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WCLC 2025 | Predicting cachexia development in patients with lung cancer

Puneeth Iyengar, MD, PhD, Memorial Sloan Kettering Cancer Center, New York, NY, notes that identifying patients at risk of developing cachexia is crucial, and recent work on biomarkers and tumor genetics may help predict future weight loss. Understanding the biology of cachexia will enable clinicians to identify patients who may benefit from interventions earlier in the disease course, potentially preventing the development of cachexia. This interview took place at 2025 World Conference on Lung Cancer (WCLC) in Barcelona, Spain.

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Transcript

Yeah, I mean, that’s a very good point. So, you know, step number one is we need to identify and be able to predict which patients will develop cachexia down the line. And I think some of the work we’re doing with the biomarkers, with the genetics of certain tumors will help us predict future weight loss in patients. But I think that we’re also converging on enough biology so that we can actually start understanding which patients may benefit from cachexia treatments in earlier stages of disease and which ones will not...

Yeah, I mean, that’s a very good point. So, you know, step number one is we need to identify and be able to predict which patients will develop cachexia down the line. And I think some of the work we’re doing with the biomarkers, with the genetics of certain tumors will help us predict future weight loss in patients. But I think that we’re also converging on enough biology so that we can actually start understanding which patients may benefit from cachexia treatments in earlier stages of disease and which ones will not. And so the trials are coming forward. The biology is coming forward. So we’re not only going to be able to identify the patients who will develop cachexia. And if that’s the case, then we can use some of these newer drug approaches to try to intervene earlier in order to suppress the cachexia development into a mature form.

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