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Ryan Agas Profile
Ryan Agas

@ryanagasmd

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Following
236
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109

Asst Prof @USTFMSofficial + DRO Vice Chair @USThospital + RadOnc Residency Training Officer @CardinalSantos🇵🇭 | Former GI/Sarc fellow @PeterMacRadOnc🇦🇺

National Capital Region
Joined August 2015
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@ryanagasmd
Ryan Agas
7 days
It was an honor to have GI radonc legend, Prof. Trevor Leong, at the @USThospital BCI Annual Meeting! Your expertise was the highlight, and your time with our trainees was priceless. See you in Manila again soon, maybe next time w/ @pixiepk1! @PeterMacRadOnc @UST1611official
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@Gio_Marchegiani
Giovanni Marchegiani
1 month
The kiss 💋 between nab-paclitaxel / gem and FOLFINIRNOX ?! ♥️ Neoadjuvant regimens combined in resectable 💉 RCT 324 pts vs. Upfront surgery median EFS 15 vs. 10 months? 🧐 Doubts about control group, but again in the direction of neoadjuvant to all! https://t.co/YCkQKFTo9k
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@DrRishabhOnco
Dr Rishabh Jain
1 month
🧠 You can shrink the tumour—but not the tumour bed. New RAPIDO analysis in BJS 2025 shows why small margins after TNT can turn dangerous 👇 💡 Trial: RAPIDO (n = 920, LARC) 🎯 TNT = 5×5 Gy + 6 CAPOX / 9 FOLFOX → TME vs CRT = 25–28×1.8–2 Gy + capecitabine → TME 📊 8-year
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@DraMartinezLago
Nieves Martinez Lago MD PhD
1 month
🔬 Critical Evaluation of TNT in LARC 🔗 https://t.co/sLoLUmvHYZ 🧬 Review of RAPIDO, PRODIGE-23, POLISH II & STELLAR 💊 Small DFS gain · OS benefit uncertain · Added toxicity 📊 CRT remains standard; biomarkers needed for selection #DraMartinezLago #GItumors
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@Gio_Marchegiani
Giovanni Marchegiani
2 months
It’s out!!! 🔥🔥🔥 The PREOPANC-2 is in @TheLancetOncol Neoadjuvant FOLFIRINOX 🤜🤛 Gemcitabine based chemoradiotherapy in resecatble / BR ⚖️ No difference in overall survival 😰 Serious adverse events 40% 👍 Both regimens may be considered https://t.co/9nfnPUyhCR
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@mikemejiamd
Michael Mejia
8 months
First of 2 consensus statements coming out for #NPC. This one is an effort undertaken with most of the participants from #LMIC settings. Excellent inclusivity effort from @WarrenBacorro and team. https://t.co/b8KBnquYgP
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@dr_yakupergun
Yakup Ergün
8 months
Neoadjuvant chemoradiotherapy followed by active surveillance versus standard surgery for oesophageal cancer (SANO trial) 💥OS after active surveillance was not inferior to standard surgery at 2 years https://t.co/uq7mH21pUC
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@ryanagasmd
Ryan Agas
10 months
Sharing our work from @PeterMacRadOnc published @ClinOncology, reporting that neoadjuvant CRT can be clinically useful for highly selected colon cancers. Our results support the Zhang ph 3 study which showed efficacy of CRT for unresectable colon cancers. https://t.co/EjdSPxN3wq
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@KrishanJethwa
Krishan Jethwa
10 months
🚨SCIENCE Ph3 RCT🚨 🔥Check this one out🔥 cT2-4N0-3, T1N2-3 Eso SCC 1️⃣neo Carbo + nabPaclitaxel + Sintilimab 2️⃣nCRT 41.4/23) wCarbo-taxol + Sintilimab 3️⃣nCRT ✅⬆️⬆️pCR CRT vs chemo (13% with chemo) ✅Sintilimab + CRT vs CRT ⬆️ pCR (60% v 47%) without added AEs #GI25 @ASCO
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@KrishanJethwa
Krishan Jethwa
10 months
🚨ESOPEC Pub has landed!🚨 See data review below! For now, "standard" will appropriately shift to peri-operative FLOT BUT we should not be satisfied as outcomes remain suboptimal Ongoing ❓❓ - does TNT (FLOT + CRT) offer further benefit? - is it time to consider organ
@KrishanJethwa
Krishan Jethwa
1 year
🚨🚨🚨 #ESOPEC🚨🚨🚨 🔥Practice shifting trial🔥 Patients with resectable, locally advanced, esophagus/GEJ adenocarcinoma Randomized Peri-op FLOT (FLOT4) vs Pre-operative chemoradiation (CROSS) Congrats to the study investigators! Let’s dive in! #ASCO24 @MayoRadOnc 1/
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@adelapoite
Adela
10 months
External Beam Radiation therapy After Transarterial Chemoembolization Versus Transarterial Chemoembolization Alone for Treatment of Inoperable Hepatocellular Carcinoma: A Randomized Phase 3 Trial - International Journal of Radiation Oncology, Biology, Phys
Tweet card summary image
redjournal.org
To compare the outcomes of transarterial chemoembolization (TACE) alone with those of TACE combined with external beam radiation therapy (EBRT) in patients with hepatocellular carcinoma (HCC) in a...
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@5_utr
M. Bolton
10 months
❗️ RCT of proton RT vs TACE in HCC mPFS for PBT vs TACE was not reached vs. 12 months, p = .002; with a whopping HR 3.62 (1.62–8.05) TACE is a very poor treatment 👎
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@ldawsonmd
Laura Dawson
11 months
Proud to see RTOG1112 RCT published!. Thanks to so many who helped make this possible. #teamwork ‘Hope the next #SBRT #HCC trials are completed much faster. @NRGonc @TedHong9 @Dr_AliHosni @ArndtVogel @aislingbarryro Nice summary of the trial below from @NiuSanford
@NiuSanford
Dr. Nina Niu Sanford
11 months
RTOG 1112 finally out! Sorafenib +/- SBRT in HCC. Congrats to @ldawsonmd & team. Brief summary here & some of my thoughts. Short thread 🧵. 1/
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@5_utr
M. Bolton
11 months
🚨 🚨 RCT of SBRT vs RFA for recurrent small HCC HR for local progression free survival a whopping 0.45 (0.95 CI 0.24-0.87) with SBRT vs RFA More data of the inferiority of IR ablation for HCC https://t.co/cafvrh0lGp
Tweet card summary image
ascopubs.org
PURPOSETo assess the efficacy and safety of radiofrequency ablation (RFA) versus stereotactic body radiotherapy (SBRT) in treating recurrent small hepatocellular carcinoma (HCC).METHODSIn this trial,...
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@NiuSanford
Dr. Nina Niu Sanford
11 months
RACE-GB is out! Congrats to authors for FIRST RCT of RT in gallbladder cancer. N=135 w unresectable GBC, after 4c chemo, addition of RT (vs. obs) improved OS from 4 to 10 months. Several limitations (single center, chemo gem/cis & 4 mo) but OS benefit shouldn’t be ignored.
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@jryckman3
Jeff Ryckman
11 months
@5_utr Fantastic! Here is the HR for SBRT vs. TACE in our work. EBRT was associated with improved PFS over TACE (HR: 0.37, 95% CI = 0.23-0.60; I2 = 0%). Here is the abstract from #ASTRO24, the full publication was just accepted in Cancer today!
redjournal.org
Transarterial chemoembolization (TACE) is an option for downstaging or definitive therapy in Hepatocellular Carcinoma (HCC) according to the Barcelona Liver Classification (BCLC) guidelines. However,...
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@NiuSanford
Dr. Nina Niu Sanford
1 year
Another setting where SBRT underutilized IMO in HCC is bridge to transplant. I am convinced w modern tech, SBRT can safely prevent local progression in most. Study shows similar transplant outcomes post SBRT/TACE/RFA, despite SBRT pts w worse liver fxn https://t.co/svrVvwzjy2
journal-of-hepatology.eu
Liver transplantation (LT) represents the best treatment option for patients with selected hepatocellular carcinoma (HCC) but due to organ shortage most regions place limits on the size and number of...
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@DKirschMDPhD
David Kirsch, MD, PhD
1 year
Just in time for #CTOS2024: Thrilled to share SU2C-SARC032 (NCT03092323), a randomized trial of pembrolizumab in Stage 3 extremity soft tissue sarcoma, now published @TheLancet! https://t.co/P9lAyTX9NF 1/13 @SARCtrials @SU2C @ctosociety @RadMedPM @pmcancercentre @UHN @UofTDRO
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@TROGfightcancer
Trans Tasman Radiation Oncology Group
1 year
Congrats to Prof Trevor Leong and TOPGEAR trial investigators on publication of significant findings at #ESMO24 and in @NEJM this weekend. We're thrilled to have collaborated on this important trial with @GICancer and others.
@PeterMacRes
Peter Mac Research
1 year
Heading to #ESMO2024? Don't miss Prof Trevor Leong present the results of the TOPGEAR trial to understand if preoperative chemoradiotherapy (preop CRT) is beneficial for resectable gastric cancer. @PeterMacCC @PeterMacRadOnc
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@JAMAOnc
JAMA Oncology
1 year
In this study of patients receiving combined locoregional and immunotherapies (LRT-IO) for unresectable HCC, 46% had complete response (CR) and 75% remained alive at 3 years. Watch and wait was shown feasible in CR patients after LRT-IO. https://t.co/tAZWEIIWdX
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