首页 > 最新文献

ESMO Open最新文献

英文 中文
Phase II trial, multicenter, first-line paclitaxel-avelumab treatment of inoperable angiosarcoma (KCSG UN 18-15)☆ II期临床试验,多中心,一线紫杉醇-阿韦单抗治疗不能手术的血管肉瘤(KCSG UN 18-15)☆
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-22 DOI: 10.1016/j.esmoop.2025.106018
H.R. Kim , M. Kim , M.J. Kang , J.E. Kim , Y.J. Kim , K. Park , W.K. Bae , M.-W. Lee , J.-Y. Hong , Y.S. Kim , S.-A. Im , J. Lee , S.Y. Oh

Background

Angiosarcomas are rare tumors of vascular or lymphatic origin with clinically heterogeneous presentation and behavior, predominantly originating in the skin of the head and neck and the breast area. Given their location and/or rapid progression, surgical resection is frequently not feasible, even in those with localized diseases. Conventional cytotoxic chemotherapy has proven largely ineffective against angiosarcoma. In this prospective, phase II study, we evaluated the efficacy and toxicity of paclitaxel plus avelumab as first-line therapy for unresectable angiosarcoma.

Patients and methods

This study included patients with unresectable locally advanced or metastatic angiosarcomas, who did not receive systemic treatment. Paclitaxel (80 mg/m2) was intravenously infused on days 1, 8, and 15 of every 28-days cycle; avelumab (10 mg/kg) was intravenously infused every 2 weeks. Treatment continued until disease progression, unacceptable toxicity, death, or withdrawal of consent, whichever occurred first. The primary endpoint was the objective response rate (ORR); secondary endpoints included overall survival (OS), progression-free survival (PFS), and safety profiles.

Results

The final analysis included 32 patients (21 male and 11 female). The median age was 63.5 years (range 27-82 years). The ORR was 50.0% (n = 16), including one complete response. Median OS and PFS were 14.5 [95% confidence interval (CI) 9.4-24.6 months] and 6.0 (95% CI 5.4-9.5 months), respectively. Among patients who received at least one treatment dose (n = 33), adverse events (AEs) of any grade were reported in 90.9% (n = 30), and severe AEs in 12.1% (n = 4), including one death. The most common hematologic and non-hematologic AEs were neutropenia (n = 13, 39.4%) and pain (n = 12, 36.4%). Immune-related pneumonitis was reported in two patients.

Conclusion

Avelumab plus weekly paclitaxel demonstrated preliminary evidence of efficacy and tolerability in inoperable angiosarcoma. Given the rarity of angiosarcoma, further multicenter, collaborative, and translational studies are warranted.
背景:血管肉瘤是一种罕见的起源于血管或淋巴的肿瘤,临床表现和行为均不相同,主要起源于头颈部皮肤和乳房区域。考虑到它们的位置和/或进展迅速,手术切除通常是不可行的,即使是那些局部疾病。传统的细胞毒性化疗已被证明对血管肉瘤基本无效。在这项前瞻性II期研究中,我们评估了紫杉醇联合avelumab作为一线治疗不可切除血管肉瘤的疗效和毒性。患者和方法本研究纳入了未接受全身治疗的不可切除的局部晚期或转移性血管肉瘤患者。紫杉醇(80 mg/m2)在每28 d周期的第1、8、15天静脉输注;Avelumab (10mg /kg)每2周静脉输注一次。治疗持续至疾病进展、不可接受的毒性、死亡或撤回同意,以先发生者为准。主要终点为客观缓解率(ORR);次要终点包括总生存期(OS)、无进展生存期(PFS)和安全性。结果共纳入32例患者,其中男21例,女11例。中位年龄为63.5岁(范围27-82岁)。ORR为50.0% (n = 16),包括1例完全缓解。中位OS和PFS分别为14.5[95%可信区间(CI) 9.4-24.6个月]和6.0 (95% CI 5.4-9.5个月)。在接受至少一个治疗剂量(n = 33)的患者中,90.9% (n = 30)报告了任何级别的不良事件(ae), 12.1% (n = 4)报告了严重ae,包括1例死亡。最常见的血液学和非血液学ae是中性粒细胞减少症(n = 13, 39.4%)和疼痛(n = 12, 36.4%)。2例患者报告免疫相关性肺炎。结论avelumab联合每周紫杉醇治疗不能手术的血管肉瘤具有初步的疗效和耐受性。鉴于血管肉瘤的罕见性,进一步的多中心、合作和转化研究是必要的。
{"title":"Phase II trial, multicenter, first-line paclitaxel-avelumab treatment of inoperable angiosarcoma (KCSG UN 18-15)☆","authors":"H.R. Kim ,&nbsp;M. Kim ,&nbsp;M.J. Kang ,&nbsp;J.E. Kim ,&nbsp;Y.J. Kim ,&nbsp;K. Park ,&nbsp;W.K. Bae ,&nbsp;M.-W. Lee ,&nbsp;J.-Y. Hong ,&nbsp;Y.S. Kim ,&nbsp;S.-A. Im ,&nbsp;J. Lee ,&nbsp;S.Y. Oh","doi":"10.1016/j.esmoop.2025.106018","DOIUrl":"10.1016/j.esmoop.2025.106018","url":null,"abstract":"<div><h3>Background</h3><div>Angiosarcomas are rare tumors of vascular or lymphatic origin with clinically heterogeneous presentation and behavior, predominantly originating in the skin of the head and neck and the breast area. Given their location and/or rapid progression, surgical resection is frequently not feasible, even in those with localized diseases. Conventional cytotoxic chemotherapy has proven largely ineffective against angiosarcoma. In this prospective, phase II study, we evaluated the efficacy and toxicity of paclitaxel plus avelumab as first-line therapy for unresectable angiosarcoma.</div></div><div><h3>Patients and methods</h3><div>This study included patients with unresectable locally advanced or metastatic angiosarcomas, who did not receive systemic treatment. Paclitaxel (80 mg/m<sup>2</sup>) was intravenously infused on days 1, 8, and 15 of every 28-days cycle; avelumab (10 mg/kg) was intravenously infused every 2 weeks. Treatment continued until disease progression, unacceptable toxicity, death, or withdrawal of consent, whichever occurred first. The primary endpoint was the objective response rate (ORR); secondary endpoints included overall survival (OS), progression-free survival (PFS), and safety profiles.</div></div><div><h3>Results</h3><div>The final analysis included 32 patients (21 male and 11 female). The median age was 63.5 years (range 27-82 years). The ORR was 50.0% (<em>n</em> = 16), including one complete response. Median OS and PFS were 14.5 [95% confidence interval (CI) 9.4-24.6 months] and 6.0 (95% CI 5.4-9.5 months), respectively. Among patients who received at least one treatment dose (<em>n</em> = 33), adverse events (AEs) of any grade were reported in 90.9% (<em>n</em> = 30), and severe AEs in 12.1% (<em>n</em> = 4), including one death. The most common hematologic and non-hematologic AEs were neutropenia (<em>n</em> = 13, 39.4%) and pain (<em>n</em> = 12, 36.4%). Immune-related pneumonitis was reported in two patients.</div></div><div><h3>Conclusion</h3><div>Avelumab plus weekly paclitaxel demonstrated preliminary evidence of efficacy and tolerability in inoperable angiosarcoma. Given the rarity of angiosarcoma, further multicenter, collaborative, and translational studies are warranted.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 2","pages":"Article 106018"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146024928","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
Artificial intelligence-powered real-time multimodal model for predicting recurrence and survival in head and neck cancer: a multicenter, multinational study 预测头颈癌复发和生存的人工智能实时多模态模型:一项多中心、多国研究
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-27 DOI: 10.1016/j.esmoop.2025.106046
H.A. Jung , R. Merkin , A.L. Feng , D. Lee , K. Lee , S. Park , J.-M. Sun , S.-H. Lee , J.S. Ahn , M.-J. Ahn , L.J. Wirth , J.C. Park

Background

Head and neck squamous-cell carcinoma (HNSCC) accounts for ∼5.3% of cancer-related mortality worldwide, with an estimated 890 000 new diagnoses and 450 000 deaths annually. Despite curative-intent therapy, 10% to 50% of patients experience recurrence. Prognosis for recurrent or metastatic disease is poor, with limited treatment options, underscoring the need for accurate prognostic models to guide treatment escalation or de-escalation and avoid over-treatment.

Methods

We conducted a multicenter prognostic study of patients undergoing curative-intent surgery at Samsung Medical Center and Massachusetts Eye and Ear Infirmary/Massachusetts General Hospital from 2008 to 2024. Baseline clinicopathologic variables were integrated with longitudinal laboratory measurements from surveillance. A random 80/20 split defined development and internal-validation cohorts. Using XGBoost, we trained two models to predict recurrence-free survival (RFS) and overall survival (OS) at 1, 2, 3, 4, and 5 years from each visit.

Results

A total of 975 patients with HNSCC (oral cavity, oropharyngeal, hypopharyngeal, and laryngeal subsites) were included. The areas under the curve (AUCs) for predicting 1-, 2-, 3-, 4-, and 5-year RFS from the surveillance time point were 0.785 (sensitivity, 72.8%; specificity, 71.5%), 0.831 (79.7%; 73.7%), 0.788 (74.0%; 73.3%), 0.769 (72.6%; 70.5%), and 0.795 (72.1%; 74.7%), respectively. For OS prediction, AUCs were 0.788 (72.1%; 73.6%), 0.797 (75.7%; 71.8%), 0.796 (81.0%; 68.4%), 0.820 (77.5%; 76.5%), and 0.815 (75.8%; 75.8%), respectively. In subgroup analysis, the model showed strong OS prediction in human papilloma virus (HPV)-positive oropharyngeal cancer, with AUCs of 0.943, 0.736, 0.699, 0.835, and 0.765 at 1-, 2-, 3-, 4-, and 5-years, respectively. In non-HPV-positive HNSCC, OS AUCs ranged from 0.780 to 0.813 and RFS AUCs from 0.774 to 0.830 across the same time points.

Conclusions and relevance

In this multicenter study, an artificial intelligence (AI)-powered model using multimodal and longitudinal data accurately predicted RFS and OS at multiple time points following curative-intent surgery for HNSCC.
背景头颈部鳞状细胞癌(HNSCC)占全球癌症相关死亡率的5.3%,估计每年有89万例新诊断和45万例死亡。尽管进行了治疗,但仍有10%至50%的患者出现复发。复发或转移性疾病的预后较差,治疗选择有限,强调需要准确的预后模型来指导治疗升级或降级并避免过度治疗。方法:我们对2008年至2024年在三星医疗中心和马萨诸塞州眼耳医院/马萨诸塞州总医院接受治疗目的手术的患者进行了多中心预后研究。基线临床病理变量与监测的纵向实验室测量相结合。随机的80/20划分定义了开发和内部验证队列。使用XGBoost,我们训练了两个模型来预测每次就诊后1、2、3、4和5年的无复发生存期(RFS)和总生存期(OS)。结果共纳入975例HNSCC患者(口腔、口咽、下咽和喉部亚区)。从监测时间点预测1年、2年、3年、4年和5年RFS的曲线下面积(aus)分别为0.785(敏感性72.8%、特异性71.5%)、0.831(79.7%、73.7%)、0.788(74.0%、73.3%)、0.769(72.6%、70.5%)和0.795(72.1%、74.7%)。OS预测auc分别为0.788(72.1%;73.6%)、0.797(75.7%;71.8%)、0.796(81.0%;68.4%)、0.820(77.5%;76.5%)、0.815(75.8%;75.8%)。在亚组分析中,该模型对人乳头瘤病毒(HPV)阳性口咽癌的OS预测较强,1年、2年、3年、4年和5年的auc分别为0.943、0.736、0.699、0.835和0.765。在非hpv阳性的HNSCC中,同一时间点的OS auc范围为0.780至0.813,RFS auc范围为0.774至0.830。结论和相关性在这项多中心研究中,使用多模态和纵向数据的人工智能(AI)驱动模型准确预测了HNSCC治疗意图手术后多个时间点的RFS和OS。
{"title":"Artificial intelligence-powered real-time multimodal model for predicting recurrence and survival in head and neck cancer: a multicenter, multinational study","authors":"H.A. Jung ,&nbsp;R. Merkin ,&nbsp;A.L. Feng ,&nbsp;D. Lee ,&nbsp;K. Lee ,&nbsp;S. Park ,&nbsp;J.-M. Sun ,&nbsp;S.-H. Lee ,&nbsp;J.S. Ahn ,&nbsp;M.-J. Ahn ,&nbsp;L.J. Wirth ,&nbsp;J.C. Park","doi":"10.1016/j.esmoop.2025.106046","DOIUrl":"10.1016/j.esmoop.2025.106046","url":null,"abstract":"<div><h3>Background</h3><div>Head and neck squamous-cell carcinoma (HNSCC) accounts for ∼5.3% of cancer-related mortality worldwide, with an estimated 890 000 new diagnoses and 450 000 deaths annually. Despite curative-intent therapy, 10% to 50% of patients experience recurrence. Prognosis for recurrent or metastatic disease is poor, with limited treatment options, underscoring the need for accurate prognostic models to guide treatment escalation or de-escalation and avoid over-treatment.</div></div><div><h3>Methods</h3><div>We conducted a multicenter prognostic study of patients undergoing curative-intent surgery at Samsung Medical Center and Massachusetts Eye and Ear Infirmary/Massachusetts General Hospital from 2008 to 2024. Baseline clinicopathologic variables were integrated with longitudinal laboratory measurements from surveillance. A random 80/20 split defined development and internal-validation cohorts. Using XGBoost, we trained two models to predict recurrence-free survival (RFS) and overall survival (OS) at 1, 2, 3, 4, and 5 years from each visit.</div></div><div><h3>Results</h3><div>A total of 975 patients with HNSCC (oral cavity, oropharyngeal, hypopharyngeal, and laryngeal subsites) were included. The areas under the curve (AUCs) for predicting 1-, 2-, 3-, 4-, and 5-year RFS from the surveillance time point were 0.785 (sensitivity, 72.8%; specificity, 71.5%), 0.831 (79.7%; 73.7%), 0.788 (74.0%; 73.3%), 0.769 (72.6%; 70.5%), and 0.795 (72.1%; 74.7%), respectively. For OS prediction, AUCs were 0.788 (72.1%; 73.6%), 0.797 (75.7%; 71.8%), 0.796 (81.0%; 68.4%), 0.820 (77.5%; 76.5%), and 0.815 (75.8%; 75.8%), respectively. In subgroup analysis, the model showed strong OS prediction in human papilloma virus (HPV)-positive oropharyngeal cancer, with AUCs of 0.943, 0.736, 0.699, 0.835, and 0.765 at 1-, 2-, 3-, 4-, and 5-years, respectively. In non-HPV-positive HNSCC, OS AUCs ranged from 0.780 to 0.813 and RFS AUCs from 0.774 to 0.830 across the same time points.</div></div><div><h3>Conclusions and relevance</h3><div>In this multicenter study, an artificial intelligence (AI)-powered model using multimodal and longitudinal data accurately predicted RFS and OS at multiple time points following curative-intent surgery for HNSCC.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 2","pages":"Article 106046"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146075212","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
Mutational patterns and ancestry-linked profiles in a large hepatocellular carcinoma and combined hepatocellular–cholangiocarcinoma cohort☆ 一个大型肝细胞癌和肝细胞胆管癌合并队列的突变模式和家谱。
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-01-20 DOI: 10.1016/j.esmoop.2025.106048
C. Gerdes , S. Rengarajan , K. Murugesan , J.S. Ross , S. Bartels , A. Vogel , A. Saborowski

Background

Despite significant therapeutic advancements, hepatocellular carcinoma (HCC) remains a highly fatal malignancy. To accelerate the development of targeted therapies, a comprehensive understanding of the spectrum of genomic alterations (GAs) is essential. Here, we present what is, to our knowledge, the largest genomic analysis of real-world HCC and combined HCC–cholangiocarcinoma (cHCC–CCA) patients.

Patients and methods

Tumor samples from 2372 HCC patients and 150 patients with cHCC–CCA underwent genomic profiling using the FoundationOne® platform covering >290 genes, as well as tumor mutational burden (TMB) and microsatellite status.

Results

Our comprehensive and representative analysis included 1793 male and 577 female patients across five genetic ancestries. Female patients exhibited lower frequencies of GAs in TERT, MYC, and CTNNB1, with higher rates of BAP1 GA. Patients of East Asian ancestry presented an increased frequency of TP53, MUTYH, and TET2 GAs, as well as a higher proportion of TMB-high tumors. Compared with HCC, cHCC–CCA exhibited higher frequencies of IDH1 (8.0% versus 0.3%), IDH2 (2.7% versus 0.04%), and FGFR2 (7.3% versus 0.3%) alterations. Potentially actionable alterations were detected in 19.5% of HCC patients and 34.7% of mixed histology. Histological re-assessment due to detection of GA uncommon for HCC was carried out in 117 patients, resulting in a change in diagnosis in 37 cases. Limitations include the absence of detailed clinical data and dependence on the CE-certified Foundation Medicine (FMI) platform for functional annotation of detected variants.

Conclusions

Our study represents one of the largest cohorts of HCC and cHCC–CCA patients with genomic data and highlights the critical role of integrated molecular diagnostics. Beyond uncovering therapeutic targets, next-generation sequencing profiling offers significant benefits in improving diagnostic accuracy for liver cancer.
背景:尽管治疗取得了重大进展,肝细胞癌(HCC)仍然是一种高度致命的恶性肿瘤。为了加速靶向治疗的发展,全面了解基因组改变(GAs)的谱是必不可少的。在这里,我们提出了,据我们所知,最大的真实HCC和HCC-胆管癌合并(cHCC-CCA)患者的基因组分析。患者和方法:使用FoundationOne®平台对2372例HCC患者和150例cHCC-CCA患者的肿瘤样本进行基因组分析,包括bbbb290个基因,以及肿瘤突变负担(TMB)和微卫星状态。结果:我们对5个遗传谱系的1793名男性和577名女性患者进行了全面且具有代表性的分析。女性患者在TERT、MYC和CTNNB1中GAs的发生率较低,而BAP1 GA的发生率较高。东亚血统的患者出现TP53、MUTYH和TET2 GAs的频率增加,以及tmb -高肿瘤的比例更高。与HCC相比,cHCC-CCA表现出更高的IDH1(8.0%比0.3%)、IDH2(2.7%比0.04%)和FGFR2(7.3%比0.3%)改变频率。在19.5%的HCC患者和34.7%的混合组织学患者中检测到潜在的可操作改变。117例患者因检测到HCC不常见的GA而进行组织学重新评估,其中37例导致诊断改变。局限性包括缺乏详细的临床数据和依赖ce认证的基础医学(FMI)平台对检测到的变异进行功能注释。结论:我们的研究代表了具有基因组数据的最大的HCC和cHCC-CCA患者队列之一,并强调了综合分子诊断的关键作用。除了发现治疗靶点,下一代测序分析在提高肝癌诊断准确性方面提供了显著的好处。
{"title":"Mutational patterns and ancestry-linked profiles in a large hepatocellular carcinoma and combined hepatocellular–cholangiocarcinoma cohort☆","authors":"C. Gerdes ,&nbsp;S. Rengarajan ,&nbsp;K. Murugesan ,&nbsp;J.S. Ross ,&nbsp;S. Bartels ,&nbsp;A. Vogel ,&nbsp;A. Saborowski","doi":"10.1016/j.esmoop.2025.106048","DOIUrl":"10.1016/j.esmoop.2025.106048","url":null,"abstract":"<div><h3>Background</h3><div>Despite significant therapeutic advancements, hepatocellular carcinoma (HCC) remains a highly fatal malignancy. To accelerate the development of targeted therapies, a comprehensive understanding of the spectrum of genomic alterations (GAs) is essential. Here, we present what is, to our knowledge, the largest genomic analysis of real-world HCC and combined HCC–cholangiocarcinoma (cHCC–CCA) patients.</div></div><div><h3>Patients and methods</h3><div>Tumor samples from 2372 HCC patients and 150 patients with cHCC–CCA underwent genomic profiling using the FoundationOne® platform covering &gt;290 genes, as well as tumor mutational burden (TMB) and microsatellite status.</div></div><div><h3>Results</h3><div>Our comprehensive and representative analysis included 1793 male and 577 female patients across five genetic ancestries. Female patients exhibited lower frequencies of GAs in <em>TERT</em>, <em>MYC</em>, and <em>CTNNB1,</em> with higher rates of <em>BAP1</em> GA. Patients of East Asian ancestry presented an increased frequency of <em>TP53</em>, <em>MUTYH</em>, and <em>TET2</em> GAs, as well as a higher proportion of TMB-high tumors. Compared with HCC, cHCC–CCA exhibited higher frequencies of <em>IDH1</em> (8.0% versus 0.3%), <em>IDH2</em> (2.7% versus 0.04%), and <em>FGFR2</em> (7.3% versus 0.3%) alterations. Potentially actionable alterations were detected in 19.5% of HCC patients and 34.7% of mixed histology. Histological re-assessment due to detection of GA uncommon for HCC was carried out in 117 patients, resulting in a change in diagnosis in 37 cases. Limitations include the absence of detailed clinical data and dependence on the CE-certified Foundation Medicine (FMI) platform for functional annotation of detected variants.</div></div><div><h3>Conclusions</h3><div>Our study represents one of the largest cohorts of HCC and cHCC–CCA patients with genomic data and highlights the critical role of integrated molecular diagnostics. Beyond uncovering therapeutic targets, next-generation sequencing profiling offers significant benefits in improving diagnostic accuracy for liver cancer.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 2","pages":"Article 106048"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146017759","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
Impact of ECOG performance status 2 participants on outcomes of pivotal cancer clinical trials: a meta-analysis and meta-regression 参与者ECOG表现状态对关键癌症临床试验结果的影响:荟萃分析和荟萃回归
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-02 DOI: 10.1016/j.esmoop.2026.106065
G.M. Iannantuono , T. Giovagnoli , L. Mastrantoni , B. Gyawali , C.S. Floudas , S. Sganga , D. Giannarelli , M. Filetti , A. Spinazzola , F. Lo Bianco , E. Giudice , A. Vitale , J.L. Gulley , P. Navarra , E. Bria , G. Daniele

Background

Although patients with Eastern Cooperative Oncology Group performance status (PS) of 2 constitute a significant proportion of the cancer population, they are often excluded from pivotal clinical trials owing to presumed higher risks of treatment effect dilution, toxicity, and lower compliance. Here, we conducted a systematic review and meta-analysis to evaluate the impact of including PS 2 participants on efficacy and safety outcomes in pivotal cancer clinical trials.

Materials and methods

We searched the ‘Oncology/Hematologic Malignancies Approval Notifications’ and ‘Drugs@FDA' databases for clinical trials supporting ‘Food and Drug Administration' anticancer drug approvals from 1 January 2009 to 31 December 2024. Eligible studies were randomized phase III clinical trials of systemic therapies for metastatic solid tumors permitting the inclusion of PS 2 participants. We assessed efficacy outcomes [progression-free survival (PFS) and overall survival (OS)] and safety outcomes [occurrence of any-grade adverse events (AEs), high-grade AEs, serious AE (SAEs), AE-related deaths, and treatment modifications] in the included studies.

Results

Thirty-six trials were included. In subgroup analyses, no statistically significant differences were found between PS 2 and PS ≤1 participants for PFS [hazard ratio (HR) 0.45, 95% confidence interval (CI) 0.30-0.69 versus HR 0.52, 95% CI 0.41-0.66, P = 0.59] and OS (HR 0.81, 95% CI 0.68-0.97 versus HR 0.71, 95% CI 0.66-0.77, P = 0.18). In meta-regression analyses, no significant associations were found for efficacy outcomes. However, a higher proportion of PS 2 participants was significantly associated with an increased risk of SAEs, AE-related deaths, and treatment discontinuations.

Conclusions

Although PS 2 participants showed a greater propensity to serious toxicity, no significant differences in efficacy outcomes were observed compared with those with PS ≤1. Our results support the inclusion of PS 2 participants in clinical trials, as their exclusion limits the generalizability of results.
背景:虽然东部肿瘤合作组表现状态(PS)为2的患者占癌症人群的很大比例,但由于推测治疗效果稀释、毒性和依从性较低的风险较高,他们经常被排除在关键临床试验之外。在这里,我们进行了一项系统回顾和荟萃分析,以评估纳入ps2参与者对关键癌症临床试验的疗效和安全性结果的影响。材料和方法:从2009年1月1日至2024年12月31日,我们检索了“肿瘤/血液恶性肿瘤批准通知”和“Drugs@FDA”数据库,以获取支持美国食品和药物管理局抗癌药物批准的临床试验。符合条件的研究是允许纳入PS 2参与者的转移性实体瘤全身治疗的随机III期临床试验。我们在纳入的研究中评估了疗效结局[无进展生存期(PFS)和总生存期(OS)]和安全性结局[任何级别不良事件(AE)、高级AE、严重AE (SAEs)、AE相关死亡和治疗修改的发生]。结果:共纳入36项试验。在亚组分析中,PS 2和PS≤1的受试者在PFS[风险比(HR) 0.45, 95%可信区间(CI) 0.30-0.69 vs HR 0.52, 95% CI 0.41-0.66, P = 0.59]和OS (HR 0.81, 95% CI 0.68-0.97 vs HR 0.71, 95% CI 0.66-0.77, P = 0.18)方面无统计学差异。在meta回归分析中,没有发现疗效结果的显著关联。然而,较高比例的ps2参与者与SAEs、ae相关死亡和治疗中断的风险增加显著相关。结论:虽然PS 2组患者更倾向于出现严重毒性,但与PS≤1组患者相比,疗效结果无显著差异。我们的研究结果支持将PS 2患者纳入临床试验,因为他们的排除限制了结果的普遍性。
{"title":"Impact of ECOG performance status 2 participants on outcomes of pivotal cancer clinical trials: a meta-analysis and meta-regression","authors":"G.M. Iannantuono ,&nbsp;T. Giovagnoli ,&nbsp;L. Mastrantoni ,&nbsp;B. Gyawali ,&nbsp;C.S. Floudas ,&nbsp;S. Sganga ,&nbsp;D. Giannarelli ,&nbsp;M. Filetti ,&nbsp;A. Spinazzola ,&nbsp;F. Lo Bianco ,&nbsp;E. Giudice ,&nbsp;A. Vitale ,&nbsp;J.L. Gulley ,&nbsp;P. Navarra ,&nbsp;E. Bria ,&nbsp;G. Daniele","doi":"10.1016/j.esmoop.2026.106065","DOIUrl":"10.1016/j.esmoop.2026.106065","url":null,"abstract":"<div><h3>Background</h3><div>Although patients with Eastern Cooperative Oncology Group performance status (PS) of 2 constitute a significant proportion of the cancer population, they are often excluded from pivotal clinical trials owing to presumed higher risks of treatment effect dilution, toxicity, and lower compliance. Here, we conducted a systematic review and meta-analysis to evaluate the impact of including PS 2 participants on efficacy and safety outcomes in pivotal cancer clinical trials.</div></div><div><h3>Materials and methods</h3><div>We searched the ‘Oncology/Hematologic Malignancies Approval Notifications’ and ‘Drugs@FDA' databases for clinical trials supporting ‘Food and Drug Administration' anticancer drug approvals from 1 January 2009 to 31 December 2024. Eligible studies were randomized phase III clinical trials of systemic therapies for metastatic solid tumors permitting the inclusion of PS 2 participants. We assessed efficacy outcomes [progression-free survival (PFS) and overall survival (OS)] and safety outcomes [occurrence of any-grade adverse events (AEs), high-grade AEs, serious AE (SAEs), AE-related deaths, and treatment modifications] in the included studies.</div></div><div><h3>Results</h3><div>Thirty-six trials were included. In subgroup analyses, no statistically significant differences were found between PS 2 and PS ≤1 participants for PFS [hazard ratio (HR) 0.45, 95% confidence interval (CI) 0.30-0.69 versus HR 0.52, 95% CI 0.41-0.66, <em>P</em> = 0.59] and OS (HR 0.81, 95% CI 0.68-0.97 versus HR 0.71, 95% CI 0.66-0.77, <em>P</em> = 0.18). In meta-regression analyses, no significant associations were found for efficacy outcomes. However, a higher proportion of PS 2 participants was significantly associated with an increased risk of SAEs, AE-related deaths, and treatment discontinuations.</div></div><div><h3>Conclusions</h3><div>Although PS 2 participants showed a greater propensity to serious toxicity, no significant differences in efficacy outcomes were observed compared with those with PS ≤1. Our results support the inclusion of PS 2 participants in clinical trials, as their exclusion limits the generalizability of results.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 2","pages":"Article 106065"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146112590","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
Prognostic nomogram for patients with HER2-negative metastatic gastric cancer receiving first-line PD-1 blockade 接受一线PD-1阻断治疗的her2阴性转移性胃癌患者的预后图
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/j.esmoop.2025.106055
B. Fu , M. Zhang , T. Fang , Y. Wang , Y. Jin , Y. Wang , Z. Wang , Y. Li , F. Wang , H. Luo , M. Qiu , J. Li , F. Wang , D. Zhang

Background

Programmed cell death protein 1 (PD-1) blockade-based therapies have become the new standard for first-line treatment of metastatic gastric cancer (mGC), but a lack of effective prognostic models hinders precise risk stratification in patients receiving this treatment. We aimed to develop an intuitive prognostic nomogram for human epidermal growth factor receptor 2 (HER2)-negative mGC patients receiving first-line anti-PD-1 therapies.

Patients and methods

We conducted a retrospective study and collected baseline clinicopathological characteristics of patients with HER2-negative mGC receiving first-line PD-1 blockade-based therapies from October 2018 to July 2024. Cox regression models were utilized to determine independent prognostic factors. Time-dependent receiver operating characteristic (ROC) curves with area under the curves (AUCs), calibration plots and decision curve analyses (DCAs) were used to validate the nomogram.

Results

A total of 714 patients were included in the training cohort and 180 in the validation cohort. After univariate and multivariate Cox regression analyses, Eastern Cooperative Oncology Group performance status, pleural or peritoneal metastases, Lauren type, C-reactive protein and elevated lactate dehydrogenase were identified as independent prognostic factors associated with both progression-free survival (PFS) and overall survival (OS), and were used to develop a prognostic nomogram based on OS in the training cohort. The nomogram showed reasonable discrimination and good calibration in both the training and validation cohorts. Time-dependent ROC and DCAs indicated superior performance of the nomogram to programmed death-ligand 1 combined positive score and several previously reported models. Three risk groups were stratified according to the nomogram scores. Whether in the training or the validation cohort, patients in the intermediate- and high-risk groups had significantly inferior PFS and OS compared with those in the low-risk group (all P < 0.001). The risk stratification was significantly associated with disease control rates. Nevertheless, external validation is needed in the future for the generalizability of the nomogram.

Conclusions

The nomogram provided personalized survival prediction for patients with HER2-negative mGC receiving first-line PD-1 blockade-based therapies and enabled prognostic stratification to identify patients with different survival risks.
背景:程序性细胞死亡蛋白1 (PD-1)阻断疗法已成为转移性胃癌(mGC)一线治疗的新标准,但缺乏有效的预后模型阻碍了接受这种治疗的患者进行精确的风险分层。我们旨在为接受一线抗pd -1治疗的人表皮生长因子受体2 (HER2)阴性mGC患者建立直观的预后图。患者和方法:我们进行了一项回顾性研究,收集了2018年10月至2024年7月接受一线PD-1阻断治疗的her2阴性mGC患者的基线临床病理特征。采用Cox回归模型确定独立预后因素。采用随时间变化的受试者工作特征曲线(ROC)、曲线下面积曲线(auc)、标定图和决策曲线分析(DCAs)对nomogram进行验证。结果:共有714例患者被纳入训练队列,180例患者被纳入验证队列。经过单因素和多因素Cox回归分析,东方合作肿瘤组的工作状态、胸膜或腹膜转移、Lauren型、c反应蛋白和乳酸脱氢酶升高被确定为与无进展生存期(PFS)和总生存期(OS)相关的独立预后因素,并用于在训练队列中建立基于OS的预后nomogram。在训练和验证队列中,nomogram均显示出合理的判别和良好的校正。时间相关的ROC和DCAs显示,程序性死亡配体1联合阳性评分和先前报道的几种模型的nomogram表现优越。根据nomogram评分对3个危险组进行分层。无论是在训练组还是验证队列中,中高危组患者的PFS和OS均明显低于低危组(均P < 0.001)。风险分层与疾病控制率显著相关。然而,在未来,需要外部验证的概形图的推广。结论:nomogram为接受一线PD-1阻断治疗的her2阴性mGC患者提供了个性化的生存预测,并实现了预后分层,以识别不同生存风险的患者。
{"title":"Prognostic nomogram for patients with HER2-negative metastatic gastric cancer receiving first-line PD-1 blockade","authors":"B. Fu ,&nbsp;M. Zhang ,&nbsp;T. Fang ,&nbsp;Y. Wang ,&nbsp;Y. Jin ,&nbsp;Y. Wang ,&nbsp;Z. Wang ,&nbsp;Y. Li ,&nbsp;F. Wang ,&nbsp;H. Luo ,&nbsp;M. Qiu ,&nbsp;J. Li ,&nbsp;F. Wang ,&nbsp;D. Zhang","doi":"10.1016/j.esmoop.2025.106055","DOIUrl":"10.1016/j.esmoop.2025.106055","url":null,"abstract":"<div><h3>Background</h3><div>Programmed cell death protein 1 (PD-1) blockade-based therapies have become the new standard for first-line treatment of metastatic gastric cancer (mGC), but a lack of effective prognostic models hinders precise risk stratification in patients receiving this treatment. We aimed to develop an intuitive prognostic nomogram for human epidermal growth factor receptor 2 (HER2)-negative mGC patients receiving first-line anti-PD-1 therapies.</div></div><div><h3>Patients and methods</h3><div>We conducted a retrospective study and collected baseline clinicopathological characteristics of patients with HER2-negative mGC receiving first-line PD-1 blockade-based therapies from October 2018 to July 2024. Cox regression models were utilized to determine independent prognostic factors. Time-dependent receiver operating characteristic (ROC) curves with area under the curves (AUCs), calibration plots and decision curve analyses (DCAs) were used to validate the nomogram.</div></div><div><h3>Results</h3><div>A total of 714 patients were included in the training cohort and 180 in the validation cohort. After univariate and multivariate Cox regression analyses, Eastern Cooperative Oncology Group performance status, pleural or peritoneal metastases, Lauren type, C-reactive protein and elevated lactate dehydrogenase were identified as independent prognostic factors associated with both progression-free survival (PFS) and overall survival (OS), and were used to develop a prognostic nomogram based on OS in the training cohort. The nomogram showed reasonable discrimination and good calibration in both the training and validation cohorts. Time-dependent ROC and DCAs indicated superior performance of the nomogram to programmed death-ligand 1 combined positive score and several previously reported models. Three risk groups were stratified according to the nomogram scores. Whether in the training or the validation cohort, patients in the intermediate- and high-risk groups had significantly inferior PFS and OS compared with those in the low-risk group (all <em>P</em> &lt; 0.001). The risk stratification was significantly associated with disease control rates. Nevertheless, external validation is needed in the future for the generalizability of the nomogram.</div></div><div><h3>Conclusions</h3><div>The nomogram provided personalized survival prediction for patients with HER2-negative mGC receiving first-line PD-1 blockade-based therapies and enabled prognostic stratification to identify patients with different survival risks.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 2","pages":"Article 106055"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131536","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
Paclitaxel plus cetuximab for the treatment of R/M SCCHN after first-line pembrolizumab failure: primary analysis from the PaceAce trial 紫杉醇加西妥昔单抗治疗一线派姆单抗失败后的R/M SCCHN:来自PaceAce试验的初步分析
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-05 DOI: 10.1016/j.esmoop.2026.106061
T. Fuereder , K. Klinghammer , D. Hahn , B. Grünberger , T. Melchardt , R. Greil , F. Kocher , G. Gamerith , C. Wagner , L. Berchtold , M. Burian , A. Strobl

Background

No standard second-line treatment has been established for patients with recurrent or metastatic (R/M) squamous-cell carcinoma of the head and neck (SCCHN) progressing after first-line pembrolizumab-based therapy, representing a critical evidence gap in current clinical practice.

Patients and methods

Patients with R/M SCCHN of the oropharynx, hypopharynx, larynx, or oral cavity, progressing after first-line pembrolizumab-based regimens, received paclitaxel (PTX) 175 mg/m2 every 21 days plus weekly cetuximab (C) 250 mg/m2 for up to six cycles, followed by C maintenance. The primary endpoint was overall response rate (ORR) at 12 weeks. Secondary endpoints included best overall response (BoR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), duration of response (DoR), quality of life, and safety.

Results

Fifty-seven patients were enrolled (median age 64 years). Twenty-five patients (43.9%) had a primary tumor in the oropharynx, 17 (29.8%) in the oral cavity, 9 (15.8%) in the hypopharynx, and 6 (10.5%) in the larynx. The ORR was 43.9% [95% confidence interval (CI) 30.7% to 57.6%], the BoR was 47.4% (95% CI 34.0% to 61.0%) with nine (15.8%) complete responses, and the DCR was 71.9% (95% CI 58.5% to 83.0%). DoR was 5.7 months (95% CI 5.1 months-not reached). Median PFS and OS were 5.9 months (95% CI 5.5-8.4 months) and 12.2 months (95% CI 10.5-17.6 months), respectively. Six-month PFS and OS rates were 49.0% and 73.0%, respectively. The most frequent non-hematological treatment-related adverse events were C-associated skin rash (78.9%) and PTX-related polyneuropathy (35.1%).

Conclusions

This is the first prospective trial specifically evaluating PTX plus C after failure of first-line pembrolizumab-based therapy in patients with R/M SCCHN. The observed clinical activity and tolerability support this widely available regimen as a potential standard-of-care option in the absence of randomized evidence in this setting.
背景:对于复发或转移性(R/M)头颈部鳞状细胞癌(SCCHN)在一线派姆单抗治疗后进展的患者,尚未建立标准的二线治疗方法,这代表了当前临床实践中一个关键的证据缺口。患者和方法:口咽、下咽、喉部或口腔的R/M SCCHN患者,在一线基于派姆单抗的方案后进展,每21天接受紫杉醇(PTX) 175 mg/m2,每周加西妥昔单抗(C) 250 mg/m2,最多6个周期,然后进行C维持。主要终点是12周时的总缓解率(ORR)。次要终点包括最佳总缓解(BoR)、疾病控制率(DCR)、无进展生存期(PFS)、总生存期(OS)、反应持续时间(DoR)、生活质量和安全性。结果:57例患者入组(中位年龄64岁)。原发肿瘤在口咽部25例(43.9%),口腔17例(29.8%),下咽9例(15.8%),喉部6例(10.5%)。ORR为43.9%[95%可信区间(CI) 30.7%至57.6%],BoR为47.4% (95% CI 34.0%至61.0%),其中9例(15.8%)完全缓解,DCR为71.9% (95% CI 58.5%至83.0%)。DoR为5.7个月(95% CI为5.1个月-未达到)。中位PFS和OS分别为5.9个月(95% CI 5.5-8.4个月)和12.2个月(95% CI 10.5-17.6个月)。6个月PFS和OS率分别为49.0%和73.0%。最常见的非血液学治疗相关不良事件是c相关皮疹(78.9%)和ptx相关多神经病变(35.1%)。结论:这是首个专门评估PTX + C在一线派姆单抗治疗R/M SCCHN患者失败后的前瞻性试验。在缺乏随机证据的情况下,观察到的临床活性和耐受性支持这种广泛使用的方案作为潜在的标准治疗选择。
{"title":"Paclitaxel plus cetuximab for the treatment of R/M SCCHN after first-line pembrolizumab failure: primary analysis from the PaceAce trial","authors":"T. Fuereder ,&nbsp;K. Klinghammer ,&nbsp;D. Hahn ,&nbsp;B. Grünberger ,&nbsp;T. Melchardt ,&nbsp;R. Greil ,&nbsp;F. Kocher ,&nbsp;G. Gamerith ,&nbsp;C. Wagner ,&nbsp;L. Berchtold ,&nbsp;M. Burian ,&nbsp;A. Strobl","doi":"10.1016/j.esmoop.2026.106061","DOIUrl":"10.1016/j.esmoop.2026.106061","url":null,"abstract":"<div><h3>Background</h3><div>No standard second-line treatment has been established for patients with recurrent or metastatic (R/M) squamous-cell carcinoma of the head and neck (SCCHN) progressing after first-line pembrolizumab-based therapy, representing a critical evidence gap in current clinical practice.</div></div><div><h3>Patients and methods</h3><div>Patients with R/M SCCHN of the oropharynx, hypopharynx, larynx, or oral cavity, progressing after first-line pembrolizumab-based regimens, received paclitaxel (PTX) 175 mg/m<sup>2</sup> every 21 days plus weekly cetuximab (C) 250 mg/m<sup>2</sup> for up to six cycles, followed by C maintenance. The primary endpoint was overall response rate (ORR) at 12 weeks. Secondary endpoints included best overall response (BoR), disease control rate (DCR), progression-free survival (PFS), overall survival (OS), duration of response (DoR), quality of life, and safety.</div></div><div><h3>Results</h3><div>Fifty-seven patients were enrolled (median age 64 years). Twenty-five patients (43.9%) had a primary tumor in the oropharynx, 17 (29.8%) in the oral cavity, 9 (15.8%) in the hypopharynx, and 6 (10.5%) in the larynx. The ORR was 43.9% [95% confidence interval (CI) 30.7% to 57.6%], the BoR was 47.4% (95% CI 34.0% to 61.0%) with nine (15.8%) complete responses, and the DCR was 71.9% (95% CI 58.5% to 83.0%). DoR was 5.7 months (95% CI 5.1 months-not reached). Median PFS and OS were 5.9 months (95% CI 5.5-8.4 months) and 12.2 months (95% CI 10.5-17.6 months), respectively. Six-month PFS and OS rates were 49.0% and 73.0%, respectively. The most frequent non-hematological treatment-related adverse events were C-associated skin rash (78.9%) and PTX-related polyneuropathy (35.1%).</div></div><div><h3>Conclusions</h3><div>This is the first prospective trial specifically evaluating PTX plus C after failure of first-line pembrolizumab-based therapy in patients with R/M SCCHN. The observed clinical activity and tolerability support this widely available regimen as a potential standard-of-care option in the absence of randomized evidence in this setting.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 2","pages":"Article 106061"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146131563","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
PP212 Systematic pan-cancer analysis identified NCOA4 as an immunological and prognostic biomarker and validated in lung adenocarcinoma PP212系统的泛癌症分析发现NCOA4是一种免疫和预后生物标志物,并在肺腺癌中得到验证
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-28 DOI: 10.1016/j.esmoop.2025.105988
An Wang , Yne-Ye Mao , Tao Li , Xin Zhou , Yi-Bing Bai , Tong Zhang , Zhi-Qiang Ma , Yi Hu
{"title":"PP212 Systematic pan-cancer analysis identified NCOA4 as an immunological and prognostic biomarker and validated in lung adenocarcinoma","authors":"An Wang ,&nbsp;Yne-Ye Mao ,&nbsp;Tao Li ,&nbsp;Xin Zhou ,&nbsp;Yi-Bing Bai ,&nbsp;Tong Zhang ,&nbsp;Zhi-Qiang Ma ,&nbsp;Yi Hu","doi":"10.1016/j.esmoop.2025.105988","DOIUrl":"10.1016/j.esmoop.2025.105988","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 105988"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147426550","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
PP134 Predicting micrometastatic recurrence after colorectal cancer surgery using patient-specific circulating tumor DNA surveillance and mathematical modeling 使用患者特异性循环肿瘤DNA监测和数学模型预测结直肠癌手术后微转移复发
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-28 DOI: 10.1016/j.esmoop.2025.105977
Rifaldy Fajar , Prihantini Prihantini , Rini Winarti , Sahnaz Vivinda Putri , Pia Elsa Makora , Elfiany Syafruddin
{"title":"PP134 Predicting micrometastatic recurrence after colorectal cancer surgery using patient-specific circulating tumor DNA surveillance and mathematical modeling","authors":"Rifaldy Fajar ,&nbsp;Prihantini Prihantini ,&nbsp;Rini Winarti ,&nbsp;Sahnaz Vivinda Putri ,&nbsp;Pia Elsa Makora ,&nbsp;Elfiany Syafruddin","doi":"10.1016/j.esmoop.2025.105977","DOIUrl":"10.1016/j.esmoop.2025.105977","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 105977"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147426553","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
PP124 An alternative approach to combat colorectal cancer metastasis by neutrophil extracellular traps (NETs) using galangal-based synthetic compound (PK3) 基于高良姜合成化合物(PK3)的中性粒细胞胞外陷阱(NETs)对抗结直肠癌转移的替代方法
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-28 DOI: 10.1016/j.esmoop.2025.105972
Podchanart Wanitchakool , Mashima Naksawat , Lalida Sirianan , Pakit Kambunma
{"title":"PP124 An alternative approach to combat colorectal cancer metastasis by neutrophil extracellular traps (NETs) using galangal-based synthetic compound (PK3)","authors":"Podchanart Wanitchakool ,&nbsp;Mashima Naksawat ,&nbsp;Lalida Sirianan ,&nbsp;Pakit Kambunma","doi":"10.1016/j.esmoop.2025.105972","DOIUrl":"10.1016/j.esmoop.2025.105972","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 105972"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147412603","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
PP190 Real-world evaluation of patient characteristics, and treatment patterns in locally advanced or metastatic urothelial cancer following approval of maintenance therapy in South Korea PP190在韩国批准维持治疗后,局部晚期或转移性尿路上皮癌患者特征和治疗模式的真实世界评估
IF 8.3 2区 医学 Q1 ONCOLOGY Pub Date : 2026-02-01 Epub Date: 2026-02-28 DOI: 10.1016/j.esmoop.2025.105985
Li-Jen Cheng , Eo Jin Kim , Kyungah Park , David Nimke , Eunjee Cho , Mia Unsworth , Maria Walley , Amber Simpson
{"title":"PP190 Real-world evaluation of patient characteristics, and treatment patterns in locally advanced or metastatic urothelial cancer following approval of maintenance therapy in South Korea","authors":"Li-Jen Cheng ,&nbsp;Eo Jin Kim ,&nbsp;Kyungah Park ,&nbsp;David Nimke ,&nbsp;Eunjee Cho ,&nbsp;Mia Unsworth ,&nbsp;Maria Walley ,&nbsp;Amber Simpson","doi":"10.1016/j.esmoop.2025.105985","DOIUrl":"10.1016/j.esmoop.2025.105985","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"11 ","pages":"Article 105985"},"PeriodicalIF":8.3,"publicationDate":"2026-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147413564","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
期刊
ESMO Open
全部 Acc. Chem. Res. ACS Applied Bio Materials ACS Appl. Electron. Mater. ACS Appl. Energy Mater. ACS Appl. Mater. Interfaces ACS Appl. Nano Mater. ACS Appl. Polym. Mater. ACS BIOMATER-SCI ENG ACS Catal. ACS Cent. Sci. ACS Chem. Biol. ACS Chemical Health & Safety ACS Chem. Neurosci. ACS Comb. Sci. ACS Earth Space Chem. ACS Energy Lett. ACS Infect. Dis. ACS Macro Lett. ACS Mater. Lett. ACS Med. Chem. Lett. ACS Nano ACS Omega ACS Photonics ACS Sens. ACS Sustainable Chem. Eng. ACS Synth. Biol. Anal. Chem. BIOCHEMISTRY-US Bioconjugate Chem. BIOMACROMOLECULES Chem. Res. Toxicol. Chem. Rev. Chem. Mater. CRYST GROWTH DES ENERG FUEL Environ. Sci. Technol. Environ. Sci. Technol. Lett. Eur. J. Inorg. Chem. IND ENG CHEM RES Inorg. Chem. J. Agric. Food. Chem. J. Chem. Eng. Data J. Chem. Educ. J. Chem. Inf. Model. J. Chem. Theory Comput. J. Med. Chem. J. Nat. Prod. J PROTEOME RES J. Am. Chem. Soc. LANGMUIR MACROMOLECULES Mol. Pharmaceutics Nano Lett. Org. Lett. ORG PROCESS RES DEV ORGANOMETALLICS J. Org. Chem. J. Phys. Chem. J. Phys. Chem. A J. Phys. Chem. B J. Phys. Chem. C J. Phys. Chem. Lett. Analyst Anal. Methods Biomater. Sci. Catal. Sci. Technol. Chem. Commun. Chem. Soc. Rev. CHEM EDUC RES PRACT CRYSTENGCOMM Dalton Trans. Energy Environ. Sci. ENVIRON SCI-NANO ENVIRON SCI-PROC IMP ENVIRON SCI-WAT RES Faraday Discuss. Food Funct. Green Chem. Inorg. Chem. Front. Integr. Biol. J. Anal. At. Spectrom. J. Mater. Chem. A J. Mater. Chem. B J. Mater. Chem. C Lab Chip Mater. Chem. Front. Mater. Horiz. MEDCHEMCOMM Metallomics Mol. Biosyst. Mol. Syst. Des. Eng. Nanoscale Nanoscale Horiz. Nat. Prod. Rep. New J. Chem. Org. Biomol. Chem. Org. Chem. Front. PHOTOCH PHOTOBIO SCI PCCP Polym. Chem.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
0
微信
客服QQ
Book学术公众号 扫码关注我们
反馈
×
意见反馈
请填写您的意见或建议
请填写您的手机或邮箱
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
现在去查看 取消
×
提示
确定
Book学术官方微信
Book学术文献互助
Book学术文献互助群
群 号:604180095
Book学术
文献互助 智能选刊 最新文献 互助须知 联系我们:info@booksci.cn
Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。
Copyright © 2023 Book学术 All rights reserved.
ghs 京公网安备 11010802042870号 京ICP备2023020795号-1