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Guilherme Perini, MD

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@GuiperiniMD

Hematologist in Sao Paulo, Brazil.
Focus on Lymphomas and CLL

Host: Fase 3 Podcast
Host: Happy Auer Podcast
Sao Paulo, Brazil Joined August 2020
2.8K Following 3.4K Followers 2.9K Posts

Latest posts 5

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Guilherme Perini, MD Verified account @GuiperiniMD
You have to be always drunk. That's all there is to it; it's the only way. So as not to feel the horrible burden of time that breaks your back and bends you to the earth, you have to be continually drunk.
But on what? Wine, poetry or virtue, as you wish. But be drunk

Baudelaire
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Guilherme Perini, MD Verified account @GuiperiniMD
While impressive, median follow up is short and n is small.

Chemo-based regimens + BTKi remains SoC... for now.
Hayder Saeed, MD Verified account @HayderSaeed_MD 2d
Chemo-free 1L MCL at #ASH26 (investigational):
GATE1 pirto-ven-R, n=50, 34% TP53-altered: CR 96%, 12-mo PFS 96% (mFU 8 mo)
TrAVeRse acala-ven-R, n=108: 22-mo PFS 89%, TP53m 82%
TP53m pts doing well early. Next question: is MRD-neg stop safe? @YucaiWangMD #lymsm #MCL
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Guilherme Perini, MD Verified account @GuiperiniMD
I wish these biespecifics would be tested in Angioimmunoblastic T-cell lymphomas...
Samuel Hume Verified account @DrSamuelBHume Oct 25
PD(L)1-VEGF bispecifics are already beating PD1 inhibition alone in trials, so what's next?

This trial (BioNTech, DualityBio, BMS) adds a new B7-H3 ADC to a PDL1-VEGF bispecific, with potential synergy:

1) VEGF blockade: normalizes tumor vasculature, improves ADC delivery and T cell infiltration.
2) B7-H3 ADC: kills cancer cells, triggers immunogenic inflammation.
3) PDL1 blockade: releases immune suppression, allows T cells to exploit immune response induced by ADC.

Confirmed ORR up to 71% -- in immune-cold platinum-resistant ovarian cancer.

The broader, ongoing phase 2 includes colorectal cancer, pancreatic cancer and other tumor types.
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