The annual event showcased cancer science at its data-driven and rigorously clinical best. But it also highlighted China’s rise as an innovator and revealed a keen need for more effective collaboration across care and communication functions.
No event brings together as many physicians, researchers, technologists, and marketers deeply invested in the future of cancer treatment as the annual American Society of Clinical Oncology meeting. So, when the more than 40,000 attendees assembled in Chicago earlier this month, energy and expectations were high.
The event met those expectations courtesy of a wealth of groundbreaking research across cancer conditions and its grounding of nearly every insight in the realm of patient experience. Here are our five top takeaways.
Tumors run “hot” as the ADC universe expands
A presentation by UCLA professor Dr. Antoni Ribas attempted to unpack a longstanding mystery around cancer treatment using immuno-oncology drugs like Opdivo and Keytruda: Namely, why the treatments work on some tumors but not others.
Ribas speculated that the key might be transforming “cold” tumors (which resist immunotherapy) into “hot” ones (which are more vulnerable to the way immunotherapies attack them), adding that “anti-tumor cells are at a great disadvantage to induce clinical responses.” Reversing that disadvantage might be achieved, he said, by using different treatments in different types of cancer: Bivalent CAR-T therapy in glioblastoma, pepinemab combined with nivolumab and ipilimumab in head and neck cancer, and an imatinib/pembro combination in non-small cell lung cancer.
Heralded for the advance they represent in drug delivery (slow and constant, versus a single, large, rapidly administered dose), antibody-drug conjugates (ADCs) were first discussed at ASCO more than 25 years ago. Their current status as an ASCO darling was affirmed by Yale University professor Dr. Patricia LoRusso, who noted that approximately 450 ADCs are in active development. They include bispecifics, biparatopic agents and novel combinations (such as sacituzumab govitecan plus pembro) set to expand the oncologist toolkit in a wide range of stubbornly treatment-resistant conditions.