Audio Journal of Oncology Podcast

Audio Medica News
Audio Journal of Oncology Podcast

As the leading authoritative, peer-reviewed audio source of oncology clinical news for clinicians and healthcare professionals, the AJO Podcast regularly brings you exclusive interviews with the world's leading researchers and clinicians responsible for pushing out the boundaries of science and practice. Medicine, screening, radiotherapy, surgery, clinical trials, cancer care, epidemiology and prevention are covered impartially to give busy cancer professionals access to conversational spoken comments on the clinical implications of cancer developments in the real-world context, as practiced by cancer doctors and clinicians around the globe. The AJO Podcast originates from the Audio Journal of Oncology staffed by ex-BBC professional journalists, and mentored by world-leading cancer practitioners from bodies including the American Society of Clinical Oncology, Cancer Research UK, Istituto Nazionale dei Tumori, and Action Radiotherapy. Each podcast is produced to the highest standards of audio recording and journalism and is subject to editorial appraisal to maintain that content, balance and clinical relevance of news and comment are delivered in a manner that's easy and enjoyable for listening while travelling, taking exercise, working or just relaxing. Please contact Audio Medica with your comments and make your contribution to supporting a vibrant community of clinical cancer communicators!

  1. JAN 11

    AUDIO JOURNAL OF ONCOLOGY: Safe to Spare Post-Mastectomy Chest Wall Radiotherapy in Most Patients with Intermediate Risk Breast Cancer

    SAN ANTONIO, USA—There was no benefit from chest wall irradiation in patients who had intermediate-risk breast cancer, according to findings reported at the 2024 San Antonio Breast Cancer Symposium from the BIG 2-04 MRC SUPREMO international phase three randomized controlled trial. At the conference Ian Kunkler MA, MB, BChir, Professor at Edinburgh Cancer Centre in the Western General Hospital, University of Edinburgh, Scotland UK, told the conference that after investigating the impact of adjuvant chest wall irradiation following mastectomy and axillary surgical staging in patients with operable breast cancer at a defined intermediate-risk of loco-regional recurrence the study had found no benefit. The trial indicated with high precision that chest wall irradiation following mastectomy in patients with one to three positive nodes, or with node-negative breast cancer having other risk factors, had no impact on overall survival, and a clinically insignificant impact on chest wall recurrence. After the conference, Kunkler discussed the findings with the Audio Journal of Oncology’s correspondent, Peter Goodwin: PODCAST: Ian Kunkler in conversation with Peter Goodwin SABCS 2024 Abstract GS2-03: Kunkler I et al. “Does postmastectomy radiotherapy in ‘intermediate-risk’ breast cancer impact overall survival? 10-year results of the BIG 2-04 MRC SUPREMO randomised trial: on behalf of the SUPREMO trial investigators”  https://sabcs.org/Portals/0/Documents/Embargoed/GS2-03%20Embargoed.pdf?ver=kXWlS2Nrc-7_KvwLiqBR1A%3D%3D  Comment  Kunkler I et al. Does postmastectomy radiotherapy in ‘intermediate-risk’ breast cancer impact overall survival? 10 year results of the BIG 2-04 MRC SUPREMO randomised trial: on behalf of the SUPREMO trial investigation. Abstract GS2-03. SABCS, 10-13 December, 2024. https://www.emjreviews.com/oncology/news/no-benefit-from-chest-wall-irradiation-in-intermediate-risk-breast-cancer-sabcs-2024/

    15 min
  2. 12/17/2024

    Adding a Bi-Specific T-Cell Engager Brings Striking Benefit in Childhood Acute Lymphoblastic Leukemia

    SAN DIEGO, USA—When added to standard chemotherapy the bi-specific T-cell engager drug blinatumomab brought a large, statistically significant improvement in disease-free survival in a randomized controlled study of 1731 children with average or higher relapse-risk B-cell acute lymphoblastic leukemia. Study first author Rachel E. Rau MD, from the Seattle Children’s Hospital, University of Washington, in the USA, reported her group’s findings at the 2024 Annual Meeting of the American Society of Hematology in San Diego. Hot from the conference she gave the details to Audio Journal of Oncology reporter, Peter Goodwin: Audio Journal of Oncology PODCAST EPISODE: Rachel Rau MD,  Seattle Children’s Hospital, University of Washington, USA. IN: Rachel Rau, you’re with me on-line now …… OUT:  …..Journal of Onclogy, I’m Peter Goodwin. Thank you Peter, it’s a pleasure. Duration: 13:06 ABSTRACT: https://ash.confex.com/ash/2024/webprogram/Paper207450.html Title: Blinatumomab Added to Chemotherapy Improves Disease-Free Survival in Newly Diagnosed NCI Standard Risk Pediatric B-Acute Lymphoblastic Leukemia: Results from the Randomized Children’s Oncology Group Study AALL1731 ASH 2024 Presenting Author: Rachel E. Rau, MD1, Seattle Children’s Hospital, University of Washington, Seattle, WA Introduction: Acute lymphoblastic leukemia (ALL) is the most common childhood cancer. Children with newly-diagnosed, National Cancer Institute (NCI) standard risk (SR) B-ALL have high survival rates when treated with traditional chemotherapy (chemo), yet some relapse and die. Relapsed ALL is a leading cause of pediatric cancer mortality and about half of relapses occur in SR B-ALL. AALL1731 (NCT03914625) is a phase 3 randomized trial to determine if 2 non-sequential cycles of the bi-specific T-cell engager blinatumomab (15 mg/m2/day IV continuous x 28 days) added to chemo improves disease-free survival (DFS) in children with NCI SR B-ALL with average or higher relapse risk. Methods: AALL1731 enrolled newly diagnosed NCI SR (age >1 and 10 years with initial white blood cell count (WBC) 50,000/uL) B-ALL patients (pts), BCR::ABL1 negative, without testicular or CNS3 disease. After a 3-drug induction, pts were assigned to 3 risk groups based on tumor genetics, CNS status, and multiparameter flow cytometry (mpFC) defined minimal residual disease (MRD) at induction day 8 in peripheral blood (PB) and end of induction (EOI) in bone marrow (BM). Pts with favorable cytogenetics [ETV6::RUNX1 or double trisomies of chromosomes 4 and 10 (DT)], day 8 PB mpFC MRD 1% and EOI BM mpFC MRD 0.01% were categorized as SR-Favorable and non-randomly received chemo alone given known outstanding outcomes. Pts with unfavorable cytogenetics (iAMP21, KMT2A rearrangement, t(17;19), hypodiploidy), EOI mpFC MRD ?0.1% for DT and ?0.01% all others, or neutral cytogenetics with CNS2 status were categorized as SR-High. All others were considered SR-Average (Avg). SR-Avg pts were further stratified based on EOI BM high-throughput sequencing of immunoglobulin loci (HTS) MRD. Those with undetectable EOI HTS MRD were non-randomly assigned to standard-intensity chemo alone (Arm A); all others were randomized to Arm A or standard-intensity chemo plus 2 cycles of blinatumomab (Arm B). Post induction, SR-High pts received augmented BFM-based chemo. SR-High pts with end consolidation BM mpFC MRD 0.1% were randomized to chemo (Arm C) or chemo plus 2 cycles of blinatumomab (Arm D). Blinatumomab cycles were inserted before and after interim maintenance I. Planned accrual included 2245 pts with a minimum follow-up (FU) of 3 years. Results: Accrual began June 28, 2019. At the first planned interim efficacy analysis (data cutoff June 30, 2024), 1440 (63%) of the 2245 SR-Avg/SR-High eligible and evaluable pts had been randomized. Median age was 4.3 years [interquartile range (IQR) 2.8-6.4]; 52.6% were boys, 26% were Hispanic and 5% were non-Hispanic Black. Median FU was 2.5 years (IQ

    13 min

    About

    As the leading authoritative, peer-reviewed audio source of oncology clinical news for clinicians and healthcare professionals, the AJO Podcast regularly brings you exclusive interviews with the world's leading researchers and clinicians responsible for pushing out the boundaries of science and practice. Medicine, screening, radiotherapy, surgery, clinical trials, cancer care, epidemiology and prevention are covered impartially to give busy cancer professionals access to conversational spoken comments on the clinical implications of cancer developments in the real-world context, as practiced by cancer doctors and clinicians around the globe. The AJO Podcast originates from the Audio Journal of Oncology staffed by ex-BBC professional journalists, and mentored by world-leading cancer practitioners from bodies including the American Society of Clinical Oncology, Cancer Research UK, Istituto Nazionale dei Tumori, and Action Radiotherapy. Each podcast is produced to the highest standards of audio recording and journalism and is subject to editorial appraisal to maintain that content, balance and clinical relevance of news and comment are delivered in a manner that's easy and enjoyable for listening while travelling, taking exercise, working or just relaxing. Please contact Audio Medica with your comments and make your contribution to supporting a vibrant community of clinical cancer communicators!

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