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Today

Tuesday, 27 October

Your daily brief

8 items
01
Oncology2d
Izalontamab brengitecan versus platinum-based chemotherapy in EGFR-mutated advanced non-squamous non-small-cell lung cancer after progression on third-generation EGFR tyrosine kinase inhibitors (PANKU-Lung01): a multicentre, randomised, open-label, phase 3 trial in China.
Izalontamab brengitecan (iza-bren) is a first-in-class bispecific antibody-drug conjugate targeting epidermal growth factor receptor (EGFR) and human epidermal growth factor receptor 3 (HER3) and has shown antitumour activity in EGFR-mutated non-small-cell lung cancer (NSCLC). We compared iza-bren with platinum-based chemotherapy in participants with EGFR-mutated advanced non-squamous…
Why it mattersA bispecific EGFR-HER3 ADC beat platinum chemotherapy after third-generation TKI failure in EGFR-mutated NSCLC, offering a targeted option where chemotherapy is the current default.
02
Oncology2d
Ruzaltatug rezetecan versus chemotherapy for EGFR-mutated advanced non-small-cell lung cancer progressing after EGFR tyrosine kinase inhibitor therapy (HERON-Lung01): interim analysis of a randomised, open-label, phase 3 trial in China.
Ruzaltatug rezetecan is a novel HER3-directed antibody-drug conjugate that has shown promising antitumour activity and manageable safety in pretreated EGFR-.mutated non-small-cell lung cancer (NSCLC) in a phase 1 trial. We aimed to compare the efficacy and safety of ruzaltatug rezetecan with chemotherapy in patients with EGFR-mutated advanced NSCLC that had progressed after EGFR…
Why it mattersIf this HER3 ADC beats chemotherapy after TKI failure, it gives your EGFR-mutated patients a new option before or alongside platinum doublets.
03
General Surgery13h
Laparoscopic Versus Open Liver Resection for Colorectal Liver Metastases : An Individual Participant Data Meta-analysis of Four Randomized Clinical Trials.
Randomized clinical trials (RCTs) have compared laparoscopic liver resection (LLR) and open liver resection (OLR) for colorectal liver metastases (CRLM); however, long-term outcomes and subgroup effects have not been comprehensively evaluated. PURPOSE: To compare postoperative and long-term oncologic outcomes after LLR versus OLR for CRLM using individual participant data from RCTs.…
Why it mattersPooled RCT data on laparoscopic versus open resection for CRLM gives you long-term oncologic and subgroup evidence to counsel patients on the minimally invasive approach.
04
Oncology2d
Sacituzumab tirumotecan versus treatment of physician's choice in previously treated endometrial cancer (TroFuse-005/ENGOT-en23/GOG-3095): a randomised, open-label, phase 3 trial.
Therapeutic options for patients with endometrial cancer who progress after platinum-based chemotherapy and immunotherapy are scarce, and prognosis is poor. Sacituzumab tirumotecan (sac-TMT) is a trophoblast cell-surface antigen 2-directed antibody-drug conjugate with a unique, bifunctional linker that maximises delivery of a belotecan-derived topoisomerase I inhibitor payload to…
Why it mattersIf sac-TMT beats physician's choice after platinum and immunotherapy, it gives your post-progression endometrial cancer patients a TROP2-directed option where few exist.
05
Oncology13h
Obesity and Cancer Risk in Young Adults in Korea : A Nationwide Health Screening Cohort Study.
Obesity and early-onset cancer are both increasing among young adults, yet evidence remains limited. OBJECTIVE: To assess associations between obesity and early-onset cancer risk in young adults. DESIGN: Nationwide population-based cohort study. SETTING: Korean National Health Insurance Service database, 2009 to 2021. PATIENTS: 6 313 338 adults aged 20 to 39 years without prior…
Why it mattersReinforces weight as a modifiable cancer risk factor in patients under 40, supporting earlier counselling on BMI even in young, otherwise healthy adults.
06
Oncology2d
Izalontamab brengitecan for HR+/HER2- breast cancer in China (PANKU-Breast01): a randomised, phase 3 trial.
Patients with heavily pretreated hormone receptor-positive and human epidermal growth factor receptor 2-negative (HR+/HER2-) breast cancer have few treatment options. Izalontamab brengitecan (iza-bren) is a first-in-class, epidermal growth factor receptor and HER3 bispecific antibody-drug conjugate that contains a potent topoisomerase I inhibitor payload (Ed-04). The aim of…
Why it mattersA first-in-class EGFR/HER3 bispecific ADC offers a new mechanism for heavily pretreated HR+/HER2- disease, where endocrine and chemotherapy options are largely exhausted.
07
Oncology2d
Neoadjuvant durvalumab plus chemotherapy in resectable or borderline resectable non-small-cell lung cancer: the phase 2 MDT-BRIDGE trial.
The phase 2 MDT-BRIDGE study is investigating perioperative durvalumab plus neoadjuvant chemotherapy (AEGEAN regimen) in resectable and borderline resectable non-small-cell lung cancer and chemoradiotherapy (CRT) followed by consolidation durvalumab (PACIFIC regimen) in patients who become unresectable after neoadjuvant chemoimmunotherapy guided by multidisciplinary team assessments during the…
Why it mattersAdds a perioperative durvalumab pathway for borderline-resectable NSCLC, with MDT triage deciding who proceeds to surgery versus CRT plus consolidation.
08
General MedicineAI13h
Impact of Unrestricted Artificial Intelligence Scribe Deployment in a Single Health System on Clinician Workload and Productivity : A Quality Improvement Study.
Ambient artificial intelligence (AI) medical scribes may reduce documentation burden and clinician burnout. Whether use intensity drives benefits remains uncertain. OBJECTIVE: To evaluate the association between AI scribe (Heidi) enrollment and documentation burden and whether changes differ by use intensity. DESIGN: Retrospective quality improvement study using an interrupted time…
Why it mattersAmbient AI scribes cut documentation time, but the benefit tracked with how much clinicians actually used them — adoption, not licensing, is what buys you time back.
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Worth a closer look

Anaesthesiologytrial

Nebulised Versus Intravenous Dexmedetomidine for Awake Fibreoptic Bronchoscope-Guided Intubation in Head and Neck Surgery: A Prospective, Double-Blind, Randomised Clinical Trial

If nebulised dexmedetomidine sedates comparably to IV for awake fibreoptic intubation, you avoid a needle and IV bolus hypotension in anticipated difficult airways.
Cureus19h
Obstetrics & Gynaecologypaper

Population-Level Shifts in Cervical Cancer Stage Distribution in the United States Following Human Papillomavirus (HPV) Vaccine Implementation

Supports counselling Indian parents that HPV vaccination shifts cervical cancer toward earlier, more treatable stages — reinforcing the case for catch-up vaccination in adolescents and young women.
Cureus1d
Psychiatrytrial

Single Intranasal Administration of the Psychedelic Mebufotenin for Treatment-Resistant Depression: A Randomized Clinical Trial.

A single intranasal dose with short monitoring could make psychedelic-assisted therapy feasible outside specialist centres, though you'll need to weigh the brief dissociation against durable response.
PubMed — NEJM / Lancet / BMJ / Annals / Nature clinical2d
Oncologypaper

Impact of Demographic and Socioeconomic Factors on Survival Associated With Androgen Receptor Pathway Inhibitor Use in Metastatic Prostate Cancer: An Analysis of the Surveillance, Epidemiology, and End Results (SEER)-Medicare Database

SEER-Medicare data show ARPI survival gains in metastatic prostate cancer are uneven across demographic and socioeconomic groups — check whether your eligible patients are actually being offered it.
Cureus13h
Urologytrial

Effect of Preoperative Single-Dose Systemic Dexamethasone (8 mg) on Postoperative Pain and Blood Sugar Levels in Patients Undergoing Percutaneous Nephrolithotomy: A Randomised Controlled Trial

A single 8 mg preoperative dose may cut opioid need after PCNL, but check the blood sugar rise before using it in diabetic stone patients.
Cureus1d
Psychiatrypaper

Anxiety and Depressive Symptoms in Psoriatic Arthritis: Prevalence and Associations With Sleep, Lifestyle, and Inflammatory Markers

Anxiety and depressive symptoms are common and under-recognised in your PsA patients; screen for them alongside sleep and lifestyle rather than treating joint disease alone.
Cureus20h