Award-Winning Oncologist |3x @NEJM Author| Advisory Dean & Clinical Professor| 120M+ Global Impressions| Where Medicine Takes Me| Stories β€’ Places β€’ Perspective

Louisville, KY
Joined July 2019
π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
PROTEUS substudy at #ESMO26 presented by Alberto Briganti πŸ‡ͺπŸ‡Έ Perioperative apalutamide + ADT vs RP + PLND alone in HR localized/LA prostate cancer (N=408, 1:3) β–ͺ️ EFS HR 0.38 (0.26–0.55), p<0.0001 β–ͺ️ 36-mo EFS 63% vs 41%; SOC median EFS only 19.1 mo β–ͺ️ Benefit held after T recovery @neerajaiims @DrChoueiri @DrRanaMcKay @tompowles1 #ProstateCancer
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π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
Arriving at #ESMO26 tomorrow just in time for what promises to be one of the most exciting sessions: Presidential Session #1. #INTerpath-001 presented by @ProfGLongMIA, #VOLGA by @tompowles1, #DeLLphi-305 by @sands_jacob & #DASLHiCaP by @niazi_Dr7. A terrific slate of discussants as well, incl @StephenVLiu (one of the most talented orators in our field, IMHO), @MichvdHeijden, @Silke_Gillessen & more. Hats off to @YJanjigianMD, @FAndreMD, @Prof_Nadia_H & #DrJamesLarkin for assembling a powerhouse program! @OncoAlert
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Replying to @niazi_Dr7
@niazi_Dr7 with #DASL-HICAP trial ADT/XRT +/- darolutamide in high risk #prostatecancer. Darolutamide improves distant metastasis free survival. Similar AE profile. Highly powered trial. @ANZUPtrials @oncoalert @myESMO #ESMO26
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π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
MFS is the clear win: 4-yr 95% vs 88% (+7 pp), HR 0.42. On OS I would stay amber β€” interim HR 0.88, immature, not yet an β€œearly signal” to bank on. Question for the room: does a metastasis-free +7 pp at 4 years justify ~96 weeks of added darolutamide on ADT + RT?
πŸš¨πŸ“£πŸ“£ #ESMO26 presidential: @niazi_Dr7 Adding darolutamide to ADT + RT dramatically ⬇️ risk of metastasis or death in high-risk localized prostate cancer. Phase 3 DASL-HiCaP = 58% ⬇️ in MFS (HR 0.42) + early OS signal (HR 0.88). #ProstateCancer #RadOncΒ #pcsm @ChrisSweens1
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π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
Elegant talk by @MattGalsky looking at molecular drivers and subtypes in relation to treatment benefit in #NIAGARA #ESMO26 #Day2 @myESMO @OncoAlert
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π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
PROTEUS Substudy: Periop Apa + ADT with RP+PLND vs RP+PLND in HR PCa @urotoday #ESMO26 Periop APA + ADT (+ RP+PLND; n= 102) vs RP+PLND alone (n=306) 🚨EFS: HR 0.38, 95% CI 0.26–0.55 🚨MFS: HR 0.49, 95% CI 0.26–0.90 🚨TT 1st Sub Rx: HR 0.29, 95% CI 0.20–0.43 🚨All Gr Hot Flush: 64% vs 0.7%
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π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
⚑️LBA4⚑️ DASL-HiCaP (ANZUP1801) Ph 3 RCT #ESMO26 Daro + ADT and definitive/salvage locoregional RT for very HR PCa @urotoday 🚨n=1,106; mFU 3.8 yrs; 85% definitive RT 🚨Primary EP MFS by CI: ⏫ for Daro vs PBO - 4-year MFS-CI 95% vs 88% - HR 0.42 (95% CI 0.27 to 0.66)
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#ESMO26 Current Guidelines for Stage I Triple-Negative Breast Cancer From @lab_kok excellent presentationπŸ‘‡
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It was my pleasure & privilege to be part of the ESMO 2026 faculty. Enjoyed role to co-chair the session @MariaJRibal & @BrittSuelmann Great abstracts & presentations. @Mariadesantis @Andreanecchi @MattGalsky @MyEsmo Enjoyed discussing exciting abstracts#NIAGARA #GDFATHER -Neo
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Change of practice in ED-SCLC. Significantly improvement in OS based on the DeLLphi-305 study presented by Jacob Sands at 2026 ESMO. This is the new standard of care. Median OS 21.1 months!!!. Discussant, Stephen Liu emphasized: amazing OS, better safety profile in maintenance and we need global access to this therapy. @sands_jacob @StephenVLiu @ASCO @IASLC @StarlingOnc @edgardo_ny – at Madrid, Spain
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#ESMO26 Very thoughtful and balanced discussion of VOLGA trial by @MichvdHeijden , putting EV-D in perspective with EV-303/B15 on efficacy & safety. Adding treme = more tox, no efficacy/OS gain. Less is more! Takeaway for next steps: response-adapted adjuvant therapy? @myESMO @tompowles1 @brian_rini @Uromigos
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And the room rises! What a moment for the team and the patients at the heart of this work! πŸ‘ #ESMO26 @oncoalert @myESMO @DanaFarber @sands_jacob
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#KarimFizazi with final OS analysis of #PEACE1 in met hormone sensitive prostate cancer treated w abiraterone +/- XRT, and +/- docetaxel. Important OS benefit across all subsets, median survival 6.1 yrs. @oncoalert @myESMO #ESMO26
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Thrilled to share updated results from JNJ-6143, the AR-BRD4 RIPTAC therapy, presented by @BGarmezy. Totally novel MOA was well tolerated, oral pill and produced significant benefit for pts (PSA90 50%, ORR 68%). P2 trial active now and more coming. Lots of potential!
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Our News Network: On Location is officially underway at #ESMO26 with none other than @CParkMD and Alexandra Drakaki, MD, PhD, of @UCLAHealth @myESMO #blcsm #oncology @Norton_Health Stay tuned to see who we speak with tomorrow πŸ‘€ @BalazsHalmosMD @edgardo_ny @OncHahn @sonpavde @PTarantinoMD
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π‚π‘πšπ§ππ₯𝐞𝐫 𝐏𝐚𝐫𝐀 πŒπƒ 𝐅𝐀𝐂𝐏 retweeted
ENERGIZE: Another negative perioperative IO trial in MIBC. Nivo + GC β†’ cystectomy β†’ nivo failed to improve EFS (HR 0.94, p=0.67). OS HR 0.88. Notably, split-dose cisplatin was allowed and 77% had cT2 disease. Again, excellent outcomes in the control arm. #ESMO26 @OncoAlert
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Sub-group analysis are tricky. #RAS302 ORR (24%/50%), PFS (HR 0.48/0.54) and OS (HR 0.49/0.32) for met #PDAC G12D/V #KRAS seem reliable. Data leave me w/questions about efficacy for non-G12D/V. Some pts could benefit. BCIR / Inv ❓ This information will help pts to have realistic expectations. @myESMO @OncoAlert #ESMOGI #pancreas
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#ESMO26 is here! Inspiring opening session presented by @FAndreMD, @myESMO President. Moments away from exciting new data, promising abstracts & practice-changing trials. A remarkable few days ahead for oncology! @OncoAlert
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Proud of our superstar fellow @elioibrahim8 presenting his work on clinical & transcriptomic correlates of primary resistance to nivo/ipi in metastatic RCC at #ESMO26! Important work toward understanding why some patients do not respond to immunotherapy! @myESMO @oncoalert
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Really happy to see such an amazing turnout for the MCBS session today afternoon. Many thanks to everyone who attended. #ESMO26
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