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Competing Immune Biomarkers in the Selection of First-line Therapy in Non-small Cell Lung Cancer 非小细胞肺癌一线治疗选择中的竞争性免疫生物标志物
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.2.67
K. Tolba
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引用次数: 0
Treatment Disparities in Small Cell Lung Cancer 小细胞肺癌的治疗差异
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.2.70
S. Chun
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引用次数: 0
Platelet Biomarkers for Precision Medicine in Hematology and Oncology 血小板生物标志物在血液学和肿瘤学精准医学中的应用
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.2.72
W. Bahou
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引用次数: 1
The PACIFIC Trial—Where Do We Go from Here in Immunotherapy for Non-small Cell Lung Cancer? 太平洋试验:非小细胞肺癌的免疫治疗将何去何从?
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.2.65
M. Edelman
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引用次数: 0
Personalized Therapy in Advanced Renal Cancer 晚期肾癌的个性化治疗
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.2.74
U. Vaishampayan
Support: No funding was received in the publication of this article. In recent years, personalized therapies have transformed the management of many advanced malignancies. However, despite advances in targeted therapy and immunotherapy that have expanded the treatment options for patients with metastatic kidney cancer, we are unable to predict which patients are most likely to respond to individual treatments. With a number of highly effective therapies available, it is becoming increasingly important to develop a more tailored approach to treatment selection.
支持:本文的出版未收到任何资助。近年来,个性化治疗已经改变了许多晚期恶性肿瘤的治疗方法。然而,尽管靶向治疗和免疫治疗的进步扩大了转移性肾癌患者的治疗选择,但我们无法预测哪些患者最有可能对个别治疗产生反应。随着一些高效的治疗方法的出现,开发一种更有针对性的治疗方法变得越来越重要。
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引用次数: 0
Changing Paradigms in the Treatment of Renal Cancer 肾癌治疗模式的改变
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.1.20
U. Vaishampayan
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引用次数: 0
Recent Advances in the Treatment of Chronic Lymphocytic Leukemia, Diffuse Large B-cell Lymphoma, and Follicular Lymphoma 慢性淋巴细胞白血病、弥漫性大b细胞淋巴瘤和滤泡性淋巴瘤的治疗进展
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.2.63
I. Flinn
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引用次数: 0
New Advances in the Treatment of Non-Small Cell Lung Cancer 非小细胞肺癌治疗的新进展
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.1.18
S. Ramalingam
Support: No funding was received in the publication of this article. Q. Could you tell us a little about the PACIFIC trial in stage III nonsmall cell lung cancer (NSCLC)? The PACIFIC trial evaluated the role of durvalumab, a programmed death-ligand 1 (PD-L1) antibody, in patients with locally advanced, surgically unresectable stage III NSCLC. Following completion of chemotherapy and radiation, patients were randomized to receive one year of durvalumab or placebo. There was a significant improvement in progression-free survival (PFS) with durvalumab, with a hazard ratio of 0.52. The survival data are awaited. The results of the PACIFIC study have defined a new role for immunotherapy in the treatment of NSCLC. Clinical benefit was seen regardless of PD-L1 expression status.
支持:本文的出版未收到任何资助。问:您能给我们介绍一下PACIFIC在III期非小细胞肺癌(NSCLC)中的临床试验吗?PACIFIC试验评估了durvalumab(一种程序性死亡配体1 (PD-L1)抗体)在局部晚期、手术不能切除的III期NSCLC患者中的作用。完成化疗和放疗后,患者随机接受一年的durvalumab或安慰剂治疗。杜伐单抗显著改善了无进展生存期(PFS),风险比为0.52。生存数据仍在等待中。PACIFIC研究的结果确定了免疫疗法在非小细胞肺癌治疗中的新作用。无论PD-L1表达状态如何,临床获益均可见。
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引用次数: 1
Detecting an ALK Rearrangement via Liquid Biopsy Enabled a Targeted Therapy-based Approach for Treating a Patient with Advanced Non-small Cell Lung Cancer 通过液体活检检测ALK重排为晚期非小细胞肺癌患者提供了一种基于靶向治疗的方法
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.1.38
A. Calvo, Gabriel Ibarra, C. Vibat, Veena Singh
Initial diagnostic biopsy procedures often yield insufficient tissue for molecular testing, and invasive surgical biopsies can be associated with significant cost as well as risk to the patient. Liquid biopsy offers an alternative and economical means for molecular characterization of tumors via a simple peripheral blood draw. This case report describes the ability of liquid biopsy to detect an ALK translocation where tissue analysis by fluorescence in situ hybridization was negative for the genetic alteration. Identification of an ALK rearrangement in circulating tumor cells from a blood specimen led to sequential targeted therapies that included crizotinib followed by alectinib. The patient demonstrated outstanding clinical response during treatment with each of the prescribed ALK inhibitors. This case demonstrates the clinical utility of Biocept’s liquid biopsy to detect actionable biomarkers by surveying the systemic landscape of a patient’s disease where identification of the same genetic drivers may be missed in analyses of heterogeneous tumor tissue.
最初的诊断活检程序通常产生的组织不足以进行分子检测,侵入性手术活检可能会带来巨大的成本和患者的风险。液体活检提供了一种替代的和经济的手段,通过简单的外周血提取肿瘤分子特征。本病例报告描述了液体活检检测ALK易位的能力,其中荧光原位杂交组织分析为遗传改变阴性。血液样本中循环肿瘤细胞中ALK重排的鉴定导致了顺序靶向治疗,包括克唑替尼和阿勒替尼。患者在使用每种规定的ALK抑制剂治疗期间表现出出色的临床反应。该病例证明了Biocept液体活检的临床应用,通过测量患者疾病的系统景观来检测可操作的生物标志物,在异质肿瘤组织的分析中可能会遗漏相同遗传驱动因素的识别。
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引用次数: 4
Concepts of Precision Medicine in Breast Cancer 乳腺癌精准医学的概念
IF 1.1 1区 历史学 Q1 Arts and Humanities Pub Date : 2018-01-01 DOI: 10.17925/OHR.2018.14.1.16
E. Andreopoulou
Support: No funding was received in the publication of this article. Q. Could you tell us a little about the latest research in organoids and biomimetic platforms in precision medicine? Precision medicine aims to utilize information about a patient’s tumor, including gene alterations that may aid in the identification of effective therapies. Recent advances have allowed researchers to combine genomic analysis with ex vivo drug screens. The opportunity to develop preclinical models that retain the tumor’s basic characteristics provides a platform for biomarker discovery and highthroughput drug screening. Patient-derived tumor xenografts have emerged as powerful systems to study many cancer types by growing tumor cells in immunocompromised mice. Advances in this area have focused on trying to improve engraftment rates and introduce the patient’s own immune cells. For more rapid and less costly screens, the patient’s tumor cells are now also cultured in the laboratory in 3D as organoids, allowing us to screen thousands of candidate drugs and drug combinations that have the potential to be used in the clinic. The future of personalized medicine resides in being able to incorporate cells of the microenvironment in state-of-the-art biomimetic platforms. This method of screening will better account for the influence of the cells that are adjacent to the tumor, known to influence the growth of cancers and their response to treatment.
支持:本文的出版未收到任何资助。问:您能给我们介绍一下精准医疗领域类器官和仿生平台的最新研究进展吗?精准医学旨在利用病人肿瘤的信息,包括可能有助于确定有效治疗方法的基因改变。最近的进展使研究人员能够将基因组分析与体外药物筛选结合起来。开发保留肿瘤基本特征的临床前模型的机会为生物标志物发现和高通量药物筛选提供了平台。患者来源的肿瘤异种移植物已经成为一种强大的系统,可以通过在免疫功能低下的小鼠中生长肿瘤细胞来研究许多癌症类型。这一领域的进展主要集中在试图提高移植率和引入患者自身的免疫细胞。为了更快速和更便宜的筛选,患者的肿瘤细胞现在也在实验室中以3D形式培养为类器官,使我们能够筛选数千种有可能用于临床的候选药物和药物组合。个性化医疗的未来在于能够将微环境中的细胞整合到最先进的仿生平台中。这种筛查方法将更好地解释肿瘤附近细胞的影响,已知这些细胞会影响癌症的生长及其对治疗的反应。
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引用次数: 0
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Oral History Review
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