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Dra. María Natalia Gandur Quiroga· @nataliagandur · X·· 2 days agoScore70

#NSCLC

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🫁 Better local control does not always mean longer survival.
@OncoAlert
At #ESMO26, the randomized phase II SARON trial tested whether adding consolidation radiotherapy to first-line systemic therapy could improve outcomes in synchronous oligometastatic, AGA-negative #NSCLC.

📊 n=140

➡️ Median PFS: 13.9 vs 8.9 months
HR 0.64, p=0.03

➡️ 12-month local failure: 13.0% vs 39.5%
p<0.01

➡️ Median OS: 31.0 vs 28.0 months
HR 0.99, p=0.95

⚠️ Grade ≥3 AEs: 28.6% in both arms

🎯 Why this matters: consolidation RT clearly improved disease control and reduced local failure, but that did not translate into an OS benefit.

For me, this is a reminder that oligometastatic disease is not a single biological state. The value of local therapy may depend on patient selection, disease biology, timing, and whether control of visible disease can meaningfully alter the systemic course.

Excellent work presented by @fifimcdrmh.

Pinging @christine_lovly @GlopesMd @DrSanjayPopat @StephenVLiu @jillfeldman4 @UOzkerim @DrMirallas @MartinReck2 @CharuAggarwalMD @peters_solange

#OncoAlert #ESMO26 #LungCancer #OligometastaticDisease #Radiotherapy #PrecisionOncology

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Conference abstracts
2631ROmatched by Rapid oral 1: NSCLC, metastatic

First-line BAT8008 (TROP2-ADC) plus BAT1308 (anti-PD-1) for advanced NSCLC: Results from a multicenter phase 2 study

https://esmocongress.esmo.org
2636ROmatched by Rapid oral 1: NSCLC, metastatic

Characterizing resistance mechanisms and predictors of early progression and long-term response to lorlatinib: Circulating tumor DNA (ctDNA) analyses from the CROWN study

https://esmocongress.esmo.org
2658ROmatched by Rapid oral 1: NSCLC, metastatic

Overall survival (OS) analysis of telisotuzumab adizutecan in patients (pts) with nonsquamous non-small cell lung cancer (NSQ NSCLC): Phase 1 first-in-human study

https://esmocongress.esmo.org
2660Pmatched by NSCLC, metastatic

Phase 2 trial of the PD-1/VEGF bispecific antibody, PF-08634404 (SSGJ-707), plus chemotherapy (chemo) in advanced NSCLC: Updated results

https://esmocongress.esmo.org
2683Pmatched by NSCLC, metastatic

First-line (1L) olomorasib + pembrolizumab in KRAS G12C-mutant NSCLC: Updated results from LOXO-RAS-20001 and SUNRAY-01

https://esmocongress.esmo.org
引用@
OncoAlert 4Sight Abstracts to be Presented at #ESMO26 Primary Results of SARON: A Randomised-Controlled Trial of Consolidation Radiotherapy for Synchronous Oligometastatic Non-Small Cell Lung Cancer @fifimcdrmh 🫁 Randomized phase II (n=140): first-line SACT ± consolidation radiotherapy in synchronous oligometastatic AGA-negative NSCLC. Endpoints: OS and PFS. ➡️ Median OS 31.0 vs 28.0 mo; HR 0.99 (0.63–1.55); p=0.95 ➡️ Median PFS 13.9 vs 8.9 mo; HR 0.64 (0.43–0.95); p=0.03 ➡️ 12-month local failure 13.0% vs 39.5% (p<0.01); grade ≥3 AEs 28.6% in both arms ✅ SACT + RT achieved better local disease control and longer PFS with acceptable side effects, but this did not translate into survival benefit. 🎙️ Fiona McDonald (4Sight Made from Abstracts publicly available at the ESMO website) Pinging our OncoAlert Lung Cancer Faculty @christine_lovly, @GlopesMd, @DrSanjayPopat, @StephenVLiu, @jillfeldman4, @UOzkerim, @DrMirallas, @MartinReck2 , @bmassutis @UmbertoMalapel1 , @CharuAggarwalMD @peters_solange, @HenningWillers, @HHorinouchi, @BRicciutiMD, @PercyLeeMD, @bensolomon1, @Latinamd, @DrJNaidoo, @barlesi, @VanitaNoronha, @ChristianRolfo @Tony_Calles @s_couraud @marinagarassino @g_mountzios @BairdAM @barlesi @JFreemanDaily @Piuchagarrido @PercyLeeMD @bensolomon1 @VanitaNoronha @alexdrilon @JordiRemon @JulienMazieres @TerriConneran @HenningWillers
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Source: Dra. María Natalia Gandur Quiroga · x.com

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