John Cramer, MD
@Jdcramer
Assistant Professor at Wayne State University. Head & Neck Oncologic Surgeon. Health services, quality improvement & outcomes researcher. All opinions my own.
On Head and Neck Cancer Day, we’re sharing a list of top trials in #HNC from 2025. 🔗 Follow us for latest clinical trials and insights from the world of oncology 👉 clin.larvol.com #LARVOL #CancerResearch #Oncology #ClinicalTrials #CancerData #OncologyInsights…
New AJCC9V staging for HPV+ OPC refines nodal classification by incorporating ENE. Modest improvement—but we still face a disconnect between pathologic and clinical staging systems. #HNSCC #HPV #AJCC thelancet.com/journals/lanon…
In our latest Voices of #Otolaryngology episode, Amanda Dilger, MD, and Neelima Tummala, MD, share game-changing sustainability strategies with Rahul Shah, that ENT practices can start implementing today to make a difference. hubs.ly/Q03xxS2p0 #SustainableENT #AAOHNS #ENT
Original Article: Neoadjuvant and Adjuvant Pembrolizumab in Locally Advanced Head and Neck Cancer (KEYNOTE-689 phase 3 trial) nej.md/45X0Nuc Editorial: Harnessing Immunotherapy in Curative-Intent Treatment of Head and Neck Cancer nej.md/4e6T0fr #Oncology
Boom!💥 @FDA approves neoadjuvant and adjuvant pembrolizumab for resectable locally advanced head and neck squamous cell carcinoma, ushering in a new standard of care for the first time in decades. fda.gov/drugs/resource…
Great to be @ASCO for yet another plenary session featuring HNSCC. NIVOPOSTOP is POSITIVE! Exciting advance & option for high risk resected HPV- pts. But given the EFS benefit & reduction in DM seen in KN689 for stage 3 pts in particular, these results/trials are not equivalent.
This #WorldNoTobaccoDay, learn how quitting can lower your risk of cancer in the mouth, throat & voice box: buff.ly/V4774yy Your health. Your choice. Your voice. #AHNS #TobaccoFree #CancerAwareness #HeadAndNeckCancer
Very powerful and insightful discussion by Prof Kevin Harrington @royalmarsden on KN-630 and C-POST The slides speak volumes and it isn’t just about the timing of anti-PD-1 😜 @KaramLab @CJTsaiMDPhD @seanmmcbride @PBlanchardMD #ASCO2025 #Skincancer #Cutaneouscancer
‼️ #ASCO25 simultaneous publication by Zandberg et al: A Phase II (Alliance A091802) Randomized Trial of Avelumab Plus Cetuximab vs. Avelumab Alone in Advanced Cutaneous Squamous Cell Carcinoma (cSCC). Read the full article: brnw.ch/21wT48e
Adjuvant cemiplimab improves DFS in high-risk cSCC (HR 0.32). Among the strongest DFS signals I've seen. Starting ICI after RT may be key—avoids immune suppression. OS flat, likely due to high crossover. 🔗 nejm.org/doi/full/10.10…
#ASCO25 KEYNOTE-630 📒Adjuvant pembro after surgery and PORT for up to 9 cycles in high-risk locally advanced cutaneous squamous cell carcinoma did not improve RFS/OS. @DavidSherMD @DrJohndeAlmeida @KaramLab @xrtGenomics @imrtlee @MarcusButler_PM @seanmmcbride
On the contrary, adjuvant cemiplimab improved DFS in a similar population of cSCC after surgery and PORT. @DrNeilGross @MCWardMD @KaramLab @MarcusButler_PM @DrJohndeAlmeida @svporceddu
Proposal: for new oncology drugs or regimens for which clinical trial data conflict or are limited the FDA should offer 3 year conditional approval which becomes permanent only once the primary outcome is confirmed by a cooperative group-run real world prospective registry.
SBRT (6*6Gy) is a new treatment option for small oral cavity cancers (T1-2) at risk of local recurrence after resection (R1, PNI..): Julian Biau reports the STEREOPOSTOP GORTEC 2017-03. Convenient Fast Similar outcomes than post op brachy Mostly VMAT homogeneous plans #ESTRO25