Use of recombinant factor VII slowed the progression of hematomas but did not improve cognitive function and increased the risk of thrombosis.
DON’T… more toxic, no benefit.
Pirtobrutinib demonstrated superiority over bendamustine rituximab in IRC assessed progression free survival (PFS) in treatment naïve CLL/SLL, with a 24 month PFS rate of 93.4% versus 70.7%. Overall survival trends favored pirtobrutinib, despite the study design allowing for crossover. Who would have thought this was coming????
With the addition of intrahepatic chemotherapy, median overall survival was 22.3 months. One year overall survival reached 80.0%, exceeding the historical control rate of 47%, while three year overall survival was 31.5%. For patients who can tolerate this approach, it appears to be a reasonable and potentially worthwhile option.
Music therapy is noninferior to CBT for anxiety in survivors of cancer. Music therapy was found to be noninferior to cognitive behavioral therapy for anxiety among cancer survivors. Both telehealth interventions produced clinically meaningful and durable improvements in anxiety. Should we hire musicians?
A B7 homolog 3–directed antibody-drug conjugate, demonstrated an overall response rate of 48.2%, with a median duration of response of 5.3 months, and a median progression-free survival of 4.9 months. The 9-month overall survival estimate was 59.1%. This represents another ADC with promising activity, although interstitial lung disease remains a concern, occurring in approximately 12% of patients.
A promising anti TP53 agent demonstrated an overall response rate of 20%, increasing to 30% in patients with KRAS wild type disease. Nausea and vomiting were the most commonly reported adverse events. While early, this agent may warrant continued attention as additional data emerge.
Teclistamab plus Daratumumab in Relapsed or Refractory Multiple Myeloma
Overall survival was 78.9% in the combination group compared with 69.5% in the leuprolide-alone group (HR 0.60). Enzalutamide monotherapy resulted in an overall survival of 73.1%, which was not statistically significant. We were already aware of the progression-free survival benefit; now we have overall survival data. This case was also presented in the MOC questions, where the correct answer was to add enzalutamide for a patient with a rising PSA on an LHRH agonist without imaging evidence of disease.
This is impressive. However, there is no reported placebo trastuzumab deruxtecan arm, so this is not truly a “no chemotherapy” regimen. It is important to remember that deruxtecan is itself a chemotherapy agent. So, this is really comparing deruxtecan vs taxol or more accurately, a comparison of chemotherapy delivery systems.