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Abstract P3-05-01: Molecular effects of surgical resection on primary breast tumor 摘要P3-05-01:手术切除对乳腺原发肿瘤的分子效应
Pub Date : 2020-02-15 DOI: 10.1158/1538-7445.SABCS19-P3-05-01
Sudeep Gupta, R. Chaubal, N. Gardi, Sunil Pachakar, Dimple R. Bhatia, P. Gera, N. Nair, S. Joshi, V. Parmar, P. Thakkar, G. Chitkara, Rasika Kadam, S. Gujarathi, H. Oza, R. Hawaldar, V. Vanmali, K. Buetow, A. Dutt, R. Badwe
Rationale: Surgery results in rapid and progressively severe exposure of tumor tissue to hypoxia, up to the point of complete removal, but its effect on tumor gene expression is not well characterized. We document the molecular effects of surgery on primary breast cancer tumor with a serial tissue sampling strategy, including an intra-operative sample. Methods: We included treatment naive, non-metastatic breast cancer patients and sampled tumor and tumour adjacent normal tissue during surgery at three time points: beginning of surgery (Sample A), after half the tumor circumference had been devascularized (Sample B) and from completely resected tumor (Sample C). Patients were divided into two groups: discovery and validation. Tumor or adjacent normal samples from the discovery group underwent whole transcriptome paired-end sequencing (RNA-Seq) generating at least 50 million reads using next generation sequencing. Findings from discovery group were evaluated in a validation group using qRT-PCR and Nanostring nCounter gene expression profiling. Results: 81 breast cancer patients were eligible for this study of whom 46 with at least 1 quality passed sample at time-point A, B or C comprised the discovery group whose samples underwent RNA-seq. Validation group comprised two subsets: 35 independent patients (8 patients’ samples qRT-PCR, data included here; 27 patients’ samples nCounter gene expression, data will be presented) and 17 patients from discovery group whose samples also underwent nCounter gene expression profiling (data will be presented). Individual patient based analyses for A vs B vs C in discovery group revealed 249 significantly de-regulated genes in at least 20% of patients, in at least one comparison (AvB or BvC or AvC). Genes involved in stress response (FOSB, FOS, JUN, JUNB, DUSP1, CYR61, EGR1-3, ATF3, RGS1, RGS2), inflammation (IL20, IL8, SOCS3, GABRP, PIGR, NR4A1-2, CCL2- 3, CCL21, CCL14, CCL18-19, CXCL2, CXCL9-10, CXCL14), invasion & migration (PTGS2, MMP9-13), lipid metabolism (CD36, LIPE, TAT, FABP4, PLIN1, PLIN4, LPL, LEP), epithelial markers (KRT5, KRT7, KRT14-17, KRT23, KRT6A-6B) and cellular differentiation(SOX10, LRP2, S100A2, S100A7-A9, S100B, S100P) were significantly deregulated at time-point B versus A and many of these genes were also significantly deregulated in C versus A comparison, suggesting sustained deregulation through surgical resection. Replicative analysis involving comparison of tumors grouped by time points (A vs B vs C) identified 192 genes uniquely de-regulated in any one of the 3 comparisons, of which 42 overlapped with patient-wise analysis. These 42 genes included all the AP-1 transcription factor network signaling genes, epithelial markers (KRT14, KRT6A), inflammation related genes (SOCS3, PIGR, GABRP, NR4A1, NR4A2), lipid metabolism related genes (PLIN1) and cellular differentiation & cell fate related genes (SOX10, LRP2). Pathway analyses will be presented. qRT-PCR on paired samples in 8 independen
理由:手术导致肿瘤组织迅速且逐渐严重地暴露于缺氧中,直至完全切除,但其对肿瘤基因表达的影响尚不清楚。我们通过一系列组织采样策略,包括术中样本,记录了手术对原发性乳腺癌肿瘤的分子效应。方法:我们纳入了未接受治疗的非转移性乳腺癌患者,并在手术期间在三个时间点取样肿瘤和肿瘤邻近组织:手术开始(样本A),肿瘤周长一半断流后(样本B)和完全切除肿瘤(样本C)。患者分为两组:发现组和验证组。来自发现组的肿瘤或邻近正常样本进行了全转录组配对端测序(RNA-Seq),使用下一代测序产生至少5000万reads。在验证组中使用qRT-PCR和Nanostring nCounter基因表达谱对发现组的发现进行评估。结果:81例乳腺癌患者符合本研究条件,其中46例在时间点A、B或C至少有1个质量合格的样本构成发现组,其样本进行了RNA-seq。验证组包括两个亚组:35例独立患者(8例患者样本qRT-PCR,数据包括在这里;27例患者样本的nCounter基因表达(数据将提交)和发现组17例患者的样本也进行了nCounter基因表达谱分析(数据将提交)。在发现组对A、B、C的个体患者分析显示,在至少一个比较(AvB、BvC或AvC)中,至少20%的患者中有249个显着去调控基因。参与应激反应(FOSB、FOS、JUN、JUNB、DUSP1、CYR61、EGR1-3、ATF3、RGS1、RGS2)、炎症(IL20、IL8、SOCS3、GABRP、PIGR、NR4A1-2、CCL2- 3、CCL21、CCL14、CCL18-19、CXCL2、CXCL9-10、CXCL14)、侵袭与迁移(PTGS2、MMP9-13)、脂质代谢(CD36、LIPE、TAT、FABP4、PLIN1、PLIN4、LPL、LEP)、上皮标志物(KRT5、KRT7、KRT14-17、KRT23、KRT6A-6B)和细胞分化(SOX10、LRP2、S100A2、S100A7-A9、S100B、S100P)在时间点B与A相比,这些基因中的许多在时间点C与A相比也显着去调控,这表明通过手术切除持续去调控。复制分析包括肿瘤按时间点分组(A、B、C)的比较,发现192个基因在3个比较中的任何一个都有独特的去调控,其中42个与患者分析重叠。这42个基因包括所有AP-1转录因子网络信号基因、上皮标志物(KRT14、KRT6A)、炎症相关基因(SOCS3、PIGR、GABRP、NR4A1、NR4A2)、脂质代谢相关基因(PLIN1)和细胞分化与细胞命运相关基因(SOX10、LRP2)。将介绍通路分析。8例独立患者配对样本的qRT-PCR验证了8个基因在AvB或AvC或两者的差异表达:FOS、FOSB、JUNB、DUSP1、RGS1、NR4A2、ZFP36和mmp13。TCGA研究中6种癌症类型(乳腺癌、宫颈癌、淋巴瘤、间皮瘤、食管癌和肉瘤)的活检(对应A)与手术样本(对应C)的比较显示,至少4种癌症中11个AP-1转录因子网络信号相关基因的去调控具有统计学意义,进一步验证了我们的实验结果。结论:我们的实验,独特地包括术中肿瘤样本,表明手术切除在原发肿瘤中诱导保守的应激反应,这可能使肿瘤细胞具有转移能力。引文格式:Sudeep Gupta, Rohan Chaubal, Nilesh Gardi, Sunil Pachakar, Dimple Bhatia, Poonam Gera, Nita Nair, Shalaka Joshi, Vani Parmar, Purvi Thakkar, Garvit Chitkara, Rasika Kadam, Sejal Gujarathi, Harsh Oza, Rohini Hawaldar, Vaibhav Vanmali, Kenneth Buetow, Amit Dutt, Rajendra Badwe。乳腺原发肿瘤手术切除的分子效应[摘要]。摘自:2019年圣安东尼奥乳腺癌研讨会论文集;2019年12月10日至14日;费城(PA): AACR;中国癌症杂志,2020;21(增刊):P3-05-01。
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引用次数: 1
Abstract P5-02-11: Assessment of tumor proliferation by mitotic activity index, phosphohistone H3 and Ki67 in early stage ER+/Her2- breast cancer P5-02-11:早期ER+/Her2-乳腺癌有丝分裂活性指数、磷酸组蛋白H3、Ki67对肿瘤增殖的影响
Pub Date : 2020-02-15 DOI: 10.1158/1538-7445.sabcs19-p5-02-11
J. Steenhoven, A. Kuijer, A. Leeuwen, J. Gorp, P. Diest, T. Dalen
Introduction: Determining expression of tumor proliferation by mitotic index or Ki67 expression is one of the strongest prognostic factors in breast cancer, but its reproducibility is not optimal. Recently, phosphohistone H3 (PHH3) was proposed as a novel marker specific for mitosis. For the present study, we hypothesized that counting PHH3 positive cells would be more reproducible than mitoses counting in HE 2019 Dec 10-14; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2020;80(4 Suppl):Abstract nr P5-02-11.
导读:通过有丝分裂指数或Ki67表达来判断肿瘤增殖的表达是乳腺癌最重要的预后因素之一,但其重复性并不理想。最近,磷酸组蛋白H3 (PHH3)被认为是一种新的有丝分裂特异性标志物。在本研究中,我们假设在HE 2019(12月10日至14日)中,PHH3阳性细胞的计数比有丝分裂计数更具可重复性;费城(PA): AACR;中国癌症杂志,2020;21(增刊):P5-02-11。
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引用次数: 0
Abstract P5-12-05: Clinical outcomes in early breast cancer patients on adjuvant tamoxifen: Impact of CYP2D6 genotype and observed endoxifen concentrations 摘要P5-12-05:早期乳腺癌患者接受他莫昔芬辅助治疗的临床结局:CYP2D6基因型和观察到的内氧芬浓度的影响
Pub Date : 2020-02-15 DOI: 10.1158/1538-7445.sabcs19-p5-12-05
V. Panuganty, Denise Keller, W. Teft, J. Lenehan, K. Potvin, J. Younus, T. Vandenberg, D. Logan, K. Hahn, M. Brackstone, P. Blanchette, F. Perera, Yun-Hee Choi, R. Kim
Background: Tamoxifen is widely used in patients with hormone sensitive breast cancer in the adjuvant setting to decrease risk of recurrence and metastasis. 5-10 years of tamoxifen has demonstrated a near 50% reduction in recurrence risk. Despite marked interpatient variation in the metabolism of tamoxifen to its active metabolite endoxifen, all patients are prescribed 20 mg daily dose of tamoxifen. Current evidence suggests that patients are at risk for suboptimal benefit if measured endoxifen concentration is below 5.9 ng/ml (~15nM). However, there have been conflicting data on the clinical utility of CYP2D6 genotype testing, and measuring endoxifen plasma concentration as a predictor of breast cancer recurrence. The goal of this prospective study was to determine the impact of endoxifen levels and CYP2D6 genetic variations to clinical outcome among patients with early breast cancer. Methods: Since 2010, as part of Personalized Medicine Program in Oncology, our team has been prospectively enrolling patients on tamoxifen therapy. To date 950 patients have been enrolled and preliminary analysis has been completed in 429. After initial CYP2D6 genotype testing, plasma concentration of tamoxifen and its metabolites were quantified using liquid chromatography-tandem mass spectrometry during each clinic visit. Baseline characteristic are outlined in table 1. Primary outcome assessed was invasive disease-free survival (IDFS) defined as time since start of tamoxifen therapy till an event of interest such as loco-regional recurrence, distant metastasis, new contralateral primary breast cancer, death due to breast cancer and other causes. Patients were censored at their last encounter at our institution (London Health Sciences Centre). Results: IDFS data for 426 patients were obtained. Outcome was stratified by CYP2D6 phenotypes (ultra-rapid, extensive, intermediate and poor metabolizers) and endoxifen levels (>5.9ng/ml or vs Conclusion: Preliminary finding suggests endoxifen concentration, but not CYP2D6 phenotype, may be a predictor of risk for suboptimal benefit during tamoxifen therapy. Detailed statistical analysis is planned for the full cohort, including adjustment for covariates including tumor stage, menopausal status, drug interactions, and use of aromatase inhibitors. To our knowledge, this is the first study of its type to prospectively collect multiple plasma samples for tamoxifen and endoxifen level in real-world patients during tamoxifen therapy, with sufficient sample size and follow-up period for primary clinical outcome. Citation Format: Veera Durga Sravanthi Panuganty, Denise Keller, Wendy A Teft, John Gordon Lenehan, Kylea Raijann Potvin, Jawaid Younus, Theodorus Anthony Vandenberg, Diane Mary Logan, Karin Hahn, Muriel Brackstone, Phillip Stanley Blanchette, Francisco Perera, Yun-Hee Choi, Richard Brian Kim. Clinical outcomes in early breast cancer patients on adjuvant tamoxifen: Impact of CYP2D6 genotype and observed endoxifen concent
背景:他莫昔芬被广泛用于激素敏感性乳腺癌患者的辅助治疗,以降低复发和转移的风险。5-10年的他莫昔芬已证明复发风险降低近50%。尽管他莫昔芬对其活性代谢产物endoxifen的代谢在患者间存在显著差异,但所有患者均给予每日20mg剂量的他莫昔芬。目前的证据表明,如果测量的内氧芬浓度低于5.9 ng/ml (~15nM),患者就有获得次优获益的风险。然而,关于CYP2D6基因型检测的临床应用,以及测量endoxifen血浆浓度作为乳腺癌复发的预测指标,一直存在相互矛盾的数据。这项前瞻性研究的目的是确定内毒素水平和CYP2D6基因变异对早期乳腺癌患者临床结果的影响。方法:自2010年以来,作为肿瘤学个性化医疗项目的一部分,我们的团队前瞻性地招募了接受他莫昔芬治疗的患者。迄今为止,已有950名患者入组,429名患者已完成初步分析。在初始CYP2D6基因型检测后,每次就诊时使用液相色谱-串联质谱法定量他莫昔芬及其代谢物的血浆浓度。表1概述了基线特征。评估的主要终点是侵袭性无病生存期(IDFS),定义为自他莫昔芬治疗开始到发生感兴趣的事件(如局部区域复发、远处转移、新发对侧原发性乳腺癌、乳腺癌死亡和其他原因)的时间。患者在我们机构(伦敦健康科学中心)的最后一次会面时被审查。结果:获得426例患者的IDFS数据。结果根据CYP2D6表型(超快速、广泛、中等和低代谢)和endoxifen水平(>5.9ng/ml或vs)进行分层。结论:初步发现表明,endoxifen浓度,而不是CYP2D6表型,可能是他莫昔芬治疗期间亚理想获益风险的预测因子。计划对整个队列进行详细的统计分析,包括调整协变量,包括肿瘤分期、绝经状态、药物相互作用和芳香酶抑制剂的使用。据我们所知,这是同类研究中首次前瞻性地收集真实患者在他莫昔芬治疗期间他莫昔芬和内多西芬水平的多个血浆样本,有足够的样本量和随访时间用于主要临床结果。引文格式:Veera Durga Sravanthi Panuganty, Denise Keller, Wendy A Teft, John Gordon Lenehan, Kylea Raijann Potvin, Jawaid Younus, Theodorus Anthony Vandenberg, Diane Mary Logan, Karin Hahn, Muriel Brackstone, Phillip Stanley Blanchette, Francisco Perera, Yun-Hee Choi, Richard Brian Kim。早期乳腺癌患者接受他莫昔芬辅助治疗的临床结果:CYP2D6基因型和观察到的内氧芬浓度的影响[摘要]。摘自:2019年圣安东尼奥乳腺癌研讨会论文集;2019年12月10日至14日;费城(PA): AACR;中国癌症杂志,2020;31(增刊):P5-12-05。
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引用次数: 0
Abstract P2-15-07: Real-world multicenter, prospective study of the effects ofnab-paclitaxel on clinical outcomes and quality of life of patients with metastatic breast cancer in Greece. The ‘ABReast’ study 摘要P2-15-07:真实世界多中心前瞻性研究nab-紫杉醇对希腊转移性乳腺癌患者临床结局和生活质量的影响。“并排”研究
Pub Date : 2020-02-15 DOI: 10.1158/1538-7445.sabcs19-p2-15-07
A. Koumarianou, P. Makrantonakis, F. Zagouri, C. Papadimitriou, A. Christopoulou, E. Samantas, C. Christodoulou, A. Psyrri, D. Bafaloukos, G. Aravantinos, P. Papakotoulas, S. Baka, C. Andreadis, A. Alexopoulos, I. Bombolaki, K. Kampoli, S. Liori, K. Karvounis, A. Ardavanis
Introduction: Nanoparticle albumin-bound (nab)-paclitaxel (nab-P) is approved for the treatment of patients with metastatic breast cancer (MBC) who have failed first-line treatment for metastatic disease and for whom standard, anthracycline containing therapy is not indicated. Real-world evidence on the effectiveness of nab-P is sparse. From this perspective, this non-interventional study was designed to assess the impact of nab-P on the clinical outcomes and the quality of life of patients with MBC in the routine care of Greece. Materials and methods: This multicenter prospective study enrolled consented females with MBC initiated (≤7 days prior to enrollment) on nab-P according to physicians decision. Clinicopathologic parameters and patient-reported outcomes [Functional Assessment of Cancer Therapy-Breast (FACT-B)] were collected at approximately 9-week intervals during the first 12 months of study participation and approximately every 18 weeks thereafter, until the end of the study observation period (maximum 30 months). Results: Between April 2016 and October 2017, 150 eligible patients (99.3% Caucasian) were enrolled in the study in 16 oncology centers. The patients’ median age was 64.5 years (range: 30.7-84.0) and ECOG performance status was 0 in 66.4% and 1 in 26.2%. 45.3% of patients had ≥1 comorbidity (21.3% cardiovascular diseases). The median time elapsed since MBC diagnosis was 22.4 months, while 36.0% of patients were de novo metastatic. The distribution of hormone receptor (HR)/human epidermal growth factor receptor 2 (HER2) status was 74.6% HR+/HER2-, 11.9% HR-/HER2-, 11.2% HR+/HER2+, and 2.2% HR-/HER2+. Most commonly occurring metastatic sites were the bones (55.3%), lung (50.0%), and liver (40.0%). Prior taxane-based therapy was annotated in 40.0% of patients. Of the patients, 11.3% received nab-P as first, 36.0% as second, 23.3% as third, and 29.3% as fourth or further treatment line. A median of 6 cycles (range: 1-33) was administered; 42.7% of the patients completed >6 and 22.0% >8 cycles. Dose reductions were required for 26.0% of the patients, mainly due to toxicity. The objective response rate was 26.7% and the clinical benefit rate was 44.0%. After a median follow-up of 19.3 months, 92 patients had progressed and 57 had died (14 without progression). The median progression-free survival (PFS) was 6.2 months [95% confidence interval (CI): 5.2-7.3]. The 6- and 12-month PFS rates were 50.6% and 30.5%, respectively. The median overall survival was 21.1 months (95% CI: 17.2-not estimable). Liver [hazard ratio (HR): 1.81; 95% CI: 1.24-2.66] and lung (HR: 1.53; 95% CI: 1.04-2.25) metastases were associated with a higher risk of progression or death. No statistically significant change in the patients’ baseline FACT-B total score (median: 93.0) was observed. The serious and non-serious adverse event (AE) incidence rates were 12.7% and 48.0%, respectively with a total of 37 grade ≥3 AEs (not including disease progression) reported
纳米颗粒白蛋白结合(nab)-紫杉醇(nabp)被批准用于治疗转移性乳腺癌(MBC)患者,这些患者在转移性疾病的一线治疗失败,并且不需要标准的含蒽环类药物治疗。关于nabp有效性的实际证据很少。从这个角度来看,本非介入性研究旨在评估nabp对希腊常规护理中MBC患者临床结局和生活质量的影响。材料和方法:本多中心前瞻性研究纳入经同意的女性MBC患者(入组前≤7天),根据医生决定开始使用nabp。临床病理参数和患者报告的结果[肿瘤治疗-乳腺功能评估(FACT-B)]在参与研究的前12个月大约每9周收集一次,之后大约每18周收集一次,直到研究观察期结束(最多30个月)。结果:2016年4月至2017年10月,16个肿瘤中心的150名符合条件的患者(99.3%为高加索人)入组研究。患者的中位年龄为64.5岁(范围:30.7-84.0),ECOG表现状态为0(66.4%)和1(26.2%)。45.3%的患者有≥1种合并症(21.3%为心血管疾病)。自MBC诊断以来的中位时间为22.4个月,而36.0%的患者为新转移。激素受体(HR)/人表皮生长因子受体2 (HER2)状态分布为HR+/HER2- 74.6%, HR-/HER2- 11.9%, HR+/HER2+ 11.2%, HR-/HER2+ 2.2%。最常见的转移部位是骨(55.3%)、肺(50.0%)和肝(40.0%)。40.0%的患者有既往紫杉烷治疗记录。其中,11.3%的患者第一次接受nabp治疗,36.0%的患者第二次接受nabp治疗,23.3%的患者第3次接受nabp治疗,29.3%的患者第4次或进一步接受nabp治疗。中位数为6个周期(范围:1-33);42.7%的患者完成>6个周期,22.0%的患者完成>8个周期。26.0%的患者需要减少剂量,主要是由于毒性。客观有效率为26.7%,临床获益率为44.0%。中位随访19.3个月后,92例患者进展,57例死亡(14例无进展)。中位无进展生存期(PFS)为6.2个月[95%可信区间(CI): 5.2-7.3]。6个月和12个月的PFS分别为50.6%和30.5%。中位总生存期为21.1个月(95% CI: 17.2,无法估计)。肝脏[危险比(HR): 1.81;95% CI: 1.24-2.66]和肺(HR: 1.53;95% CI: 1.04-2.25)转移与更高的进展或死亡风险相关。患者基线FACT-B总分(中位数:93.0)无统计学意义变化。严重不良事件(AE)和非严重不良事件(AE)发生率分别为12.7%和48.0%,共报告37例≥3级AE(不包括疾病进展)。结论:本研究为nab-紫杉醇的有效性提供了现实证据;没有出现新的安全信号。引用格式:Anna Koumarianou, Paris Makrantonakis, Flora Zagouri, Christos Papadimitriou, Athina Christopoulou, Epaminontas Samantas, Christos Christodoulou, Amanda Psyrri, Dimitris Bafaloukos, Gerasimos Aravantinos, Pavlos Papakotoulas, Sofia Baka, Charalampos Andreadis, Athanasios Alexopoulos, Iliada Bombolaki, Katerina Kampoli, Sofia Liori, Kiki Karvounis, Alexandros Ardavanis。真实世界多中心前瞻性研究nab-紫杉醇对希腊转移性乳腺癌患者临床结局和生活质量的影响。“并排”研究[摘要]。摘自:2019年圣安东尼奥乳腺癌研讨会论文集;2019年12月10日至14日;费城(PA): AACR;中国癌症杂志,2020;31(增刊):02 - 02。
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引用次数: 0
Abstract P3-09-09: Pre-operative pembrolizumab (pembro) with radiation therapy (RT) in patients with operable triple-negative breast cancer (TNBC) 摘要P3-09-09:术前派姆单抗(pembrolizumab, pembrolizumab)联合放疗(RT)治疗可手术三阴性乳腺癌(TNBC)患者
Pub Date : 2020-02-14 DOI: 10.1158/1538-7445.sabcs19-p3-09-09
H. McArthur, S. Shiao, S. Karlan, F. Amersi, B. Arnold, R. Basho, M. Burnison, A. Chung, C. Chung, C. Dang, A. Giuliano, Negin Habibi Khameneh, S. Knott, Cynthia Martin, P. McAndrew, M. Mita, D. Park, C. Abaya, A. Ho
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引用次数: 4
Abstract P3-09-03: A phase II study of pembrolizumab and eribulin in patients with HR-positive/HER2-negative metastatic breast cancer previously treated with anthracyclines and taxanes (KELLY study) 摘要P3-09-03: pembrolizumab和eribulin在先前接受过蒽环类药物和紫杉烷治疗的hr阳性/ her2阴性转移性乳腺癌患者中的II期研究(KELLY研究)
Pub Date : 2020-02-14 DOI: 10.1158/1538-7445.sabcs19-p3-09-03
J. Peréz-García, A. Llombart-Cussac, E. Holgado, G. Curigliano, E. Miranda, J. L. Alonso-Romero, B. Bermejo, L. Calvo, V. Carañana, Susana de la Cruz Sánchez, M. Cortés, R. M. Vázquez, A. Prat, M. R. Borrego, M. Sampayo, M. Seguí, J. Soberino, A. Malfettone, P. Schmid, J. Cortés
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引用次数: 1
Abstract P2-08-08: A population-based study examining the epidemiology, treatment patterns and resource utilization by stage in Ontario patients with triple negative breast cancer 摘要P2-08-08:一项基于人群的研究,探讨安大略省三阴性乳腺癌患者的流行病学、治疗模式和分期资源利用
Pub Date : 2020-02-14 DOI: 10.1158/1538-7445.sabcs19-p2-08-08
C. Brezden-Masley, K. Fathers, M. Coombes, Cloris Xue, B. Pourmirza, K. Jerzak
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引用次数: 0
Abstract P4-12-12: Outcomes of exclusive radiation therapy for breast cancer in older women according to age and comorbidity status: An observational retrospective study P4-12-12:一项观察性回顾性研究:根据年龄和合并症状况,老年女性乳腺癌独家放疗的结果
Pub Date : 2020-02-14 DOI: 10.1158/1538-7445.SABCS19-P4-12-12
Lorraine Waechter, K. Cao, M. Carton, Y. Kirova, A. Fourquet
Introduction: This study aimed to assess the efficacy, tolerance and impact of comorbidities on outcomes in older women treated by exclusive radiation therapy (RT) for non-metastatic breast cancer (BC). Material and methods: We studied retrospectively female patients older 70 years at diagnosis, treated by exclusive RT for their BC between 2003 and 2013 in our Department. We analysed overall survival (OS), progression free survival (PFS), and specific survival (SS). Comorbidities were evaluated with the Charlson Comorbidity Index (CCI), and toxicities with the CCTCAE v3.0. Results: Between 2003 and 2013, there were 978 patients older than 70 treated for BC in our Hospital, and 817 received RT. Hypofractionated RT was delivered in 90.2% of patients. Of them, 66 patients underwent exclusive RT after refusal of surgery. The median age was 84.8 [71.3-91.7]. The median follow-up was 51.9 months [0.5- 99]. OS, SS and PFS at 5 years were 65.5% CI 95% [54.1-79.3], 86.3% CI 95% [77.2-96.4]), and 58.4% CI 95% [46.9-72.7], respectively. Five-year OS was statistically different according to age younger or older than 85 years: 72.9% CI 95% [58.4-91.1] and 57.1%, IC 95% [40.8-79.8], (p = 0.0026). Similar results were found for 5-year PFS: 64.5% CI 95% [49.5-84.1] and 51.6% CI 95% [35.8-74.5] (p = 0.014). The 5-year OS was also statistically different according to CCI score, respectively 70.8% CI 95% [57.0-87.9] and 59.8% CI 95 % [42.4-84.3] (p = 0.039) for a score of 0 or ≥ 1. Median CCI score was 1. There were 10.6% of the patients who experienced no toxicities; there were 59% who presented grade 1 and 2 radiodermatitis. Late toxicities were mainly fibrosis, observed in 39.4% of the patients, mostly of grade 1 and 2.Conclusion: Exclusive radiation therapy for non-metastatic BC in older women is feasible and well tolerated when adapted techniques are used, but the prognostic is strongly impacted by age and comorbidities. Citation Format: Lorraine Waechter, Kim Cao, Matthieu Carton, Youlia Kirova, Alain Fourquet. Outcomes of exclusive radiation therapy for breast cancer in older women according to age and comorbidity status: An observational retrospective study [abstract]. In: Proceedings of the 2019 San Antonio Breast Cancer Symposium; 2019 Dec 10-14; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2020;80(4 Suppl):Abstract nr P4-12-12.
本研究旨在评估老年妇女接受非转移性乳腺癌(BC)独家放疗(RT)治疗的疗效、耐受性和合并症对预后的影响。材料和方法:我们回顾性研究了2003年至2013年在我科诊断时年龄为70岁的女性患者,她们的BC接受了独家RT治疗。我们分析了总生存期(OS)、无进展生存期(PFS)和特异性生存期(SS)。用Charlson合并症指数(CCI)评估合并症,用CCTCAE v3.0评估毒性。结果:2003 - 2013年,我院收治70岁以上BC患者978例,接受RT治疗的患者817例,其中90.2%的患者行低分割RT治疗。其中66例患者在拒绝手术后接受排他性RT治疗。中位年龄为84.8岁[71.3 ~ 91.7]。中位随访时间为51.9个月[0.5- 99]。5年OS、SS、PFS分别为65.5% CI 95%[54.1-79.3]、86.3% CI 95%[77.2-96.4]、58.4% CI 95%[46.9-72.7]。年龄小于或大于85岁的患者5年OS差异有统计学意义:72.9% CI 95%[58.4-91.1]和57.1%,IC 95% [40.8-79.8], p = 0.0026。5年PFS的结果相似:64.5% CI 95%[49.5-84.1]和51.6% CI 95% [35.8-74.5] (p = 0.014)。不同CCI评分的5年OS差异也有统计学意义,0分和≥1分的5年OS分别为70.8% CI 95%[57.0 ~ 87.9]和59.8% CI 95% [42.4 ~ 84.3] (p = 0.039)。CCI得分中位数为1。10.6%的患者没有出现毒副反应;59%的患者表现为1级和2级放射性皮炎。晚期毒性主要为纤维化,39.4%的患者出现,主要为1级和2级。结论:老年女性非转移性BC的独家放射治疗是可行的,并且在使用适应技术时耐受性良好,但预后受到年龄和合并症的强烈影响。引文格式:Lorraine Waechter, Kim Cao, Matthieu Carton, Youlia Kirova, Alain Fourquet。根据年龄和合并症情况对老年女性乳腺癌单独放疗结果的观察性回顾性研究[摘要]。摘自:2019年圣安东尼奥乳腺癌研讨会论文集;2019年12月10日至14日;费城(PA): AACR;中国癌症杂志,2020;31(增刊):P4-12-12。
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引用次数: 0
Abstract P1-19-24: A phase Ib trial of copanlisib in combination with trastuzumab in pretreated recurrent or metastatic HER2-positive breast cancer “PantHER” P1-19-24: copanlisib联合曲妥珠单抗治疗复发或转移性her2阳性乳腺癌“PantHER”的Ib期试验
Pub Date : 2020-02-14 DOI: 10.1158/1538-7445.sabcs19-p1-19-24
N. Keegan, S. Furney, J. Walshe, G. Gullo, J. Kennedy, K. Bulger, J. McCaffrey, C. Kelly, K. Egan, P. O'Donovan, A. Hernando, A. Teiserskiene, I. Parker, A. Farrelly, A. Carr, G. Calzaferri, R. McDermott, M. Keane, L. Grogan, O. Breathnach, P. Morris, S. Toomey, B. Hennessy
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引用次数: 0
Abstract P5-05-05: Suppression of FOXM1 activities and breast cancer growth in vitro and in vivo by a new class of compounds 摘要P5-05-05:一类新化合物对FOXM1活性和乳腺癌生长的体外和体内抑制作用
Pub Date : 2020-02-14 DOI: 10.1158/1538-7445.sabcs19-p5-05-05
B. Katzenellenbogen, Y. Ziegler, M. Laws, V. S. Guillen, Sung-Hoon Kim, Parama Dey, B. Smith, P. Gong, Noah A. Bindman, Yuechao Zhao, K. Carlson, Mayuri A. Yasuda, Divya Singh, Zhong Li, D. El-Ashry, Zeynep Madak-Erdogan, J. Katzenellenbogen
The transcription factor FOXM1 is up-regulated and overexpressed in aggressive, therapy-resistant forms of hormone receptor-positive and triple negative breast cancers, and is associated with less good patient survival. FOXM1 signaling is also a key driver in many other cancers. Here, we identify a new class of compounds effective in suppressing FOXM1 activity in breast cancers, and displaying good potency for antitumor efficacy. The compounds bind directly to FOXM1 and alter its proteolytic sensitivity, reduce the cellular level of FOXM1 protein by a proteasome-dependent process, and suppress breast cancer cell proliferation and cell cycle progression and increase apoptosis. RNA-seq and gene set enrichment analyses indicate that the compounds decrease expression of FOXM1-regulated genes and suppress gene ontologies under FOXM1 regulation. Several compounds have favorable pharmacokinetic properties and show good tumor suppression in preclinical breast tumor models. These compounds may be suitable for further clinical evaluation in targeting aggressive breast cancers driven by FOXM1. (Supported by Breast Cancer Research Foundation grant (BCRF-083 to BSK), The Julius and Mary Landfield Cancer Research Fund (to BSK), NIH grant R01 DK015556 (to JAK), NIH T32 GM070421 Fellowship (to VSG), Bankhead-Coley Foundation grant 09BW04 (to DEA), USDA award ILLU-698-909 and National Center for Supercomputing Applications Faculty Fellowship (to ZME), and UIUC Environmental Toxicology Scholarship (to BPS)). Citation Format: Benita S. Katzenellenbogen, Yvonne Ziegler, Mary J Laws, Valeria S. Guillen, SungHoon Kim, Parama Dey, Brandi P. Smith, Ping Gong, Noah Bindman, Yuechao Zhao, Kathryn Carlson, Mayuri A. Yasuda, Divya Singh, Zhong Li, Dorraya El-Ashry, Zeynep Madak-Erdogan, John A. Katzenellenbogen. Suppression of FOXM1 activities and breast cancer growth in vitro and in vivo by a new class of compounds [abstract]. In: Proceedings of the 2019 San Antonio Breast Cancer Symposium; 2019 Dec 10-14; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2020;80(4 Suppl):Abstract nr P5-05-05.
转录因子FOXM1在激素受体阳性和三阴性乳腺癌的侵袭性、治疗耐药形式中上调和过度表达,并与较差的患者生存率相关。FOXM1信号也是许多其他癌症的关键驱动因素。在这里,我们发现了一类新的化合物,可以有效地抑制乳腺癌中FOXM1的活性,并显示出良好的抗肿瘤功效。这些化合物直接与FOXM1结合并改变其蛋白水解敏感性,通过蛋白酶体依赖过程降低FOXM1蛋白的细胞水平,抑制乳腺癌细胞增殖和细胞周期进程,增加凋亡。RNA-seq和基因集富集分析表明,化合物降低FOXM1调控基因的表达,抑制FOXM1调控下的基因本体。几种化合物具有良好的药代动力学性质,在临床前乳腺肿瘤模型中表现出良好的肿瘤抑制作用。这些化合物可能适合用于针对FOXM1驱动的侵袭性乳腺癌的进一步临床评估。(由乳腺癌研究基金会资助(BCRF-083到BSK),朱利叶斯和玛丽兰德菲尔德癌症研究基金(BSK), NIH资助R01 DK015556 (JAK), NIH T32 GM070421奖学金(VSG), Bankhead-Coley基金会资助09BW04 (DEA), USDA奖illuu -698-909和国家超级计算应用中心教师奖学金(ZME), UIUC环境毒理学奖学金(BPS))。)引文格式:Benita S. Katzenellenbogen, Yvonne Ziegler, Mary J Laws, Valeria S. Guillen, SungHoon Kim, Parama Dey, Brandi P. Smith, Gong Ping, Noah Bindman, yuecchao Zhao, Kathryn Carlson, Mayuri A. Yasuda, Divya Singh, Zhong Li, Dorraya El-Ashry, Zeynep Madak-Erdogan, John A. Katzenellenbogen。一类新化合物在体外和体内抑制FOXM1活性和乳腺癌生长[摘要]。摘自:2019年圣安东尼奥乳腺癌研讨会论文集;2019年12月10日至14日;费城(PA): AACR;中国癌症杂志,2020;31(增刊):P5-05-05。
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引用次数: 2
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