Nicole Casasanta, MD
@ncasasanta.bsky.social
41 followers 68 following 19 posts
Heme/Onc Fellow @YaleCancer | Aspiring Breast Oncologist interested in clinical/translational research
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ncasasanta.bsky.social
Excited to have joined Dr. Winer and Etienne to discuss medical oncology training, the future of oncology, and more! 🎙️🩺 @yalecancer.bsky.social
yalecancer.bsky.social
Yale Fellows Drs. Etienne Leveille + @ncasasanta.bsky.social join Dr. Eric Winer for Yale Cancer Answers to talk about the future of #cancer care and the next generation of oncologists.
🎧 Listen live on WNPR
🍎 Download Apple Podcasts
💻 Watch on YouTube
ncasasanta.bsky.social
Yale Heme/Onc fellows riding for our patients, families, and cancer research 🧬 at the 15th annual Closer to Free Ride! 🚴🏼‍♀️💨 @ctfride.bsky.social @yalecancer.bsky.social
ncasasanta.bsky.social
On September 6, 2025, I’ll be participating in the Closer to Free Ride to to raise funds to support cancer research and care for those who need it most - the patients, the families, and our team @yalecancer.bsky.social and Smilow Cancer Hospital Please consider donating to my ride!🚴🏻‍♀️
ncasasanta.bsky.social
📍HER2+ T-DXd+P is likely the new 1L SOC but many questions remain in HR+ pts, QOL, & potential maintenance strategies
📍TNBC SG+pembro likely new 1L SOC but we need more therapies for these patients
ncasasanta.bsky.social
Amazing talk #ASCO2025 Highlights in MBC @maryamlustberg.bsky.social @yalecancer.bsky.social
📍HR+ multiple targeted agents now available, optimal sequencing remains unclear, we need to study in combinations
Reposted by Nicole Casasanta, MD
yalecancer.bsky.social
We have great representation in this morning's #ASCO25 poster session in Hall A! Stop by and support our presenters:
Drs. Soki Kashima, Tara Sanft, Zachary Yochum, Ro Malik, @braunmdphd.bsky.social, Aarti Bhatia, @ncasasanta.bsky.social, Jing Du, and Ismail Ajjawi.
@yaleschoolofmed.bsky.social
ncasasanta.bsky.social
🔹60% dc T-DXd, 21% for AEs, 11% pt decision vs T 3.4% for AEs
🔹12% developed ILD, 2 grade 5 events🫁
🔹use of ET in HR+ group remains low
🔹for control arm low utilization of T-DXd in 2nd line 10%
🔹still awaiting results of T-DXd monotx arm
ncasasanta.bsky.social
🚨Practice changing interim results DESTINY-Breast09 evaluating 1st Line T-DXd + P vs THP in HER2+ MBC
🔹PFS 40.7 m vs 26.9 m!
🔹PFS2 not reached vs 36.5 m
🔹 OS immature
#ASCO2025
ncasasanta.bsky.social
🔸 ctDNA+ TNBC pts after NAT strong predictor of recurrence HR 9.5 CI 2.6-35 p=0.0006
🔸 ctDNA+ in TNBC pts after NAT has the potential to become a strong prognostic marker that could guide adjuvant therapy decision making
#ASCO2025
ncasasanta.bsky.social
Lots of buzz around TBCRC 040 PREDICT-DNA trial presented by Dr. Natasha Hunter 🐝 ➰
➡️ Among pts w/ Stg II-III HER2+ & TNBC receiving NAT ctDNA may be may be a better biomarker than pCR for longterm outcomes 🧬
🔸54% ctDNA <100 ppm after NAT
🔸NPV for residual disease 60%
ncasasanta.bsky.social
🔹Imbalance between lines of therapy makes interpretation challenging
ncasasanta.bsky.social
Innovative SERENA-6 trial: at molecular progression switch to SERD w/ continuation of CDK4/6i in HR+ MBC improved PFS1✅
🔹PFS2 & OS not mature
🔹 Improved TTD in QOL
🔹Control group PFS still 9.2 m
🔹Awaiting data on clearance of ctDNA after switch
#ASCO2025
nejm.org
NEJM.org @nejm.org · Jun 1
SERENA-6 phase 3 trial: In patients with advanced breast cancer, switching to camizestrant with a CDK4/6 inhibitor after ESR1-mutation detection (and before disease progression) led to significantly longer progression-free survival. nej.md/4k1dRml

#ASCO25 @ascocancer.bsky.social
ncasasanta.bsky.social
Inspirational words on positioning yourself for success by these four women physician leaders! Sharing advice with early career women in oncology. Now we have the tools for success🛠️✨#ASCO2025 @maryamlustberg.bsky.social @drgattimays.bsky.social @yalecancer.bsky.social
ncasasanta.bsky.social
Looking forward to joining the research community investigating ADCs!✨ @yalecancer.bsky.social
ncasasanta.bsky.social
Outstanding talk by Dr. Ian Krop on antibody drug conjugates in the era of targeted therapies. 🔬So much groundbreaking work has been done and there’s still more work to do in understanding mechanism, mechanisms of resistance, and biomarkers for response📈📌 #ASCO2025
Reposted by Nicole Casasanta, MD
nejm.org
NEJM.org @nejm.org · May 31
INAVO120 trial: In patients with PIK3CA-mutated advanced breast cancer, inavolisib added to palbociclib–fulvestrant led to a significant overall survival benefit, with a higher incidence of certain toxic effects than placebo. nej.md/3Zje7Vt

#ASCO25 @ascocancer.bsky.social
Reposted by Nicole Casasanta, MD
nejm.org
NEJM.org @nejm.org · May 31
In advanced breast cancer, progression-free survival was significantly longer with vepdegestrant than with fulvestrant among patients with ESR1 mutations but not in the full patient population. Full VERITAC-2 phase 3 trial results: nej.md/3ZoCL7g

#ASCO25 @ascocancer.bsky.social
ncasasanta.bsky.social
Impressive & practice changing ASCENT-04/KEYNOTE-D19 evaluating sacituzumab go ite an + pembro vs chemo + pembro in 1st Line PDL1+ metastatic TNBC demonstrating PFS 11.2 vs 7.8 months! 🚨Much needed improvement in 1st Line metastatic TNBC #ASCO2025
Reposted by Nicole Casasanta, MD
yalecancer.bsky.social
Congratulations to our faculty and fellows on their awards from @conquercancer.bsky.social at #ASCO25!
(l-r) Drs. Mariya Rozenblit, @ncasasanta.bsky.social, Devora Isseroff and Benjamin Lu.
Learn more ➡️ yalecancercenter.org/news-article...
@ascocancer.bsky.social @yaleschoolofmed.bsky.social
ncasasanta.bsky.social
Great start to #ASCO2025 with Yale Cancer Center and at the @conquercancer.bsky.social
Awards Ceremony🏆 So grateful to have the opportunity to research improved biomarkers for ADC response in patients with HER2-low, HER2-ultralow, and HER2 0 breast cancer 🔬🩺
ncasasanta.bsky.social
Looking forward to seeing the data for neoadjuvant T-DXd ➡️ THP in patients with high risk, locally advanced HER2+ breast cancer! 💉
Rates of ILD similar among T-DXd/THP vs ddAC-THP arms🫁
oncoalert.bsky.social
NEWS FROM INDUSTRY🚨 Source AstraZeneca
DESTINY-Breast11 Update

DESTINY-Breast11 sees trastuzumab deruxtecan followed by paclitaxel, trastuzumab, and pertuzumab improved pathologic complete response rates compared to the standard neoadjuvant regimen

www.astrazeneca.com/media-centre...