
Madison Conces, MD
@madisonconces
GI Medical Oncologist @UHhospitals Seidman Cancer Center @caseccc. Hematology/Oncology & IM trained via @ClevelandClinic. IUSM grad. Tweets are my own.
ID: 1429594710180511747
23-08-2021 00:04:31
1,1K Tweet
1,1K Followers
1,1K Following



.Clifford Hudis at #ASCO25: ~40% cut to NCI budget in Admin's '26 proposal. We are in a tragic paradox: remarkable science & historic cuts to resources needed to turn these opps into hope for millions of pts. Our advocacy, is more important than ever➡️brnw.ch/21wT3U4

Adjuvant Nivo in resected EC/GEJC following neoadjuvant CRT #ASCO25 🔎CheckMate 577 👉mDFS 21.8 vs 10.8 mo 👉mDMS 27 vs 14.6 mo 👉mOS 51.7 vs 35.3 mo 🧐 OS benefit in CPS ≥1, no/maybe detrimental in CPS <1 (small group..) ESMO - Eur. Oncology



Claudin 18.2-specific CAR T cells (Satri-cel) vs treatment of physician's choice (TPC) for G/GEJC #ASCO25 🔎 CT041-ST-01 phs II trial 👉ORR 30 vs 4% 👉mPFS 3.25 vs 1.77 mo 👉mOS 7.92 vs 5.49 mo 🧐 Looks effective, but not easy implement in clinical practice ESMO - Eur. Oncology



🥳 Adjuvant FOLFOX/Atezo vs FOLFOX for resected dMMR stage 3 colon cancer more positive than I expected—DFS 3 yr 0.50 ! My opinion of trial we need now: randomized neoadj ICI vs adj ICI +|- chemo vs periop ICI Excellent presentations Frank Sinicrope, MD Myriam Chalabi 🤩





The NCTN, albeit imperfect, serves a critical role in advancing cancer care by: 1)Conducting pragmatic trials pharma/industry would never sponsor 2)Enrolling across a diverse network (>3K sites) representative of a “real world” population Great editorial Ted Hong Thomas George, MD, FACP, FASCO👏





Don’t forget: many landmark trials at #ASCO25 (e.g. ATOMIC, PDIGREE, CHALLENGE) were powered by National Cancer Institute / NCTN Such studies ask high-impact, public-benefit questions that industry often won’t/can't answer. Alliance for Clinical Trials in Oncology CCTG ECOG-ACRIN Cancer Research Group NRG Oncology SWOG Cancer Research Network



Appendix cancer has quadrupled in older Millennials—TY The New York Times Nina Agrawal for covering my Lab’s new Appendix Cancer PMP Research Foundation/NIH-funded study. Stellar collab w/ UTHealth Houston School of Public Health epidemiologist Dr. Murphy! OncoAlert Annals of Int Med 📘🔗: bit.ly/447v4oF NYT 🗞️: bit.ly/3Zo6zB9


Tolerance to therapy for patients with early-onset vs average-onset locally advanced rectal ca esmogastro.org/article/S2949-… by Madison Conces, MD Smitha Krishnamurthi ESMO - Eur. Oncology Early-onset ➡️ significantly more nausea, fatigue & side effects ➡️Consider enhanced antiemetic prophylaxis