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Abstract PO-051: PANOVA-3: A phase III study of tumor treating fields with nab-paclitaxel and gemcitabine for front-line treatment of locally advanced pancreatic adenocarcinoma PO-051: PANOVA-3:一项肿瘤治疗领域的III期研究,nab-紫杉醇和吉西他滨用于局部晚期胰腺腺癌的一线治疗
Pub Date : 2021-11-15 DOI: 10.1158/1538-7445.panca21-po-051
V. Picozzi, T. Macarulla, P. Philip, C. Becerra, T. Dragovich
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引用次数: 0
Abstract PO-050: Precision Promise (PrP): An adaptive, multi-arm registration trial in metastatic pancreatic ductal adenocarcinoma (PDAC) PO-050: Precision Promise (PrP):一项转移性胰腺导管腺癌(PDAC)的适应性多臂注册试验
Pub Date : 2021-11-15 DOI: 10.1158/1538-7445.panca21-po-050
V. Picozzi, A. Duliege, A. Maitra, M. Hidalgo, A. Hendifar, G. Beatty, Sudheer Doss, Regina Deck, Lynn M. Matrisian, Julie M Fleshman, D. Simeone
{"title":"Abstract PO-050: Precision Promise (PrP): An adaptive, multi-arm registration trial in metastatic pancreatic ductal adenocarcinoma (PDAC)","authors":"V. Picozzi, A. Duliege, A. Maitra, M. Hidalgo, A. Hendifar, G. Beatty, Sudheer Doss, Regina Deck, Lynn M. Matrisian, Julie M Fleshman, D. Simeone","doi":"10.1158/1538-7445.panca21-po-050","DOIUrl":"https://doi.org/10.1158/1538-7445.panca21-po-050","url":null,"abstract":"","PeriodicalId":120683,"journal":{"name":"Other Topics","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122559313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Abstract PO-048: A novel chromatin remodeling domain of keratin 17 regulates transcription and promotes tumor aggression in pancreatic cancer PO-048:一个新的角蛋白17染色质重塑结构域在胰腺癌中调控转录并促进肿瘤侵袭
Pub Date : 2021-11-15 DOI: 10.1158/1538-7445.panca21-po-048
C. Pan, Robert Tseng, S. Hogg, Gabriella Baraks, Cindy V Leiton, Lucia Roa-Peña, N. Marchenko, K. Shroyer, Luisa F. Escobar‐Hoyos
{"title":"Abstract PO-048: A novel chromatin remodeling domain of keratin 17 regulates transcription and promotes tumor aggression in pancreatic cancer","authors":"C. Pan, Robert Tseng, S. Hogg, Gabriella Baraks, Cindy V Leiton, Lucia Roa-Peña, N. Marchenko, K. Shroyer, Luisa F. Escobar‐Hoyos","doi":"10.1158/1538-7445.panca21-po-048","DOIUrl":"https://doi.org/10.1158/1538-7445.panca21-po-048","url":null,"abstract":"","PeriodicalId":120683,"journal":{"name":"Other Topics","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122191912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abstract PO-038: LAMC2: New player in stemness and tumor progression in pancreatic cancer PO-038: LAMC2:胰腺癌干细胞和肿瘤进展的新参与者
Pub Date : 2021-11-15 DOI: 10.1158/1538-7445.panca21-po-038
Donatella Delle Cave, Tea Teresa Iavazzo, M. Mangini, Gennaro Andolfi, T. Pirozzi, Annalisa Di Domenico, A. De Luca, E. Lonardo
{"title":"Abstract PO-038: LAMC2: New player in stemness and tumor progression in pancreatic cancer","authors":"Donatella Delle Cave, Tea Teresa Iavazzo, M. Mangini, Gennaro Andolfi, T. Pirozzi, Annalisa Di Domenico, A. De Luca, E. Lonardo","doi":"10.1158/1538-7445.panca21-po-038","DOIUrl":"https://doi.org/10.1158/1538-7445.panca21-po-038","url":null,"abstract":"","PeriodicalId":120683,"journal":{"name":"Other Topics","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129797560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abstract PO-041: Systemic screening of gene delivery methods in pancreatic ductal adenocarcinoma cells PO-041:胰腺导管腺癌细胞基因传递方法的系统筛选
Pub Date : 2021-11-15 DOI: 10.1158/1538-7445.panca21-po-041
D. Grygoryev, Taelor Ekstrom, Jason M. Link, R. Sears, Jungsun Kim
{"title":"Abstract PO-041: Systemic screening of gene delivery methods in pancreatic ductal adenocarcinoma cells","authors":"D. Grygoryev, Taelor Ekstrom, Jason M. Link, R. Sears, Jungsun Kim","doi":"10.1158/1538-7445.panca21-po-041","DOIUrl":"https://doi.org/10.1158/1538-7445.panca21-po-041","url":null,"abstract":"","PeriodicalId":120683,"journal":{"name":"Other Topics","volume":"64 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124298362","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Abstract PO-084: Genetic profiling of rat gliomas and cardiac schwannomas from cell phone radiofrequency radiation exposure using a targeted next-generation sequencing gene panel PO-084:使用靶向下一代测序基因面板对手机射频辐射暴露的大鼠神经胶质瘤和心脏神经鞘瘤进行遗传分析
Pub Date : 2021-04-15 DOI: 10.1158/1557-3265.RADSCI21-PO-084
R. Kovi, A. Vornoli, As Brooks, T. Ton, Miaofei Xu, E. Tibaldi, F. Gnudi, Jian-liang Li, R. Sills, J. Bucher, F. Belpoggi, A. Pandiri
The cancer hazard associated with exposure to cell phone radiofrequency radiation (RFR) was examined using lifetime exposure in Sprague-Dawley (SD) rats at the Ramazzini Institute (RI), Italy. There were increased incidences of gliomas in the brain and schwannomas in the heart. In order to understand the translational relevance of these rat tumors for human disease, we examined the top 23 orthologous cancer genes mutated in human gliomas using a custom built a next-generation sequencing gene panel for rats based on Illumina’s TruSeq Custom Amplicon Technology. SD rat tissues (gliomas =15; cardiac schwannomas=9, interim (1 year) sacrificed non-tumor brain tissues from RFR exposed rats =30, control brain and heart control tissues from lifetime exposure=10 each, and age-matched control brain tissues from interim sacrificed rats=10) from the RI-RFR cancer bioassay were examined in this study. The deepSNV R-package with various filtering criteria and the read depth of >1000x were used to identify single-nucleotide variants (SNVs) in the rat gliomas and schwannomas. At 5% allelic frequency, there were an average of 43 SNVs per rat glioma and point mutations were detected in 9 genes (Arid1a, Cic, Tert promoter, Tp53, Atrx, Nf1, Pdgfra, Pi3kr1, and Setd2) in at least 3 or more rat gliomas based on population frequency. Five genes (Nf1, Tert promoter, Setd2, Arid1a, and Pdgfra) harbored SNVs in interim sacrificed brain tissues that were also present in RFR-exposed gliomas from lifetime exposure. Interestingly, no mutations were detected in hotspot regions of Idh1, Idh2, Egfr or Braf. In contrast to most human gliomas which harbor mutations in IDH1 and IDH2 genes, the rat gliomas seem to be Idh1 wild type with mutations in the other glioma-related genes. Primary cardiac tumors are extremely rare in humans. With this targeted NGS panel (at allelic frequency of 2.5%), there were an average of 146 SNVs per rat cardiac schwannoma and unique point mutations were detected in Cic, Egfr, Arid1a, Nf1, Setd2, Cdkn2a, Erbb2, Atrx, Pdgfra, and Notch1 in 3 or more cardiac schwannomas. A subset of the SNVs (Arid1a, Tp53, and Nf1) in rat gliomas was confirmed in human gliomas in the COSMIC database supporting the translational relevance of the rat gliomas for human disease. In addition, several SNVs from rat gliomas and cardiac schwannomas were found in various human cancers including carcinomas, hematopoietic neoplasms, melanomas and neuroendocrine tumors. In conclusion, the rat gliomas appear to share genetic alterations with a subtype of IDH1 wildtype human gliomas and rat primary cardiac schwannomas also harbor mutations in some of the queried cancer genes. Citation Format: Ramesh C. Kovi, Andrea Vornoli, Ashley Brooks, Thai Vu T. Ton, Miaofei Xu, Eva Tibaldi, Federica Gnudi, Jian-Liang Li, Robert C. Sills, John R. Bucher, Fiorella Belpoggi, Arun R. Pandiri. Genetic profiling of rat gliomas and cardiac schwannomas from cell phone radiofrequency radiation exposure usi
意大利拉马齐尼研究所(Ramazzini Institute, RI)对Sprague-Dawley (SD)大鼠进行了终身暴露研究,研究了与手机射频辐射(RFR)暴露相关的癌症危害。脑部神经胶质瘤和心脏神经鞘瘤的发病率增加。为了了解这些大鼠肿瘤与人类疾病的翻译相关性,我们使用基于Illumina的TruSeq custom Amplicon Technology为大鼠定制的下一代测序基因面板,检测了人类胶质瘤中突变的前23个同源癌症基因。SD大鼠组织(胶质瘤=15;本研究检查了心脏神经鞘瘤=9,RFR暴露大鼠的中期(1年)非肿瘤脑组织=30,终身暴露大鼠的对照脑组织和心脏对照组织各=10,以及来自RI-RFR癌症生物测定的中期牺牲大鼠的年龄匹配的对照脑组织=10。采用不同过滤标准的deepSNV R-package,读取深度为>1000x,用于鉴定大鼠胶质瘤和神经鞘瘤中的单核苷酸变异(snv)。在5%的等位基因频率下,每个大鼠胶质瘤平均有43个snv,在至少3个或更多的大鼠胶质瘤中检测到9个基因(Arid1a、Cic、Tert启动子、Tp53、Atrx、Nf1、Pdgfra、Pi3kr1和Setd2)的点突变。5个基因(Nf1、Tert启动子、Setd2、Arid1a和Pdgfra)在临时牺牲的脑组织中携带snv,这些基因也存在于终生暴露于rfr暴露的胶质瘤中。有趣的是,在Idh1、Idh2、Egfr或Braf的热点区域未检测到突变。与大多数人类胶质瘤具有IDH1和IDH2基因突变相反,大鼠胶质瘤似乎是IDH1野生型,其他胶质瘤相关基因发生突变。原发性心脏肿瘤在人类中极为罕见。通过这个靶向NGS小组(等位基因频率为2.5%),平均每只大鼠心脏神经鞘瘤有146个snv,在3个或更多心脏神经鞘瘤中检测到Cic、Egfr、Arid1a、Nf1、Setd2、Cdkn2a、Erbb2、Atrx、Pdgfra和Notch1的独特点突变。在COSMIC数据库中,在人类胶质瘤中证实了大鼠胶质瘤中snv的一个子集(Arid1a、Tp53和Nf1),支持大鼠胶质瘤与人类疾病的翻译相关性。此外,一些来自大鼠胶质瘤和心脏神经鞘瘤的snv在各种人类癌症中被发现,包括癌症、造血肿瘤、黑色素瘤和神经内分泌肿瘤。总之,大鼠神经胶质瘤似乎与IDH1野生型人类神经胶质瘤的一个亚型共享遗传改变,大鼠原发性心脏神经鞘瘤也在一些被询问的癌症基因中存在突变。引文格式:Ramesh C. Kovi, Andrea Vornoli, Ashley Brooks, Thai Vu T. Ton, Miaofei Xu, Eva Tibaldi, Federica Gnudi, jianliang Li, Robert C. Sills, John R. Bucher, Fiorella Belpoggi, Arun R. Pandiri。手机射频辐射暴露大鼠神经胶质瘤和心脏神经鞘瘤的基因谱分析[摘要]。见:AACR辐射科学与医学虚拟特别会议论文集;2021年3月2-3日。费城(PA): AACR;临床肿瘤杂志,2021;27(8 -增刊):摘要nr PO-084。
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引用次数: 1
Abstract IA-022: Lysine 68 acetylation directs MnSOD as a tetrameric detoxification complex versus a monomeric tumor promoter IA-022:赖氨酸68乙酰化指导MnSOD作为四聚体解毒复合物对抗单体肿瘤启动子
Pub Date : 2021-04-15 DOI: 10.1158/1557-3265.RADSCI21-IA-022
D. Gius
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引用次数: 0
Abstract PO034: Long-term follow-up for a prospective phase II trial of levonorgestrel intrauterine device as non-surgical treatment for complex atypical hyperplasia and early endometrial cancer 摘要PO034:一项长期随访的前瞻性II期临床研究:左炔诺孕酮宫内节育器非手术治疗复杂不典型增生和早期子宫内膜癌
Pub Date : 2021-02-01 DOI: 10.1158/1557-3265.ENDOMET20-PO034
Mikayla Waters, N. Pal, M. Woodall, J. Gallegos, S. Westin, M. Yates
Background: The incidence of complex atypical hyperplasia (CAH) and early stage endometrioid endometrial cancer (EEC) is increasing. While standard upfront treatment for CAH and EEC is hysterectomy, non-surgical options are needed for the increasing population unable to undergo hysterectomy due to medical comorbidities precluding surgery or desired future fertility. Our recently published phase II trial of levonorgestrel intrauterine device (LIUD) showed substantial response for patients with CAH or grade 1 (g1) EEC, with 83% overall response rate at 12 months of LIUD treatment. Yet, relapse rates have not been well-defined in a large prospective clinical trial population. Further, we propose that estrogen-regulated gene expression biomarkers in the endometrium could reflect differences in estrogen signaling that drive later outcomes. Methods: This study was conducted under an approved IRB protocol at MD Anderson Cancer Center. Follow-up data for complete responders (those without evidence of hyperplasia or cancer following 12 months of LIUD) were abstracted from the medical record to determine long-term outcomes and relapse status (presence of CAH or grade 1 EEC). Estrogen-regulated gene expression biomarkers (PR, EIG121, IGF1, IGF2, RALDH2, survivin) were measured by real-time PCR from baseline endometrial biopsies and compared by relapse status. Results: Follow-up data were available for 30 of 39 participants that experienced complete response with 12 months of treatment with LIUD (median follow-up was 40 months). Eleven of 30 patients (36.7%) with complete response at the end of the 12-month LIUD treatment went on to experience relapse (6/23 with initial diagnosis of CAH and 5/7 g1 EEC). Median time to relapse after complete response was 14.3 months. Relapse occurred in patients with LIUD still in place (n=6) and LIUD removed (n=5). Of 11 cases with relapse, 5 subsequently responded to LIUD (including 3 cases with LIUD previously removed) and 6 went on to have hysterectomy. Two out of 30 (6.7%) complete responders showed progression of their initial g1 EEC lesions following the study: one patient progressed to grade 2 EEC and one patient progressed to grade 2 mixed EEC/clear cell carcinoma. Ten of 30 later had hysterectomy (equally from CAH and g1 EEC cohorts). Finally, although 13/30 patients indicated desired future fertility at baseline, only 3 attempted to conceive, and 1 achieved pregnancy and live birth. When comparing estrogen-regulated gene expression, participants that exhibited relapse had lower pre-treatment IGF1 than those that did not relapse (p=0.028). However, other biomarkers were not significantly different by relapse status. Conclusions: These findings show that although many patients with CAH or grade 1 EEC are initially responsive to LIUD, the response may not be durable. Additional studies are needed to evaluate biomarkers to predict risk of relapse and identify candidate targets for improved therapeutic strategies. Citat
背景:复杂非典型增生(CAH)和早期子宫内膜样子宫内膜癌(EEC)的发病率正在上升。虽然CAH和EEC的标准前期治疗是子宫切除术,但由于医学合并症或期望的未来生育能力,越来越多的人无法接受子宫切除术,因此需要非手术治疗。我们最近发表的左炔诺孕酮宫内节育器(LIUD) II期试验显示,对CAH或1 (g1)级EEC患者有显著的疗效,在LIUD治疗12个月时总有效率为83%。然而,复发率在大规模前瞻性临床试验人群中尚未得到明确定义。此外,我们提出子宫内膜中雌激素调节的基因表达生物标志物可以反映雌激素信号的差异,从而驱动后期结果。方法:本研究在MD安德森癌症中心按照批准的IRB协议进行。从医疗记录中提取完全应答者(LIUD 12个月后无增生或癌症证据)的随访数据,以确定长期结果和复发状态(CAH或1级EEC的存在)。通过实时荧光定量PCR检测基线子宫内膜活检的雌激素调节基因表达生物标志物(PR、EIG121、IGF1、IGF2、RALDH2、survivin),并与复发状态进行比较。结果:39名参与者中有30名在12个月的LIUD治疗后获得了完全缓解的随访数据(中位随访为40个月)。在12个月的LIUD治疗结束时完全缓解的30例患者中有11例(36.7%)复发(6/23初始诊断为CAH, 5/7初始诊断为EEC)。完全缓解后到复发的中位时间为14.3个月。复发发生在LIUD仍然存在(n=6)和LIUD切除(n=5)的患者中。在11例复发病例中,5例随后对LIUD有反应(其中3例先前已移除LIUD), 6例继续进行子宫切除术。30名完全缓解者中有2名(6.7%)在研究后显示其初始g1级EEC病变进展:1名患者进展为2级EEC, 1名患者进展为2级混合EEC/透明细胞癌。30例中有10例后来进行了子宫切除术(CAH组和EEC组各占1例)。最后,虽然13/30的患者在基线时表示希望将来生育,但只有3人试图怀孕,1人成功怀孕并活产。当比较雌激素调节的基因表达时,表现出复发的参与者的治疗前IGF1低于未复发的参与者(p=0.028)。然而,其他生物标志物在复发状态上没有显著差异。结论:这些发现表明,尽管许多CAH或1级EEC患者最初对LIUD有反应,但这种反应可能不会持久。需要进一步的研究来评估生物标志物,以预测复发风险,并确定改进治疗策略的候选靶点。引文格式:Mikayla Waters, Navdeep Pal, Misty Woodall, Jessica Gallegos, Shannon Westin, Melinda Yates。左炔诺孕酮宫内节育器非手术治疗复杂不典型增生及早期子宫内膜癌的远期随访研究[摘要]。AACR虚拟特别会议论文集:子宫内膜癌:新生物学驱动研究和治疗;2020年11月9-10日。费城(PA): AACR;临床肿瘤杂志,2021;27(3 -增刊):摘要nr PO034。
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引用次数: 0
Abstract B28: Novel combination treatment designed to target both metastatic cells and proliferation in pancreatic ductal adenocarcinoma 摘要B28:一种针对胰腺导管腺癌转移细胞和增殖的新型联合治疗方案
Pub Date : 2019-12-15 DOI: 10.1158/1538-7445.PANCA19-B28
Michelle N. Karl, Gabriella C. Russo, Bartholomew Starich, Haotian Tan, D. Wirtz
Pancreatic cancer is the 4th most common cause of cancer-related deaths in the United States, with only a 7-9% 5-year survival rate. While there are a few combination treatments that have been shown to increase overall survival by several months, gemcitabine monotherapy, which has been used to treat PDAC since 2006, is still the most commonly administered first-line treatment. Our objective is to improve patient survival by providing a novel combination therapy designed to inhibit the growth of solid tumors and prevent metastatic cancer cells from reaching secondary organs. Our lab has recently shown that secreted interleukin 6 (IL-6) and interleukin 8 (IL-8) can induce a migratory phenotype in tumorigenic, metastatic cancer cells in triple-negative breast cancer models. Cells exposed to these cytokines display enhanced invasion through stromal environments, and this phenotype can be reversed by blocking the IL-6 and IL-8 receptors with the combined treatment of tocilizumab and reparixin. We hypothesized that this simultaneous blocking of IL-6 and IL-8 receptors would improve PDAC patient outcomes when used in combination with gemcitabine by targeting both proliferation and metastasis. Preliminary results show that this combination treatment has a positive effect in in vivo PDAC models. Our novel treatment combination was able to significantly reduce the tumor size, exceeding that seen from gemcitabine monotherapy. In addition, the triple combination reduced the metastatic burden and normalized the effect of the treatment among the mice in the group. Citation Format: Michelle Karl, Gabriella Russo, Bartholomew Starich, Haotian Tan, Denis Wirtz. Novel combination treatment designed to target both metastatic cells and proliferation in pancreatic ductal adenocarcinoma [abstract]. In: Proceedings of the AACR Special Conference on Pancreatic Cancer: Advances in Science and Clinical Care; 2019 Sept 6-9; Boston, MA. Philadelphia (PA): AACR; Cancer Res 2019;79(24 Suppl):Abstract nr B28.
胰腺癌是美国癌症相关死亡的第四大常见原因,5年生存率仅为7-9%。虽然有一些联合治疗已被证明可以将总生存期提高几个月,但吉西他滨单药治疗(自2006年以来一直用于治疗PDAC)仍然是最常用的一线治疗方法。我们的目标是通过提供一种新的联合疗法来抑制实体瘤的生长,防止转移癌细胞到达次要器官,从而提高患者的生存率。我们的实验室最近发现,在三阴性乳腺癌模型中,分泌的白细胞介素6 (IL-6)和白细胞介素8 (IL-8)可以诱导致瘤性转移癌细胞的迁移表型。暴露于这些细胞因子的细胞通过基质环境表现出增强的侵袭性,这种表型可以通过tocilizumab和reparixin联合治疗阻断IL-6和IL-8受体来逆转。我们假设同时阻断IL-6和IL-8受体与吉西他滨联合使用时,通过靶向增殖和转移来改善PDAC患者的预后。初步结果表明,该联合治疗对体内PDAC模型有积极作用。我们的新治疗组合能够显著减小肿瘤大小,超过吉西他滨单药治疗。此外,三联疗法减少了转移性负担,使治疗效果在该组小鼠中正常化。引文格式:Michelle Karl, Gabriella Russo, Bartholomew Starich, Haotian Tan, Denis Wirtz。针对胰腺导管腺癌转移细胞和增殖的新型联合治疗[摘要]。摘自:AACR胰腺癌特别会议论文集:科学和临床护理的进展;2019年9月6日至9日;波士顿,MA。费城(PA): AACR;癌症杂志,2019;79(24增刊):摘要nr B28。
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引用次数: 0
Abstract B35: Outcomes of patients with metastatic pancreatic cancer who progress on first restaging imaging B35:转移性胰腺癌患者首次再分期影像学进展的预后
Pub Date : 2019-12-13 DOI: 10.1158/1538-7445.PANCA19-B35
J. Mizrahi, J. Rogers, G. Nogueras-Gonzalez, R. Wolff, G. Varadhachary, M. Javle, R. Shroff, Linus Ho, D. Fogelman, K. Raghav, M. Overman, S. Pant
Background: Objective responses to first-line systemic chemotherapy in patients (pts) with metastatic pancreatic cancer (mPC) are seen in less than one third of cases. While disease stabilization is achievable for a significant percentage, many of these pts will have radiographic evidence of disease progression (PD) on their first restaging imaging. With patients’ short life expectancy in the metastatic setting, limited systemic treatment options, and significant toxicities associated with multidrug chemotherapy, it is crucial for clinicians to be prudent when deciding whom and when to treat. The purpose of our study was to evaluate outcomes of pts who progressed on their first restaging imaging while on first-line therapy. Methods: We retrospectively analyzed mPC pts treated at MD Anderson since 2011 whose first restaging imaging on first-line therapy demonstrated PD. Data collected included patient demographics, choice of first-line therapy, and whether they received second-line therapy. Primary outcome was overall survival (OS) from date of metastatic diagnosis to death or last follow-up. Results: A total of 121 pts were included in the analysis. Seventy-two received second-line therapy, and 49 did not pursue second-line therapy. The median ages for pts who did and did not receive second-line therapy were 61 and 67, respectively (p=0.001). More pts had a poor Eastern Cooperative Oncology Group (ECOG) performance status (ECOG 2-3) at the time of initial diagnosis in the non-second-line therapy group (31% vs. 6.9%, p=0.003). Forty-two pts (34.7%) received combination 5-fluorouracil, leucovorin, irinotecan, and oxaliplatin (FOLFIRINOX) first-line, while 72 pts (59.5%) received gemcitabine + nab-paclitaxel (GnP). Thirty-four pts (80%) who received FOLFIRINOX first-line did proceed with second-line therapy, and 29 pts (40%) who received GnP proceeded with second-line therapy. Median OS for those receiving second-line therapy was 8.28 months compared to 2.73 months for those not receiving second-line therapy (p Conclusions: Although likely biased due to better performance status and younger age, our mPC pts who progressed rapidly on first-line therapy showed an OS benefit if they received second-line therapy. These results suggest that pts maintaining a good performance status after immediate progression on first-line therapy should be offered second-line therapy. Citation Format: Jonathan D. Mizrahi, Jane E. Rogers, Graciela M. Nogueras-Gonzalez, Robert A. Wolff, Gauri R. Varadhachary, Milind M. Javle, Rachna T. Shroff, Linus Ho, David R. Fogelman, Kanwal P. Raghav, Michael J. Overman, Shubham Pant. Outcomes of patients with metastatic pancreatic cancer who progress on first restaging imaging [abstract]. In: Proceedings of the AACR Special Conference on Pancreatic Cancer: Advances in Science and Clinical Care; 2019 Sept 6-9; Boston, MA. Philadelphia (PA): AACR; Cancer Res 2019;79(24 Suppl):Abstract nr B35.
背景:目的:转移性胰腺癌(mPC)患者(pts)对一线全身化疗的反应不到三分之一。虽然疾病稳定是可以实现的,但这些患者中的许多人在第一次再分期成像时都会有疾病进展(PD)的影像学证据。由于转移性肿瘤患者的预期寿命较短,全身治疗选择有限,以及与多药化疗相关的显著毒性,临床医生在决定治疗对象和治疗时间时必须谨慎。我们研究的目的是评估在接受一线治疗时第一次再分期成像进展的患者的结果。方法:我们回顾性分析了自2011年以来在MD安德森接受治疗的mPC患者,这些患者在一线治疗时的首次再分期成像显示为PD。收集的数据包括患者人口统计数据、一线治疗的选择以及他们是否接受了二线治疗。主要终点是转移诊断至死亡或最后一次随访的总生存期(OS)。结果:共121例患者纳入分析。72人接受了二线治疗,49人没有接受二线治疗。接受和未接受二线治疗的患者的中位年龄分别为61岁和67岁(p=0.001)。在非二线治疗组中,更多的患者在初始诊断时具有较差的东部肿瘤合作组(ECOG)表现状态(ECOG 2-3) (31% vs. 6.9%, p=0.003)。42名患者(34.7%)接受5-氟尿嘧啶、亚叶酸钙、伊立替康和奥沙利铂(FOLFIRINOX)一线联合治疗,72名患者(59.5%)接受吉西他滨+ nab-紫杉醇(GnP)治疗。34例(80%)接受FOLFIRINOX一线治疗的患者继续进行二线治疗,29例(40%)接受GnP的患者继续进行二线治疗。接受二线治疗的患者中位生存期为8.28个月,而未接受二线治疗的患者中位生存期为2.73个月(p)。结论:虽然可能由于更好的表现状态和更年轻而存在偏差,但我们的mPC患者在接受一线治疗后迅速进展,如果他们接受二线治疗,他们的生存期获益。这些结果表明,在一线治疗后保持良好状态的患者应给予二线治疗。引文格式:Jonathan D. Mizrahi, Jane E. Rogers, Graciela M. Nogueras-Gonzalez, Robert A. Wolff, Gauri R. Varadhachary, Milind M. Javle, Rachna T. Shroff, Linus Ho, David R. Fogelman, Kanwal P. Raghav, Michael J. Overman, Shubham Pant。转移性胰腺癌患者首次再分期影像学进展的预后[摘要]。摘自:AACR胰腺癌特别会议论文集:科学和临床护理的进展;2019年9月6日至9日;波士顿,MA。费城(PA): AACR;癌症杂志,2019;79(24增刊):摘要nr B35。
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引用次数: 0
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