Alper Topal, MD (@dralpertopal) 's Twitter Profile
Alper Topal, MD

@dralpertopal

Medical Oncology #precisionmedicine #immunooncology #immunotherapy #Lungcancer #BreastCancer #GUcancers

ID: 1244256070975053828

calendar_today29-03-2020 13:32:29

519 Tweet

379 Followers

339 Following

JAMA (@jama_current) 's Twitter Profile Photo

Clinicians can enhance patient understanding by using numerical data instead of verbal probabilities, consistent denominators, absolute risk comparisons, and clear context for unfamiliar data types. ja.ma/42JRNGk

Clinicians can enhance patient understanding by using numerical data instead of verbal probabilities, consistent denominators, absolute risk comparisons, and clear context for unfamiliar data types.

ja.ma/42JRNGk
Alper Topal, MD (@dralpertopal) 's Twitter Profile Photo

📊 Largest real-world CDK4/6i study (P-VERIFY, n=9146) just published. ⏳ Median PFS: Palbo 22.7 mo, Ribo 22.9 mo, Abema 22.9 mo. ⚖️ No significant differences across the three drugs. esmoopen.com/article/S2059-…

Katsuaki Maehara 🇯🇵 (@katsuakimaehara) 's Twitter Profile Photo

🫁 Sequential therapy for advanced/metastatic #EGFRm #NSCLC 🫁 🫁 I’ve compiled it into a table. (PFS & OS only) 🌟 As of October 2025 🌟 I will update after #ESMO25 #lungcancer #nsclc #egfr #LCSM

🫁 Sequential therapy for advanced/metastatic #EGFRm #NSCLC 🫁

🫁 I’ve compiled it into a table. (PFS & OS only)

🌟 As of October 2025

🌟 I will update after #ESMO25

#lungcancer
#nsclc 
#egfr
#LCSM
Urartu Şeker (@uosseker) 's Twitter Profile Photo

Mary E. Brunkow yılda 30 makale basmadı (bizim memlekette bunu “araştırmacı olmak” sanan hâlâ var). Tüm bilimsel yaşamı boyunca sadece 34 makalesi var, h-index’i 21. Şu çok ünlü, “Stanford’un sözde en etkili bilim insanları” listesinde de yok. Ama yaptığı iş sağladığı fayda ve

Mary E. Brunkow yılda 30 makale basmadı (bizim memlekette bunu “araştırmacı olmak” sanan hâlâ var). Tüm bilimsel yaşamı boyunca sadece 34 makalesi var, h-index’i 21. Şu çok ünlü, “Stanford’un sözde en etkili bilim insanları” listesinde de yok. Ama yaptığı iş sağladığı fayda ve
Yakup Ergün (@dr_yakupergun) 's Twitter Profile Photo

#ESMO25 BEGONIA: Dato-DXd + Durvalumab as 1L in a/mTNBC 🔹 All-comer cohort: ORR 79%, mDoR 17.6 mo, mPFS 14 mo 🔹 PD-L1–high cohort: ORR 82% 💬 In line with ASCENT-03/04 and TROPION-Breast02, supporting chemo-free ADC+/-IO as a potential new 1L strategy in mTNBC

#ESMO25
BEGONIA: Dato-DXd + Durvalumab as 1L in a/mTNBC

🔹 All-comer cohort: ORR 79%, mDoR 17.6 mo, mPFS 14 mo
🔹 PD-L1–high cohort: ORR 82%

💬 In line with ASCENT-03/04 and TROPION-Breast02, supporting chemo-free ADC+/-IO as a potential new 1L strategy in mTNBC
Yakup Ergün (@dr_yakupergun) 's Twitter Profile Photo

#ESMO25 💥DESTINY-Breast05 💥 T-DXd vs T-DM1 in residual high-risk HER2+ early BC: ✅️IDFS: 6.2 % vs 12.5 % → HR 0.47 ILD: 9.6 % (2 G5) vs 1.6 %! 💬 T-DXd substantially lowered recurrence risk vs T-DM1 — likely the new post-neoadjuvant standard. Full data eagerly awaited

#ESMO25 
💥DESTINY-Breast05 💥

T-DXd vs T-DM1 in residual high-risk HER2+ early BC:
✅️IDFS: 6.2 % vs 12.5 % → HR 0.47 
ILD: 9.6 % (2 G5) vs 1.6 %!

💬 T-DXd substantially lowered recurrence risk vs T-DM1 — likely the new post-neoadjuvant standard. Full data eagerly awaited
Erika Hamilton, MD (@erikahamilton9) 's Twitter Profile Photo

#VIKTORIA1: combos of gedatolisib (multi target inhibitor of PI3 and mTOR 1/2) in PI3 wt post CDK 4/6 ER+ #bcsm PFS Fulv - 2.0 mo Fulv/ged - 7.4 mo Fulv/palbo/ged -9.3 mo *no OS #ESMO25 #ESMOAmbassadors

#VIKTORIA1: combos of gedatolisib (multi target inhibitor of PI3 and mTOR 1/2) in PI3 wt post CDK 4/6 ER+ #bcsm 

PFS
Fulv - 2.0 mo
Fulv/ged - 7.4 mo
Fulv/palbo/ged -9.3 mo 

*no OS 

#ESMO25 #ESMOAmbassadors
Gaia Griguolo (@gaiagriguolo) 's Twitter Profile Photo

RCT on timing of pegfilgrastrim after CT shows significantly reduced bone pain with 72-hour timing as compared to 24- and 48-hour timing #ESMO25 ESMO - Eur. Oncology OncoAlert

RCT on timing of pegfilgrastrim after CT shows significantly reduced bone pain with 72-hour timing as compared to 24- and 48-hour timing

#ESMO25 <a href="/myESMO/">ESMO - Eur. Oncology</a> <a href="/OncoAlert/">OncoAlert</a>
Mario Balsa (@mariobalsamd) 's Twitter Profile Photo

🚨 #ESMO25 #mCRC – Phase II OPTIPRIME (FFCD 1605) explored a stop-and-go FOLFOX + panitumumab strategy in RAS/BRAF WT mCRC (n=115) 🎯 Median duration of disease control = 24.9 mo (90% CI 19.3–28.3) 💥ORR 74.8% at induction → 45% 1st reintro → 25% later reintros ▪️OS 36.1 mo

🚨 #ESMO25 #mCRC – Phase II OPTIPRIME (FFCD 1605) explored a stop-and-go FOLFOX + panitumumab strategy in RAS/BRAF WT mCRC (n=115)

🎯 Median duration of disease control = 24.9 mo (90% CI 19.3–28.3)
💥ORR 74.8% at induction → 45% 1st reintro → 25% later reintros
▪️OS 36.1 mo
Alper Topal, MD (@dralpertopal) 's Twitter Profile Photo

Summary of day 3 at #ESMO2025 🔺HORIZON-Breast01 🔹In previously treated HER2+ mBC, Trastuzumab Rezetecan showed PFS advantage vs pyrotinib + capecitabine ⏱️30.6 mo vs 8.3 mo ⚠️HR 0.22 📊ORR 82% vs 56% 📉low ILD (2.8%) 🔺ASCENT-03 🔹1L mTNBC ineligible for IO ✅SG imroves PFS

Nicholas Hornstein (@gimedonc) 's Twitter Profile Photo

NICHE-2 absolutely delivers. Game over for chemo in dMMR colon cancer 💥🧬 In locally advanced dMMR colon cancer, FOxTROT already showed us chemo doesn’t work, and now NICHE-2 makes it undeniable. 💊 Neoadjuvant nivolumab + ipilimumab → • 99% pathologic response • 67%

NICHE-2 absolutely delivers. Game over for chemo in dMMR colon cancer 💥🧬

In locally advanced dMMR colon cancer, FOxTROT already showed us chemo doesn’t work, and now NICHE-2 makes it undeniable.

💊 Neoadjuvant nivolumab + ipilimumab →
• 99% pathologic response
• 67%
Elvina Almuradova (@dr_elvinaa) 's Twitter Profile Photo

Important data from #SONIA trial – #ESMO25 Day 4 ❗️No OS benefit for 1L vs 2L CDK4/6i in HR+/HER2– advanced BC. ❗️Post-hoc suggests OS benefit for #premenopausal pts (HR 0.53). ❗️My opinion: For many #postmenopausal pts with low disease burden, starting with single-agent AI

Important data from #SONIA trial – #ESMO25 Day 4 
❗️No OS benefit for 1L vs 2L CDK4/6i in HR+/HER2– advanced BC.
❗️Post-hoc suggests OS benefit for #premenopausal pts (HR 0.53).

❗️My opinion: 
For many #postmenopausal pts with low disease burden, starting with single-agent AI
Mario Balsa (@mariobalsamd) 's Twitter Profile Photo

🚨#ESMO25 #Cholangiocarcinoma –Phase 2–3 ZSAB-neoGOLP trial (Toripalimab + Lenvatinib + GEMOX) in resectable high-risk iCCA 🎯 mEFS 18.0 vs 8.7 mo 💥 ORR 54.4% | MPR 19.3% | pCR 4.5% ✨ OS trend favoring neoadjuvant arm (NE vs 31.4 mo) A strong neoadjuvant signal! Sometimes the

🚨#ESMO25 #Cholangiocarcinoma –Phase 2–3 ZSAB-neoGOLP trial (Toripalimab + Lenvatinib + GEMOX) in resectable high-risk iCCA

🎯 mEFS 18.0 vs 8.7 mo
💥 ORR 54.4% | MPR 19.3% | pCR 4.5%
✨ OS trend favoring neoadjuvant arm (NE vs 31.4 mo)

A strong neoadjuvant signal! Sometimes the
Mario Balsa (@mariobalsamd) 's Twitter Profile Photo

🫁 #ESMO25 #NSCLC – Updated phase III ALINA trial: adjuvant alectinib vs chemo in resected ALK+ NSCLC (stage IB–IIIA) 🎯 DFS HR 0.24 (95% CI 0.13–0.43, p<0.0001) || 4-year follow-up: DFS 75.5% vs 47.0% 💥 CNS-DFS HR 0.37 (95% CI 0.19–0.74) ☄️ OS trend HR 0.40 (95% CI 0.12–1.32)

🫁 #ESMO25 #NSCLC – Updated phase III ALINA trial: adjuvant alectinib vs chemo in resected ALK+ NSCLC (stage IB–IIIA)

🎯 DFS HR 0.24 (95% CI 0.13–0.43, p&lt;0.0001) || 4-year follow-up: DFS 75.5% vs 47.0%
💥 CNS-DFS HR 0.37 (95% CI 0.19–0.74)
☄️ OS trend HR 0.40 (95% CI 0.12–1.32)
Mario Balsa (@mariobalsamd) 's Twitter Profile Photo

🫁 #ESMO25 #NSCLC – Phase II IFCT-2003 ALBATROS: lorlatinib in advanced ROS1+ NSCLC after 1L ROS1-TKI failure! 🎯 ORR 30% (INV) / 34% (BICR) 💥 mPFS 7.4 mo (95% CI 4.1–14.6) || mDOR 20.4 mo ✨ mOS 42.3 mo, 12-mo OS 77.3% Though this ALBATROS flies low, it’s far from crashing🕊️

🫁 #ESMO25 #NSCLC – Phase II IFCT-2003 ALBATROS: lorlatinib in advanced ROS1+ NSCLC after 1L ROS1-TKI failure!

🎯 ORR 30% (INV) / 34% (BICR)
💥 mPFS 7.4 mo (95% CI 4.1–14.6) || mDOR 20.4 mo
✨ mOS 42.3 mo, 12-mo OS 77.3%

Though this ALBATROS flies low, it’s far from crashing🕊️
Zach Klaassen (@zklaassen_md) 's Twitter Profile Photo

Another great metastatic prostate cancer "landscape" figure from Ana Aparicio during her aggressive variant prostate cancer talk at #ESMO25 Approved, and "likely to be approved"/new data (bottom), treatment options UroToday.com

Another great metastatic prostate cancer "landscape" figure from <a href="/aaparicioMD/">Ana Aparicio</a> during her aggressive variant prostate cancer talk at #ESMO25 

Approved, and "likely to be approved"/new data (bottom), treatment options

<a href="/urotoday/">UroToday.com</a>
Yakup Ergün (@dr_yakupergun) 's Twitter Profile Photo

#ESMO25 Managing HR+/HER2– mBC in 2025 💬An update is likely following the evERA and VIKTORIA-1 trials From Dr. William Gradishar's presentation👇

#ESMO25 

Managing HR+/HER2– mBC  in 2025

💬An update is likely following the evERA and VIKTORIA-1 trials

From Dr. William Gradishar's presentation👇