GI Oncologist @MayoClinic | Large/Small Bowel Cancer Eradicator | Alum @WashUOnc @MayoClinic @SIUSOM @UIowa @GrinnellCollege | Bad at Twitter | Views=Own

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Katrina Pedersen, MD, MS retweeted
Truck test ✅✅✅
Presented at #ASCO26: Among patients with previously treated metastatic pancreatic ductal adenocarcinoma, the RAS(ON) inhibitor daraxonrasib led to significantly longer overall survival and progression-free survival than chemotherapy. Full phase 3 RASolute 302 trial results: nej.md/4nWaxvM @ASCO
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One of my perennial favorite reasons to attend @ASCO Annual Meeting IRL is getting to watch high impact data presented and being able to discuss/debrief the findings in real time with brilliant friends and colleagues, like @KristenCiombor @WuGiOnc #fangshuou #ASCO26
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Katrina Pedersen, MD, MS retweeted
🙏🏻🙏🏻 @aparna1024 for organizing this and highlighting our amazing #GI family with honorary member Dr. Nina Shah😁. Not everyone could make it…..These are some of the most INCREDIBLE people that you will meet and who share ONE mission: Omitting #cancer and helping others. #patientcare @KristenCiombor @rachnatshroff @ArdamanShergil1 @VanMorrisMD @adasarimd @smitha42 @DrCrystalD @DrKatePedersen @KlempnerSam and so many others! #friendships #workfamily #ASCO26
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Katrina Pedersen, MD, MS retweeted
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Katrina Pedersen, MD, MS retweeted
As many other oncologists will also attest, we were taught this was a dead end It was, dogmatically, never going to work — kras was too much of a “greasy ball” to be targeted And yet here we are, with truly meaningful survival curves👇 Inspiration on multiple levels #ASCO26
What I love about this news is that this is not simply a new pancreatic cancer drug. It’s that KRAS, one of cancer biology’s most notorious undruggable targets, has finally become druggable. A powerful reminder that persistence in science can eventually unlock the impossible.
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Katrina Pedersen, MD, MS retweeted
How are new clinical trial data and ctDNA applications shaping CRC management in 2026? Join our expert panel for a deep dive into precision care, individualized treatment pathways, and improving outcomes in mCRC. Watch the series: hubs.li/Q044gxkT0 @DrKatePedersen @MayoClinic @MPishvaian @HopkinsMedicine @GIMedOnc @aparna1024 @MassGenBrigham
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Katrina Pedersen, MD, MS retweeted
Plan your 2026 conference schedule better with @Larvol. Here is our list of the Top 30 Oncology Conferences worldwide. Explore more about oncology conferences, top trials, and reactions from oncologists: clin.larvol.com #LARVOL #Oncology #CancerResearch #CancerData #CancerCare #OncologyUpdates #OncologyConferences #OncologyInsights #GI26 #GU26 #ASCO26 #EHA26 #AACR26 #ESMO26 #SITC26 #ASH26 #SABCS26 #2026Events #MedicalConferences The conferences: @ASCO | @ASH_hematology | @SABCSSanAntonio | @EHA_Hematology | @myESMO | @sitcancer | @IASLC | @SocietyofHemOnc | @AACR
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I always love a good chat with this crew 🤩🤓 Especially with some of the really interesting data out there these days. @aparna1024 @MPishvaian @GIMedOnc @OncLive
Stay at the forefront of CRC care. Our new peer-exchange series explores the rapidly evolving landscape of unresectable and metastatic colorectal cancer, from emerging biomarkers and ctDNA to the latest therapeutic strategies. Explore the program here: hubs.li/Q044gxLw0 @DrKatePedersen @MayoClinic @MPishvaian @HopkinsMedicine @GIMedOnc @aparna1024 @MassGenBrigham
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Katrina Pedersen, MD, MS retweeted
Efficacy of liver transplantation after response to atezolizumab-bevacizumab downstaging of intermediate and advanced hepatocellular carcinoma (ImmunoXXL) @JHepatology doi.org/10.1016/j.jhep.2026.… 👉Proof of concept study 👉Implementing immunotherapy before LTx is feasible @myESMO @ASCO @EASLnews
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Katrina Pedersen, MD, MS retweeted
Proud to be an investigator on this study! For many years now, I have taught our fellows that they can no longer just say KRAS mutant (need to specify variant). Now, this is the first for p53 Y220C today with more to come.
In a phase 1 study of the oral p53 reactivator rezatapopt in heavily pretreated patients with TP53 Y220C–mutated solid tumors, the most common adverse events were nausea and vomiting, and the overall response was 20%. Full PYNNACLE study results: nej.md/3OIQC5P Science behind the Study: Restoring Function to a Variant of p53 in Solid Tumors nej.md/3N0pQW8
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We make learning FUNdamental, right @OncoThor? 😂 🤓 #MayoClinicBoardReview
Come to the next Mayo Clinic Heme/Onc Practice Update and Board Review next year. You could see @DrKatePedersen knock it out of the park with a stellar review of localized colorectal cancer! Everything you need to know (and more) on how to manage patients. @MayoCancerCare @MayoHemeOnc
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Katrina Pedersen, MD, MS retweeted
🚨 Practice-changing signal in dMMR/MSI-H metastatic CRC COMMIT trial (NRG-GI004 / SWOG-S1610) at #GI26 Question: Is PD-L1 monotherapy enough for all dMMR mCRC patients? Answer from COMMIT: Not anymore. 🧪 Study design First-line dMMR/MSI-H mCRC Atezolizumab alone 🆚 mFOLFOX6 + bevacizumab + atezolizumab 📊 Key results (interim, median FU 3.5 yrs) • PFS: HR 0.44 (95% CI 0.23–0.84), p = 0.0103 • Median PFS: 30.0 vs 4.3 months • ORR: 80.6% vs 46% • 12-mo DCR: 62.9% vs 32.4% ⚠️ Toxicity Grade ≥3 AEs higher with triplet Expected with added chemo + VEGF blockade 🧠 Why this matters Nearly half of dMMR mCRC patients progress early on IO alone. Chemo + VEGF inhibition may rescue early non-responders. 📌 Takeaway IO monotherapy may not be optimal for all dMMR mCRC. Upfront combination strategies deserve serious consideration. @larvol @asco @oncoalert #GI26 #OncoTwitter #MedTwitter #ColorectalCancer #Immunotherapy
🚨 The Complete Colorectal Cancer Watchlist for #GI26 From prevention to precision medicine, colorectal cancer is entering a transition year. #GI26 is not about one blockbuster drug. It is about where the field is bending. Here is the high-yield landscape every GI oncologist should watch 👇 💊 Prevention & Metabolism Abs 18 asks a disruptive question: are GLP-1 receptor agonists competing with aspirin as the next chemoprevention strategy in CRC? Abs 83 adds real-world survival data in metastatic CRC patients exposed to GLP-1s, moving this conversation beyond hypothesis into outcomes. 🎯 Targeted Therapy in First Line Abs 13 (BREAKWATER) pushes BRAF V600E–mutant CRC into new territory. Encorafenib plus cetuximab combined with chemotherapy challenges the idea that BRAF targeting belongs only after progression. 🛡️ Immunotherapy in MSI-H Disease Abs 14 (COMMIT) directly addresses a daily clinic dilemma. Is immune checkpoint inhibition alone enough, or does adding chemotherapy and bevacizumab still matter in MSI-H metastatic CRC? 📸 Local Control & Staging Abs 15 (DISCO) explores whether high-quality MRI can replace surgical staging for peritoneal metastases, raising implications for morbidity, cost, and treatment sequencing. The signal is strong across domains. If BREAKWATER delivers clinically meaningful survival, first-line BRAF CRC may be rewritten. #CRCsm #OncTwitter #MedEd #GICancer @asco @OncoAlert @OncBrothers @Larvol
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I remember when we used to report p-values to hundredths place, where p=0.49 would be p=0.05. Considering mOS was only “significant” outcomes endpt of TRIPLETE and the toxicity is sig worse with EGFRi, I won’t be moving to triplet in this pop. Glad study was done though. #CRC
🟫1L mFOLFOXIRI-Panitumumab vs mFOLFOX-Panitumumab in mCRC 5y results of TRIPLETE @JCO_ASCO ✅mOS: 41.1 vs 33.3 mo HR: 0.79 [0.63 to 0.99]; P = .049 👉ascopubs.org/doi/10.1200/JCO… #cancer #oncology #MedX #GI26 @OncoAlert @GIMedOnc
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Katrina Pedersen, MD, MS retweeted
CRITICS-II: multicenter Ph2 RCT in resectable gastric ca showing preop chemo (DOC) + CRT improved 1-yr EFS & pCR (20%) v CRT or chemo alone. But w D-FLOT now SOC, q’s are: 1. Could adding pre-op chemoRT to D-FLOT further improve pCR enabling organ pres option? #GI26 🧵1/2
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Katrina Pedersen, MD, MS retweeted
#GI26 COMMIT, now with the full presentation data, deserves a serious re-examination. Dr. Rocha Lima presents COMMIT 1L dMMR/MSI-H mCRC Atezolizumab alone vs FOLFOX + bevacizumab + atezolizumab Key results that stand out: 1️⃣ PFS separation is striking mPFS 24.5 vs 5.3 months HR 0.439 This looks less like chemotherapy adding benefit and more like underperformance of the PD-L1–only arm, particularly when contrasted with prior PD-1 data from CHECKMATE-8HW and KEYNOTE-177. 2️⃣ Risk stratification still matters Higher-risk patients appeared to do better with the chemo-containing arm, suggesting disease tempo still plays a role even in MSI-H disease. 3️⃣ Toxicity is real Grade 5 events in 9.5% on FOLFOX + bev + atezolizumab is not trivial and sharply limits enthusiasm for universal escalation. Putting this in context: CHECKMATE-8HW stopped enrollment early, and at this point 8HW remains the clearest dataset supporting PD-1–based therapy in MSI-H mCRC. The atezolizumab signal here is surprising. Overall survival looks similar between arms, which may reflect effective post-progression rescue, potentially with dual checkpoint strategies. Bottom line 🧠 This does not argue for chemo-IO for everyone. It reinforces that PD-1 and PD-L1 are not interchangeable, and that PD-1 blockade remains the backbone in MSI-H colorectal cancer. @OncoAlert @TheGutOncLab
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Katrina Pedersen, MD, MS retweeted
Promising news from #GI26: Popular weight-loss drugs may have the added benefit of reducing #ColorectalCancer risk. Learn more: brnw.ch/21wYZ48 #GLP1RA
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Katrina Pedersen, MD, MS retweeted
Early outcomes of the PLATO ACT5 randomised trial: Personalizing anal cancer radiotherapy dose. #ASCOGI26 👉Higher dose dose not improve tox, but also not outcome 🧐Better strategies and 💊needed @myesmo @ASCO
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Interesting analysis from COLOCARE data on impact on physical activity on cancer fatigue and HRQoL. Even walking provides benefit (at least in early stage survivors), but must be consistent. I find it’s one of only interventions to mitigate chemo-related fatigue. #GI26
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Yeah, I won’t be “COMMITting” to FOLFOX/Atezo/Bev over 1L Ipi/Nivo in dMMR mCRC. Maybe I’d consider chemo/IO combo in pts who are upfront refractory to ICI alone 🤔 But I think there are better things on the horizon. Excellent discussion by #EricChristenson @ASCO #GI26
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#GI26 BREAKWATER Encorafenib+Cetuximab+FOLFIRI met primary ORR endpoint (64.4% vs 39.2% for 1L FOLFIRI/Bev). Data immature on everything else, but I’m going to be offering it next week to one of my pts unfortunately with early recurrence after adjuvant FOLFOX. #BRAFV600E
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