Mridula George
@MridulaGeorgeMD
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Breast Medical Oncologist @RutgersCancer @Rutgers and @RWJMS wife/mom/baker/world traveler #bcsm
Joined May 2019
The eveRA phase 3 trial presented at #ESMO25 by @elmayermd : oral SERD Giredestrant + Everolimus improved INV-PFS vs SOC endocrine therapy + Everolimus post-CDK4/6i in metastatic HR+/HER2- MBC: 🔹ESR1m population: 9.99 vs 5.54 mo 🔹ITT population: 8.77 vs 5.49 mo @OncoAlert
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Fantastic highlights of the diff between #ASCENT03 and #TB02 In TB-02: 📍poorer prognosis pts, 15% relapsed within 6 mo of neoadj/adj thpy 📍no doublet chemo 📍no crossover to ADC 📍dato didn't look to have OS in areas where there wasTROP2 ADC access #ESMO25 #ESMOAmbassadors
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#ESMO25 Pegfilgrastim timing matters! In this randomized phase III trial (n=159, early-stage BC): Giving pegfilgrastim 72h after chemo — instead of 24–48h — cut bone pain by >50% without increasing neutropenia or FN risk.
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Breaking: HER2CLIMB-05 Pfizer reports positive Phase 3 results — adding TUKYSA (tucatinib) to trastuzumab + pertuzumab maintenance significantly improves PFS in first-line HER2+ metastatic breast cancer. 🔹 Trial: HER2CLIMB-05 🔹 Setting: 1L maintenance after chemo + HP 🔹
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DESTINY-Breast11 #ESMO25 🧬 Neoadjuvant T-DXd-THP vs ddAC-THP in high-risk HER2+ eBC: pCR 67.3 vs 56.3 % (+11.2%, p = 0.003) Grade ≥3 AE 37.5 vs 55.8 % LVEF 1.9 vs 9 % ILD 4.4 vs 5.1 % Early EFS HR 0.56 (immature). ➡️ Better efficacy + safety, anthracycline-free option. But pCR
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Follow-up results from the POSITIVE Trial regarding breastfeeding after hormone receptor-positive #BreastCancer show no differences in breast cancer related events in women who breastfed compared with those who did not. 👉 https://t.co/uLN0VUBKyp
@fedrophd @AnnPartridgeMD
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Wish that this trial had included a fulvestrant/everolimus arm, rather than randomizing 131 patients to fulvestrant monotherapy.
Results from VIKTORIA-1 just announced by @celcuity. The addition of gedatolisib to 2L fulvestrant/palbo improved PFS from 2 to 9.3 months (HR 0.24). Also the fulvestrant/gedatolisib combo improved PFS vs fulv mono (7.4 vs 2 mo, HR 0.33). Quite promising. https://t.co/dLgQRNWTts
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What an incredible #ASCO25! We were thrilled to connect with everyone who came through our booth and want to thank the Naterans on our team for their hard work in making it a special event. Thank you to Marla Lipsyc-Sharf, MD, Julia Foldi, MD, PhD and Mridula George, MD
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Major unmet need for Mutant Specific PIK3CA inhibitors with improved efficacy and side effects for our patients. RLY2608 + Fulvestrant in post-CDK4/6 HR+, HER2- PIK3CA mutant breast cancer. ORR close to 40% post-CDK4/6. Median PFS 10 months all comers, 11 months 2L, 18 months
Happening Now! #ASCO25 Poster Session: Updated efficacy of mutant-selective PI3Kα inhibitor RLY-2608 in combination with fulvestrant in patients with PIK3CA-mutant HR+HER2- advanced #BreastCancer: ReDiscover trial. @drsarahsam 📍Abs: 1086 | Poster Bd 65 | Jun 2, 9-12 PM | Hall A
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Here is the study where these figures are quoted. Flatiron Database which is mostly community oncology centers around the US.
Dr Sonya Reid makes excellent point in Metastatic TNBC Sadly 50% of patients do not make it to second line therapy in mTNBC. In that case, waiting beyond first line to give a more effective regimen seems silly. #bcsm #ASCO25
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Busy morning 🎬 with @OncLive It was great to represent @MDAndersonNews and our #MDACC_BMO_Department Session #1 was information packed about #ESR1m and the evolving treatment landscape Session #2 was a panel discussion about the expanding field of ctDNA/MRD testing in
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Real world data suggest that chemo (cape, eribulin, taxanes) outperforms a second topo1 ADC after progression on T-DXd. Key question to address in breast oncology (and across oncology fields!). #ESMOBreast25 #esmoambassadors
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Check out this recent @Annals_Oncology #ctDNA review and meta-analysis👉Circulating tumor DNA clearance as a predictive biomarker of pathologic complete response in patients with solid tumors treated with neoadjuvant immune checkpoint inhibitors. 👉 https://t.co/R2Y5LIt9ir
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3rd positive Press release in <3 weeks: DB11 achieved positive results, with neoadjuvant T-DXd->THP improving pCR rates over AC-THP in high-risk HER2+ BC. Many open questions. But, overall, great optimism. And a reinforced certainty: 2025 will be #ADCYear. https://t.co/0kiUebLhF5
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Fantastic talk answering the question “Which tumors warrant adjuvant CDK4/6 inhibitors?” Here are the 🔑 take aways from @AngieDemichele (which I was really thankful for, as I otherwise took photos of every slide 😅) #SGBCC2025
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Excellent discussion by @KalinskyKevin about if there is a need for chemotherapy in premenopausal pts Chemo recommended: Regardless of age if RS>30 If≤50, RS>21 (RSClin can help ) Postmenopausal: 2+ LN + high risk fx + ≥4LN @SG_BCC #bcsm
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What mediates resistance to antibody drug conjugates? Report @CCR_AACR shows that in pts with breast cancer treated with trastuzumab deruxtecan (T-DXd, #HER2 ADC), 32% lost HER2 expression by IHC and another 29% had a decrease in HER2 score. https://t.co/JBAERsfglz
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