Prof Tom John
@drtomjohn.bsky.social
1.2K followers 1.2K following 43 posts
Thoracic medical oncologist Peter Mac All expressed views are my own Musician (mayhemtom) - debut album now on Spotify Mayhemtom.com.au linktr.ee/mayhemtom
Posts Media Videos Starter Packs
drtomjohn.bsky.social
Looking forward to playing with @drsanjaypopat.bsky.social - a lot of fun rehearsing covers and @mayhemtomi tracks. Check us out tonight @iaslc.bsky.social #wclc2025
drtomjohn.bsky.social
So much fun rehearsing some acoustic tunes with @drsanjaypopat.bsky.social - don’t forget to stick around after the #WCLC25 plenary tomorrow evening @iaslc.bsky.social
drtomjohn.bsky.social
Looking forward to playing some tunes with my good friend and musician @drsanjaypopat.bsky.social tomorrow at #WCLC25. Make sure you stick around at the welcome reception Saturday evening!
Reposted by Prof Tom John
shalinivinod.bsky.social
🇦🇺 guidelines for #lungcancer screening. Screening coming 1st July. Great step forward in #lungcancer Mx. Spread the word. www.health.gov.au/our-work/nlc... @newsgp.bsky.social @ausgov.bsky.social @drtomjohn.bsky.social @bensolomon1.bsky.social @dkarikios.bsky.social
www.health.gov.au
drtomjohn.bsky.social
Fantastic work to get this happening 🙌🏾🙌🏾🙌🏾
Reposted by Prof Tom John
drtomjohn.bsky.social
Close to releasing first single from new album. If you’re interested please presave it. Presaves help the #spotifyaunz and #applemusic algorithm figure out how hot a #indie #indiemusic track might be. gyro.to/Atheistic
Atheistic
Listen to content by Mayhemtom.
gyro.to
Reposted by Prof Tom John
hhorinouchi.bsky.social
🔥 @natmedicine.bsky.social 🆙
✅Molecular residual disease analysis of adj osimertinib in resected EGFR-mutated stage IB–IIIA NSCLC
🎯MRD preceded imaging DFS by a median of 4.7
🩸RaDaR MRD analysis
👥 Dr. Roy Herbst @drtomjohn.bsky.social
#LCSM @oncoalert.bsky.social
www.nature.com/articles/s41...
drtomjohn.bsky.social
It’s in the paper. Median follow up time from randomisation was 44.2 months in Osi arm and 19.1 months in placebo. Median follow up post Osi was 11.7months
drtomjohn.bsky.social
My concern with this is that CNS was a common site of recurrence and there is morbidity and mortality associated. Nuanced discussion with patient re: toxicity vs waiting. I suspect most of my pts would take Osi, but close surveillance also very reasonable.
drtomjohn.bsky.social
Random chance from small numbers. But note that baseline is post surgery +/- chemo. More likely MRD+ if higher stage and also MRD+ effectively is St4, as on cessation of Osi, all MRD+ recurred
drtomjohn.bsky.social
I think these data highlight the relevance of MRD assays in guiding treatment decisions esp in oncogene driven tumours. This may mean longer duration of therapy though.
drtomjohn.bsky.social
MRD RaDaR assay was 65% sensitive and 95% specific. The co-mutation data are also interesting. TP53 seems to also be associated with poorer outcomes in early stage disease #NSCLC #Earlystage @petermaccc.bsky.social
drtomjohn.bsky.social
In this study we found that very few pt developed MRD positivity on Osi, but on cessation of Osi 17% developed MRD+ and most within 12mo of stopping
Reposted by Prof Tom John
tnewsomdavis.bsky.social
Non KRAS G12C mutations an important unmet need in lung cancer: we see them often, including in non-smokers

Nice work here highlighted by @drtomjohn.bsky.social

We hope to open 1L RMC-6236 trial at Chelsea & Westminster later this year
drtomjohn.bsky.social
Congratulations to Adel from @petermac for this analysis showing KRAS G12D patients are more likely to be non-smokers but also associated with low PDL1, comutations with TP53/STK11 and derive limited immunotherapy response. Area of need for targeted Rx #LCSM smex-ctp.trendmicro.com/wis/clicktim...
smex-ctp.trendmicro.com
drtomjohn.bsky.social
Congratulations to Adel from @petermac for this analysis showing KRAS G12D patients are more likely to be non-smokers but also associated with low PDL1, comutations with TP53/STK11 and derive limited immunotherapy response. Area of need for targeted Rx #LCSM smex-ctp.trendmicro.com/wis/clicktim...
smex-ctp.trendmicro.com
drtomjohn.bsky.social
Thank you Professor! You and Jonathan Cebon were the inspiration and mentorship behind me getting here!