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Tiago Biachi Profile
Tiago Biachi

@BiachiTiago

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GI Medical Oncologist, Associate Member Moffitt Cancer Center, Associate Professor USF, views are my own

Tampa, FL
Joined March 2019
Don't wanna be here? Send us removal request.
@BiachiTiago
Tiago Biachi
2 months
The most exciting achievement I've ever had, I've been promoted to a DAD!
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@BiachiTiago
Tiago Biachi
3 years
CAR-T cell therapy is coming to stay for solid tumorsโ€ฆ 61% ORR in 3L for #gastriccancer in ph1 trial is really promising!! @myESMO @OncoAlert
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@BiachiTiago
Tiago Biachi
2 years
I am thrilled to announce that I am joining @MoffittNews as Medical Oncologist - Associate Member at Gastrointestinal Medical Oncology Department. Grateful for all my colleagues and mentors in Brazil and US.
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@BiachiTiago
Tiago Biachi
2 years
Unbelievable data presented by @AndreaCercek with 100% CR for MSI rectal cancer with dostarlimab. No surgery, no chemo, no radiation and NO CANCER! Congrats you all! @AndreaCercek @LumishMelissa , Luiz Diaz and @MSKCancerCenter team! @OncoAlert #asco22
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@BiachiTiago
Tiago Biachi
2 years
Driving to our next home, full loaded with suitcases and dreams. Thanks NY and @MSKCancerCenter for everything.
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@BiachiTiago
Tiago Biachi
2 years
This is not a waterfall plot, we need another name for this! Congrats @MyriamChalabi ๐Ÿ‘๐Ÿผ๐Ÿ‘๐Ÿผ๐Ÿ‘๐Ÿผ @myESMO #ESMO22
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@BiachiTiago
Tiago Biachi
2 years
#ASCO22 NICHE trial in localized #CRC treated with neoadjuvant short course of NIVO+IPI: โœ… 97% of major path response in MSI โœ… 30% of path response in MSS (including 3 pCR) โ‰๏ธLot to learn from these MSS cases โ—๏ธBright solutions are coming up for MSI @OncoAlert
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@BiachiTiago
Tiago Biachi
2 years
Here, few interesting abstracts in GI that are going to be presented at #ESMO22 1) MOONLIGHT Ph2 trial showed inferior outcomes with sequential FOLFOX->nivo/IPI compared to concurrent FOLFOX/nivo/ipi. However, AE G โ‰ฅ3 were seen in 93% and SAE in 70% with concurrent strategy.
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@BiachiTiago
Tiago Biachi
3 years
Merry Christmas and a Happy New Year filled with love, compassion, health and peace to everyone!
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@BiachiTiago
Tiago Biachi
2 years
#ASCO22 @michael_overman CheckMate 142 in MSI #CRC : Impressive data from the small cohort 3 (1L; NIVO3 Q2W+IPI1 Q6W): โœ… ORR 71% โœ… 48-mo PFS 51% โœ… Median PFS and OS NR โœ… G3-4 tox 80% (~ other cohorts)
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@BiachiTiago
Tiago Biachi
2 years
Adjuvant GemCis vs cape for LN+ extra hepatic CCA phase 2 STAMP trial: โœ… DFS 14.3 vs 11.1 mo (HR=0.96,p=0.8) โœ… OS 35.7 vs 35.7 mo (HR=1.08,p=0.8) โœ… G3-4 AE 84% vs 16% โœณ๏ธ GemCis more toxic and did not improve outcomes โœณ๏ธ Waiting for ATTICA-1 trial data @OncoAlert #ASCO22
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@BiachiTiago
Tiago Biachi
4 years
70โ„… of 6m-PFS mEGA is amazing! Congrats @YJanjigianMD
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@BiachiTiago
Tiago Biachi
2 years
FOX interview earlier today discussing #ColorectalCancerAwarenessMonth 1/3 US pop. eligible for a colonoscopy never had one. 1/3 US pop. is outdated with colonoscopyโ€ฆ We can do much better! @MoffittNews @USFNews
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@BiachiTiago
Tiago Biachi
2 years
NALIRIFOX improved OS vs GemNab in NAPOLI 3 trial. Looking forward to see these numbers. #PancreaticCancer @OncoAlert @MoffittNews
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@BiachiTiago
Tiago Biachi
2 years
To wrap up my first week as attending in US I got this beautiful surprise! So proud to be here @MoffittNews !
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@BiachiTiago
Tiago Biachi
1 year
Thanks @PatrickHwuMD ! It's an honor and a privilege to be part of an organization that deeply cares about its employees and empowers our patients and their families to be part of their healthcare experience. @MoffittNews
@PatrickHwuMD
Dr. Patrick Hwu
1 year
Dr. Tiago Biachi is a medical oncologist and associate member in the Department of Gastrointestinal Oncology @MoffittNews ! Go give him a follow @BiachiTiago ! #FollowFriday
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@BiachiTiago
Tiago Biachi
1 year
Brazilian team in the first soccer tournament at #ASCO2023 . Congrats Argentina, weโ€™ll see you next year on finals again!๐Ÿ˜œ Thanks @DrChoueiri for the organization!
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@BiachiTiago
Tiago Biachi
3 years
What amazing curves! HIMALAYA trial showed 2.6 OS gain with T300+D vs sorafenib. New SOC presented by @GABOUALFA at #gi22
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@BiachiTiago
Tiago Biachi
3 years
Starting the day with good newsโ€ฆPassed on step 3 #usmle ๐Ÿ˜…
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@BiachiTiago
Tiago Biachi
2 years
It seems that mailing letters is not enough for #colorectal cancer screeningโ€ฆ
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@BiachiTiago
Tiago Biachi
2 years
Less is more in #crc oral abstracts #asco22 โœ… donโ€™t resect the asymptomatic primary tumor in stage IV โœ… donโ€™t use triplet with anti-EGFR โœ… donโ€™t use CT plus a ti-EGFR continuously (in asymptomatic) @OncoAlert
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@BiachiTiago
Tiago Biachi
2 years
Amazing days with family in Orlando
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@BiachiTiago
Tiago Biachi
2 years
Time to pause oncology&ASCO stuff to enjoy our families here in NYC
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@BiachiTiago
Tiago Biachi
2 years
Best of ASCO 2022! Will discuss most relevant presentations in GI oncology at @BrasilOncologia
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@BiachiTiago
Tiago Biachi
3 years
Several patients come to clinic with advanced pancreatic cancer asking why don't we try immunotherapy even w/o response predictors... here are the @EileenMOReilly โ€˜s answers (one of the most brilliant pancreatic cancer specialist in my opinion)
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@BiachiTiago
Tiago Biachi
4 years
This week's presentation for Global Fellows Conference... almost done! @GABOUALFA @YJanjigianMD @Gustavo40678803 @sloan_kettering @hsiriolibanes
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@BiachiTiago
Tiago Biachi
4 years
Must read in times of immunotherapy trials in gastroesophageal tumors using multiple endpoints...
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@BiachiTiago
Tiago Biachi
3 years
CheckMate data on #esmo . Nivo/IPI arm didnโ€™t significantly improve OS versus chemo in first line #gastriccancer . Chemo/nivo arm remain SOC worldwide for CPS > 5. Congrats @YJanjigianMD and all investigators! Huge step forward! @myESMO @OncoAlert
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@BiachiTiago
Tiago Biachi
3 years
First, do no harm. No benefit of adding oxaliplatin in elderly with metastatic #colorectal cancer
@ILSONDavid
ILSON David
3 years
No PFS or OS benefit for adding oxaliplatin to FU BEV in elderly M1 colorectal cancer. Congratulations to our Japanese colleagues who continue to guid us to do no harm.
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@BiachiTiago
Tiago Biachi
2 years
FOENIX-CCA2 phase 2 trial: Futibatinib for iCCA with FGFR2 fusion/rearrang and PD โ‰ฅ1L โœ… ORR 41.7% โœ… mDOR 9.5 mo โœ… mPFS was 8.9 mo, โœ… 12mo PFS 35.4% โœ… mOS 20.0 โœ… 12mo OS 73.1% ~ population of Pemigatinib and Infigratinib Next? study co-alterations and MoR! #ASCO22
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@BiachiTiago
Tiago Biachi
3 years
Ramadan Kareem to all Muslim friends around the globe!๐Ÿ™๐Ÿผ #RamadanMubarak
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@BiachiTiago
Tiago Biachi
5 years
I am thrilled! My IIT is almost open! Durvalumab for unresectable esophageal SCC following CRT!
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@BiachiTiago
Tiago Biachi
5 years
Retrospective data: No benefit for adjuvant CT or CRT in MSI or EBV pos GC pts. Huge benefit in those with p53 aberrant expression with IHC...
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@BiachiTiago
Tiago Biachi
2 years
7) Exploratory analysis from DYNAMIC study in stage II CRC: among pts with positive post-op ctDNA, 6.5% among those converted to negative ctDNa recurred compared to 71% for those who remained ctDNA positive. ctDNA more sensitive for predicting distant than locoreg recurrences.
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@BiachiTiago
Tiago Biachi
3 years
Launch event of Nivolumab for gastroesophaeal cancer in Brazil on Nov/06. @YJanjigianMD @Gustavo40678803
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@BiachiTiago
Tiago Biachi
11 months
Happy Thanksgiving!
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@BiachiTiago
Tiago Biachi
3 years
Thankful for having all my loved ones in Brazil healthy! #HappyThanksgiving2021
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@BiachiTiago
Tiago Biachi
8 months
Honored for being nominated Captain for Colorectal cancer at @FLASCO_ORG Looking forward to working together, spreading the word about prevention, research, novel therapies, targets and minority populations! @MoffittNews @CrcTrialsChat @CCAlliance @FightCRC
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@BiachiTiago
Tiago Biachi
2 years
Ph3 adjuvant HAIC-FOLFOX for resected HCC MVI+: โœ…DFS 27.0 vs 11.3 months โœ…3yDFS rates 44.3% vs 24.2% โ‡๏ธHAIC really works for HCC โ‡๏ธIO trials ongoing and we will have to gather all data #ASCO22 @OncoAlert
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@BiachiTiago
Tiago Biachi
2 years
#ASCO22 SEQUENCE ph2 trial: provocative data on sequential nab-P/Gem-FOLFOX vs FOLFOX for met #PDAC #pancreaticcancer : โœ… 12mo OS 55% vs 35% โœ… 12mo OS 22% vs 7% โœ… Median OS 13.2 vs 9.7 months โœ… More hem tox. with seq. regimen @OncoAlert @MSKCancerCenter
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@BiachiTiago
Tiago Biachi
3 years
After sidedness data in CRCโ€ฆ a poster in #GI22 discussing โ€œsidednessโ€ in #pancreaticcancer ๐Ÿ˜ฑ
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@BiachiTiago
Tiago Biachi
3 years
Now Brazilian EGC pts have access to IO in first line and adjuvant settings.. Nivolumab launch event this morning #gastriccancer #Immunotherapy @YJanjigianMD
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@BiachiTiago
Tiago Biachi
5 years
Upper GI session with @ILSONDavid at II Brazilian Oncology Week!
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@BiachiTiago
Tiago Biachi
5 years
INTERSECTIONS 2019: Sirio-Libanes Hospital and MSKCC Meeting! Upper GI Section! @hsiriolibanes @sloan_kettering
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@BiachiTiago
Tiago Biachi
4 years
My summary of #ASCOGI21 #GI21 for HBP cancer 1.Alliance A021501: FOLFIRINOX x8 was superior to FOLFIRINOX followed by RT in borderline PADC in 18mOS (68 vs 47%) and R0 resection (42 vs 25%).
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@BiachiTiago
Tiago Biachi
3 years
TOPAZ trial: 685 pts with BTC randomized,huge effort, and now the new SOC with 1.3 months gain in OS. Important step forward (first since 2010) but biomarkers still neededโ€ฆ #gi22
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@BiachiTiago
Tiago Biachi
1 year
A brilliant new era is about to start for Moffitt! Thrilled to be here!
@MoffittNews
Moffitt Cancer Center
1 year
โ€œIn just 12 days, we will be welcoming the first patients through those doors โ€“ all while ushering in a new era of hope in the fight against cancer. I couldnโ€™t be prouder of our Moffitt team and our partners who have dedicated their time to ensuring a successful opening of this
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@BiachiTiago
Tiago Biachi
4 years
Now recruiting.. DESC trial... My IIT for unresectable ESCC with durvalumab following definitive CRT without cCR..
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@BiachiTiago
Tiago Biachi
2 years
CONKO-007 ph3 trial: CRT 50.4Gy+Gem after CT vs CT alone for LA-PDAC: โœ…CRT did not improve PFS/OS โœ…Higher R0/CRM- resect. rate and pCR โœณ๏ธBenefit in resect. did not translate in survival โœณ๏ธNeed more translational data to guide, high risk of distant failure @OncoAlert #ASCO22
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@BiachiTiago
Tiago Biachi
4 years
Webinar tomorrow... Immunotherapy in esophageal cancer with @YJanjigianMD and @RachelRiechelm2
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@BiachiTiago
Tiago Biachi
2 years
PDAC has blocked another attempted shot: CCTG PA.7 ph2 trial failed to prove benefit adding durva/trem to GemNab. KRAS wt subgroup seems to be good at dribbling against a defensive TME (more data needed).
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@BiachiTiago
Tiago Biachi
3 years
Non colorectal GI mini orals today at #esmo21 Fruitful session and amazing discussion with @YJanjigianMD on sintilimab trials in esoph SCC and adeno as well as T-DXd in Western 2nd line HER-2 positive GC @myESMO
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@BiachiTiago
Tiago Biachi
2 years
DANTE ph2 trial: Periop FLOT +/- Atezo in GEA: โœ… 8.5% MSI; 50% PD-L1+, 23% PD-L1 CPS โ‰ฅ5 โœ… Downsizing (pT0, 23% vs 15%; pN0, 68% vs 54%) โœ… Post-op compl. in 43% โœณ๏ธ Promising activity (MATTERHORN ongoing) โœณ๏ธ Should we consider trials with all chemo pre-op? @OncoAlert #ASCO22
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@BiachiTiago
Tiago Biachi
5 years
I really hope this pandemic resets the worldโ€™s priorities.
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@BiachiTiago
Tiago Biachi
5 years
Meet the professor at Sirio Libanes Hospital with Andrea Cercek (MSKCC) e our GI team colleagues !
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@BiachiTiago
Tiago Biachi
3 years
The level of complexity we are facing is impressiveโ€ฆ
@NaturePortfolio
Nature Portfolio
3 years
A study in @NatureNano finds that tumour cells can hijack mitochondria from immune cells by forming physical nanotubes and suggests that inhibiting this process might represent a potential immunotherapy approach.
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@BiachiTiago
Tiago Biachi
4 months
This month we had @lenzgabriel_md from Brazil for observership at @MoffittNews - Academic Visiting Scholar Program! I wish you all the success in this journey about to start! Sure youโ€™ll be a great oncologist!
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@BiachiTiago
Tiago Biachi
2 years
HERB ph 2 trial: T-DXd for HER2+ BTC โœ…ORR 36.4% โœ…PFS 4.4 mo, OS 7.1 mo โœ…Gโ‰ฅ 3 in 81.3%, Gโ‰ฅ 3 ILD 12% โœณ๏ธHER2 is a target in BTC, T-DXd is active but toxicity was significant; โœณ๏ธ ZW25 trial ongoing (NCT04466891) @OncoAlert #ASCO22
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@BiachiTiago
Tiago Biachi
4 years
Brain metastases from CRC.. Great job @renata_bonadio
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@BiachiTiago
Tiago Biachi
2 years
Congrats @GABOUALFA for this impressive and practice changing trial! Your dedication is really inspiring! Tremelimumab plus Durvalumab in Unresectable Hepatocellular Carcinoma | NEJM Evidence
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@BiachiTiago
Tiago Biachi
3 years
If you are a researcher, imagine having an 87% cut in your project budget. This is the size of the budget cut to the Ministry of Science and Technology by the Brazilian government. 87%.
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@BiachiTiago
Tiago Biachi
3 months
Looking for a great hands-on course on complex HPB surgery? You just found it! This one is led by faculty from the Moffitt HPB Group and renowned national and international guest faculty. @MoffittNews @MHepatobiliary
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@BiachiTiago
Tiago Biachi
2 years
Eisenhower Matrix can help to maintain mental health.
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@BiachiTiago
Tiago Biachi
2 years
Good news on biliary tract cancer! Pembro plus chemo improved overall survival in KN-966! #cholangiocarcinoma @MoffittNews
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@BiachiTiago
Tiago Biachi
5 years
Lecturing and sharing experiences about esophageal cancer.. Thank you guys for inviting me to join this event @rcarvalhoonco @Lucasvsmd
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@BiachiTiago
Tiago Biachi
4 years
My summary for CRC in #ASCOGI21 1.KN177: Confirmed improvement in OS with pembro (48 vs 33%) and PFS (16 vs 8 mo). Now improved PFS2 (NR vs 23 mo).
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@BiachiTiago
Tiago Biachi
2 years
2022 is the year and patients with metastatic #crc are still coming for second opinion with only KRAS tested and no MMR status. This is incredibly sad!
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@BiachiTiago
Tiago Biachi
2 years
Nimotuzumab/CRT for unresectable ESCC -NXCEL1311 ph3 trial: โœ… ORR 93% vs 72% โœ… No OS data yet โœ… G3-5 AEs 11.1% vs.10.9% โœ… No severe skin tox โ‡๏ธ Agreed that we buried EFGR too early in ESCC โœณ๏ธ Lot to learn how select between EGFR and/or IO combined to CRT @OncoAlert #ASCO22
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@BiachiTiago
Tiago Biachi
2 years
PARADIGM ph3 trial: RAS wt mCRC received FOLFOX plus Pmab versus Bev โœ… Pmab improved OS HR 0.84 in ITT and 0.82 in left-sided; โœ… Pmab did not improve PFS (HR 1.01) โœ… Pmab improved RR 75% vs 67% and R0-resec. rate 16 vs 11% BUT ... ๐Ÿ‘‡๐Ÿผ
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@BiachiTiago
Tiago Biachi
7 months
June Rogers Memorial Grand Round at @MoffittNews with Dr Habr-Gama being recognized for developing selective nonoperative treatment for rectal cancer by Dr Leonard Saltz from @MSKCancerCenter @CrcTrialsChat @FightCRC @ColonCancerFdn
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@BiachiTiago
Tiago Biachi
2 years
IMPROVE ph2 trial: intermit vs cont Pmab plus FOLFIRI 1L RAS/BRAFwt mCRC โœ…PFS 17.6 vs 12.6 mo favoring intermit. group โœ… Less G3-4 tox with intermit(skin 13/27%) โœณ๏ธ Consider time off chemo or de-escalate (marathon! not a sprint) โœณ๏ธ ctDNA will help to guide @OncoAlert #ASCO22
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@BiachiTiago
Tiago Biachi
25 days
Pray for Florida, pray for Tampa Bay Area! Stay safe, keep your families safe, evacuate if asked to do so We will get through this together! #hurricanemilton
@NWSTampaBay
NWS Tampa Bay
25 days
(1/3) Hurricane #Milton Update - 10/7 - 5PM โš ๏ธIf the storm stays on the current track, it will be the worst storm to impact the Tampa area in over 100 years. ๐Ÿ—ฃ๏ธ Please evacuate if told to do so. โš ๏ธ Complete all prep before tomorrow night #FLwx
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@BiachiTiago
Tiago Biachi
4 years
Better days are coming ๐Ÿ™๐Ÿผ #COVID19
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@BiachiTiago
Tiago Biachi
2 years
Thanks France and Argentina for best World Cup final ever!
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@BiachiTiago
Tiago Biachi
4 years
II Brazilian Congress Digestive Cancer: Advances in gastroesophageal cancer In few minutes at
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@BiachiTiago
Tiago Biachi
14 days
Heading to Miami for the UM Annual Oncology update! Thanks @GlopesMd for the invitation! @CCAlliance @FightCRC @MoffittNews
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@BiachiTiago
Tiago Biachi
1 year
In person @OncLive event in Tampa September 13th: Gastrointestinal Cancer Updates @MoffittNews
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@BiachiTiago
Tiago Biachi
3 years
This year Brazilian Congress of Clinical Oncology is hybrid! Nice section to discuss #gastriccancer and promising targets! @SBOC_Oncologia
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@BiachiTiago
Tiago Biachi
3 years
Soโ€ฆ should we discuss non-operative management for #MSI #gastriccancer in future trials? #GI22
@ASCO
ASCO
3 years
Neoadjuvant nivo + ipi shows encouraging activity in MSI/dMMR EGJ/gastric adenocarcinoma w/ a pCR rate of 59%, according to study results presented at #GI22 . #ASCODailyNews #GICSM #immunoonc #gionc
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@BiachiTiago
Tiago Biachi
1 month
LEADING THE WAY Join us at the Moffittโ€™s first annual summit on enhancing value in cancer care @MoffittNews
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@BiachiTiago
Tiago Biachi
3 years
So honored to represent @MSKCancerCenter at @liverUSA Academic Debates! Thanks @jalpa_devi for sharing presentation and joining us 2AM from Pakistan and @GABOUALFA for mentoring us!
@GABOUALFA
Ghassan Abou-Alfa
3 years
Winning team! Congratulations @MSKCancerCenter @MSK_DeptOfMed @BiachiTiago and @LUMHS_Jamshoro @jalpa_devi for super debate @liverUSA . @GABOUALFA greatly honored to help mentor you both! Impressive @jalpa_devi to join at this late hour 2am in #jamshoro #Pakistan . Thank you team!
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@BiachiTiago
Tiago Biachi
6 months
Massive floods in Brazilโ€™s southern Rio Grande do Sul state (where my family lives) have killed at least 90 people over the last seven days, and another 103 were reported missing, and more 100,000 displaced people from their homes.
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@BiachiTiago
Tiago Biachi
2 years
Piece of Brazil on the Upper West side.. Brazilian cheesebread and aรงaรญ bowl at #tapNYC
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@BiachiTiago
Tiago Biachi
5 months
Itโ€™s been a honor to be a FLASCO member supporting itโ€™s mission - advocacy, education and communication. As CRC Captain I hope to help disseminate knowledge and research in CRC, reducing disparities and increasing access. @FLASCO_ORG @MoffittNews @FightCRC @CCAlliance
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@BiachiTiago
Tiago Biachi
2 years
Iโ€™ll be discussing most relevant trials on GI Oncology presented at #ASCO22 . Stay tuned to @BrasilOncologia platforms and website.
@BrasilOncologia
Oncologia Brasil
2 years
Dr. Tiago Biachi convida vocรช acompanhar a cobertura de um dos maiores eventos cientรญficos no mundo, que acontecerรก entre 3 e 7 de junho! Nรฃo perca! Para saber mais acesse: #mdhealth #oncologiabrasil #ASCO22 #oncologia #congresso #sa รบde #ci รชncia
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@BiachiTiago
Tiago Biachi
4 years
@YJanjigianMD
Yelena Y. Janjigian MD
4 years
Great case discussion and review of KN181 data by the talented @BiachiTiago #esophagealcancer #Immunotherapy
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@BiachiTiago
Tiago Biachi
5 years
Brazilian Gastric Cancer Association - 20 years.
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@BiachiTiago
Tiago Biachi
4 months
Check it out! We discussed liver transplant, immunotherapy, targeted therapies and much more in #colorectalcancer presented at #ASCO24 @MoffittNews
@Sameh_VuMedi
Sameh @ VuMedi
4 months
Check out Dr. Richard Kim & Dr. Tiago Biachi @BiachiTiago @MoffittNews discussing #ASCO24 Key Studies in CRC and their clinical implications (TRANSMET, CheckMate 8HW, NEOPRISM, and PanaMa) Full๐Ÿ“ฝ๏ธon #VuMedi ๐Ÿ‘‡ #CRCSM #gicsm #ColorectalCancer
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@BiachiTiago
Tiago Biachi
5 months
So well deserved! Congrats!!
@MyriamChalabi
Myriam Chalabi
5 months
Ecstatic and proud to share the NICHE-2 results, now published in @NEJM . Out of 111 pts, 95% had an MPR , and 68% a pCR after only 4 weeks of #neoadjuvant #immunotherapy . Grateful to the pts and colleagues who made this possible. @HaanenJohn
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@BiachiTiago
Tiago Biachi
2 years
Let the games begin! #WorldCup2022
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@BiachiTiago
Tiago Biachi
2 years
Ph 3 trial with nimotuzumab plus GEM in 1L for KRAS WT PDAC: โœ… OS 10.9 vs. 8.5 months HR 0.50 โœ… 1yOS 43.6% vs 26.8% โœ… 3yOS 13.9% vs 2.7% Interesting data but.. โŽOutdated backbone โŽWhat about those BRAFmut /KRASwt PDAC ? #ASCO22 @OncoAlert
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@BiachiTiago
Tiago Biachi
2 years
Ph1 trial with CLDN18.2-targeted CAR T cells in GC: โ€ผ๏ธORR 57%, DCR 75% and 6mo-OS 81% โœ… CLDN 18.2 is definitely a target in GC โœ… CAR T discussion will be part of our routine for most solid tumors in the near future
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