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Translational Medicine / 转化医学genomic profiling PDAC, PARP inhibitors, precision oncology

Michael J. Pishvaian

迈克尔·皮什维亚尼

MD, PhD

🏢Johns Hopkins Sidney Kimmel Comprehensive Cancer Center(约翰斯·霍普金斯大学西德尼·基梅尔综合癌症中心)🌐USA

Associate Professor of Oncology; Director, GI Oncology Clinical Trials Program肿瘤学副教授;GI肿瘤学临床试验项目主任

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Key Contributions

👥Biography 个人简介

Michael J. Pishvaian, MD, PhD is Associate Professor of Oncology and Director of the GI Oncology Clinical Trials Program at Johns Hopkins Sidney Kimmel Comprehensive Cancer Center. He is one of the foremost clinical investigators in applying precision oncology and comprehensive genomic profiling to pancreatic ductal adenocarcinoma, with the goal of identifying actionable molecular alterations that can guide treatment selection and improve outcomes for PDAC patients. Dr. Pishvaian has been a central figure in the Pancreatic Cancer Action Network's (PanCAN) Know Your Tumor (KYT) precision medicine initiative — the largest real-world registry of molecularly profiled PDAC patients in the world. His analyses of the KYT dataset, published in Lancet Oncology (2020), provided the most comprehensive evidence to date that PDAC patients who receive molecularly matched targeted therapy have significantly improved survival compared with patients with actionable alterations who do not receive matched therapy, establishing that approximately one-quarter of PDAC patients harbor potentially actionable alterations and that acting on this information meaningfully changes outcomes. Dr. Pishvaian has also been a clinical investigator for trials of PARP inhibitors, ATR inhibitors, and other DNA damage repair (DDR)-targeted agents in PDAC, particularly in patients with germline or somatic BRCA1/2, PALB2, ATM, or other DDR gene alterations. His translational research has focused on characterizing the landscape of DDR pathway defects in PDAC and their functional consequences for genome stability, therapeutic sensitivity, and immunogenicity.

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🧪Research Fields 研究领域

Comprehensive Genomic Profiling of PDAC — Know Your Tumor RegistryPDAC综合基因组谱分析——了解你的肿瘤注册研究
PARP Inhibitors in BRCA/PALB2-Mutated PDAC — Clinical Trial LeadershipBRCA/PALB2突变PDAC中的PARP抑制剂——临床试验领导
Precision Oncology Outcomes — Matched versus Unmatched Targeted Therapy in PDAC精准肿瘤学结果——PDAC中匹配与非匹配靶向治疗
DNA Damage Repair Pathway Defects in Pancreatic Cancer胰腺癌DNA损伤修复通路缺陷
Tumor-Agnostic and Biomarker-Selected Therapy Strategies in GI OncologyGI肿瘤学中肿瘤无关性和生物标志物选择治疗策略

🎓Key Contributions 主要贡献

Know Your Tumor Registry — Real-World Evidence for Precision Oncology in PDAC

Served as a principal investigator and lead analyst for the PanCAN Know Your Tumor initiative, reporting landmark real-world outcomes data (Lancet Oncology 2020; n=1856) demonstrating that the ~26% of PDAC patients with actionable molecular alterations who received matched targeted therapy had significantly longer median OS (2.58 vs. 1.51 years; HR 0.42) — the most compelling real-world evidence supporting molecular profiling and precision oncology as a survival-improving strategy in PDAC.

PARP Inhibitor and DDR-Targeted Therapy Clinical Trials in PDAC

Led clinical trials evaluating PARP inhibitors (olaparib, rucaparib, veliparib, talazoparib), ATR inhibitors, and other DDR-targeted agents in PDAC patients with germline or somatic BRCA1/2, PALB2, ATM, or BRIP1 alterations, contributing to the clinical characterization of DDR-deficient PDAC as a therapeutically exploitable subtype and to the evidence base supporting germline BRCA/PALB2 testing as a standard of care.

Genomic Landscape Characterization of PDAC — Actionable Alteration Frequency and Outcomes

Conducted large-scale genomic studies characterizing the frequency, co-occurrence patterns, and clinical significance of actionable alterations across PDAC, including mutations in BRCA1/2, PALB2, ATM, ERBB2/HER2, NTRK, MSI-H, TMB-H, and KRAS non-G12C/D variants, providing the evidence base for comprehensive molecular profiling of all PDAC patients at diagnosis.

Tumor-Agnostic Therapy Identification in PDAC — MSI-H and TMB-High Subsets

Characterized the rare but clinically important subsets of MSI-H (microsatellite instability-high) and TMB-high PDAC, demonstrating durable responses to pembrolizumab in MSI-H PDAC patients and contributing to the evidence supporting tumor-agnostic approval of checkpoint inhibitors in MSI-H solid tumors.

Representative Works 代表性著作

[1]

Outcomes in patients with pancreatic adenocarcinoma treated with individualized therapies based on genomic profiling

The Lancet Oncology (2020)

Landmark real-world analysis from the PanCAN Know Your Tumor registry demonstrating significantly improved OS in PDAC patients receiving molecularly matched targeted therapy versus those with actionable alterations not receiving matched therapy.

[2]

Clinical outcomes of patients with BRCA1/2 or PALB2 mutations and pancreatic adenocarcinoma: a real-world matched analysis

Annals of Oncology (2020)

Real-world matched analysis characterizing clinical outcomes in BRCA1/2- and PALB2-mutated PDAC patients receiving platinum-based chemotherapy and PARP inhibitors.

[3]

Veliparib combined with cisplatin and gemcitabine in patients with pancreatic ductal adenocarcinoma and a known BRCA mutation

JCI Insight (2021)

Phase II trial evaluating the PARP inhibitor veliparib combined with cisplatin and gemcitabine in BRCA-mutated PDAC patients.

[4]

Phase I study of the ERK1/2 inhibitor LY3214996 combined with gemcitabine/nab-paclitaxel in metastatic pancreatic cancer

Cancer Chemotherapy and Pharmacology (2023)

Phase I study of ERK inhibitor combined with gemcitabine/nab-paclitaxel in metastatic PDAC, extending the RAS-pathway-targeted combination strategy to ERK-directed inhibition.

🏆Awards & Recognition 奖项与荣誉

🏆Pancreatic Cancer Action Network Career Development Award
🏆American Cancer Society Research Scholar Award
🏆ASCO Young Investigator Award
🏆Sidney Kimmel Foundation Scholar Award
🏆Johns Hopkins Clinical Scientist Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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