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Gabriel Valagni, Nkafu Bechem Ndemazie, Tiago Biachi de Castria

Trifluridine/tipiracil (FTD/TPI) is a novel oral formulation of two drugs with promising results in the treatment of metastatic colorectal cancer (mCRC).1 Trifluridine is a thymidine-based nucleoside analogue that, after intracellular phosphorylation, gets incorporated into DNA, causing DNA dysfunction.2 It was first identified by Callahan et al. in 1996 as an active impurity in the herbicide trifluralin, which […]

Benjamin Weinberg, ASCO 2022: Highlights of ASCO in colorectal cancer, dostarlimab and the DYNAMIC study

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Published Online: Jun 27th 2022

Professor Benjamin Weinberg (Georgetown University, Washington, DC, USA) discusses the highlights of colorectal cancer at ASCO 2022. A subset of colorectal cancer is mismatch repair deficient and is responsive to PD-1 blockade in the metastatic setting. This led to the phase II study where dostarlimab, an anti PD-1 monoclonal antibody, was administered to patients with MicroSatellite Instability-High (MSI-H) localized rectal cancer. Professor Weinberg discusses the excitement around the outcome of this phase II study (0:52). The DYNAMIC study aimed to assess if a circulating tumour DNA (ctDNA)-guided approach could reduce the use of adjuvant chemotherapy without compromising recurrence risk. Professor Weinberg discusses the findings of the DYNAMIC trial and the key takeaways (03:52).

The abstracts entitled ‘Single agent PD-1 blockade as curative-intent treatment in mismatch repair deficient locally advanced rectal cancer’ (Abstract number LBA5) and ‘Adjuvant chemotherapy guided by circulating tumor DNA analysis in stage II colon cancer: The randomized DYNAMIC Trial’ (Abstract number LBA100) were presented at the ASCO annual meeting, June 3-7, 2022.

Disclosures: Benjamin Weinberg has received grant/research support from Ipsen, is on the advisory board for Bayer and Taiho and the speaker’s bureau for AstraZeneca, Bayer, Daiichi Sankyo, Eli Lilly, Sirtex and Taiho.

Support: Interview and filming supported by Touch Medical Media. Interview conducted by Sophie Nickelson.

Filmed in coverage of the 2022 American Society of Clinical Oncology (ASCO) annual meeting.

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