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Bridging the Gap: Pirtobrutinib for Treatment-Naïve Chronic Lymphatic Leukemia. 弥合差距:匹托鲁替尼治疗Treatment-Naïve慢性淋巴白血病。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 DOI: 10.1200/jco-25-02879
Marc J Braunstein,Michael E Williams
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引用次数: 0
Radiosurgery for Small Cell Lung Cancer Brain Metastases: Comparing the JLGK0901 and BWH/DFCI Trials. 放疗治疗小细胞肺癌脑转移:JLGK0901和BWH/DFCI试验的比较
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 DOI: 10.1200/jco-25-01794
Chad G Rusthoven,Toru Serizawa,Masaaki Yamamoto
{"title":"Radiosurgery for Small Cell Lung Cancer Brain Metastases: Comparing the JLGK0901 and BWH/DFCI Trials.","authors":"Chad G Rusthoven,Toru Serizawa,Masaaki Yamamoto","doi":"10.1200/jco-25-01794","DOIUrl":"https://doi.org/10.1200/jco-25-01794","url":null,"abstract":"","PeriodicalId":15384,"journal":{"name":"Journal of Clinical Oncology","volume":"49 1","pages":"JCO2501794"},"PeriodicalIF":45.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146005381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
From Thresholds to Tumor Sidedness: Reframing Human Epidermal Growth Factor Receptor 2 in Colorectal Cancer. 从阈值到肿瘤侧边性:结肠直肠癌中人表皮生长因子受体2的重构。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 DOI: 10.1200/jco-25-02335
Xinjun Liang,Hao Lei
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引用次数: 0
Reply to: "Limitations in Study Design and Stratification in Phase II Stereotactic Radiosurgery Trial for Small Cell Lung Cancer Brain Metastases," "Radiosurgery for Small Cell Lung Cancer Brain Metastases: Comparing the JLGK0901 and BWH/DFCI Trials," and "Expanding Indications for Stereotactic Radiosurgery in Small Cell Lung Cancer With Brain Metastases". 回复:《小细胞肺癌脑转移期立体定向放疗试验研究设计和分层的局限性》、《小细胞肺癌脑转移的放疗:JLGK0901与BWH/DFCI试验的比较》、《扩大小细胞肺癌脑转移的立体定向放疗适应证》。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 DOI: 10.1200/jco-25-02528
Ayal A Aizer,Paul J Catalano,Rifaquat Rahman
{"title":"Reply to: \"Limitations in Study Design and Stratification in Phase II Stereotactic Radiosurgery Trial for Small Cell Lung Cancer Brain Metastases,\" \"Radiosurgery for Small Cell Lung Cancer Brain Metastases: Comparing the JLGK0901 and BWH/DFCI Trials,\" and \"Expanding Indications for Stereotactic Radiosurgery in Small Cell Lung Cancer With Brain Metastases\".","authors":"Ayal A Aizer,Paul J Catalano,Rifaquat Rahman","doi":"10.1200/jco-25-02528","DOIUrl":"https://doi.org/10.1200/jco-25-02528","url":null,"abstract":"","PeriodicalId":15384,"journal":{"name":"Journal of Clinical Oncology","volume":"57 1","pages":"JCO2502528"},"PeriodicalIF":45.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146005379","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Optimizing Control Arms in Chronic Lymphocytic Leukemia Clinical Trials: The BRUIN-CLL-321 Trial. 慢性淋巴细胞白血病临床试验优化对照臂:BRUIN-CLL-321试验
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 Epub Date: 2025-11-21 DOI: 10.1200/JCO-25-01695
Edward R Scheffer Cliff, Thomas E Lew, Florian Simon, Talal Hilal, Mary Ann Anderson, Philip A Thompson, John F Seymour
{"title":"Optimizing Control Arms in Chronic Lymphocytic Leukemia Clinical Trials: The BRUIN-CLL-321 Trial.","authors":"Edward R Scheffer Cliff, Thomas E Lew, Florian Simon, Talal Hilal, Mary Ann Anderson, Philip A Thompson, John F Seymour","doi":"10.1200/JCO-25-01695","DOIUrl":"10.1200/JCO-25-01695","url":null,"abstract":"","PeriodicalId":15384,"journal":{"name":"Journal of Clinical Oncology","volume":" ","pages":"254-256"},"PeriodicalIF":41.9,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145573734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Expanding Indications for Stereotactic Radiosurgery in Small Cell Lung Cancer With Brain Metastases. 扩大立体定向放射手术治疗脑转移小细胞肺癌的适应症。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 DOI: 10.1200/jco-25-01867
Masamune Noguchi,Kenta Nimura,Yutaro Koide
{"title":"Expanding Indications for Stereotactic Radiosurgery in Small Cell Lung Cancer With Brain Metastases.","authors":"Masamune Noguchi,Kenta Nimura,Yutaro Koide","doi":"10.1200/jco-25-01867","DOIUrl":"https://doi.org/10.1200/jco-25-01867","url":null,"abstract":"","PeriodicalId":15384,"journal":{"name":"Journal of Clinical Oncology","volume":"1 1","pages":"JCO2501867"},"PeriodicalIF":45.3,"publicationDate":"2026-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146005568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"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
Smell. 气味。
IF 41.9 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-20 Epub Date: 2025-12-09 DOI: 10.1200/JCO-25-01650
Alice Cusick

A connection to a cancer patient manifested as a scent.

与癌症病人的联系表现为一种气味。
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引用次数: 0
Potential Impact of the Medicare Prescription Payment Plan for Medicare Part D Beneficiaries With a Cancer Diagnosis. 医疗保险处方支付计划对患有癌症的医疗保险D部分受益人的潜在影响。
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-15 DOI: 10.1200/jco-25-01788
Aryana Sepassi,Scott D Ramsey,A Mark Fendrick,Nico Gabriel,Jason A Zell,Dana B Mukamel,Sean D Sullivan
PURPOSETo address high out-of-pocket (OOP) medication costs among Medicare Part D beneficiaries, the 2022 Inflation Reduction Act introduced the Medicare Prescription Payment Plan (M3P), a voluntary program that allows beneficiaries to spread OOP costs over the calendar year. We examined M3P's potential impact among beneficiaries with cancer, who frequently incur substantial early-year Part D medication costs.MATERIALS AND METHODSWe evaluated a 2022 5% random sample of Medicare beneficiaries with a cancer diagnosis and ≥1 fill for a cancer-indicated Part D medication. We estimated 2025-adjusted annual true OOP spending and median monthly beneficiary OOP payment obligations with and without M3P enrollment. Subgroup analyses were performed by demographics, nonadherence status in 2022, and Part D benefit phase.RESULTSAmong 168,480 beneficiaries with cancer, most were diagnosed with breast (47.6%), dermatologic (17.6%), or prostate (13.3%) cancers. Overall, 46.7% were projected to reach catastrophic coverage in 2025, with 32.4% doing so in January. Breast (29.7%), prostate (21.20%), and hematologic (20.0%) cancers were most common among those reaching catastrophic coverage. Overall, 43.0% were nonadherent to cancer-indicated Part D medications, with 31.5% reaching catastrophic coverage in January 2025. M3P reduced beneficiary payment obligation variability, especially among those reaching the catastrophic phase in January (IQR, $1,798 US dollars [USD] no M3P v $118 USD M3P). Of those reaching catastrophic coverage with a cancer-indicated drug (58.6% overall), 89.2% did so in January.CONCLUSIONEarly-year entry into catastrophic coverage is common among beneficiaries with certain high-cost cancers. M3P may most effectively reduce financial burden when enrollment occurs before January. Targeted outreach from cancer care teams and Part D plans to nonadherent patients and those considering costly therapies could maximize program impact and improve treatment outcomes.
目的:为了解决医疗保险D部分受益人自付高额(OOP)药物费用问题,《2022年通货膨胀减少法案》引入了医疗保险处方支付计划(M3P),这是一个自愿计划,允许受益人在日历年内分摊OOP费用。我们检查了M3P对癌症受益人的潜在影响,他们经常在早期产生大量的D部分药物费用。材料和方法我们评估了2022个5%的医疗保险受益人的随机样本,这些受益人被诊断为癌症,并且在癌症指示的D部分药物中填充≥1。我们估计了2025年调整后的年度真实OOP支出和有或没有M3P登记的受益人每月OOP支付义务的中位数。亚组分析按人口统计学、2022年的不依从状态和D部分获益阶段进行。结果在168,480名患有癌症的受益人中,大多数被诊断为乳腺癌(47.6%)、皮肤病(17.6%)或前列腺癌(13.3%)。总体而言,46.7%的人预计在2025年达到灾难性覆盖范围,1月份达到32.4%。乳腺癌(29.7%)、前列腺癌(21.20%)和血液癌(20.0%)在达到灾难性覆盖率的患者中最为常见。总体而言,43.0%的患者不坚持癌症指示的D部分药物治疗,其中31.5%的患者在2025年1月达到灾难性覆盖。M3P降低了受益人支付义务的可变性,特别是在1月份达到灾难性阶段的受益人中(IQR, 1798美元的M3P vs 118美元的M3P)。在那些使用癌症适应症药物达到灾难性覆盖率的人中(58.6%),89.2%是在1月份达到的。结论在某些高成本癌症患者中,早期加入巨灾保险是常见的。M3P可能最有效地减轻经济负担,当注册在1月之前。癌症护理团队和D部分计划针对非依从性患者和那些考虑昂贵治疗的患者进行有针对性的推广,可以最大限度地发挥项目影响并改善治疗结果。
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引用次数: 0
Extended Endocrine Therapy Following 5 Years of Adjuvant Luteinizing Hormone-Releasing Hormone Agonist in Premenopausal Patients With Node-Positive, Hormone Receptor-Positive Breast Cancer: A Cohort Study. 绝经前淋巴结阳性、激素受体阳性乳腺癌患者接受5年促黄体生成素释放激素激动剂辅助治疗后延长内分泌治疗:一项队列研究
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-15 DOI: 10.1200/jco-25-01660
Carmine Valenza,Yue Zheng,Monica Milano,Dario Trapani,Elisa Giordano,Lorenzo Guidi,Pier Paolo Maria Berton Giachetti,Laura Boldrini,Grazia Castellano,Jalissa Katrini,Bianca Malagutti,Gabriele Antonarelli,Fabio Conforti,Eleonora Pagan,Vincenzo Bagnardi,Gregory J Kirkner,Claudia Sangalli,Kate E Dibble,Marco Colleoni,Meredith M Regan,Elisabetta Munzone,Giuseppe Curigliano,Ann H Partridge
PURPOSETo evaluate the clinical benefit of extended endocrine therapy (eET) after 5 years of adjuvant treatment with luteinizing hormone-releasing hormone agonists (LHRHa) in premenopausal women with node-positive, hormone receptor-positive early breast cancer (eBC).METHODSWe conducted a cohort study analysis on two prospectively collected data sets (the Young Women's Breast Cancer Study and IEO Breast Cancer Cohort). Eligible patients were diagnosed with eBC at age ≤40 years (between 2005 and 2016), had node-positive, hormone receptor-positive disease, and remained premenopausal after 5 years of adjuvant LHRHa with no evidence of recurrence. The primary end point was invasive breast cancer-free survival (IBCFS), calculated from the sixth year after the initiation of adjuvant endocrine therapy (ET; study baseline), and adjusted through the propensity score (PS) weighting analysis.RESULTSA total of 501 patients were included in the analysis: 287 received eET for a median duration of 3.7 years (IQR, 2.3-5.0), including 48% tamoxifen monotherapy and 52% LHRHa plus tamoxifen or aromatase inhibitor. After a median follow-up of 7.3 years from the study baseline, the PS weighted IBCFS rates at 5 years were 85% in the eET group and 78% in the non-eET group (hazard ratio [HR], 0.63 [95% CI, 0.44 to 0.89]; P = .0135). The PS weighted distant recurrence-free survival rates at 5 years were 91% and 83% in the eET and non-eET group, respectively (cause-specific HR, 0.49 [95% CI, 0.31 to 0.79]). In both groups, bone fractures and major cardiovascular events were reported in 1% of patients.CONCLUSIONIn this cohort study analysis, extending ET in premenopausal patients with node-positive eBC after 5 years of LHRHa treatment was associated with a clinically meaningful reduction in both invasive and distant breast cancer recurrences.
目的评价绝经前淋巴结阳性、激素受体阳性的早期乳腺癌(eBC)患者在接受促黄体生成素释放激素激动剂(LHRHa)辅助治疗5年后延长内分泌治疗(eET)的临床疗效。方法我们对两个前瞻性收集的数据集(年轻女性乳腺癌研究和IEO乳腺癌队列)进行了队列研究分析。符合条件的患者诊断为eBC年龄≤40岁(2005年至2016年),淋巴结阳性,激素受体阳性,经5年辅助LHRHa治疗后仍处于绝经前,无复发证据。主要终点是浸润性无乳腺癌生存期(IBCFS),从开始辅助内分泌治疗(ET;研究基线)后第6年计算,并通过倾向评分(PS)加权分析进行调整。结果共纳入501例患者,其中287例患者接受eET治疗,中位持续时间3.7年(IQR, 2.3-5.0),其中他莫昔芬单药治疗占48%,LHRHa联合他莫昔芬或芳香化酶抑制剂治疗占52%。从研究基线开始的中位随访时间为7.3年,5年时,eET组的PS加权IBCFS率为85%,非eET组为78%(风险比[HR]为0.63 [95% CI, 0.44 ~ 0.89]; P = 0.0135)。eET组和非eET组的5年PS加权远端无复发生存率分别为91%和83%(病因特异性HR, 0.49 [95% CI, 0.31至0.79])。在两组中,1%的患者报告了骨折和主要心血管事件。结论:在这项队列研究分析中,延长绝经前淋巴结阳性eBC患者在接受LHRHa治疗5年后的ET与侵袭性和远处性乳腺癌复发的临床意义降低相关。
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引用次数: 0
Erdafitinib or Erdafitinib Plus Cetrelimab for Patients With Metastatic Urothelial Carcinoma and FGFR Alterations: Final Results From the Phase II NORSE Study. 厄达非替尼或厄达非替尼联合西曲单抗治疗转移性尿路上皮癌和FGFR改变患者:来自NORSE II期研究的最终结果
IF 45.3 1区 医学 Q1 ONCOLOGY Pub Date : 2026-01-15 DOI: 10.1200/jco-25-00826
Yohann Loriot,Thomas Powles,Victor Moreno,Taek Won Kang,Irfan Cicin,Angela Girvin,Sydney Akapame,Anne O'Hagan,Wei Zhu,Meggan Tammaro,Shibu Thomas,Spyros Triantos,Arlene O Siefker-Radtke
PURPOSEFirst-line treatment options for cisplatin-ineligible patients with metastatic urothelial cancer (mUC) are limited. We conducted a phase II study of erdafitinib, alone or with cetrelimab, in FGFR-altered mUC.METHODSAdults with mUC and select FGFR alterations who are ineligible for cisplatin were randomly assigned 1:1 in a noncomparative design to once-daily erdafitinib 8 mg (with pharmacodynamically guided uptitration to 9 mg) or erdafitinib 8 mg plus intravenous cetrelimab 240 mg once every 2 weeks at cycles 1-4 and 480 mg once every 4 weeks thereafter. Primary end points were investigator-assessed confirmed overall response rate (ORR) and safety; secondary end points included duration of response (DOR), progression-free survival, and overall survival (OS). No statistical hypotheses were tested.RESULTSAt data cutoff, 87 patients were randomly assigned and treated (erdafitinib, n = 43; erdafitinib plus cetrelimab, n = 44). Of 64 patients with PD-L1 expression data, 56 (87.5%) had low levels of PD-L1 expression (combined positive score <10). Median survival follow-up was 14.2 months. Investigator-assessed confirmed ORR for erdafitinib was 44.2% (95% CI, 29.1 to 60.1) with one complete response (CR); median DOR and median OS were 9.7 months (95% CI, 4.6 to not estimable [NE]) and 16.2 months (95% CI, 8.3 to NE), respectively. Investigator-assessed confirmed ORR for erdafitinib plus cetrelimab was 54.5% (95% CI, 38.8 to 69.6), with six (13.6%) CRs; median DOR and median OS were 11.1 months (95% CI, 8.8 to NE) and 20.8 months (95% CI, 12.0 to NE), respectively. The most frequent treatment-related adverse events (TRAEs) were hyperphosphatemia (83.7% and 68.2% in erdafitinib and erdafitinib plus cetrelimab groups, respectively), stomatitis (69.8% and 56.8%), and dry mouth (37.2% and 56.8%). Grade ≥3 TRAEs occurred in 46.5% and 45.5% of patients receiving erdafitinib and erdafitinib plus cetrelimab, respectively.CONCLUSIONFirst-line erdafitinib monotherapy and erdafitinib plus cetrelimab demonstrated antitumor activity and a manageable safety profile in cisplatin-ineligible patients with mUC.
目的:对于不适合顺铂治疗的转移性尿路上皮癌(mUC)患者,一线治疗选择有限。我们在fgfr改变的mUC中进行了erdafitinib单独或联合西曲单抗的II期研究。方法:在非比较设计中,mUC和选择性FGFR改变的不适合顺铂治疗的成人随机分配为1:1,每日一次厄达非替尼8mg(药理学指导上升至9mg)或厄达非替尼8mg加静脉注射西曲单抗240mg,在第1-4周期每2周一次,之后每4周480 mg。主要终点是研究者评估确认的总缓解率(ORR)和安全性;次要终点包括反应持续时间(DOR)、无进展生存期和总生存期(OS)。没有检验统计假设。结果数据截止时,87例患者被随机分配治疗(厄达非替尼43例;厄达非替尼联合西曲单抗44例)。在64例有PD-L1表达数据的患者中,56例(87.5%)PD-L1表达水平低(联合阳性评分<10)。中位生存期随访为14.2个月。研究者评估的厄达非替尼确认ORR为44.2% (95% CI, 29.1至60.1),有一个完全缓解(CR);中位DOR和中位OS分别为9.7个月(95% CI, 4.6至不可估计[NE])和16.2个月(95% CI, 8.3至NE)。研究者评估的厄达非替尼联合西曲单抗的确诊ORR为54.5% (95% CI, 38.8 - 69.6), cr为6 (13.6%);中位DOR和中位OS分别为11.1个月(95% CI, 8.8 - NE)和20.8个月(95% CI, 12.0 - NE)。最常见的治疗相关不良事件(TRAEs)是高磷血症(厄达非替尼组和厄达非替尼加西曲单抗组分别为83.7%和68.2%)、口炎(69.8%和56.8%)和口干(37.2%和56.8%)。接受厄达非替尼和厄达非替尼+西曲单抗治疗的患者中,分别有46.5%和45.5%发生≥3级trae。结论:一线厄达非替尼单药治疗和厄达非替尼联合西曲单抗治疗在不符合顺铂治疗条件的mUC患者中显示出抗肿瘤活性和可控的安全性。
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Journal of Clinical Oncology
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