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KOL Pulse

What's Hot in Hematology/Oncology

Daily DigestMonday, August 24, 2026

The oncology KOL conversation on X today is led by Lung Cancer, Breast Cancer, GI Cancers, GU Cancers, Multiple Myeloma, Leukemia & Lymphoma. The KOL Pulse Daily Digest of what verified physician (KOL) voices are discussing on X across gi cancers, lung, breast, GI, GU, multiple myeloma, and leukemia & lymphoma, ranked by engagement over the last 48 hours.

GI Cancers@VivekSubbiahVivek Subbiah, MD · @VivekSubbiah

“FDA Grants Priority Review to Dostarlimab for dMMR/MSI-H Locally Advanced Rectal Cancer | OncLive”

View post ↗See the full AZUR-1 KOL reaction on KOL Pulse →
🫁Lung Cancer
Sunvozertinib shows PFS benefit in 1L EGFR ex20 NSCLC

The Phase III WU-KONG28 trial demonstrated that the oral TKI sunvozertinib improved median PFS to 10.3 months versus 7.5 months for chemotherapy (HR 0.65) in first-line EGFR exon 20 insertion NSCLC, with an ORR of 58.9% vs 31.1%. Separately, a study in 602 patients found that adding circulating tumor RNA (ctRNA) to ctDNA liquid biopsies increased the detection of actionable rearrangements like ALK, ROS1, and RET by 38.7%.

sunvozertinibWU-KONG28ctRNAzidesamtinibARROS-1RC148tarlatamabDeLLphi-309
@GlopesMd

“The clinical message is simple: A negative DNA-only liquid biopsy does not always mean there is no actionable fusion.”

— @GlopesMd · ctRNA in liquid biopsy · View post ↗
📌 Amplified by @KolPulseAI
@GlopesMd

“Zidesamtinib is a next-generation ROS1 inhibitor designed for potent CNS activity and resistance coverage.”

— @GlopesMd · Zidesamtinib for ROS1+ NSCLC · View post ↗
📌 Amplified by @KolPulseAI
@ChandrakanthMv

“Take-home: An oral, chemotherapy-free first-line option has now demonstrated superior disease control in EGFR exon 20–insertion NSCLC.”

— @ChandrakanthMv · Sunvozertinib in EGFR ex20 NSCLC · View post ↗
@LauraAlderMD

“Less-frequent dosing could ease treatment burden and "time toxicity," keeping efficacy while giving patients back more days off therapy.”

— @LauraAlderMD · Tarlatamab in SCLC · View post ↗
📚 Related on KOL Pulse: WCLC 2026 — Live Conference Intelligence →
🎗️Breast Cancer
EU approves sacituzumab govitecan + pembrolizumab in 1L mTNBC; RxPONDER AMH data debated

The European Commission today approved sacituzumab govitecan (Trodelvy) plus pembrolizumab (Keytruda) for first-line PD-L1-positive (CPS ≥10) metastatic triple-negative breast cancer, based on the Phase 3 ASCENT-04/KEYNOTE-D19 trial (NEJM, Jan 2026). The earlier ASCENT-03 trial supported the June 2026 monotherapy approval. A new analysis of the RxPONDER trial shows adjuvant chemotherapy benefit in premenopausal, HR-positive, HER2-negative, node-positive breast cancer is predicted by ovarian reserve, with an AMH level ≥10 associated with benefit (HR 0.46) while an AMH <10 was not (HR 1.27). Additionally, the NeoZanHER trial reported a 30% pCR rate using neoadjuvant zanidatamab to de-escalate therapy in small, node-negative HER2+ breast cancer, sparking comparisons to results from the PHERGain and PHERGain-2 trials.

ASCENT-04RxPONDERAMHNeoZanHERzanidatamabPHERGainPHERGain-2
@anishmoonka

“In a study of 177 women, fetal cells appeared in the blood of 85 percent of the healthy participants and only 64 percent of the women who had a very early, non-invasive breast cancer.”

— @anishmoonka · Microchimerism and breast cancer · View post ↗
@DrBarbiOnc

“The premenopausal chemo benefit tracks ovarian reserve, not menopause. AMH ≥10, chemo helps (HR 0.46). AMH <10, it doesn’t (HR 1.27).”

— @DrBarbiOnc · RxPONDER AMH analysis · View post ↗
📌 Amplified by @KolPulseAI
@dr_yakupergun

“Cross-trial comparisons are imperfect, but zanidatamab has not yet shown a stronger efficacy signal than HP. Its potential value lies in replacing two antibodies with a single bispecific agent and in refining biological selection.”

— @dr_yakupergun · NeoZanHER trial · View post ↗
📌 Amplified by @KolPulseAI
📚 Related on KOL Pulse: DavaBreast 2026 — Conference Intelligence →
🔵GI Cancers
Dostarlimab gets FDA priority review for dMMR rectal cancer; STAR-TREC rectal cancer data published

The FDA granted priority review to dostarlimab for dMMR/MSI-H locally advanced rectal cancer (AZUR-1 trial), with a target action date of February 2027. This advances the immunotherapy-only 'watch and wait' approach that achieved sustained clinical complete responses in rectal cancer. The phase 2/3 STAR-TREC trial, with 12-month results published in The Lancet Oncology, evaluated chemoradiotherapy versus short-course radiotherapy for organ preservation in early and intermediate-stage rectal cancer. Additionally, data published in CA: A Cancer Journal for Clinicians showed Daraxonrasib significantly improves overall and progression-free survival in previously treated metastatic pancreatic cancer, though physicians note access challenges.

DostarlimabAZUR-1STAR-TRECDaraxonrasibBREAKWATERSTELLAR-303CHALLENGEATOMIC
@rachnatshroff

“Daraxonrasib significantly improves overall and progression‐free survival in patients with previously treated metastatic pancreatic cancer”

— @rachnatshroff · Daraxonrasib · View post ↗
@jryckman3

“Both arms used a mesorectal-only CTV, no elective internal/external iliac nodal coverage at all, roughly half the size of a standard locally advanced rectal field.”

— @jryckman3 · STAR-TREC Trial · View post ↗
@JasmineKambojMD

“Our small #Community Clinic w limited resources and staff, has spent several hours and emails already to get Daraxonrasib for one pancreatic patient.”

— @JasmineKambojMD · Drug Access · View post ↗
📚 Related on KOL Pulse: AZUR-1 Trial Profile — Dostarlimab in dMMR Rectal Cancer →
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🔷GU Cancers
Debate on RCC Endpoints, New RMC Data

Panitumumab-based EGFR blockade showed prospective clinical activity in SMARCB1-deficient renal medullary carcinoma, a rare kidney cancer refractory to standard therapies. Separately, a new meta-analysis supporting Disease-Free Survival (DFS) as a surrogate for Overall Survival (OS) in RCC is being debated, with critiques highlighting that the correlation weakens significantly (R² drops to 0.34) when analysis is restricted to modern therapies.

DFS vs OS surrogacyRenal Medullary CarcinomaPanitumumabSMARCB1LITESPARK-011bladder cancer
@HemeOncBuddy

“The moment you strip out the dead weight legacy trials and look only at the modern, effective, contemporary regimens (the trials that actually matter) the correlation falls apart and R² drops to 0.34. That is why the most important figure was hidden in the supplementary material (see below).”

— @HemeOncBuddy · DFS/OS Surrogacy Debate · View post ↗
📌 Amplified by @KolPulseAI
@DrYukselUrun

“Kidney cancer has more treatments than ever. We still don’t know the best order. That is why LITESPARK-011 matters.”

— @DrYukselUrun · RCC Treatment Sequencing · View post ↗
@DrChoueiri

“An interesting paper in @JournalCancer provides supportive, hypothesis-strengthening evidence for DFS as a trial-level surrogate, but not definitive validation—especially not for contemporary adjuvant immunotherapy or HIF-2–based combinations.”

— @DrChoueiri · DFS/OS Surrogacy Debate · View post ↗
📌 Amplified by @KolPulseAI
🟣Multiple Myeloma
EU Approves Teclistamab Combo in Early-Line Myeloma

Europe has approved teclistamab plus daratumumab for multiple myeloma patients who have received at least one prior therapy, based on the Phase 3 MajesTEC-3 trial, which showed a 3-year progression-free survival of 83% versus 30% with standard daratumumab-based triplets. Separately, new research on bispecific antibody therapy finds that early immune recovery (day 30 absolute lymphocyte count) is a key prognostic indicator for survival, while baseline lymphocyte count is not predictive.

TeclistamabDaratumumabMajesTEC-3CANOVAVenetoclaxLymphocyte kineticsVTE prophylaxisASCT
@ilyassahinMD

“An off-the-shelf bispecific antibody combination moving much earlier in myeloma treatment.”

— @ilyassahinMD · MajesTEC-3 trial · View post ↗
📌 Amplified by @KolPulseAI
@Abdallah81MD

“Venetoclax-dexamethasone 🆚 pomalidomide-dexamethasone in patients with t(11;14)-positive relapsed/refractory multiple myeloma.”

— @Abdallah81MD · CANOVA trial · View post ↗
📌 Amplified by @KolPulseAI
@RahulBanerjeeMD

“I always use DOACs for any K + IMiD.”

— @RahulBanerjeeMD · VTE prophylaxis · View post ↗
📌 Amplified by @KolPulseAI
@HadidiSamer

“Prognostic impact of lymphocyte kinetics and immune composition during bispecific antibody therapy in relapsed/refractory multiple myeloma”

— @HadidiSamer · Lymphocyte kinetics with bispecifics · View post ↗
🩸Leukemia & Lymphoma
Epcoritamab + R-CHOP shows high efficacy in 1L high-risk LBCL

The phase II EPCORE NHL-2 trial of fixed-duration epcoritamab plus R-CHOP in newly diagnosed large B-cell lymphoma (LBCL) with an IPI score of 3-5 demonstrated high efficacy. Among 47 patients, results included a 98% overall response rate (ORR), 85% complete response rate (CRR), and at a median follow-up of 44.2 months, a 2-year progression-free survival of 80% and overall survival of 87%.

EPCORE NHL-2epcoritamabLBCLClonal HematopoiesisMPN
@Eddie_Cliff

“Impressive efficacy data for Epcor+RCHOP in IPI 3-5 DLBCL n=47 ORR 98% CRR 85% At median follow-up of 44.2 months, 2-year PFS 80%, OS 87%”

— @Eddie_Cliff · Epcoritamab in 1L DLBCL · View post ↗
@DrRaulCordoba

“#Hematology Real-world treatment patterns of patients with large B-cell lymphoma over time and into a post–CAR T approval era #lymsm #CARTcell #RWE #RWD”

— @DrRaulCordoba · RWE in LBCL · View post ↗
@GuiperiniMD

“2y-PFS of 80% in a ph2 will probably be a little bit less in the ph3. Will it be practice changing? Im still trying to digest all data.”

— @GuiperiniMD · EPCORE NHL-2 trial · View post ↗
Compiled and reviewed by the KOL Pulse research team, led by Brian Shields, Founder, KOL Pulse. Quotes are verbatim from physicians' public posts on X and cross-checked by an automated audit. Last updated August 24, 2026.