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29P Artificial intelligence and digital therapeutics: Enhancing predictive models for breast cancer treatment response 人工智能和数字治疗:增强乳腺癌治疗反应的预测模型
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106133
W. Ben Kridis, C. Belfekih Hassen, A. Khanfir
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引用次数: 0
31P Swarm learning enables multi-center diffusion-based generative modeling for cancer imaging 31P群学习使基于多中心扩散的癌症成像生成建模成为可能
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106135
J. Zhu
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引用次数: 0
37P Fix the data, not the model: LMIC challenges in AI for precision oncology 37P修复数据,而不是模型:精准肿瘤学人工智能面临的LMIC挑战
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106141
H. Parupalli , R. Digumarti , K.C. Puligundla , R. Parimkayala , V. Toka
{"title":"37P Fix the data, not the model: LMIC challenges in AI for precision oncology","authors":"H. Parupalli , R. Digumarti , K.C. Puligundla , R. Parimkayala , V. Toka","doi":"10.1016/j.esmoop.2026.106141","DOIUrl":"10.1016/j.esmoop.2026.106141","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 106141"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
38eP AI-based identification of TKI-sensitive driver mutations using routine histopathology in lung adenocarcinoma 基于38eP人工智能的肺腺癌tki敏感驱动突变的常规组织病理学鉴定
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106142
A. Ahmed , K. Nijjer
{"title":"38eP AI-based identification of TKI-sensitive driver mutations using routine histopathology in lung adenocarcinoma","authors":"A. Ahmed , K. Nijjer","doi":"10.1016/j.esmoop.2026.106142","DOIUrl":"10.1016/j.esmoop.2026.106142","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 106142"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578829","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
84eP Real-world clinical outcomes of lenvatinib plus pembrolizumab in advanced or recurrent endometrial cancer: A single-centre cohort study lenvatinib + pembrolizumab治疗晚期或复发性子宫内膜癌的真实临床结果:一项单中心队列研究
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106225
M.M. Antony , A. Sadozye , K. Graham , R. Harrand , A. Kerr
{"title":"84eP Real-world clinical outcomes of lenvatinib plus pembrolizumab in advanced or recurrent endometrial cancer: A single-centre cohort study","authors":"M.M. Antony , A. Sadozye , K. Graham , R. Harrand , A. Kerr","doi":"10.1016/j.esmoop.2026.106225","DOIUrl":"10.1016/j.esmoop.2026.106225","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 106225"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
87eP Association of HLA-A*01 status with inferior survival and response outcomes in early-phase clinical trial patients treated with immune checkpoint inhibitors 在免疫检查点抑制剂治疗的早期临床试验患者中,HLA-A*01状态与不良生存和应答结果的关系
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106228
P.L. Villalba Cuesta , T.C. Hernandez Guerrero , B. Doger de Spéville , M. Pedregal Trujillo , E. Garcia Lorenzo , A. Rueda Lara , V. Moreno Garcia
{"title":"87eP Association of HLA-A*01 status with inferior survival and response outcomes in early-phase clinical trial patients treated with immune checkpoint inhibitors","authors":"P.L. Villalba Cuesta , T.C. Hernandez Guerrero , B. Doger de Spéville , M. Pedregal Trujillo , E. Garcia Lorenzo , A. Rueda Lara , V. Moreno Garcia","doi":"10.1016/j.esmoop.2026.106228","DOIUrl":"10.1016/j.esmoop.2026.106228","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 106228"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578868","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
10P Payload-centric determinants of sustained benefit from HER3-DXd and other TOP1-inhibitor ADCs in breast cancer: A systematic review of clinical, translational and preclinical evidence 乳腺癌中HER3-DXd和其他top1抑制剂adc持续获益的10P有效载荷中心决定因素:临床、转化和临床前证据的系统回顾
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106113
L. Basmpana , S. Petousis , C. Margioula-Siarkou , K. Dinas
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引用次数: 0
BRCA1 and BRCA2 pathogenic variants increase the risk of four less common cancer types BRCA1和BRCA2致病变异增加了四种不常见癌症类型的风险。
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 Epub Date: 2026-04-08 DOI: 10.1016/j.esmoop.2026.106900
H. Sasagawa , M. Endo , Y. Iwasaki , Y. Usui , Y.N. Koyanagi , G. Innella , J. Hadler , M.T. Parsons , K. Numakura , Y. Kamatani , Y. Murakami , K. Matsuo , K. Matsuda , A.B. Spurdle , T. Habuchi , Y. Momozawa

Background

Previous family-based and case-control studies have expanded the cancer risk profile associated with pathogenic variants in BRCA1 and BRCA2, providing the potential for expanding personalized medicine. Less common cancer types may benefit greatly from such expansion of genetic evidence because of their limited treatments and poor prognoses.

Methods

We conducted a case-control analysis of 3489 patients with nine less common cancer types (bladder, bone, brain, head and neck, sarcoma, skin, testis, thyroid, or ureteral cancer) and 38 842 controls without cancer to estimate the risk associated with BRCA1 and BRCA2 pathogenic variants of nine less common cancer types.

Results

We identified 105 pathogenic variants among 994 germline variants. We observed four significant associations: BRCA1 with thyroid cancer [odds ratio (OR) 5.25, 95% confidence interval (CI) 2.06-13.38]; BRCA2 with bladder (OR 4.67, 95% CI 2.57-8.47), head and neck (OR 3.89, 95% CI 2.01-7.53), and skin cancers (OR 6.13, 95% CI 2.47-15.24). For bladder cancer, the impact of BRCA2 pathogenic variants was greater in females than in males (Pheterogeneity = 2.15 × 10−4; I2 = 92.70%).

Conclusions

These results provide evidence to inform more precise personalized medical options for individuals with BRCA1 or BRCA2 pathogenic variants.
背景:以前基于家庭和病例对照的研究已经扩大了与BRCA1和BRCA2致病变异相关的癌症风险概况,为扩大个性化医疗提供了潜力。不太常见的癌症类型可能会从这种基因证据的扩展中受益匪浅,因为它们的治疗方法有限,预后不佳。方法:我们对3489例患有9种不常见癌症类型(膀胱癌、骨癌、脑癌、头颈癌、肉瘤、皮肤癌、睾丸癌、甲状腺癌或输尿管癌)的患者和38842例没有癌症的对照组进行了病例对照分析,以估计9种不常见癌症类型的BRCA1和BRCA2致病变异的相关风险。结果:在994种系变异中鉴定出105种致病变异。我们观察到四个显著相关性:BRCA1与甲状腺癌[比值比(OR) 5.25, 95%可信区间(CI) 2.06-13.38];BRCA2伴膀胱癌(OR 4.67, 95% CI 2.57-8.47)、头颈癌(OR 3.89, 95% CI 2.01-7.53)和皮肤癌(OR 6.13, 95% CI 2.47-15.24)。对于膀胱癌,BRCA2致病变异对女性的影响大于男性(异质性= 2.15 × 10-4; I2 = 92.70%)。结论:这些结果为BRCA1或BRCA2致病变异的个体提供了更精确的个性化医疗选择的证据。
{"title":"BRCA1 and BRCA2 pathogenic variants increase the risk of four less common cancer types","authors":"H. Sasagawa ,&nbsp;M. Endo ,&nbsp;Y. Iwasaki ,&nbsp;Y. Usui ,&nbsp;Y.N. Koyanagi ,&nbsp;G. Innella ,&nbsp;J. Hadler ,&nbsp;M.T. Parsons ,&nbsp;K. Numakura ,&nbsp;Y. Kamatani ,&nbsp;Y. Murakami ,&nbsp;K. Matsuo ,&nbsp;K. Matsuda ,&nbsp;A.B. Spurdle ,&nbsp;T. Habuchi ,&nbsp;Y. Momozawa","doi":"10.1016/j.esmoop.2026.106900","DOIUrl":"10.1016/j.esmoop.2026.106900","url":null,"abstract":"<div><h3>Background</h3><div>Previous family-based and case-control studies have expanded the cancer risk profile associated with pathogenic variants in <em>BRCA1</em> and <em>BRCA2</em>, providing the potential for expanding personalized medicine. Less common cancer types may benefit greatly from such expansion of genetic evidence because of their limited treatments and poor prognoses.</div></div><div><h3>Methods</h3><div>We conducted a case-control analysis of 3489 patients with nine less common cancer types (bladder, bone, brain, head and neck, sarcoma, skin, testis, thyroid, or ureteral cancer) and 38 842 controls without cancer to estimate the risk associated with <em>BRCA1</em> and <em>BRCA2</em> pathogenic variants of nine less common cancer types.</div></div><div><h3>Results</h3><div>We identified 105 pathogenic variants among 994 germline variants. We observed four significant associations: <em>BRCA1</em> with thyroid cancer [odds ratio (OR) 5.25, 95% confidence interval (CI) 2.06-13.38]; <em>BRCA2</em> with bladder (OR 4.67, 95% CI 2.57-8.47), head and neck (OR 3.89, 95% CI 2.01-7.53), and skin cancers (OR 6.13, 95% CI 2.47-15.24). For bladder cancer, the impact of <em>BRCA2</em> pathogenic variants was greater in females than in males (P<sub>heterogeneity</sub> = 2.15 × 10<sup>−4</sup>; <em>I</em><sup><em>2</em></sup> = 92.70%).</div></div><div><h3>Conclusions</h3><div>These results provide evidence to inform more precise personalized medical options for individuals with <em>BRCA1</em> or <em>BRCA2</em> pathogenic variants.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 4","pages":"Article 106900"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Patient-reported outcomes and qualitative interviews in patients with estrogen receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer: results from the phase III EMBER-3 trial 雌激素受体阳性/人表皮生长因子受体2阴性晚期乳腺癌患者报告的结果和定性访谈:来自EMBER-3期试验的结果
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 Epub Date: 2026-04-09 DOI: 10.1016/j.esmoop.2026.106945
G. Curigliano , J. O’Shaughnessy , F.-C. Bidard , M.L. Casalnuovo , S.-B. Kim , E. Tokunaga , P. Aftimos , C. Saura , L.A. Carey , M. Okera , E. Melo , F. Zagouri , M. Magallanes-Maciel , N. Karadurmus , S. Bahadur , R.M. Speck , X.A. Wang , K. Pradhan , J. Macey , H. Kitchen , N. Harbeck

Background

Imlunestrant is a next-generation, brain-penetrant, oral selective estrogen receptor degrader. In the phase III EMBER-3 trial, conducted in patients with estrogen receptor-positive/human epidermal growth factor receptor 2-negative advanced breast cancer, imlunestrant demonstrated a significant progression-free survival benefit compared with standard endocrine therapy (standard of care; fulvestrant or exemestane) in patients harboring ESR1 mutations (ESR1m). Additionally, the combination of imlunestrant and abemaciclib improved outcomes compared with imlunestrant monotherapy, irrespective of ESR1m status. This manuscript reports findings from exploratory analyses of patient-reported outcome (PRO) measures and qualitative interviews evaluating EMBER-3 participants’ experiences and treatment preferences.

Materials and methods

PROs administered were the European Organisation for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire Core 30 (QLQ-C30) and the PRO-Common Terminology Criteria for Adverse Events (CTCAE) items for diarrhea frequency and injection site reactions (for fulvestrant recipients only). Mean changes from baseline in EORTC QLQ-C30 scores were calculated using a longitudinal mixed model for repeated measures; a 10-point change defined as clinically meaningful. PRO-CTCAE analyses were descriptive. Interview transcripts were analyzed using directed content analysis techniques.

Results

Overall, global health status/quality of life (GHS/QoL) and function were generally maintained over time across treatment arms among the ESR1m population and all patients, with treatment differences favoring imlunestrant versus SOC among the ESR1m population. Fewer GHS/QoL and function deterioration events occurred in the imlunestrant arm (ESR1m and all patients) compared with other treatment arms. Most (72.3%) fulvestrant-treated patients reported injection site reactions at any time. Diarrhea frequency was consistently higher in the combination arm of imlunestrant–abemaciclib.

Conclusion

GHS/QoL and function were maintained across treatment arms, despite a higher incidence of diarrhea in the imlunestrant–abemaciclib group. These PRO findings complement the efficacy and safety results from EMBER-3 and further support the favorable risk–benefit profile of imlunestrant, either as oral monotherapy or in combination with abemaciclib, in patients with advanced breast cancer.
背景:Imlunestrant是下一代脑渗透口服选择性雌激素受体降解剂。在雌激素受体阳性/人表皮生长因子受体2阴性的晚期乳腺癌患者中进行的III期ember3试验中,与ESR1突变(ESR1m)患者的标准内分泌治疗(标准护理;氟维司汀或依西美坦)相比,imlunestrant显示出显着的无进展生存获益。此外,无论ESR1m状态如何,与单药治疗相比,imlunestrant和abemaciclib联合治疗改善了预后。本文报告了患者报告结果(PRO)测量的探索性分析和评估EMBER-3参与者经历和治疗偏好的定性访谈的结果。材料和方法:使用的PROs为欧洲癌症研究和治疗组织(EORTC)生活质量问卷核心30 (QLQ-C30)和pro -不良事件通用术语标准(CTCAE)项目,包括腹泻频率和注射部位反应(仅适用于氟维司汀接受者)。使用重复测量的纵向混合模型计算EORTC QLQ-C30评分与基线的平均变化;10分的变化被定义为临床意义。PRO-CTCAE分析是描述性的。访谈记录使用定向内容分析技术进行分析。结果:总体而言,ESR1m人群和所有患者的整体健康状况/生活质量(GHS/QoL)和功能在治疗组中一般都能维持一段时间,在ESR1m人群中,治疗差异有利于非肠道药物和SOC。与其他治疗组相比,注射组(ESR1m和所有患者)发生的GHS/QoL和功能恶化事件较少。大多数(72.3%)氟维司汀治疗的患者在任何时候都报告了注射部位的反应。在联合用药组,腹泻发生率持续升高。结论:各治疗组的GHS/QoL和功能均得到了维持,尽管免疫抑制剂-阿贝马昔利布组的腹泻发生率较高。这些PRO研究结果补充了EMBER-3的疗效和安全性结果,并进一步支持imlunestrant作为口服单药或与abemaciclib联合治疗晚期乳腺癌患者的有利风险-收益特征。
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引用次数: 0
6P TROP-2 as a therapeutical target in gastrointestinal tumors 6P TROP-2作为胃肠道肿瘤的治疗靶点
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-04-01 DOI: 10.1016/j.esmoop.2026.106109
L. Kabisch , P.K.M. Hoffmeister-Wittmann , S. Rogowski , A. Manjunath , L. Nader , M. Gimmel , C. Bienen , D. Jäger , M.T. Dill , R. Jackstadt , B. Köhler
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ESMO Open
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