Pub Date : 2020-02-14DOI: 10.1158/1538-7445.sabcs19-p6-08-22
Michael S. Simon, Nadine H Abdallah, H. Assad, Malini Surapaneni, Rachel Reagle, N. Petrucelli, Kristen S Purrington
{"title":"Abstract P6-08-22: Racial and ethnic variation inmulti-gene panelgenetic test results among individuals referred for genetic counseling at a large urban comprehensive cancer center","authors":"Michael S. Simon, Nadine H Abdallah, H. Assad, Malini Surapaneni, Rachel Reagle, N. Petrucelli, Kristen S Purrington","doi":"10.1158/1538-7445.sabcs19-p6-08-22","DOIUrl":"https://doi.org/10.1158/1538-7445.sabcs19-p6-08-22","url":null,"abstract":"","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80958105","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}
Pub Date : 2020-02-14DOI: 10.1158/1538-7445.sabcs19-p5-04-10
Te-Chia Wu, J. O’Shaughnessy, L. Roberts, Jennifer L. Smith, S. Burkeholder, Jennifer P. Finholt, J. Tarnowski, T. Dao, J. Lamont, S. Zurawski, P. Nguyen, Yuanyuan Wang, Kyung In Kim, D. Blankenship, J. Turner, Xuan Wang, F. Marches, M. Levin, M. Grant, G. Zurawski, V. Pascual, J. Banchereau, K. Palucka
{"title":"Abstract P5-04-10: Immune and transcriptional signatures of dendritic cell (DC) vaccination combined with chemotherapy in locally advanced, triple-negative breast cancer (TNBC) patients","authors":"Te-Chia Wu, J. O’Shaughnessy, L. Roberts, Jennifer L. Smith, S. Burkeholder, Jennifer P. Finholt, J. Tarnowski, T. Dao, J. Lamont, S. Zurawski, P. Nguyen, Yuanyuan Wang, Kyung In Kim, D. Blankenship, J. Turner, Xuan Wang, F. Marches, M. Levin, M. Grant, G. Zurawski, V. Pascual, J. Banchereau, K. Palucka","doi":"10.1158/1538-7445.sabcs19-p5-04-10","DOIUrl":"https://doi.org/10.1158/1538-7445.sabcs19-p5-04-10","url":null,"abstract":"","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87469241","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}
Pub Date : 2020-02-14DOI: 10.1158/1538-7445.SABCS19-P2-13-14
Mia F Andersen, A. Højgaard, Charlotte B Rotboel, A. Jensen
The majority of women treated for primary breast cancer (BC) will receive adjuvant endocrine treatment (AET). A treatment, which has several side effects with a varying degree of severity. In some cases, they result in impaired quality of life of the breast cancer survivors (BCS). For younger BCS, these side effects are often augmented by the fact, that premenopausal women may turn postmenopausal by the adjuvant chemotherapy. Among the most common side effects are hot flashes, sweating, vaginal dryness and arthralgia. Sexual problems are also common; however, sexual dysfunction (SD), defined as impairments in sexual function causing personal distress, are inadequately described among BCS on AET. Hence, SD may be underreported in both clinical studies and the daily clinic. The primary aim of this study was to estimate the prevalence of clinically relevant SD and to identify possible predictors of SD among BCS on AET. We conducted a cross-sectional survey among BCS who have been treated with AET9s for more than 3 months, with no actual signs of recurrent disease and no previous cancer diagnosis. The survey consisted of questions regarding demographic factors, present and previous symptoms. The following validated questionnaires were used: Female Sexual Function Index (FSFI), Sexual Complaint Screener - Women (SCS-W), Beck Depression Inventory (BDI), International Consultation on Incontinence Modular Questionnaire - Female Sexual Matters associated with Lower Urinary Tract Symptoms (ICIQ-FLUTSsex) and subscales of the Cancer Rehabilitation Evaluation System (CARES). Additionally, data concerning tumor characteristics and cancer treatment were collected from the medical records. In total, 333 women with a mean age of 58.7 years were included in the study, of which 227 were sexually active. All were heterosexual. In the entire cohort, the most prevalent impairments were low libido (54%), anorgasmia (26%) and lack of arousal (25%). Although dyspareunia was the least frequent impairment reported by BCS (21%), it was the most distressing symptom. Urogenital symptoms were common with 47% of the women reporting vaginal dryness and 38% reporting pain with sexual intercourse. The sexually active BCS were younger, more often partnered, and more satisfied with their sexual life before the cancer diagnosis than those women being sexually inactive. Among the 227 sexually active women, 134 (59%) qualified for having SD. Of these 134 women, 78 (58%) perceived the cancer treatment as the primary reason for their sexual problems. In a multivariate analysis, the risk of having SD was significantly associated with experiencing more vaginal dryness and less psychological well-being. Whereas age, relationship satisfaction and duration of AET were not significantly associated with the risk of having SD. In conclusion, SD was highly prevalent among sexually active BCS on AET and was perceived as a long-term side effect of BC treatment by two thirds of BCS with SD. Vaginal
大多数接受原发性乳腺癌(BC)治疗的妇女将接受辅助内分泌治疗(AET)。一种有不同程度的严重副作用的治疗方法。在某些情况下,它们会导致乳腺癌幸存者(BCS)的生活质量受损。对于年轻的BCS,这些副作用通常会因为绝经前妇女可能通过辅助化疗而转为绝经后而增加。最常见的副作用是潮热、出汗、阴道干燥和关节痛。性问题也很常见;然而,性功能障碍(SD)被定义为导致个人痛苦的性功能障碍,在AET上的BCS中没有得到充分的描述。因此,在临床研究和日常临床中,SD都可能被低估。本研究的主要目的是估计临床相关SD的患病率,并确定AET治疗BCS中SD的可能预测因素。我们对接受aet9治疗超过3个月、无实际疾病复发迹象、既往无癌症诊断的BCS患者进行了横断面调查。调查的问题包括人口因素、现在和以前的症状。使用以下有效问卷:女性性功能指数(FSFI)、性投诉筛查-女性(SCS-W)、贝克抑郁量表(BDI)、国际失禁模块化问卷咨询-女性与下尿路症状相关的性问题(ICIQ-FLUTSsex)和癌症康复评估系统(CARES)的子量表。此外,从医疗记录中收集有关肿瘤特征和癌症治疗的数据。共有333名平均年龄为58.7岁的女性参与了这项研究,其中227名女性性生活活跃。他们都是异性恋。在整个队列中,最普遍的障碍是性欲低下(54%)、性高潮不足(26%)和性唤起不足(25%)。尽管性交困难是BCS报告的最不常见的损害(21%),但它是最令人痛苦的症状。泌尿生殖系统症状很常见,47%的女性报告阴道干燥,38%的女性报告性交疼痛。性生活活跃的BCS比性生活不活跃的女性更年轻,更经常有伴侣,在癌症诊断前对自己的性生活更满意。在227名性活跃女性中,有134名(59%)符合性功能障碍。在这134名女性中,78名(58%)认为癌症治疗是她们性问题的主要原因。在一项多变量分析中,患有SD的风险与阴道干燥和心理健康程度较低显著相关。而年龄、关系满意度和AET持续时间与SD的风险无显著相关。总之,在接受AET治疗的性活跃的BCS中,SD非常普遍,三分之二的BCS认为SD是BC治疗的长期副作用。阴道干燥是SD的最强预测因子。值得注意的是,年龄与SD的患病率和损伤引起的痛苦程度无关。因此,性健康是BCS的一个重要话题,应该由临床医生在BCS随访时独立于其年龄进行讨论。引文格式:Mia F Andersen, Astrid Hojgaard, Charlotte B Rotboel, Anders Bonde Jensen。辅助内分泌治疗对乳腺癌幸存者性功能障碍的影响[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):02 - 02 - 02。
{"title":"Abstract P2-13-14: Sexual dysfunction among breast cancer survivors in adjuvant endocrine treatment","authors":"Mia F Andersen, A. Højgaard, Charlotte B Rotboel, A. Jensen","doi":"10.1158/1538-7445.SABCS19-P2-13-14","DOIUrl":"https://doi.org/10.1158/1538-7445.SABCS19-P2-13-14","url":null,"abstract":"The majority of women treated for primary breast cancer (BC) will receive adjuvant endocrine treatment (AET). A treatment, which has several side effects with a varying degree of severity. In some cases, they result in impaired quality of life of the breast cancer survivors (BCS). For younger BCS, these side effects are often augmented by the fact, that premenopausal women may turn postmenopausal by the adjuvant chemotherapy. Among the most common side effects are hot flashes, sweating, vaginal dryness and arthralgia. Sexual problems are also common; however, sexual dysfunction (SD), defined as impairments in sexual function causing personal distress, are inadequately described among BCS on AET. Hence, SD may be underreported in both clinical studies and the daily clinic. The primary aim of this study was to estimate the prevalence of clinically relevant SD and to identify possible predictors of SD among BCS on AET. We conducted a cross-sectional survey among BCS who have been treated with AET9s for more than 3 months, with no actual signs of recurrent disease and no previous cancer diagnosis. The survey consisted of questions regarding demographic factors, present and previous symptoms. The following validated questionnaires were used: Female Sexual Function Index (FSFI), Sexual Complaint Screener - Women (SCS-W), Beck Depression Inventory (BDI), International Consultation on Incontinence Modular Questionnaire - Female Sexual Matters associated with Lower Urinary Tract Symptoms (ICIQ-FLUTSsex) and subscales of the Cancer Rehabilitation Evaluation System (CARES). Additionally, data concerning tumor characteristics and cancer treatment were collected from the medical records. In total, 333 women with a mean age of 58.7 years were included in the study, of which 227 were sexually active. All were heterosexual. In the entire cohort, the most prevalent impairments were low libido (54%), anorgasmia (26%) and lack of arousal (25%). Although dyspareunia was the least frequent impairment reported by BCS (21%), it was the most distressing symptom. Urogenital symptoms were common with 47% of the women reporting vaginal dryness and 38% reporting pain with sexual intercourse. The sexually active BCS were younger, more often partnered, and more satisfied with their sexual life before the cancer diagnosis than those women being sexually inactive. Among the 227 sexually active women, 134 (59%) qualified for having SD. Of these 134 women, 78 (58%) perceived the cancer treatment as the primary reason for their sexual problems. In a multivariate analysis, the risk of having SD was significantly associated with experiencing more vaginal dryness and less psychological well-being. Whereas age, relationship satisfaction and duration of AET were not significantly associated with the risk of having SD. In conclusion, SD was highly prevalent among sexually active BCS on AET and was perceived as a long-term side effect of BC treatment by two thirds of BCS with SD. Vaginal","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86687377","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}
Pub Date : 2019-07-01DOI: 10.1158/1538-7445.SABCS18-P3-06-04
T. Nishimura, Kenichi Yoshida, Yukiko Kawata, Y. Takeuchi, N. Kakiuchi, Y. Shiozawa, Kosuke Aoki, M. Hirata, T. Kataoka, T. Sakurai, Satoko Baba, Y. Shiraishi, K. Chiba, K. Takeuchi, H. Haga, S. Miyano, M. Toi, S. Ogawa
[Introduction] Non-malignant proliferative lesions in the breast have been implicated in the development of invasive breast cancer. Previous studies showed that adjacent atypical proliferative lesions and breast cancers shared common genetic alterations, suggesting that these evolved from the same ancestral cell. However, the clonal structure of atypical proliferative lesions and their clonal dynamics during progression to cancer are poorly understood. In this study, we compared genetic profiles of normal ducts, non-malignant proliferative lesions and cancers in the same patients to illustrate the clonal evolution of cancer from a non-malignant epithelial cell. [Methods] Multiple samples were collected from different proliferative lesions within the cancer-borne breast, including invasive cancers, using micro-dissection from formalin-fixed, paraffin-embedded surgical specimens. Somatic mutations and copy number alterations (CNAs) were then evaluated by whole exome sequencing. [Results] A total of 39 samples from 6 premenopausal females carrying estrogen receptor-positive cancers were analyzed, where the samples were obtained from normal ducts (N = 5), non-malignant proliferative lesions (N = 9), and non-invasive (N = 21) and invasive (N = 4) cancers. The number of somatic mutations per sample was ranging from 1 to 311 and increased with pathological disease progression. Two cases with bilateral cancers had a pathogenic germline mutation of either BRCA2 or TP53, where no somatic mutations or CNAs were shared by individual proliferative lesions, suggesting multifocal independent cancerous evolutions. By contrast, in the remaining four unilateral cases, no pathogenic germline mutations were detected, but all proliferative lesions, which were separated by a distance of 7-33 mm, shared one or more driver alterations, such as an AKT1 mutation (UID: KU01), a GATA3 mutation (UID: KU03 and KU06), a CBFB mutation (UID: KU06) and concurrent 1q gain and 16q loss (UID: KU02, KU03 and KU06), while harboring private mutations/CNAs of their own. The analysis of phylogenic trees based on the number of shared mutations predicted an early origin of these founder mutations, which frequently predated decades before the onset of cancer. [Conclusions] Early breast cancer development is thought to be shaped by a simultaneous evolution of multiple precancerous clones. It may be multi-focally initiated by a germline mutation, frequently terminated in bilateral cancers. By contrast, in unilateral cases, cancer clones might be derived from a common ancestral clone, which has acquired a driver founder mutation long before the onset of cancer, and undergo independent evolution, giving rise to multiple proliferative lesions, from which invasive cancer finally evolves. Our findings provide unique insight into the early development of breast cancer. Citation Format: Tomomi Nishimura, Kenichi Yoshida, Yukiko Kawata, Yasuhide Takeuchi, Nobuyuki Kakiuchi, Yusuke Shiozawa, Kosuke Ao
{"title":"Abstract P3-06-04: Clonal evolution of non-malignant proliferative lesions into breast cancers","authors":"T. Nishimura, Kenichi Yoshida, Yukiko Kawata, Y. Takeuchi, N. Kakiuchi, Y. Shiozawa, Kosuke Aoki, M. Hirata, T. Kataoka, T. Sakurai, Satoko Baba, Y. Shiraishi, K. Chiba, K. Takeuchi, H. Haga, S. Miyano, M. Toi, S. Ogawa","doi":"10.1158/1538-7445.SABCS18-P3-06-04","DOIUrl":"https://doi.org/10.1158/1538-7445.SABCS18-P3-06-04","url":null,"abstract":"[Introduction] Non-malignant proliferative lesions in the breast have been implicated in the development of invasive breast cancer. Previous studies showed that adjacent atypical proliferative lesions and breast cancers shared common genetic alterations, suggesting that these evolved from the same ancestral cell. However, the clonal structure of atypical proliferative lesions and their clonal dynamics during progression to cancer are poorly understood. In this study, we compared genetic profiles of normal ducts, non-malignant proliferative lesions and cancers in the same patients to illustrate the clonal evolution of cancer from a non-malignant epithelial cell. [Methods] Multiple samples were collected from different proliferative lesions within the cancer-borne breast, including invasive cancers, using micro-dissection from formalin-fixed, paraffin-embedded surgical specimens. Somatic mutations and copy number alterations (CNAs) were then evaluated by whole exome sequencing. [Results] A total of 39 samples from 6 premenopausal females carrying estrogen receptor-positive cancers were analyzed, where the samples were obtained from normal ducts (N = 5), non-malignant proliferative lesions (N = 9), and non-invasive (N = 21) and invasive (N = 4) cancers. The number of somatic mutations per sample was ranging from 1 to 311 and increased with pathological disease progression. Two cases with bilateral cancers had a pathogenic germline mutation of either BRCA2 or TP53, where no somatic mutations or CNAs were shared by individual proliferative lesions, suggesting multifocal independent cancerous evolutions. By contrast, in the remaining four unilateral cases, no pathogenic germline mutations were detected, but all proliferative lesions, which were separated by a distance of 7-33 mm, shared one or more driver alterations, such as an AKT1 mutation (UID: KU01), a GATA3 mutation (UID: KU03 and KU06), a CBFB mutation (UID: KU06) and concurrent 1q gain and 16q loss (UID: KU02, KU03 and KU06), while harboring private mutations/CNAs of their own. The analysis of phylogenic trees based on the number of shared mutations predicted an early origin of these founder mutations, which frequently predated decades before the onset of cancer. [Conclusions] Early breast cancer development is thought to be shaped by a simultaneous evolution of multiple precancerous clones. It may be multi-focally initiated by a germline mutation, frequently terminated in bilateral cancers. By contrast, in unilateral cases, cancer clones might be derived from a common ancestral clone, which has acquired a driver founder mutation long before the onset of cancer, and undergo independent evolution, giving rise to multiple proliferative lesions, from which invasive cancer finally evolves. Our findings provide unique insight into the early development of breast cancer. Citation Format: Tomomi Nishimura, Kenichi Yoshida, Yukiko Kawata, Yasuhide Takeuchi, Nobuyuki Kakiuchi, Yusuke Shiozawa, Kosuke Ao","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79854418","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}
Pub Date : 2019-05-20DOI: 10.1200/JCO.2019.37.15_SUPPL.TPS11632
C. Skinner
e24054 Background: Cancer treatment-induced bone loss and the risk of fractures is a significant burden on national health care with the annual cost of osteoporosis at $25.3 billion. Clinical studies report that moderate-intensity resistance exercises prevent a decline in bone health and reduce complications such as fatigue, muscle wasting, and bone loss. Only a small percentage cancer survivors engage in exercise. Several factors account for this low level of engagement such as poor awareness of the benefits, lack of motivation, and access to exercise programs for cancer survivors. Web- and mobile app-based programs that encourage physical activity can potentially address these problems and can be scaled for dissemination. Methods: Thrivors plus Bone Health (Thrivors+BH) is first-of-its-kind, clinically validated platform of bone health exercises that adapts to a cancer survivor's pain and energy levels with several interactive feedback features. The product has physical activity, mindfulness, nutrition, survivorship resources, and bone health education. The platform's back-end tracks and reports module activity. We conducted a single-blind RCT of 142 breast cancer survivors adherence to a 20-week program of resistance and impact exercises. Participants in the control arm accessed Thrivors Basic which lacked interactive feedback. Results: The primary outcome was higher adherence. High adherence equals completion of at least 40 of 60 recommended exercise sessions during the 20-week intervention. The intervention group showed higher measures of platform usage, duration and activity. Intervention group completed the validated jumping protocol after an 8-week program of strength training to prepare for increased intensity exercises. Although some participants discontinued due to various reasons (time constraints or health complications), the supportive modules and feedback from the PI influenced participants to resume exercise after a period of inactivity. The mean scores in the PAM and SF-36v surveys were higher for the intervention group. Conclusions: The study demonstrates breast cancer survivors' willingness to utilize a digital platform with prescribed exercise routines. Feedback suggests that more personalized and interactive features may encourage a higher frequency of engagement in bone-health specific physical activity. A follow-up study will examine the impact of the exercise program on bone health and the role of coaching to impact sustainable behavior change. Clinical trial information: NCT03651037 .
背景:癌症治疗引起的骨质流失和骨折风险是国家卫生保健的重大负担,每年骨质疏松症的费用为253亿美元。临床研究报告说,中等强度的抗阻运动可以防止骨骼健康的下降,减少疲劳、肌肉萎缩和骨质流失等并发症。只有一小部分癌症幸存者会进行锻炼。有几个因素可以解释这种低水平的参与,比如对益处的认识不足,缺乏动力,以及癌症幸存者无法参加锻炼项目。基于网络和移动应用程序的鼓励体育活动的项目可以潜在地解决这些问题,并可以扩大传播范围。方法:Thrivors+ Bone Health (Thrivors+BH)是同类中第一个经过临床验证的骨骼健康锻炼平台,它适应癌症幸存者的疼痛和能量水平,具有几个交互式反馈功能。该产品具有身体活动、正念、营养、生存资源和骨骼健康教育。平台的后端跟踪并报告模块活动。我们对142名乳腺癌幸存者进行了一项单盲随机对照试验,他们坚持进行了为期20周的抵抗和冲击练习。控制组的参与者使用的是缺乏互动反馈的Thrivors Basic。结果:主要结局是更高的依从性。高依从性意味着在为期20周的干预中,完成了60项推荐运动中的至少40项。干预组在平台使用、持续时间和活动方面表现出更高的水平。干预组在8周的力量训练后完成有效的跳跃方案,为增加强度的运动做准备。虽然一些参与者由于各种原因(时间限制或健康并发症)而停止锻炼,但来自个人健康指数的支持模块和反馈影响了参与者在一段时间不活动后恢复锻炼。干预组在PAM和SF-36v调查中的平均得分更高。结论:该研究表明,乳腺癌幸存者愿意利用数字平台进行规定的锻炼。反馈表明,更个性化和互动的功能可能会鼓励更高频率地参与骨骼健康特定的身体活动。一项后续研究将检查锻炼计划对骨骼健康的影响,以及教练在影响可持续行为改变方面的作用。临床试验信息:NCT03651037。
{"title":"Abstract PS9-32: Physical activity platform to improve bone health in cancer survivors","authors":"C. Skinner","doi":"10.1200/JCO.2019.37.15_SUPPL.TPS11632","DOIUrl":"https://doi.org/10.1200/JCO.2019.37.15_SUPPL.TPS11632","url":null,"abstract":"e24054 Background: Cancer treatment-induced bone loss and the risk of fractures is a significant burden on national health care with the annual cost of osteoporosis at $25.3 billion. Clinical studies report that moderate-intensity resistance exercises prevent a decline in bone health and reduce complications such as fatigue, muscle wasting, and bone loss. Only a small percentage cancer survivors engage in exercise. Several factors account for this low level of engagement such as poor awareness of the benefits, lack of motivation, and access to exercise programs for cancer survivors. Web- and mobile app-based programs that encourage physical activity can potentially address these problems and can be scaled for dissemination. Methods: Thrivors plus Bone Health (Thrivors+BH) is first-of-its-kind, clinically validated platform of bone health exercises that adapts to a cancer survivor's pain and energy levels with several interactive feedback features. The product has physical activity, mindfulness, nutrition, survivorship resources, and bone health education. The platform's back-end tracks and reports module activity. We conducted a single-blind RCT of 142 breast cancer survivors adherence to a 20-week program of resistance and impact exercises. Participants in the control arm accessed Thrivors Basic which lacked interactive feedback. Results: The primary outcome was higher adherence. High adherence equals completion of at least 40 of 60 recommended exercise sessions during the 20-week intervention. The intervention group showed higher measures of platform usage, duration and activity. Intervention group completed the validated jumping protocol after an 8-week program of strength training to prepare for increased intensity exercises. Although some participants discontinued due to various reasons (time constraints or health complications), the supportive modules and feedback from the PI influenced participants to resume exercise after a period of inactivity. The mean scores in the PAM and SF-36v surveys were higher for the intervention group. Conclusions: The study demonstrates breast cancer survivors' willingness to utilize a digital platform with prescribed exercise routines. Feedback suggests that more personalized and interactive features may encourage a higher frequency of engagement in bone-health specific physical activity. A follow-up study will examine the impact of the exercise program on bone health and the role of coaching to impact sustainable behavior change. Clinical trial information: NCT03651037 .","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"47 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85615101","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}
Pub Date : 2019-02-15DOI: 10.1158/1538-7445.SABCS18-P3-07-08
Y. Zhang, W. Nock, S. Asad, E. Adams, J. Singh, A. Damicis, M. Lustberg, A. Noonan, R. Reinbolt, S. Sardesai, J. Vandeusen, R. Wesolowski, N. Williams, B. Ramaswamy, D. Stover
Background: Triple-negative breast cancer (TNBC) is a heterogeneous disease. Clinically, we observe three distinct TNBC outcomes: 1) rapid relapse (rrTNBC) characterized by aggressive drug resistant disease; 2) late relapse (lrTNBC) characterized by indolent or treatment responsive disease; and 3) no relapse (NoRTNBC). We hypothesized that distinct clinical and genomic features of primary tumors define rapid versus late relapse in TNBC. Approach: Using three publicly-available datasets (METABRIC, TCGA, and a prior gene expression meta-analysis), we identified 455 patients diagnosed with primary TNBC with adequate follow-up to be characterized as rrTNBC (relapse or death within 2 years of diagnosis), lrTNBC (relapse or death more than 2 years after diagnosis), or NoRTNBC (no relapse/death with at least 5 years follow-up). We compiled basic clinical (n=455 patients) and primary tumor multi-omic data, including whole transcriptome (n=455), whole genome copy number (n=317), and mutation data for 171 cancer-related genes (n=317). We evaluated intrinsic subtypes (PAM50, TNBCtype), 125 gene expression signatures, CIBERSORT immune subsets, copy number, and mutation frequency. Results: We first evaluated patients with relapse (rrTNBC+lrTNBC) vs. NoRTNBC. There was no significant difference in age, grade, stage at diagnosis, or PAM50 or TNBC subtype proportion between relapse and NoRTNBC. Among 125 expression signatures, five immune signatures were significantly higher in NoRTNBCs (FDR p = 0.3, all p Conclusions: Primary TNBC tumors destined for rapid, late, or no relapse reflect distinct genomic features. Anti-tumor immune signatures and subsets are enriched in patients who do not relapse yet no difference in mutational or copy number burden. Relative to rapid relapse TNBCs, late relapse TNBCs are enriched for non-basal tumors, estrogen/luminal expression signatures, and mutations in DNAH11 and PIK3CA. Citation Format: Zhang Y, Nock W, Asad S, Adams E, Singh J, Damicis A, Lustberg MB, Noonan A, Reinbolt R, Sardesai S, VanDeusen J, Wesolowski R, Williams N, Ramaswamy B, Stover DG. Multi-omic predictor of rapid and late relapse in primary triple negative breast cancer [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P3-07-08.
背景:三阴性乳腺癌(TNBC)是一种异质性疾病。在临床上,我们观察到三种不同的TNBC结局:1)以侵袭性耐药疾病为特征的快速复发(rrTNBC);2)晚期复发(lrTNBC),表现为惰性或治疗反应性疾病;3)无复发(NoRTNBC)。我们假设原发性肿瘤的不同临床和基因组特征决定了TNBC的快速复发和晚期复发。方法:使用三个公开可用的数据集(METABRIC, TCGA和先前的基因表达荟萃分析),我们确定了455例经充分随访诊断为原发性TNBC的患者,其特征为rrTNBC(诊断后2年内复发或死亡),lrTNBC(诊断后2年以上复发或死亡)或NoRTNBC(随访至少5年未复发/死亡)。我们收集了基础临床(n=455例)和原发肿瘤多组学数据,包括171个癌症相关基因(n=317)的全转录组(n=455)、全基因组拷贝数(n=317)和突变数据。我们评估了内在亚型(PAM50, TNBCtype), 125个基因表达特征,CIBERSORT免疫亚群,拷贝数和突变频率。结果:我们首先评估了复发患者(rrTNBC+lrTNBC)与NoRTNBC。复发与NoRTNBC在年龄、分级、诊断分期、PAM50或TNBC亚型比例上无显著差异。在125个表达特征中,有5个免疫特征在nortnbc中显著升高(FDR p = 0.3,所有p)。结论:原发性TNBC肿瘤以快速、晚期或无复发为目的,反映了不同的基因组特征。在没有复发的患者中,抗肿瘤免疫特征和亚群丰富,但在突变或拷贝数负担方面没有差异。相对于快速复发的tnbc,晚期复发的tnbc在非基底肿瘤、雌激素/腔内表达特征以及DNAH11和PIK3CA突变中富集。引文格式:张勇,Nock W, Asad S, Adams E, Singh J, Damicis A, Lustberg MB, Noonan A, Reinbolt R, Sardesai S, VanDeusen J, Wesolowski R, Williams N, Ramaswamy B, Stover DG。原发性三阴性乳腺癌快速和晚期复发的多组学预测因子[摘要]。2018年圣安东尼奥乳腺癌研讨会论文集;2018年12月4-8日;费城(PA): AACR;中国癌症杂志,2019;79(4增刊):P3-07-08。
{"title":"Abstract P3-07-08: Multi-omic predictor of rapid and late relapse in primary triple negative breast cancer","authors":"Y. Zhang, W. Nock, S. Asad, E. Adams, J. Singh, A. Damicis, M. Lustberg, A. Noonan, R. Reinbolt, S. Sardesai, J. Vandeusen, R. Wesolowski, N. Williams, B. Ramaswamy, D. Stover","doi":"10.1158/1538-7445.SABCS18-P3-07-08","DOIUrl":"https://doi.org/10.1158/1538-7445.SABCS18-P3-07-08","url":null,"abstract":"Background: Triple-negative breast cancer (TNBC) is a heterogeneous disease. Clinically, we observe three distinct TNBC outcomes: 1) rapid relapse (rrTNBC) characterized by aggressive drug resistant disease; 2) late relapse (lrTNBC) characterized by indolent or treatment responsive disease; and 3) no relapse (NoRTNBC). We hypothesized that distinct clinical and genomic features of primary tumors define rapid versus late relapse in TNBC. Approach: Using three publicly-available datasets (METABRIC, TCGA, and a prior gene expression meta-analysis), we identified 455 patients diagnosed with primary TNBC with adequate follow-up to be characterized as rrTNBC (relapse or death within 2 years of diagnosis), lrTNBC (relapse or death more than 2 years after diagnosis), or NoRTNBC (no relapse/death with at least 5 years follow-up). We compiled basic clinical (n=455 patients) and primary tumor multi-omic data, including whole transcriptome (n=455), whole genome copy number (n=317), and mutation data for 171 cancer-related genes (n=317). We evaluated intrinsic subtypes (PAM50, TNBCtype), 125 gene expression signatures, CIBERSORT immune subsets, copy number, and mutation frequency. Results: We first evaluated patients with relapse (rrTNBC+lrTNBC) vs. NoRTNBC. There was no significant difference in age, grade, stage at diagnosis, or PAM50 or TNBC subtype proportion between relapse and NoRTNBC. Among 125 expression signatures, five immune signatures were significantly higher in NoRTNBCs (FDR p = 0.3, all p Conclusions: Primary TNBC tumors destined for rapid, late, or no relapse reflect distinct genomic features. Anti-tumor immune signatures and subsets are enriched in patients who do not relapse yet no difference in mutational or copy number burden. Relative to rapid relapse TNBCs, late relapse TNBCs are enriched for non-basal tumors, estrogen/luminal expression signatures, and mutations in DNAH11 and PIK3CA. Citation Format: Zhang Y, Nock W, Asad S, Adams E, Singh J, Damicis A, Lustberg MB, Noonan A, Reinbolt R, Sardesai S, VanDeusen J, Wesolowski R, Williams N, Ramaswamy B, Stover DG. Multi-omic predictor of rapid and late relapse in primary triple negative breast cancer [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P3-07-08.","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73997366","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}
Pub Date : 2019-02-15DOI: 10.1158/1538-7445.SABCS18-P4-08-03
A. Nichol, C. Lohrisch, Lovedeep Gondara, C. Speers, K. Gelmon
{"title":"Abstract P4-08-03: Looking forward to the TNM 9thedition: Is it time to stage the different breast cancer subtypes as distinct diseases?","authors":"A. Nichol, C. Lohrisch, Lovedeep Gondara, C. Speers, K. Gelmon","doi":"10.1158/1538-7445.SABCS18-P4-08-03","DOIUrl":"https://doi.org/10.1158/1538-7445.SABCS18-P4-08-03","url":null,"abstract":"","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"309 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75825242","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}
Pub Date : 2019-02-15DOI: 10.1158/1538-7445.sabcs18-p5-13-02
A. Rositch, Om Ginsburg, L. Huang, C. Chao, K. Visvanathan, N. Masalu
This abstract was not presented at the conference. Citation Format: Rositch AF, Ginsburg OM, Huang L, Chao CA, Visvanathan K, Masalu N. Not presented [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P5-13-02.
这份摘要没有在会议上发表。引文格式:Rositch AF, Ginsburg OM, Huang L, Chao CA, Visvanathan K, Masalu N.未发表[摘要]。2018年圣安东尼奥乳腺癌研讨会论文集;2018年12月4-8日;费城(PA): AACR;癌症杂志,2019;79(4增刊):P5-13-02。
{"title":"Abstract P5-13-02: Not presented","authors":"A. Rositch, Om Ginsburg, L. Huang, C. Chao, K. Visvanathan, N. Masalu","doi":"10.1158/1538-7445.sabcs18-p5-13-02","DOIUrl":"https://doi.org/10.1158/1538-7445.sabcs18-p5-13-02","url":null,"abstract":"This abstract was not presented at the conference. Citation Format: Rositch AF, Ginsburg OM, Huang L, Chao CA, Visvanathan K, Masalu N. Not presented [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P5-13-02.","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75843206","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}
Pub Date : 2019-02-15DOI: 10.1158/1538-7445.SABCS18-P4-04-02
Pedro Exman, A. Garrido-Castro, M. Hughes, R. Freedman, Cynthia X. Ma, R. Bose, E. Cerami, N. Wagle, R. Barroso-Sousa, C. D. Fitz, N. Lindeman, L. Macconaill, Brittany L. Bychkovsky, Lloyd, Cr Mackichan, P. Kumari, S. Tolaney, I. Krop, E. Winer, D. Dillon, N. Lin
{"title":"Abstract P4-04-02: Identifying ERBB-2 activating mutations (mts) in HER2 negative tumors for clinical trials – Impact of institute-wide genomic testing and trial matching on trial enrollment in clinical practice","authors":"Pedro Exman, A. Garrido-Castro, M. Hughes, R. Freedman, Cynthia X. Ma, R. Bose, E. Cerami, N. Wagle, R. Barroso-Sousa, C. D. Fitz, N. Lindeman, L. Macconaill, Brittany L. Bychkovsky, Lloyd, Cr Mackichan, P. Kumari, S. Tolaney, I. Krop, E. Winer, D. Dillon, N. Lin","doi":"10.1158/1538-7445.SABCS18-P4-04-02","DOIUrl":"https://doi.org/10.1158/1538-7445.SABCS18-P4-04-02","url":null,"abstract":"","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75882004","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}
Pub Date : 2019-02-15DOI: 10.1158/1538-7445.sabcs18-p2-06-14
CM Sevigny, S. Sengupta, Z. Luo, L. Jin, D. Pearce, R. Clarke
{"title":"Abstract P2-06-14: The role of SLC7A5 (LAT1) in endocrine therapy-resistant breast cancer","authors":"CM Sevigny, S. Sengupta, Z. Luo, L. Jin, D. Pearce, R. Clarke","doi":"10.1158/1538-7445.sabcs18-p2-06-14","DOIUrl":"https://doi.org/10.1158/1538-7445.sabcs18-p2-06-14","url":null,"abstract":"","PeriodicalId":20307,"journal":{"name":"Poster Session Abstracts","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74482588","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}