Evidence summaries

Landmark cancer trials, in plain language

Each week we summarise one important, peer-reviewed cancer trial โ€” what it tested, what it found, and what it might mean for patients. No jargon, no hype. Just the evidence, explained clearly.

Cancer type

Trial type

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Colorectal ๐Ÿ›ก๏ธ Preventing recurrence

The CHALLENGE trial

A structured exercise program after colon cancer treatment lowered the chance of the cancer coming back โ€” and helped people live longer.

Phase IIINEJMJun 2025~8 min read
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Colorectal ๐Ÿ’Š Treating the cancer

The KEYNOTE-177 trial

For one specific type of advanced colon cancer, immunotherapy worked better than chemotherapy โ€” and more than half the people who got it were alive five years later.

Phase IIIAnn Oncol2025~9 min read
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Colorectal ๐Ÿ“Š How we make decisions

IDEA: is three months of chemo enough?

For most people with stage III colon cancer, three months of chemotherapy worked nearly as well as six โ€” with far less lasting nerve damage.

Phase IIILancet Oncol2020~9 min read
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Breast ๐Ÿ›ก๏ธ Preventing recurrence

The NATALEE trial

For the most common kind of early breast cancer, adding a targeted pill to hormone therapy modestly lowered the chance of the cancer coming back.

Phase IIIAnn Oncol2025~9 min read
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Lung ๐Ÿ’Š Treating the cancer

The KEYNOTE-189 trial

For the most common kind of advanced lung cancer, adding immunotherapy to chemotherapy helped people live longer and kept the cancer controlled longer.

Phase IIINEJM2018~9 min read
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Lung ๐Ÿ“Š How we make decisions

Evidence review: immunotherapy before lung surgery

Pooling eight trials shows that adding immunotherapy to chemo before surgery improved outcomes and left far more people cancer-free at surgery.

Evidence reviewJAMA Netw Open2024~8 min read
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Breast ๐Ÿ’Š Treating the cancer

The PATINA trial

For hormone-receptor-positive, HER2-positive metastatic breast cancer, adding palbociclib to maintenance therapy extended the time before the cancer progressed by more than 15 months.

Phase IIINEJM2026~8 min read
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Breast ๐Ÿ’Š Treating the cancer

The ASCENT-04 trial

For PD-L1-positive triple-negative breast cancer, replacing standard chemotherapy with an antibody-drug conjugate kept the cancer controlled longer and produced responses that lasted nearly twice as long.

Phase IIINEJM2026~8 min read
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Lung ๐Ÿ›ก๏ธ Preventing recurrence

The ADAURA trial

For EGFR-mutated lung cancer removed by surgery, taking a targeted pill every day for three years dramatically reduced the chance of the cancer returning โ€” including in the brain.

Phase IIIJCO2023~8 min read
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Bladder ๐Ÿ’Š Treating the cancer

The EV-303 trial

For muscle-invasive bladder cancer in people who cannot receive cisplatin, an antibody-drug conjugate plus immunotherapy around surgery dramatically improved survival compared to surgery alone.

Phase IIINEJM2026~8 min read
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Melanoma ๐Ÿ›ก๏ธ Preventing recurrence

CheckMate 238 at 9 years

This nine-year update confirms that for high-risk melanoma removed by surgery, one year of nivolumab kept the cancer away for longer than ipilimumab โ€” and was better tolerated.

Phase IIINEJM2026~9 min read
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Breast ๐Ÿ›ก๏ธ Preventing recurrence

The DESTINY-Breast05 trial

For high-risk HER2-positive breast cancer with cancer still present after pre-surgery treatment, a newer targeted drug roughly halved the chance of it coming back โ€” but carries a serious lung risk to watch for.

Phase IIINEJM2026~9 min read
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Pancreatic ๐Ÿงช First steps in humans

Daraxonrasib for pancreatic cancer

An oral drug that switches off mutated RAS โ€” the engine of most pancreatic cancers โ€” shrank tumors and was linked to longer survival than second-line chemotherapy, in an early-phase study still awaiting confirmation.

Phase 1–2NEJM2026~9 min read
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Breast ๐Ÿ›ก๏ธ Preventing recurrence

The KEYNOTE-522 trial

For early-stage triple-negative breast cancer, adding pembrolizumab to chemotherapy before and after surgery cleared more tumors completely, lowered the risk of recurrence, and improved survival โ€” regardless of PD-L1 status.

Phase IIINEJM2020–2024~10 min read
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