Abel Costa, MD
@anetoc
Hematologist. Tweets are my own.
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Lymphomas: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up† - Annals of Oncology annalsofoncology.org/article/S0923-…
📢We are proud to announce that the EHA-EMN guidelines for the diagnosis, treatment and follow-up of #MultipleMyeloma are now available online! Huge thanks to Evangelos Terpos for coordinating such outstanding work! 👉nature.com/articles/s4157… @thanosdimop @EHA_Hematology
Nivo-AVD vs BV-AVD in older pts (60+) with #Hodgkin. S1826 data. 99 eligible pts. 2y PFS • 89% Nivo-AVD • 64% BV-AVD 55% discontinued BV, 14% Nivo NRM 16% BV-AVD, 6% Nivo-AVD Transformational. If only we had access! #lymsm ascopubs.org/doi/10.1200/JC…
@tobyeyre82 on treatment options in R/R MCL exposed in 1L to BtKi. Time limites exposure to BTKi allows for reexposure at 1st relapse (+/- venetoclax) #18icml #icml2025
Lewis et al - MRD analysis in ENRICH: IR vs R-chemo in 1L MCL • flow cytometry based • MRD- most rapid with BR • with RCHOP, even MRD- pts do poorly • with IR, no assocn with MRD & outcome #18ICML #ICML25 #lymsm
Patel: JNJ4496 (anti CD19/20 tandem CAR) RR DLBCL, 41BB costim • global Ph 1B • med age 72y • at RP2D, ORR 100%, CRR 80% • no G3+ CRS, 8% ICANs Very impressive results #18ICML #ICML25 #lymsm
Sancho et al - POLARGO. • RGemOx vs Pola-RGemOx R/R DLBCL • 2L+ DLBCL (no ASCT eligible if 2L) • OS primary EP: signif adv 12.5mo vs 19.5mo • PFS & CMR rate better • tox modest - ⬆️ infn & PN • no effect of cell of origin Interesting but ? value if 1L PolaRCHP #18ICML
🚨🚨a 🧵 of AURIGA Study 1/The study aimed to determine if adding daratumumab to standard lenalidomide maintenance would improve outcomes in MRD-positive patients with at least VGPR post-ASCT Phase 3, Randomized, Open-Label Trial: A multicenter study randomizing patients 1:1 to…
Post #ASH24. Active myeloma drugs in one table with mechanism of action. Revised slide. Bookmark! Black font — Approved drugs Blue font — Investigational #ASH24VR
Just out: Paradigm changing AQUILA randomized trial in high risk smoldering myeloma #ASH24 @thanosdimop @NEJM Daratumumab significantly prolongs time to active myeloma and overall survival. Proud to be a lead investigator of this trial nejm.org/doi/full/10.10… Slides in thread
My Annual Updated Myeloma Treatment Algorithms thread. Bookmark! #ASH24 #ASH24VR 1. Newly diagnosed transplant ineligible. Quadruplet unless frail. Maintenance varies by risk stratification.
#Myeloma Paper of the Day: Brazilian study of real-life experience of myeloma (MMyBRAve) finds improvement in outcomes (median OS in transplantation-ineligible and eligible patients of 49 & 93 months), but remaining diagnostic and therapeutic gaps: pubmed.ncbi.nlm.nih.gov/39488485/. #mmsm
Salles et al 5 yr results of POLARIX 1L RCT PolaRCHP vs RCHOP in IPI 2-5 DLBCL 5-year PFS estimates 64.2% vs 59.1% HR 0.78; 95% CI: 0.623-0.980 5-year OS 82.2% vs 79.6% not significant #ASH2024 #lymsm
CONGRESS | #IMS2024 | PRESENTATION Abel Costa @anetoc shares findings from a trial of sonrotoclax + dexamethasone in patients with RRMM harboring t(11;14) mutations (N=32). The ORR was 75% among 24 efficacy-evaluable patients, with a ≥ VGPR of 50%. The combination was well…
R/R T-ALL. Therapeutic approach. - How I treat, blood journal 2023. - ESMO guidelines 2024. - ELNetwork guidelines 2024. - NCCN guidelines 2024. What is the best scheme before the alloSCT (antiCD38, Bortezomib, VEN…) ?
Great presentation by Suzanne Lentzsch on Linvoeltamab on RRMM - ORR 71% ,CRS 46%, and a high PFS (70%) at 12mos - need to see if this holds up - ? Best in class or selection bias- too early to tell
Next generation CAR with novel binding domain! Deep and durable response in high risk patients! Look forward to getting this to our patients! @MCWCancerCenter @EHA_Hematology #eha2024
Guideline paradigms in EMD @JHillengass at #IMWG2024. @Myeloma_Society #mmsm
Check out our poster at #EHA2024 with safety and efficacy data from the Ph 1/2 study with Golcadomide +/- Ritux for R/R FL @GuiperiniMD
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