OnCo

Research pulse

All sources →

What the leading journals, preprint servers, regulators, congress portals, and news outlets are saying about cancer right now, item by item with links, and the themes that run across them. A human reading of the field, not a feed.

Themes of the moment

read on 2026-09-08
The RAS era has arrived

Daraxonrasib's pancreatic approval on 26 August and its NEJM lung data a week later put pan-RAS inhibition at the centre of the field. The next questions are first-line and adjuvant use, combinations that pre-empt adaptive resistance, and, as STAT reports, whether patients can actually get the drug once approved.

carried by
ADC plus immunotherapy is the new first line

ASCENT-04's PFS2 analysis shows the benefit of sacituzumab govitecan plus pembrolizumab persists into the next line, mirroring EV-302 in bladder cancer. With Dato-DXd approved first line and Trodelvy's European label expanding, sequencing and payload cross-resistance become the practical problems.

carried by
ADC targets widen: B7-H3, Nectin-4 beyond bladder, dual and bispecific designs

B7-H3 ADCs are moving toward frontline small-cell and prostate strategies, Chinese Nectin-4 ADCs are reporting phase 1 across solid tumours, and deal flow (even for shelved programmes) shows demand outstripping supply of validated ADC assets.

carried by
T-cell engagers earn a place in solid tumours

DeLLphi-305 is the first phase 3 OS win for a bispecific T-cell engager in first-line maintenance small-cell lung cancer; DLL3 expression biology is being refined in parallel. Solid-tumour engagers now have a beachhead beyond uveal melanoma.

carried by
PD-1×VEGF: strong PFS, unsettled OS

The global HARMONi publication confirms the PFS effect of ivonescimab after EGFR-TKI failure without a significant OS gain, keeping the class promising but unproven on survival outside China. HARMONi-3 and the wave of follow-on bispecifics decide the story.

carried by
Radiopharmaceuticals expand earlier, and dosing gets debated

Pluvicto's approval in hormone-sensitive disease moves radioligand therapy years earlier in prostate cancer, while experts argue publicly that dosing schedules are too conservative and toxicity has already sunk at least one company. Alpha emitters and supply remain the frontier.

carried by
Personalised mRNA vaccines after INTerpath-001

The first phase 3 win for an individualised neoantigen vaccine has shifted the conversation to manufacturing, algorithms for neoantigen selection, and interception in high-risk settings such as pancreatic cancer. Politics around mRNA remains a live variable.

carried by
ESR1 and the oral SERD race

Camizestrant's accelerated approval, despite a negative advisory vote, endorses ctDNA-guided switching on ESR1 mutation before progression. With vepdegestrant and elacestrant already on the market, the debate is about endpoints and who benefits, not whether SERDs work.

carried by
Chemotherapy-free AML for fit patients

NEJM's head-to-head trials of azacitidine-venetoclax against intensive induction in fit patients, with an editorial, mark the point where the unfit-patient regimen challenges 7+3 itself.

carried by
AI in pathology and screening moves from validation to trials

Independent validation of AI TIL scoring in TNBC and the lessons from the MASAI randomised mammography trial show the field learning how to trial AI rather than just publish accuracy.

carried by
MCED faces the regulator

With the FDA advisory committee on Galleri due on 23 September and NHS-Galleri having missed its primary stage-shift endpoint, the argument has moved to what endpoints screening trials should use, as the medRxiv evidence audit shows.

carried by
Approval is not access

Reporting on patients unable to obtain daraxonrasib within weeks of approval, and NICE's ongoing appraisals, underline that reimbursement and distribution now gate benefit as much as regulatory decisions.

carried by
Supportive care: the evidence exists, the implementation lags

Geriatric assessment reduces toxicity and exercise improves survival, yet delivery is patchy; new data on metabolic syndrome under ADT and a cachexia mechanism paper show how much of outcome is decided outside the tumour.

carried by
Dealmaking gets surgical

Buyers pay for specific validated assets, often licensed from China, rather than platforms; commentators ask who decides which candidates advance when generation is no longer the bottleneck.

carried by

What each source is saying

57 items
How we read the field

Each item above was read on the date shown and links to the page it came from. Sentiment is an editorial label (promising, cautious, negative, neutral) about the item's implication for patients, not a judgement of the source. Themes are synthesised across sources and given a heat score from 1 to 5 for how much of the field's attention they hold this month. Several publishers block automated reading, so journal items are drawn from PubMed records of their latest papers; news items come from the outlets' own pages. The source list covers 110 outlets: 15 journal, 2 preprint, 13 data, 18 news, 7 congress, 7 patient, 48 other. This page is rebuilt by hand when the field moves; it is not live.