Tharani Krishnan

ORCID: 0000-0003-2566-7576
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About
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Research Areas
  • Acute Myeloid Leukemia Research
  • Colorectal Cancer Treatments and Studies
  • Erythrocyte Function and Pathophysiology
  • Gastric Cancer Management and Outcomes
  • Neuroendocrine Tumor Research Advances
  • Colorectal Cancer Surgical Treatments
  • Myeloproliferative Neoplasms: Diagnosis and Treatment
  • Cancer Genomics and Diagnostics
  • Neuroblastoma Research and Treatments
  • Lung Cancer Research Studies
  • Lung Cancer Treatments and Mutations
  • Colorectal and Anal Carcinomas
  • Cancer Treatment and Pharmacology
  • Hepatocellular Carcinoma Treatment and Prognosis
  • Genetic factors in colorectal cancer
  • Cutaneous Melanoma Detection and Management
  • Optical Coherence Tomography Applications
  • Esophageal Cancer Research and Treatment
  • Asthma and respiratory diseases
  • Vascular Tumors and Angiosarcomas
  • Cardiac tumors and thrombi
  • CAR-T cell therapy research
  • Immune Cell Function and Interaction
  • Liver physiology and pathology
  • Eosinophilic Disorders and Syndromes

BC Cancer Agency
2023-2025

Flinders Medical Centre
2025

University of British Columbia
2024-2025

Calvary Hospital
2021-2023

Queen Elizabeth Hospital
2020-2021

Royal Adelaide Hospital
2020

GTx (United States)
2020

The University of Adelaide
2020

<p>Prevalence of CHIP variants across cohorts and association with age. <b>A,</b> Percentage patients in each cohort. Insert shows the breakdown by tumor type PREDiCT-l <b>B,</b> Number a variant gene; <i>DNMT3A</i>, <i>TET2</i>, <i>ASXL1</i>. <b>C,</b> Protein position coding gene. Each lollipop represents patient, multiple dots show same position, red outlines high impact (frameshift or stop gain). Orange bars...

10.1158/2767-9764.28172620 preprint EN cc-by 2025-01-09

<p>CHIP and adverse events. <b>A,</b> Percentage of patients on each treatment that had an event therapy, split by cohort treatment. <b>B,</b> Proportions with events CHIP status. Lighter shades indicate no event, darker event. <i>P</i> values were determined Fisher exact tests.</p>

10.1158/2767-9764.28172614 preprint EN cc-by 2025-01-09

<p>CHIP and treatment outcomes. Kaplan–Meier curves showing the difference in outcome between patients with (CHIP+) without CHIP (CHIP−) outcomes on different therapies. PFS is shown left two columns for all three cohorts, OS right CO.26 (top row) PA.7 (middle row). Hazard ratios displayed are derived from univariable Cox proportional hazards models, interaction <i>P</i> values multivariable models (see “Materials Methods”).</p>

10.1158/2767-9764.28172617 preprint EN cc-by 2025-01-09

<div>Abstract<p>Clonal hematopoiesis of indeterminate potential (CHIP) is the clonal expansion hematopoietic stem cells from somatic mutations. It a common incidental finding in cell-free DNA (cfDNA). We investigated incidence CHIP cfDNA patients with solid tumors and explored its association treatment outcomes adverse events. reviewed results local prospective tumor cohort (PREDiCT-l) two randomized trials: Canadian Cancer Trials Group CO.26 [durvalumab + tremelimumab (D T) or...

10.1158/2767-9764.c.7618417 preprint EN 2025-01-09

275 Background: While detection of MRD using ctDNA is prognostic for recurrence in CRC, some patients still recur prior to detection. VICTORI prospectively investigating NeXT Personal, an ultra-sensitive NGS-based assay, profile with resected CRC. Methods: Patients CRC treated curative intent (all stages) are tested a bespoke assay up ~1,800 tumor-informed single nucleotide variants (SNVs) identified from whole-genome sequencing. Plasma collected surgery, every 2 weeks post-surgery week 8...

10.1200/jco.2025.43.4_suppl.275 article EN Journal of Clinical Oncology 2025-01-27

253 Background: The treatment landscape for metastatic colorectal cancer (mCRC) has evolved significantly, shifting from chemotherapy alone to more personalized approaches that include immune checkpoint inhibitors and targeted therapies. Treatment decisions in mCRC are driven by molecular characteristics, current guidelines recommend a minimum standard of biomarker testing, such as mismatch repair (MMR) status, RAS BRAF mutations, at the time disease diagnosis guide selection. This study...

10.1200/jco.2025.43.4_suppl.253 article EN Journal of Clinical Oncology 2025-01-27

Advanced gastroenteropancreatic neuroendocrine neoplasms (GEP-NENs) constitute a heterogeneous group of incurable cancers. Lenvatinib is an oral multiple kinase inhibitor that showed activity in grade 1/2 GEP-NENs the phase II TALENT trial, but confirmatory III study has yet to be conducted. To investigate real-world use lenvatinib treating patients with advanced GEP-NENs, we retrospectively analyzed cohort adults unresectable (NENs) from two academic centers Canada who received palliative...

10.1530/erc-24-0292 article EN other-oa Endocrine Related Cancer 2025-02-01

To investigate eosinophilia as a potential on-treatment biomarker for patients receiving cancer immunotherapy.We evaluated the association between and treatment response toxicity in retrospective cohort of immunotherapy.The study involved 146 patients. Eosinophilia developed 22%. Patients who were more likely to achieve disease control (p = 0.009), with every 0.1 × 109/l rise eosinophil count, while was associated 28% relative increased chance achieving control. Although there trend toward...

10.2144/fsoa-2020-0070 article EN cc-by Future Science OA 2020-08-03

4098 Background: Advances in systemic therapy for HCC have increased treatment options, including TKIs and immunotherapy combinations. Variables that predict patient outcomes may be helpful personalizing decisions. The aim of this study was to identify predictors short-term death (STD) long-term survival (LTS) patients. Methods: Retrospective review patients with advanced who received a TKI or combinations conducted between Aug 2018 2022 the Canadian provinces British Columbia, Alberta, Nova...

10.1200/jco.2024.42.16_suppl.4098 article EN Journal of Clinical Oncology 2024-06-01

10.1016/j.jccase.2020.04.010 article EN publisher-specific-oa Journal of Cardiology Cases 2020-05-15

169 Background: Clonal hematopoesis of indeterminate potential (CHIP) is the acquisition somatic mutations leading to clonal expansion hematopoietic stem cells and a common incidental finding in circulating tumor DNA (ctDNA). Inflammation from these or reduced marrow reserve may impact treatment outcomes adverse events. We investigated incidence CHIP ctDNA patients with gastrointestinal (GI) cancers explored its association events (AEs). Methods: collected results local prospective...

10.1200/jco.2024.42.3_suppl.169 article EN Journal of Clinical Oncology 2024-01-20

4111 Background: Lenvatinib (LEN) and the combination of atezolizumab with bevacizumab (AB) are widely considered first-line systemic therapies for treatment advanced hepatocellular carcinoma (HCC), but have never been compared directly in a randomized clinical trial. Cross-trial comparisons between IMbrave150 LEAP-002 appear to show similar survival outcomes AB LEN, respectively, while LEN was shorter REFLECT Methods: Patients treated or HCC from August 2018 2022 Canadian provinces British...

10.1200/jco.2024.42.16_suppl.4111 article EN Journal of Clinical Oncology 2024-06-01

Introduction: A comprehensive trimodality approach has become the standard of care for patients with locally advanced rectal cancer. However, sequencing and duration chemotherapy chemoradiotherapy around surgery varies between clinical studies geographical regions. Growing evidence is also mounting strategies such as total neoadjuvant therapy non-operative management carefully selected patients.Areas covered: We provide a perspective review current controversies in treatment cancer including...

10.1080/14737140.2021.1845145 article EN Expert Review of Anticancer Therapy 2020-11-09

Abstract Octreotide LAR is a long‐acting somatostatin analogue (SSA) used in the management of metastatic gastroenteropancreatic neuroendocrine tumors (GEP NETs). It requires intramuscular (IM) injection. Missed IM injections cause subcutaneous nodules (SCNs) on radiologic images. We reviewed rates SCNs real‐world cohort GEP NETs receiving octreotide and explored treatment outcomes. Patients commencing between August 5, 2010 March 8, 2018 at single cancer center Canada were identified from...

10.1111/jne.13360 article EN cc-by-nc-nd Journal of Neuroendocrinology 2023-12-13

83 Background: Based on the IDEA analysis, 3 months (mos) of adjuvant chemotherapy (ACT) with CAPOX has emerged as an option for both low-risk and high-risk stage III CRC. This resource utilization, cost toxicity benefits (particularly less neurotoxicity) without compromising efficacy. study examines patterns uptake vs FOLFOX duration ACT in a contemporary post-COVID real-world cohort patients (pts) province British Columbia (BC), Canada. Methods: The provincial pharmacy database was used to...

10.1200/jco.2024.42.3_suppl.83 article EN Journal of Clinical Oncology 2024-01-20

Background: Complete resection followed by adjuvant chemotherapy is the gold standard for patients with localized cholangiocarcinoma (CC) or gallbladder cancer (GBC). However, this not always feasible, and recurrence rates remain high. Objectives: To understand real-world proportions reason treatment failure in resected biliary tract cancers. Design methods: We performed a retrospective population-based review of GBC CC [intrahepatic (IHCC) extrahepatic (EHCC)] between 2005 2019 using BC...

10.1177/17588359241247008 article EN cc-by-nc Therapeutic Advances in Medical Oncology 2024-01-01
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