rdcu.be/5iVz [1/n]
We analyzed every tumor-normal exome from patients getting immune checkpoint blockade (ICB) we could get & integrated w/ clinical outcomes for biological and clinical exploration → lots of technical pain here + open questions re: defining clinical benefit
Aug 9, 2018 • 4 tweets • 2 min read
Lots of discussion whether broad cancer NGS testing is good/bad given @JAMAOnc article below. Tbh I'm far more interested in some general issues it exposes re: prospectively testing the precision oncology hypothesis:
jamanetwork.com/journals/jama/… [1/4]
1) NGS testing w/o companion (early phase?) clinical trial network & mid-trial adjustments for when new approvals arise creates a ‘last mile’ problem that reduces potential impact. Can a precision oncology trial have experimental Rx access and be changed in real time? [2/4]
Apr 25, 2018 • 6 tweets • 3 min read
Reflecting on the recent/heated “hype vs. hope” precision oncology debates: It’s not “vs.” → real hope it engenders & current limitations are simultaneously true. This tension mirrors so much of oncology, as @Bob_Wachter elegantly points out here: nytimes.com/2018/04/19/opi… [1/n]
Thankfully, @DHymanMD captured this critical point clearly, here:
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