Pub Date : 2026-04-01DOI: 10.1016/j.esmoop.2026.106133
W. Ben Kridis, C. Belfekih Hassen, A. Khanfir
{"title":"29P Artificial intelligence and digital therapeutics: Enhancing predictive models for breast cancer treatment response","authors":"W. Ben Kridis, C. Belfekih Hassen, A. Khanfir","doi":"10.1016/j.esmoop.2026.106133","DOIUrl":"10.1016/j.esmoop.2026.106133","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 106133"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578821","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}
Pub Date : 2026-04-01DOI: 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}
Pub Date : 2026-04-01DOI: 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}
Pub Date : 2026-04-01DOI: 10.1016/j.esmoop.2026.106113
L. Basmpana , S. Petousis , C. Margioula-Siarkou , K. Dinas
{"title":"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","authors":"L. Basmpana , S. Petousis , C. Margioula-Siarkou , K. Dinas","doi":"10.1016/j.esmoop.2026.106113","DOIUrl":"10.1016/j.esmoop.2026.106113","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 106113"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147578909","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}
Pub Date : 2026-04-01Epub Date: 2026-04-08DOI: 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 , 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","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}
Pub Date : 2026-04-01Epub Date: 2026-04-09DOI: 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.
{"title":"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","authors":"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","doi":"10.1016/j.esmoop.2026.106945","DOIUrl":"10.1016/j.esmoop.2026.106945","url":null,"abstract":"<div><h3>Background</h3><div>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 <em>ESR1</em> mutations (<em>ESR1</em>m). Additionally, the combination of imlunestrant and abemaciclib improved outcomes compared with imlunestrant monotherapy, irrespective of <em>ESR1</em>m 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.</div></div><div><h3>Materials and methods</h3><div>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.</div></div><div><h3>Results</h3><div>Overall, global health status/quality of life (GHS/QoL) and function were generally maintained over time across treatment arms among the <em>ESR1</em>m population and all patients, with treatment differences favoring imlunestrant versus SOC among the <em>ESR1</em>m population. Fewer GHS/QoL and function deterioration events occurred in the imlunestrant arm (<em>ESR1</em>m 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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 4","pages":"Article 106945"},"PeriodicalIF":8.3,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147653982","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}
Pub Date : 2026-04-01DOI: 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