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MAP 2024 Officers and Organisation MAP 2024 官员和组织
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/S2059-7029(24)01725-3
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引用次数: 0
Tislelizumab plus chemotherapy as first-line treatment of locally advanced or metastatic nonsquamous non-small-cell lung cancer (final analysis of RATIONALE-304: a randomized phase III trial) Tislelizumab 联合化疗作为局部晚期或转移性非鳞状非小细胞肺癌的一线治疗(RATIONALE-304:随机 III 期试验的最终分析)。
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103728
S. Lu , J. Wang , Y. Yu , X. Yu , Y. Hu , Z. Ma , X. Li , W. He , Y. Bao , M. Wang

Background

The purpose of this study was to report an updated, final analysis with longer follow-up for the open-label phase III RATIONALE-304 study of first-line tislelizumab plus chemotherapy versus chemotherapy alone for advanced nonsquamous non-small-cell lung cancer (nsq-NSCLC).

Materials and methods

Patients with histologically confirmed stage IIIB/IV nsq-NSCLC were randomized (2 : 1) to 4-6 cycles of tislelizumab plus platinum-based chemotherapy and pemetrexed every 3 weeks, followed by maintenance tislelizumab and pemetrexed, or platinum-based chemotherapy and pemetrexed alone every 3 weeks followed by maintenance pemetrexed. The primary endpoint was independent review committee (IRC)-assessed progression-free survival (PFSIRC). Overall survival (OS), safety, and tolerability were secondary endpoints.

Results

Overall, 334 patients were randomized (tislelizumab plus chemotherapy: n = 223; chemotherapy: n = 111). At final analysis (median follow-up 16.1 months), safety/tolerability profiles in both arms were consistent with the interim analysis. Tislelizumab plus chemotherapy continued to demonstrate prolongation of PFSIRC versus chemotherapy alone {stratified hazard ratio (HR) 0.63 [95% confidence interval (CI) 0.47-0.86]; median PFSIRC 9.8 months (95% CI 8.9-11.7 months) versus 7.6 months (95% CI 5.6-8.0 months), respectively}. OS stratified HR for tislelizumab plus chemotherapy versus chemotherapy was 0.90 (95% CI 0.63-1.28), with median OS of 21.4 months (95% CI 17.7 months-not estimable) versus 21.3 months (95% CI 15.6 months-not estimable), respectively. At a subsequent ad hoc analysis (median follow-up 19.3 months), OS HR between arms was 0.85 (95% CI 0.63-1.14); when adjusted for crossover using the two-stage method, the OS HR was 0.68 (95% CI 0.48-0.96).

Conclusions

After longer follow-up, first-line tislelizumab plus chemotherapy continued to demonstrate a manageable safety profile and a favorable PFS benefit over chemotherapy alone in patients with advanced/metastatic nsq-NSCLC.
研究背景本研究的目的是报告开放标签III期RATIONALE-304研究的最新最终分析结果和更长的随访时间,该研究的目的是对晚期非鳞状非小细胞肺癌(nsq-NSCLC)一线替舒瑞单抗联合化疗与单独化疗进行对比:组织学确诊的IIIB/IV期nsq-NSCLC患者被随机分配(2:1)至4-6个周期的替舒利珠单抗+铂类化疗和培美曲塞,每3周1次,然后维持替舒利珠单抗和培美曲塞;或铂类化疗和培美曲塞,每3周1次,然后维持培美曲塞。主要终点是独立审查委员会(IRC)评估的无进展生存期(PFSIRC)。总生存期(OS)、安全性和耐受性是次要终点:共有 334 名患者接受了随机治疗(替莱珠单抗加化疗:223 人;化疗:111 人)。在最终分析中(中位随访16.1个月),两组患者的安全性/耐受性情况与中期分析结果一致。Tislelizumab联合化疗与单独化疗相比,PFSIRC继续延长{分层危险比(HR)0.63[95%置信区间(CI)0.47-0.86];中位PFSIRC分别为9.8个月(95% CI 8.9-11.7个月)与7.6个月(95% CI 5.6-8.0个月)}。tislelizumab联合化疗与化疗的OS分层HR为0.90(95% CI 0.63-1.28),中位OS分别为21.4个月(95% CI 17.7个月,无法估计)与21.3个月(95% CI 15.6个月,无法估计)。在随后的临时分析中(中位随访19.3个月),两组间的OS HR为0.85(95% CI 0.63-1.14);如果使用两阶段法对交叉进行调整,OS HR为0.68(95% CI 0.48-0.96):结论:经过更长时间的随访,一线替赛珠单抗联合化疗在晚期/转移性nsq-NSCLC患者中继续显示出可控的安全性,并且与单用化疗相比,PFS获益更多。
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引用次数: 0
Neuroendocrine neoplasms of head and neck, genitourinary and gynaecological systems, unknown primaries, parathyroid carcinomas and intrathyroid thymic neoplasms: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up☆ 头颈部、泌尿生殖系统和妇科系统神经内分泌肿瘤,原发灶不明,甲状旁腺癌和甲状腺内胸腺肿瘤:ESMO诊断、治疗和随访临床实践指南》。
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103664
J. Hadoux , A. Lamarca , E. Grande , D. Deandreis , G. Kaltsas , E.T. Janson , B. Tombal , M. Pavel , J. Thariat , M.F. van Velthuysen , P. Herman , C. Dromain , E. Baudin , A. Berruti , ESMO Guidelines Committee
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引用次数: 0
30P Role of suppressor of cytokine signalling 6 (SOCS6) in colorectal cancer pathogenesis: Integrating clinical and molecular perspectives 30P 细胞因子信号抑制因子 6 (SOCS6) 在结直肠癌发病机制中的作用:整合临床和分子视角
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103776
A.K. Al-Bahri , A. Al Kharusi , F. Al Zadjali
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引用次数: 0
23P Unraveling predictive transcriptomic signatures of anti-EGFR therapy response in RAS/BRAF wild-type metastatic colorectal cancer 23P 揭示 RAS/BRAF 野生型转移性结直肠癌抗 EGFR 治疗反应的预测性转录组特征
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103769
A.R. de Abreu , L. van Kempen , M. Peeters , G. van Camp , K. Op de Beeck
{"title":"23P Unraveling predictive transcriptomic signatures of anti-EGFR therapy response in RAS/BRAF wild-type metastatic colorectal cancer","authors":"A.R. de Abreu ,&nbsp;L. van Kempen ,&nbsp;M. Peeters ,&nbsp;G. van Camp ,&nbsp;K. Op de Beeck","doi":"10.1016/j.esmoop.2024.103769","DOIUrl":"10.1016/j.esmoop.2024.103769","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103769"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
43P Assessment of methylation-specific genetic markers for reliable colorectal cancer detection and their potential in liquid biopsy applications 43P 评估甲基化特异性遗传标记对可靠检测结直肠癌的作用及其在液体活检中的应用潜力
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103789
J. Dvorak, M. Krausová, N. Hajkova, J. Hojný
{"title":"43P Assessment of methylation-specific genetic markers for reliable colorectal cancer detection and their potential in liquid biopsy applications","authors":"J. Dvorak,&nbsp;M. Krausová,&nbsp;N. Hajkova,&nbsp;J. Hojný","doi":"10.1016/j.esmoop.2024.103789","DOIUrl":"10.1016/j.esmoop.2024.103789","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103789"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
82P Applying computational approaches to build a predictive protein structure and discover novel inhibitors for mitotic serine/threonine kinase BUB1B 82P 应用计算方法构建预测性蛋白质结构并发现有丝分裂丝氨酸/苏氨酸激酶 BUB1B 的新型抑制剂
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103823
J. Glenny Pescov , M.J. Martinez , S. Schurer
{"title":"82P Applying computational approaches to build a predictive protein structure and discover novel inhibitors for mitotic serine/threonine kinase BUB1B","authors":"J. Glenny Pescov ,&nbsp;M.J. Martinez ,&nbsp;S. Schurer","doi":"10.1016/j.esmoop.2024.103823","DOIUrl":"10.1016/j.esmoop.2024.103823","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103823"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
44P Calculated numerical karyotype with ultra low-coverage whole genome sequencing undercovers recurrent chromosomal aberrations in resectable colorectal cancer 44P 利用超低覆盖率全基因组测序计算出的数字核型,可掩盖可切除结直肠癌中反复出现的染色体畸变
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103790
T.S. Tarawneh, I. Karim, P. Ross, A. Burchert, A. Neubauer, E. Mack
{"title":"44P Calculated numerical karyotype with ultra low-coverage whole genome sequencing undercovers recurrent chromosomal aberrations in resectable colorectal cancer","authors":"T.S. Tarawneh,&nbsp;I. Karim,&nbsp;P. Ross,&nbsp;A. Burchert,&nbsp;A. Neubauer,&nbsp;E. Mack","doi":"10.1016/j.esmoop.2024.103790","DOIUrl":"10.1016/j.esmoop.2024.103790","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103790"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
8P Precision medicine drug testing platform to guide the treatment of EML4-ALK fusion lung cancers 8P 指导 EML4-ALK 融合型肺癌治疗的精准医学药物测试平台
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103754
S.D. Merajver , A. Udager , A. Qin , L. Bao , X. Cheng , H. Madhi , L. Goo , V. Kathawate , P. Ulintz , A. Liu , H. Serhan , V. Navani , J. Jefferies , M.S. Ali , M. Monument , J. Kratz , A. Smith , M. Soellner , N. Merrill
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引用次数: 0
Volumetric measurement to evaluate treatment response to induction chemotherapy on MRI outperformed RECIST guideline in outcome prediction in advanced nasopharyngeal carcinoma 在晚期鼻咽癌的疗效预测方面,通过磁共振成像测量体积来评估诱导化疗的治疗反应优于RECIST指南。
IF 7.1 2区 医学 Q1 ONCOLOGY Pub Date : 2024-10-01 DOI: 10.1016/j.esmoop.2024.103933
T.S.A. Kwong , H.S. Leung , F.K.F. Mo , Y.M. Tsang , L. Lan , L.M. Wong , T.Y. So , E.P. Hui , B.B.Y. Ma , A.D. King , Q.Y.H. Ai

Background

Treatment response evaluated by tumour size change is an important indicator for outcome prediction. Advanced nasopharyngeal carcinoma (adNPC) grows irregularly, and so the unidimensional measurement may not be accurately applied to adNPC for outcome prediction. This study aimed to evaluate values of unidimensional and volumetric measurements for treatment response to induction chemotherapy (IC) for outcome prediction in adNPC and compared the values with that of RECIST 1.1 guideline.

Materials and methods

Pre-treatment and post-IC magnetic resonance images (MRIs) from 124 patients with stage III-IVA NPC were retrospectively reviewed. Sums of the maximum unidimensional diameters (D) and volumes of the targeted tumours (primary tumour and two largest metastatic lymph nodes) on the pre- (Dpre and Vpre) and post-IC MRIs (Dpost-IC and Vpost-IC) and percentage changes in D (Δ D%) and V (ΔV%) between two scans were calculated and correlated with disease-free survival (DFS), locoregional recurrence-free survival (LRRFS), and distant metastases-free survival (DMFS) using Cox regression analysis. Area under the curves (AUCs) of independent measurements and RECIST groups (RECIST response and non-response groups) for predicting disease recurrence, locoregional recurrence, and distant metastases, respectively, were calculated and compared using the DeLong test.

Results

Univariable analysis showed correlations between high Dpost-IC with poor DFS and DMFS (P < 0.05), but not with LRRFS (P = 0.07); high Vpost-IC and low ΔV% (less decrease in volume on post-IC) with poor DFS, LRRFS, and DMFS (P < 0.05); and no correlations between Dpre, ΔD%, and Vpre and the outcomes (P > 0.05). Multivariable analysis showed that ΔV% was the only independent measurement for outcomes (P < 0.05). Compared with RECIST groups, ΔV% of 47.9% (median value) showed a higher AUC for disease recurrence (0.682 versus 0.526, P < 0.01) and for locoregional recurrence (0.782 versus 0.585, P < 0.01), but not for distant metastases (0.593 versus 0.518, P = 0.26).

Conclusions

Volumetric measurement to evaluate treatment response to IC outperformed unidimensional measurement and RECIST guideline in outcome prediction in adNPC.
背景:根据肿瘤大小变化评估治疗反应是预测疗效的重要指标。晚期鼻咽癌(adNPC)生长不规则,因此单维测量可能无法准确用于晚期鼻咽癌的疗效预测。本研究旨在评估诱导化疗(IC)治疗反应的单维测量值和容积测量值,以预测 adNPC 的治疗结果,并将其与 RECIST 1.1 指南的测量值进行比较:对124例III-IVA期鼻咽癌患者治疗前和化疗后的磁共振图像(MRI)进行回顾性研究。计算治疗前(Dpre 和 Vpre)和治疗后(Dpost-IC 和 Vpost-IC)磁共振成像上目标肿瘤(原发肿瘤和两个最大的转移淋巴结)的最大单维直径 (D) 和体积之和,以及两次扫描之间 D (Δ D%) 和 V (Δ V%) 的百分比变化,并将其与无病生存率 (DFS) 相关联、通过 Cox 回归分析,计算出两次扫描之间的无疾病生存期(DFS)、无局部复发生存期(LRRFS)和无远处转移生存期(DMFS)的百分比,并将其与无疾病生存期(DFS)相关联。使用 DeLong 检验计算并比较了独立测量值和 RECIST 组(RECIST 反应组和无反应组)预测疾病复发、局部复发和远处转移的曲线下面积(AUC):单变量分析显示,高Dpost-IC与不良DFS和DMFS相关(P < 0.05),但与LRRFS无关(P = 0.07);高Vpost-IC和低ΔV%(IC后体积减少较少)与不良DFS、LRRFS和DMFS相关(P < 0.05);Dpre、ΔD%和Vpre与结果无相关性(P > 0.05)。多变量分析表明,ΔV%是唯一与预后相关的独立测量指标(P<0.05)。与RECIST组相比,47.9%的ΔV%(中位值)在疾病复发(0.682对0.526,P<0.01)和局部复发(0.782对0.585,P<0.01)方面显示出更高的AUC,但在远处转移(0.593对0.518,P=0.26)方面却没有显示出更高的AUC:结论:用体积测量法评估对IC的治疗反应,在预测腺鼻咽癌的预后方面优于单维测量法和RECIST指南。
{"title":"Volumetric measurement to evaluate treatment response to induction chemotherapy on MRI outperformed RECIST guideline in outcome prediction in advanced nasopharyngeal carcinoma","authors":"T.S.A. Kwong ,&nbsp;H.S. Leung ,&nbsp;F.K.F. Mo ,&nbsp;Y.M. Tsang ,&nbsp;L. Lan ,&nbsp;L.M. Wong ,&nbsp;T.Y. So ,&nbsp;E.P. Hui ,&nbsp;B.B.Y. Ma ,&nbsp;A.D. King ,&nbsp;Q.Y.H. Ai","doi":"10.1016/j.esmoop.2024.103933","DOIUrl":"10.1016/j.esmoop.2024.103933","url":null,"abstract":"<div><h3>Background</h3><div>Treatment response evaluated by tumour size change is an important indicator for outcome prediction. Advanced nasopharyngeal carcinoma (adNPC) grows irregularly, and so the unidimensional measurement may not be accurately applied to adNPC for outcome prediction. This study aimed to evaluate values of unidimensional and volumetric measurements for treatment response to induction chemotherapy (IC) for outcome prediction in adNPC and compared the values with that of RECIST 1.1 guideline.</div></div><div><h3>Materials and methods</h3><div>Pre-treatment and post-IC magnetic resonance images (MRIs) from 124 patients with stage III-IVA NPC were retrospectively reviewed. Sums of the maximum unidimensional diameters (D) and volumes of the targeted tumours (primary tumour and two largest metastatic lymph nodes) on the pre- (D<sub>pre</sub> and V<sub>pre</sub>) and post-IC MRIs (D<sub>post-IC</sub> and V<sub>post-IC</sub>) and percentage changes in D (Δ D%) and V (ΔV%) between two scans were calculated and correlated with disease-free survival (DFS), locoregional recurrence-free survival (LRRFS), and distant metastases-free survival (DMFS) using Cox regression analysis. Area under the curves (AUCs) of independent measurements and RECIST groups (RECIST response and non-response groups) for predicting disease recurrence, locoregional recurrence, and distant metastases, respectively, were calculated and compared using the DeLong test.</div></div><div><h3>Results</h3><div>Univariable analysis showed correlations between high D<sub>post-IC</sub> with poor DFS and DMFS (<em>P</em> &lt; 0.05), but not with LRRFS (<em>P</em> = 0.07); high V<sub>post-IC</sub> and low ΔV% (less decrease in volume on post-IC) with poor DFS, LRRFS, and DMFS (<em>P</em> &lt; 0.05); and no correlations between D<sub>pre</sub>, ΔD%, and V<sub>pre</sub> and the outcomes (<em>P</em> &gt; 0.05). Multivariable analysis showed that ΔV% was the only independent measurement for outcomes (<em>P</em> &lt; 0.05). Compared with RECIST groups, ΔV% of 47.9% (median value) showed a higher AUC for disease recurrence (0.682 versus 0.526, <em>P</em> &lt; 0.01) and for locoregional recurrence (0.782 versus 0.585, <em>P</em> &lt; 0.01), but not for distant metastases (0.593 versus 0.518, <em>P</em> = 0.26).</div></div><div><h3>Conclusions</h3><div>Volumetric measurement to evaluate treatment response to IC outperformed unidimensional measurement and RECIST guideline in outcome prediction in adNPC.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 10","pages":"Article 103933"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142379243","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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