.56)
OS: HR 0.77 (95% CI 0.57β1.05) 29.9vs50 mo
β οΈ Grade β₯3 TRAEs: 54% vs 19%
Better disease control, numerical better OS. Patient selection key - practice informing
#ESMO2026
π¬π§ UK-led SARON trial at #ESMO2026: 140 patients across 22 centres.
Adding RT to systemic therapy in oligometastatic NSCLC improved PFS (13.9 vs 8.9 months) and local control, but not OS (HR 0.99).
Important UK academic research informing clinical practice.
#LungCancer #ESMO26
Dr Adam Januszewski retweeted
π¨π₯@OncoAlert Hot off the press.
Just published @NEJM in conjunction with presentation @myESMO #ESMO26
the long-awaited #PracticeChanging results of:
βοΈ#DeLLphi305 phase 3 trial of:
βοΈ1st line maintenance #Tarlatamab + #Durvalumab) vs #Durvalumab alone in patients with #ExtensiveStage #SmallCell #LungCancer after initial induction Tx with #Chemo + Durvalumab.
Study showed:
βΌοΈ#Impressive statistically significant & clinically meaningful β¬οΈ#OverallSurvival Benefit.
β
#mOS: 21.1 vs 12.7 months (HR 0.42)
β
12-month OS: 79.4% vs 53.3%
β
#mPFS: 7.4 vs 1.9 months (HR 0.34)
β οΈ Grade β₯3 #AEs: 46.8% vs 40.6%
* In Tarlatamab arm:
#CRS: 49.6% (Grade β₯3: 0.4%)
#ICANS: 1.1% (Grade β₯3: 0%)
ππ»
nejm.org/doi/full/10.1056/NEβ¦
π¨ PRACTICE-CHANGING in #SCLC!
DeLLphi-305: tarlatamab + durvalumab maintenance
β
58% β risk of death
β
Median OS 21.1 vs 12.7 months
β
66% β progression/death
A huge advance for historically underserved patients with poor outcomes.
π¬π§ Letβs expedite UK approval & NHS access
π¬π§ Brilliant to see @tompowles1 AGAIN on the podium, leading the way in bladder cancer!
π¨ Phase III VOLGA:
β
49% β EFS events/death
β
42% β risk of death
β
45% pCR vs 10%
Fantastic UK & @NHSBartsHealth representation! π
#BladderCancer #VOLGA #ESMO2026
π¨ Landmark Phase III cancer vaccine results!
Personalised mRNA vaccine + pembrolizumab in melanoma:
β¬οΈ 42% risk of recurrence/death
β¬οΈ 38% risk of distant metastasis/death
π« Trials also recruiting in lung cancer, including early-stage disease at Barts!
#ESMO26
Dr Adam Januszewski retweeted
π¨π₯βΌοΈ@OncoAlert Hot off the press.
#BigNews #PressRelease by @Amgen
βοΈ #DeLLphi305 phase 3 trial of:
βοΈ1st line maintenance #Tarlatamab + #Durvalumab) vs #Durvalumab alone in patients with #ExtensiveStage #SmallCell #LungCancer after initial induction Tx with Chemo + Durvalumab.
Showed:
β
Statistically Significant & Clinically meaningful β¬οΈ#OverallSurvival (#OS) Benefit.
ππ»
tinyurl.com/ytxbe2xf
Dr Adam Januszewski retweeted
#Breaking: New positive Phase III results demonstrate superiority of an investigational molecule over standard-of-care KRAS G12C inhibitors in the first global head-to-head study in KRAS G12C-mutant non-small cell lung cancer: gene.com/media/press-releaseβ¦
Impressive data with mRNA personalised vaccine seen here in patients with melanoma.
Trials in lung cancer open and recruiting (open at SBH) and we look forward to see outcome data!
#ASCO26
Another major advance vs cancer! @ASCO #ASCO26
Personalized neoantigen mRNA vaccine 5 year follow-up vs metastatic melanoma reduced recurrence and death by 49% (on top of Keytruda)
ascopubs.org/doi/10.1200/JCOβ¦
Dr Adam Januszewski retweeted
#ASCO26 With neoadjuvant lorlatinib, pCR 47% and MPR 81%. Amazing. RR 84% and 1y EFS 97%. Down staging of nodes in 90%. Very reassuring and consistency safety results. Phenomenal clinical results.
Great to see @AlfredSo12 presenting UK-wide data on behalf of @onctrainees @ASCO on time of day data in patients with NSCLC receiving IO.
#ASCO2026
Presented at #ASCO26:
Among patients with πππ fusionβpositive nonβsmall-cell lung cancer, adjuvant selpercatinib led to longer event-free survival than placebo. Adverse events of grade 3 or higher included elevated liver-enzyme levels. Full phase 3 LIBRETTO-432 trial results: nej.md/3Q3QcIo
@ASCO

ALT Graph depicting survival rates over time for patients using selpercatinib versus a placebo in early-stage RET fusion-positive non-small-cell lung cancer. The x-axis shows months since randomization, and the y-axis represents the percentage of patients. The logo for the New England Journal of Medicine is present.





























