Relevant Articles About Research and Clinical Trials in Other Cancer
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The ESMO Gynecological Cancers Conference 2024, held in Florence, Italy, from June 20-22, brought together various leading oncologists, researchers, and healthcare experts to discuss recent …
The European Society for Medical Oncology (ESMO) Conference on Gynecological Cancers in Europe will serve as a hub of information demonstrated by healthcare professionals focused …
The study aimed to identify genetic signatures of elevated hemoglobin levels in Aymara using transcriptome analysis. Aymara-enriched NFKB1 SNPs and AS-NFKB1 link elevated …
KEY TAKEAWAYS The study aimed to assess serum fibronectin and gene polymorphisms as predictors of recurrence and treatment response in patients with NMIBC on BCG therapy. Researchers found elevated serum fibronectin predicts early recurrence in NMIBC but not BCG...
Sep 30, 2024
KEY TAKEAWAYS The study aimed to estimate the global prevalence of GIM through a systematic review and meta-analysis. The results showed the global prevalence of GIM is high, requiring further investigation and attention. Sara Soroorikia and the team aimed to...
Sep 30, 2024
KEY TAKEAWAYS The study aimed to investigate the role of CD247 and CD4 expression in TNBC prognosis. The results showed low CD247 and CD4 expression predicts poor outcomes in patients with TNBC. Ankit Pateriya and the team aimed to evaluate the prognostic...
Sep 30, 2024
KEY TAKEAWAYS The study aimed to assess serum fibronectin and gene polymorphisms as predictors of recurrence and treatment response in patients with NMIBC on BCG therapy. Researchers found elevated serum fibronectin predicts early recurrence in NMIBC but not BCG...
Sep 30, 2024
KEY TAKEAWAYS The study aimed to estimate the global prevalence of GIM through a systematic review and meta-analysis. The results showed the global prevalence of GIM is high, requiring further investigation and attention. Sara Soroorikia and the team aimed to...
Sep 30, 2024
KEY TAKEAWAYS The study aimed to investigate the role of CD247 and CD4 expression in TNBC prognosis. The results showed low CD247 and CD4 expression predicts poor outcomes in patients with TNBC. Ankit Pateriya and the team aimed to evaluate the prognostic...
Sep 30, 2024
An electronic prospective surveillance model (ePSM) leverages patient-reported outcomes to monitor impairments along the cancer pathway for timely management.
Christian Lopez and the team aimed to implement the REACH model, as randomized controlled trials have demonstrated the effectiveness of ePSMs in managing cancer-related impairments. However, ePSMs are not routinely integrated into practice, and evidence-based approaches for their implementation are limited.
The study will conduct a 16-month formative evaluation using a single-arm mixed methods design to monitor key implementation outcomes, identify barriers, and adapt the implementation plan as necessary. Adult cancer survivors (≥18 years) diagnosed with breast, colorectal, lymphoma, or head and neck cancer will be eligible to register for REACH.
Enrolled patients will complete brief assessments of impairments throughout their treatment and up to 2 years post-treatment, receiving personalized resources for self-management and referrals to rehabilitation services as needed. A multifaceted implementation plan will be used to integrate REACH into each clinical context.
The study will assess various implementation outcomes, including reach, acceptability, feasibility, appropriateness, fidelity, cost, and sustainability. Quantitative data will be collected via system usage metrics and evaluation surveys completed by patient participants, while qualitative data will be gathered through focus groups and interviews with clinical leadership, guided by the Consolidated Framework for Implementation Research.
The site-specific ethics approvals were obtained, and the implementation of the REACH model will be routinely monitored. The study will generate quantitative implementation data and qualitative insights to understand barriers to the model’s integration.
This work was supported by funding from the Canadian Cancer Society and Canadian Institutes of Health Research Cancer Survivorship Team Grant (Grant Number: 706699 (CCS), 02022–000 (CIHR)).
Source: https://pubmed.ncbi.nlm.nih.gov/39306347/
Lopez C, Neil-Sztramko SE, Campbell KL, et al. (2024). “Implementation of an electronic prospective surveillance model for cancer rehabilitation: a mixed methods study protocol.” BMJ Open. 2024;14(9):e090449. Published 2024 Sep 20. doi:10.1136/bmjopen-2024-090449
The European Society for Medical Oncology (ESMO) Conference 2024 occurred from Sept. 13 to 17 in Barcelona, Spain. The conference offered a platform for oncologists and researchers to share cutting-edge data, education, and networking opportunities on cancer prevention, screening, research, clinical insights, therapies, and patient care best practices, both in person and virtually.
The conference started with an opening session; Andres Cervantes (ESMO President, Valencia, Spain) led this session, followed by a scientific address by Rebecca A. Dent (National Cancer Center Singapore, Republic of Singapore).
The ESMO Award Session included:
The conference had several educational sessions on various types of cancers and their treatment approaches. Some of them were:
NSCLC mutations with KRAS gene: Natasha Leighl and Roberto Ferrara from Fondazione IRCCS Istituto Nazionale dei Tumori di Milano in Milano, Italy, led the session on KRAS-mutated NSCLC.
The meeting focused on G12C-targeting treatments, new strategies for non-G12C mutations, resistance mechanisms, and combination therapies involving IO.
The symposium presented therapeutic advancements and treatment strategies from various biotech and pharma companies.
The Bristol Myers-Squibb symposium focused on therapeutic advancements in gastrointestinal malignancies, such as immunotherapy and novel combination therapies. The session also covered the importance of new biomarkers for advanced gastric cancer in guiding treatment choices.
The use of precision medicine, including early identification and treatment planning, for patients with IDH mutations was covered in this session. This symposium was led by Sara Lonardi (Veneto Institute of Oncology, Italy).
This symposium also discussed patient-centric approaches for metastatic non-small cell lung cancer (mNSCLC), patient empowerment, available treatments, and collaborative decision-making.
Pfizer Oncology’s session addressed the combined application of PARP inhibitors (PARPi) and androgen receptor inhibitors (ARPi) for metastatic castration-resistant prostate cancer (mCRPC). Neal Shore (Duke University, N.C.) chaired the session.
Another Pfizer discussion included advanced breast cancer treatment progress, novel methods, clinical studies, and future research.
Sessions in the oncology community focused on patient advocacy, global initiatives, and palliative care integration.
Speakers covered patients’ journeys, challenges in medicine access, and patients’ expertise in research. Discussion on patient experience, obstacles, and coping strategies took place.
This featured Ines Vaz Luis ((Institut Gustave Roussy, Villejuif, France) and Natacha Bolanos Fernandez (Health Consultant, N.Y.) as session chairs. Discussion on patient experience, obstacles, and coping strategies took place.
The session chairs were Natacha Bolanos Fernandez and Eva-Maria Strömsholm (Gynecological Cancer patients, Finland).
The session chaired by Tanja Spanic (Europa Donna – Slovensko zdruzenje za boj proti raku dojk, Ljubljana, Slovenia) and André Deschamps (Former President of Europa Uomo, Belgium).
Several sessions addressed global implications, such as access to cancer care, disparities in treatment availability, and the role of international collaborations.
ESMO shapes global oncology practices; General Assembly decisions impacted cancer care worldwide significantly. Chair person was Solange Peters (ESMO, Lausanne, Switzerland).
This session was chaired by Helena Linardou (Metropolitan Hospital Athens, Greece) and Jean-Yves Blay (ESMO Director of Public Policy, Lyon, France). They discussed the current challenges for women in oncology and practical approaches to resolve them.
This session centered around integrating oncology and palliative care, highlighted best practices, and awarded institutions excelling in this area.
Jayne Wood (NHS Foundation Trust, London, U.K.) and Anna Reyners (UMCG, Groningen, Netherlands) were chairpersons.
This session aimed to unite healthcare professionals from oncology specialties to discuss advancements. A few of the meetings included:
The chairpersons were Karin Jordan (Ernst von Bergmann Clinic, Germany) and Elene Mariamidze (Research Institute of Clinical Medicine, Tbilisi, Ga.).
The chairpersons were Jens Huober (Chief Physician, Breast Center St.Gallen, Switzerland) and Ava Kwong (School of Clinical Medicine, Hong Kong).
Speakers were Isabel T. Rubio (Universidad de Navarra, Madrid, Spain), who discussed pathology and pitfalls in diagnosing ILCs3, F. Cardoso (Champalimaud Clinical Center, Lisbon, Portugal), and J. Huober (Chief Physician, Breast Center St.Gallen, Switzerland).
Pierre Blanchard of the Institut de Cancérologie Gustave Roussy in Villejuif, France, and Derya Tilki of the University Medical Center Hamburg in Hamburg, Germany, were chairs.
Pierre Blanchard, Derya Tilki, D. Rathkopf (MSKCC – Memorial Sloan Kettering Cancer Center, N.Y.), and D. Oprea-Lager (Umc, Amsterdam, Netherlands) were the speakers for this session.
Silvia Novello (University of Turin, Italy) and Adrian Sacher (University of Toronto, Canada) were the chairpersons.
Speakers wiere M. Gemelli (IRCCS MultiMedica, Milan, Italy), L. Hendriks (MUMC, Maastricht, Netherlands), J. Vansteenkiste, (University Hospitals Leuven, Belgium), and S. Popat (Royal Marsden NHS Foundation Trust, U.K.).
The chairpersons were Lorenza Rimassa (Associate Professor, Humanitas University, Rozzano, Italy) and Angela Lamarca (Fundacion Jimenez Diaz University Hospital, Madrid, Spain).
Speakers were Takashi Kokudo (UMIN, Tokyo, Japan), M. Iavarone (Istituto Nazionale Tumori Fondazione G. Pascale – IRCCS, Naples, Italy), and A. Lamarca (Fundacion Jimenez Diaz University Hospital, Madrid, Spain).
The session involved a panel of oncology experts who addressed complex and controversial healthcare topics. Some of the sessions were:
The chairperson was Helen Gogas (National and Kapodistrian University of Athens – School of Medicine, Athens, Greece). James Larkin (The Royal Marsden Hospital, U.K.) was the expert presenter.
Manuel Irimia (Universitat Pompeu Fabra – Centre for Genomic Regulation, Barcelona, Spain) was chairperson. The expert presenter was Trevor Graham (ICR, U.K.).
Arun Azad (Peter MacCallum Cancer Centre, Melbourne, Australia) was chairperson. Klaus Herrmann (Westdeutsches Tumorzentrum Essen, Germany) was the expert presenter.
The chairperson was Kevin Harrington (ICR, U.K.). The expert presenter was Vinod Balachandran (MSKCC – Memorial Sloan Kettering Westchester, West Harrison, U.S.A.).
The chairperson was Nicoletta Colombo ( Istituto Europeo di Oncologia, Milan, Italy). The expert presenter was Isabelle Ray-Coquard (Centre Léon Bérard, Lyon, France).
The chairperson was Michiel van der Heijden (Netherlands Cancer Institute, Amsterdam, Netherlands). The expert presenter was Paolo Giannatempo (Fondazione IRCCS – Istituto Nazionale dei Tumori, Milan, Italy).
The session provided a platform for young researchers to come forward and present their research. The session served as a networking opportunity for the next generation of oncologists.
The session was chaired by Pablo Mando (CEMIC, Argentina). The discussion revolved around the transition of a young oncologist to an independent researcher and having their research team.
The co-chairs were Deniz Can Guven (Hacettepe University Cancer Institute, Ankara, Türkiye) and Angelika Starzer (Austria).
Different speakers from the EONS and W4O discussed the professional journey a young oncologist should take.
The event featured speakers from various institutions, including Lazar S. Popovic from Sremska Kamenica, Serbia; Ann H. Partridge from Dana Farber Cancer Institute, Boston, Mass.; Massimo Di Maio from Gruppo Oncologico Nord Ovest-GGONO, Italy; Samra Turajlic from The Francis Crick Institute, U.K., Joaquin Mateo from Vall d’Hebron Institute of Oncology, Giuseppe Curigliano from IRCCS, Josep Tabernero from VHIO, Barcelona, Spain, Neelima Denduluri from AstraZeneca, U.S.A., Bishal Gyawali from Queen’s University, Kingston, Canada, Virpi Sulosaari from the University of Turku, Finland, and Helena Linardou from Metropolitan Hospital Athens, Greece.
The co-chairs were Elizabeth A. Connolly (Chris O Brien Lifehouse and the Children’s Medical Research Institute, Sydney, Australia) and Emre Kocakavuk (The Jackson Laboratory for Genomic Medicine, Farmington, Conn.).
This session, titled “Should we try immunotherapy for all patients with advanced cancer?” featured a debate format. Dr. Myriam Chalabi (Netherlands Cancer Institute, Amsterdam, Netherlands) argued the “Yes” side. Kok Haw Jonathan Lim (The Francis Crick Institute, London, U.K.) argued the “No” side.
Maria Kfoury (Gustave Roussy, France) and Pablo Mando were the session chairs. In this session, Dr. Rodrigo Dienstmann (VHIO, Barcelona, Spain) discussed leveraging open data sources to initiate research projects.
The session chair was Pawel Sobczuk (Maria Skłodowska-Curie National Research Institute of Oncology, Warsaw, Poland). Dr. Christoph Benedikt Westphalen (Comprehensive Cancer Centre Munich, Germany) discussed the need for specialized training for young oncologists in molecular profiling techniques, ranging from panel NGS to WGS.
The session was chaired by Andres Cervantes and Matteo Lambertini (University of Genova, Italy). He guided medical students and young physicians to become aspiring oncologists. This session covered the ESMO Medical Students Course and provided career guidance for aspiring medical oncologists. There were guided poster walks.
Speakers were Angelika M. Starzer (Medical University of Vienna, Austria), Myrto Moutafi (Attikon University Hospital, Athens, Greece), and Rille Pihlak (St Bart’s Hospital, U.K.).
The session chairs were Elene Mariamidze and Hongcheng Zhu (Fudan University Shanghai Cancer Center, Shanghai, China). Speakers provided tips and techniques for YO’s skill development as an oncologist.
Evandro De Azambuja (Jules Bordet Institute, Brussels, Belgium), Angela Lamarca, Solange Peters, and Claire Hardy (Lancaster University, U.K.) were speakers.
The session chair was Teresa M. Amaral (Skin Cancer Center, Tübingen, Germany).
Long V. Nguyen (University of Toronto, Canada) and Madeleine C. Strach (Chris O’Brien Lifehouse and Royal Prince Alfred Hospital, Camperdown, Australia) highlighted the fellowship opportunities for young oncologists in Europe. They showcased two exemplary projects and presented awards to fellows.
Virpi Sulosaari chaired this session. The EONS17 opening session featured a keynote lecture by A. Drury titled “Shaping the Future of Cancer Nursing: The Case for Disruption in the Pursuit of Meaningful and Equitable Innovation.”
The panel discussion involved a lecture focusing on the past, present, and future of cancer nursing.
The session was chaired by Karin Jordan and Eugenia Trigoso Arjona (La Fe, Valencia, Spain). It was a collaborative session between ESMO and EONS. They addressed the impact of cancer and its treatment on sexuality in adolescents and young adults. The session featured personal experiences and offered advice for healthcare professionals.
Speakers were Sharon L. Bingham (Northern Health and Social Care Trust: Antrim, U.K.) and Ioanna Tsatsou (IUniversity of West Attica, Aigaleo, Greece).
The session chairs were Nikolina Dodlek (European Cancer Organization, Brussels, Belgium) and Grigorios Kotronoulas (University of Glasgow, U.K.).
Speakers introduced the NURTURE model in cancer nursing, emphasizing early symptom recognition and the role of nurses in prevention. They discussed nurses’ communication challenges and highlighted the importance of investing in this field. The session had a Work-life balance workshop.
Speakers were Dimitrios Protogiros (National and Kapodistrian the University of Athens, Greece), Selma Islamcevic (University Hospital Centre Zagreb, Croatia), Andreas Charalambous (President of the Cyprus Oncology Nursing Society, Cyprus), Celia Díez de los Ríos de la Serna (University of Glasgow, U.K.), Remziye Semerci (Koc University, Istanbul, Türkiye), and Angelos Kassianos (Cyprus University of Technology, Greece).
The session chairs were Fernanda Conceição (EONS) and Kok Haw Jonathan Lim. The collaborative session between ESMO and EONS highlighted the significance of the well-being of a healthcare worker. It explored the strategies to optimize well-being and mitigate the chances of burnout among oncologists and the impact of cancer on families.
Speakers were Kok Haw Jonathan Lim, Karin B. Dieperink (OUH, Odense, Denmark), Reyyan Gürel (Başkent Üniversitesi, Türkiye), Cherith J. Semple (Ulster University, Northern Ireland, U.K.), and Qasem Alnasser (King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia).
The session chairs were Virpi Sulosaari and Helena Ullgren (Karolinska Institute, Solna, Sweden). A panel discussion featured the 40-year journey of EONS.
Dr. Matthew N. Fowler (University Hospital Birmingham, U.K.) presented a state of cancer nursing in Europe by providing a European Cancer Nursing Index 2022 update.
The EONS closing session chairs were Virpi Sulosaari and Helena Ullgren. The session presented the highlights of EONS17, followed by awards, the best-rated abstract, the ECND 2024 winner, and the closing ceremony.
The conference had multiple proffered paper and mini oral sessions. Presenters showcased the recent findings on oncology in the form of concise presentations on specific research topics within various cancer types. Some of them are:
At the ESMO Conference 2024 on Sept. 17 (9:00 a.m. to 1:00 p.m.), two key Scientific Conference Highlights sessions covered topics that were basic science, breast cancer, gynecological cancers, CNS tumors, immunotherapy, and genitourinary tumors.
Immune checkpoint inhibitors (ICIs) are a cornerstone of cancer treatment, but their use can lead to immune-related adverse events, such as ICI hepatitis. This poses a significant clinical challenge as ICI hepatitis can be severe. While steroids are the standard treatment, cases of steroid-refractory ICI hepatitis are increasing.
Soo Young Hwang and the team aimed to investigate the management of ICI hepatitis and its response to steroid treatment.
A comprehensive search of PubMed/MEDLINE, EMBASE, and CENTRAL databases was conducted in July 2023. The search included keywords such as ICIs (anti-programmed cell death protein 1/programmed death-ligand 1, anti-CTLA-4, and anti-LAG3) and hepatitis.
The database search identified 4358 studies, of which 44 met the inclusion criteria for this systematic review. The analysis included 1856 patients with ICI hepatitis (grade 1-2: 31.7%, grade 3-4: 56.0%, and unknown: 12.3%).
Of these, 1184 patients received corticosteroid treatment. The study found significant variation in treatment duration and dosage across the included studies. Among the 82 cases requiring secondary treatment, mycophenolate mofetil was the most common agent (82.9%), followed by infliximab and azathioprine. The estimated proportion of steroid-refractory hepatitis was 16% (95% CI: 11%-23%). Approximately 40% (95% CI: 30%-51%) of patients with ICI hepatitis were rechallenged with an ICI, with an estimated 22% (95% CI: 15%-30%) recurrence rate.
The study concluded that corticosteroids were the primary treatment for ICI hepatitis, with mycophenolate mofetil used for steroid-refractory cases. Current practices relied on expert consensus, highlighting the need for further research to validate and optimize these treatments, particularly for steroid-resistant cases.
No funding information was given.
Source: https://pubmed.ncbi.nlm.nih.gov/39298568/
Hwang SY, Hsieh P, Zhang W. (2024). “Steroid-refractory immune checkpoint inhibitor (ICI) hepatitis and ICI rechallenge: A systematic review and meta-analysis.” Hepatol Commun. 2024;8(10):e0525. Published 2024 Sep 18. doi:10.1097/HC9.0000000000000525
The World Conference on Lung Cancer (WCLC24), hosted in San Diego, USA, from Sept. 7 to 10, was a significant event for the global fight against lung and thoracic cancers. The conference was chaired by Sandip Patel (University of California, USA), Linda Martin (University of Virginia, USA), Narjust Florez (Dana-Farber Cancer Institute, USA), and Fabio Ynoe de Moraes (Queen’s University, Canada).
Celebrating the 50 anniversary of the International Association for the Study of Lung Cancer (IASLC), the conference brought together 6,000 delegates representing diverse disciplines in basic and clinical sciences.
The conference paid tribute to IASLC’s 5 decades of dedication to combating lung cancer with a special plenary session titled “50 Years of IASLC: Advances in Thoracic Oncology Treatment & Research: Legacy of Impact, Future of Promise,” held on Tuesday, Sept. 10, from 5 p.m. to 6:15 p.m. The session provided attendees with a unique opportunity to reflect on the organization’s impact and the significant progress in lung cancer treatment and detection over the years.
The conference started with events focusing on early diagnosis and multidisciplinary care:
Sunday’s program at WCLC 2024 shifted the focus toward fostering global collaboration and exploring advancements in precision oncology.
Monday’s program at WCLC 2024 continued the exploration of innovative treatment modalities, with a focus on targeted therapies, immunotherapy, and global health considerations:
The final day of WCLC 2024 focused on disseminating late-breaking research findings; the day shared updates on key clinical trials and amplified the voices of patient advocates.
This session explored the latest advancements in biomarker research and the development of novel antibody-drug conjugates (ADCs) for targeted lung cancer therapy.
Speakers were Mihaela Aldea (Institut de Cancérologie Gustave Roussy, France), Isabel Preeshagul (Memorial Sloan Kettering Cancer Center, Montvale, N.J.), Hidehito Horinouchi (NCC, Japan), Anwen Xiong (Tongji University, Shanghai, China), James C-H Yang (National Taiwan University, Taipei, Taiwan), and Federico Cappuzzo (AUSL della Romagna-Ravenna, Italy).
This session covered the most recent updates in lung cancer pathology, including advancements in diagnostic techniques, molecular profiling, and the identification of new therapeutic targets.
Speakers were Paul Hofman (University Côte d’Azur, Nice, France) and Tricia Cottrell (Johns Hopkins School of Medicine in Baltimore, Md.), Yuko Minami (Tohoku University, Sendai, Japan), Fabio Tavoro (Federal University of Ceara, Fortaleza, Brazil), Annikka Weissferdt (MD Anderson Cancer Center, Houston, Texas), and Mauro Papotti (University of Turin, Italy).
Building upon the conversations held throughout the conference, Tuesday’s sessions further highlighted the crucial role of patient advocacy in shaping the future of lung cancer care.
Beyond the formal scientific program, WCLC 2024 offered several valuable opportunities for attendees:
WCLC 2024 offered attendees ample opportunities for continuing medical education (CME) credits and professional development.
The WCLC 2024 press conferences provided valuable insights into groundbreaking research, innovative treatment approaches, and milestones in thoracic oncology. Below are the links to each day’s press conference, offering highlights and in-depth discussions on key topics:
As WCLC 2024 concluded, attendees were encouraged to look ahead to the next edition of this conference, scheduled to take place in Barcelona, Spain, from Sept. 6 to 9, 2025.
WCLC 2025 will be chaired by Umberto Malapelle (University of Naples Federico II, Naples, Italy), Jarushka Naidoo (RCSI Cancer Centre, Dublin, Ireland), Noemi Reguart (Hospital Clinic Barcelona, Spain), and Isabelle Schmitt-Opitz (University Hospital Zurich, Switzerland).
WCLC reaffirms its position as a must-attend event for everyone involved in the fight against lung cancer, committed to advancing lung cancer research, improving patient care, and ultimately conquering this global health challenge.
ASP3082 is a novel protein degrader that selectively targets KRAS G12D mutations. This study evaluates the preliminary safety and antitumor efficacy of ASP3082 as monotherapy in patients with advanced solid tumors who have undergone prior treatments.
Wungki Park and the team aimed to assess the tolerability, safety profile, and early signs of efficacy in these heavily pretreated patients with advanced solid tumors.
They performed an inclusive analysis in this phase 1, dose-escalation, first-in-human study, enrolling adult patients with unresectable or metastatic KRAS G12D-positive solid tumors. Patients received escalating doses of ASP3082 monotherapy, ranging from 10 to 600 mg, administered intravenously once weekly in a 21-day cycle. The primary endpoints of the study focused on the incidence of dose-limiting toxicities (DLTs) and adverse events (AEs) to evaluate the safety profile of ASP3082 in this patient population.
About 98 patients (median age: 64 years; 56% male; median [range] prior lines of systemic therapy: 2 [1–7]) were enrolled as of the data cutoff on 1 April 2024. These patients had pancreatic cancer (PC, n=67), colorectal cancer (CRC, n=16), non-small cell lung cancer (NSCLC, n=13), or other cancers (n=2).
Treatment-related adverse events (TRAEs) were observed in 68 out of 98 patients (69.4%), with 5 patients experiencing grade 3 (Gr 3) events, and no patients experiencing Gr 4 or 5 events. Common TRAEs (≥5% of patients) included fatigue (15.3%), infusion-related reactions (14.3%), pruritus (9.2%), nausea (7.1%), urticaria (7.1%), elevated aspartate aminotransferase (AST) (7.1%), elevated alanine aminotransferase (ALT) (6.1%), and vomiting (5.1%).
DLTs occurred in 2 patients at the 450 mg dose level (Gr 3 ALT increase; Gr 3 ALT/AST increase) and in 1 patient at the 600 mg dose level (Gr 3 ALT increase). The maximum tolerated dose was not reached. Based on preclinical modeling simulations, the predicted lowest dose for clinical efficacy was >100 mg.
Efficacy was evaluated in 65 patients receiving doses of 10–300 mg. Among the 35 patients who received doses of ≤90 mg, the objective response rate (ORR) was 0%, while the disease control rate (DCR) was 25.7%. At the 140 mg dose level (n=9), the ORR was 11.1% (1 partial response [PR] in 5 patients with PC), and the DCR was 33.3% (2 in 5 patients with PC, 1 in 4 patients with CRC ). At the 200 mg dose level (n=9), the ORR was 0%, and the DCR was 55.6% (3 in 7 PC, 1 in 1 NSCLC, and 1 in 1 CRC). At the 300 mg dose level (n=12), the ORR was 33.3% (3 PRs in 7 PC, 1 PR in 4 with NSCLC, and 0 PRs in 1 CRC), and the DCR was 75.0% (5 in 7 PC, 4 in 4 with NSCLC, and 0 in 1 CRC).
The study concluded that ASP3082, a novel KRAS G12D degrader, demonstrated an acceptable safety profile and showed promising antitumor activity, particularly in heavily pretreated pancreatic cancer patients. These preliminary findings highlight the need for further studies to explore its potential efficacy in KRAS G12D-mutant solid tumors.
The trial was sponsored by the Astellas Pharma Inc.
Source: https://cslide.ctimeetingtech.com/esmo2024/attendee/confcal/show/session/156
Clinical Trial: https://clinicaltrials.gov/study/NCT05382559
Park W, Kasi A, Spira A.I, et al. (2024). “Preliminary safety and clinical activity of ASP3082, a first-in-class, KRAS G12D selective protein degrader in adults with advanced pancreatic (PC), colorectal (CRC), and non-small cell lung cancer (NSCLC).” Presented at ESMO 2024 (Abstract 608O).
The standard treatment for patients with platinum-refractory advanced B3-thymoma and thymic carcinoma (TC) remains undefined. Both lenvatinib and immune checkpoint inhibitors have demonstrated clinically significant outcomes in this context.
In this phase 2 single-arm PECATI trial (NCT04710628), Jordi Remon Masip and the team aimed to evaluate the efficacy and safety of combining lenvatinib (L) with pembrolizumab in patients with advanced, pre-treated B3-T and TC who do not have autoimmune disorders.
They performed an inclusive analysis involving patients who received lenvatinib (20 mg orally daily) combined with pembrolizumab (200 mg IV infusion once every three weeks) in 3-week cycles, continuing until disease progression, unacceptable toxicity, or a maximum of 35 cycles.
The primary endpoint was the 5-month progression-free survival (5-PFS) rate, with null and alternative hypotheses set at 5-PFS of ≤50% and >68.6%, respectively, assessed by investigators. Secondary endpoints included objective response rate (ORR), disease control rate (DCR), overall survival (OS), and safety, focusing on grade ≥3 treatment-related adverse events (TRAEs).
About 43 patients were enrolled from 09/2021 to 02/2024, with a median age of 57 years (range 33-80); 84% had TC. Masaoka Koga staging was IVA in 35% and B in 65%, with 56% of patients having ≥3 metastatic sites, including 37% with liver metastases. The median number of target lesions was 2, and the median sum of target lesions measured 86 mm (range 11-204). Previous treatment lines included 1 (54%), 2 (39%), and >2 (7%). PD-L1 expression (22C3, n=32) was <1% in 53%, 1-49% in 31%, and ≥50% in 16%.
The study achieved its primary endpoint, demonstrating a 5-PFS rate of 91%, with a 1-year PFS of 62%. The confirmed ORR was 21%, while the confirmed DCR reached 67%. Following a median follow-up of 10.6 months, the median OS was not estimated, but the 1-year OS was 85%.
The rate of grade ≥3 TRAEs was 34.9%, with the most common being diarrhea (7%), hypertension (7%), and hepatic cytolysis (5%). Serious grade ≥3 TRAEs occurred in 16% of patients (7/43), including 1 (2.3%) patient with myocarditis and 1 (2.3%) patient with pneumonitis. No treatment-related deaths were reported.
The study concluded that lenvatinib combined with pembrolizumab may serve as a potential standard treatment for pre-treated advanced B3-thymoma and TC, with a manageable toxicity profile that necessitates close monitoring.
The trial was sponsored by the MedSIR.
Source: https://cslide.ctimeetingtech.com/esmo2024/attendee/confcal/show/session/17
Clinical Trial: https://clinicaltrials.gov/study/NCT04710628
Masip J.R, Bironzo P, Girard N, et al. (2024). “PECATI: A phase II trial to evaluate the efficacy and safety of lenvatinib in combination with pembrolizumab in pretreated advanced B3-thymoma and thymic carcinoma.” Presented at ESMO 2024 (Abstract LBA83).
Spinal chondrosarcoma is more invasive and has a worse prognosis than extremity chondrosarcoma. Prognosis and treatment vary among chondrosarcoma subtypes.
Jian Sun and the team aimed to analyze the clinical characteristics, molecular features, therapeutic effects, and prognostic factors among the subtypes of spinal chondrosarcoma.
A retrospective review of 205 patients with spinal chondrosarcoma was conducted. Researchers compared clinical features and immunohistochemical (IHC) markers among pathological subtypes including chondrosarcoma grade 1, grade 2, grade 3, mesenchymal chondrosarcoma (MCS), dedifferentiated chondrosarcoma (DCS), and clear cell chondrosarcoma (CCCS).
Chondrosarcoma grades 1/2/3 were collectively referred to as conventional chondrosarcoma (CCS) for multivariate analysis. Univariate and multivariate analyses investigated independent prognostic factors for OS and RFS in spinal chondrosarcoma. They also identified independent prognostic factors for OS and RFS in CCS and MCS.
Patients with MCS were younger than other subtypes. Patients with chondrosarcoma grade 1/2 had better OS than those with chondrosarcoma grade 3, MCS and DCS. Only those with grade 1 showed better RFS than grade 2/3, MCS and DCS patients. Ki-67 index was higher in chondrosarcoma grade 3, MCS and DCS than chondrosarcoma grade 1/2.
The IHC marker comparison highlighted P53/MDM2 overexpression in MCS and DCS. Gross total resection, including en bloc and piecemeal resection, significantly improved OS and RFS in CCS, while only en bloc resection significantly improved the prognosis of MCS patients. Chemotherapy appeared important for the OS of MCS patients.
The P53/MDM2 pathway was upregulated in MCS and DCS compared to chondrosarcoma grade 1/2. Radical tumour resection is crucial for treating spinal chondrosarcoma, while MCS patients require further comprehensive perioperative treatments.
Funding support was provided by the National Natural Science Foundation of China.
Source: https://link.springer.com/article/10.1007/s11060-024-04823-y
Sun J, Wu Z, Jiao J, et al. (2024). “Comparisons of clinical characteristics, treatments, and outcomes among different pathological subtypes of chondrosarcoma in the spine. J Neurooncol.” 2024. Available at: https://doi.org/10.1007/s11060-024-04823-y.
Humanized immunodeficient mice serve as critical models for investigating the functional interplay between transplanted human cells and a pre-reconstituted human immune system. These models facilitate the study of molecular and cellular pathogenic mechanisms and enable …
Background Chimeric antigen receptor (CAR) T-cell therapy has demonstrated significant benefits in the treatment of relapsed/refractory multiple myeloma (RRMM). However, these outcomes can be compromised by severe complications, including cytokine release syndrome, immune effector cell-associated neurotoxicity …
Background Immune-related adverse events (irAEs) are major barriers of clinical management and further development of immune checkpoint inhibitors (ICIs) for cancer therapy. Therefore, biomarkers associated with the onset of severe irAEs are needed. In this study, …
Background Adoptive cell transfer (ACT) shows promise as an immunotherapy for melanoma and other cancers. However, there are several challenges associated with ACT such as the logistical complexity and inconsistency when using patient-derived antigen-presenting cells for …