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David R. Spigel, MD, FASCO

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@DavidRSpigel

President and Chief Medical Officer at Sarah Cannon Research Institute | Advancing Therapies Through Clinical Research #Oncology #Healthcare #CancerResearch
Nashville, TN scri.com Joined March 2011
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David R. Spigel, MD, FASCO Verified account @DavidRSpigel
Fantastic discussion!
🎯 #ESMO26 | Excellent discussion by @benlevylungdoc on SARON and PERSEE!
Two trials, two important lessons for advanced NSCLC.
🔹 SARON: Consolidative radiotherapy improved PFS and local disease control in oligo metastatic NSCLC, but no OS benefit (HR 0.99).
🔹 PERSEE: Pembrolizumab + chemo met its primary endpoint PFS but not OS though numerically better (not powered for OS) in PD-L1 ≥50% NSCLC.
Key messages from @benlevylungdoc :
• Oligometastatic disease needs better biological definition, beyond the number of lesions.
• Treatment intensification should be guided by better patient selection.
• More treatment does not automatically mean better outcomes!
- Lower threshold to add chemo to pembro in PD-L1 >50%
👏 A thoughtful discussion with practical implications for our clinics.
#ESMOAmbassador #LungCancer #NSCLC
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