Molecular Determinants of Response to Anti–Programmed Cell Death (PD)-1 and Anti–Programmed Death-Ligand 1 (PD-L1) Blockade in Patients With Non–Small-Cell Lung Cancer Profiled With Targeted Next-Generation Sequencing DOI
Hira Rizvi, Francisco Sánchez-Vega,

Konnor La

et al.

Journal of Clinical Oncology, Journal Year: 2018, Volume and Issue: 36(7), P. 633 - 641

Published: Jan. 16, 2018

Purpose Treatment of advanced non-small-cell lung cancer with immune checkpoint inhibitors (ICIs) is characterized by durable responses and improved survival in a subset patients. Clinically available tools to optimize use ICIs understand the molecular determinants response are needed. Targeted next-generation sequencing (NGS) increasingly routine, but its role identifying predictors not known. Methods Detailed clinical annotation data were collected for patients treated anti-programmed death-1 or death-ligand 1 [anti-programmed cell death (PD)-1] therapy profiled targeted NGS (MSK-IMPACT; n = 240). Efficacy was assessed Response Evaluation Criteria Solid Tumors (RECIST) version 1.1, benefit (DCB) defined as partial response/stable disease that lasted > 6 months. Tumor mutation burden (TMB), fraction copy number-altered genome, gene alterations compared among DCB no (NDB). Whole-exome (WES) performed 49 compare quantification TMB versus WES. Results Estimates correlated well WES (ρ 0.86; P < .001). greater than NDB ( .006). more common, progression-free longer at increasing thresholds above below 50th percentile (38.6% v 25.1%; .001; hazard ratio, 1.38; .024). The genome highest those NDB. Variants EGFR STK11 associated lack benefit. PD-L1 expression independent variables, composite plus further enriched ICIs. Conclusion accurately estimates elevated likelihood did correlate expression; both variables had similar predictive capacity. incorporation into multivariable models should result power.

Language: Английский

Prostate Cancer, Version 2.2019, NCCN Clinical Practice Guidelines in Oncology DOI Open Access
James L. Mohler, Emmanuel S. Antonarakis, Andrew J. Armstrong

et al.

Journal of the National Comprehensive Cancer Network, Journal Year: 2019, Volume and Issue: 17(5), P. 479 - 505

Published: May 1, 2019

The NCCN Guidelines for Prostate Cancer include recommendations regarding diagnosis, risk stratification and workup, treatment options localized disease, management of recurrent advanced disease clinicians who treat patients with prostate cancer. portions the guidelines included herein focus on roles germline somatic genetic testing, nomograms tumor multigene molecular androgen deprivation therapy, secondary hormonal chemotherapy, immunotherapy in

Language: Английский

Citations

1435

Immunotherapy in colorectal cancer: rationale, challenges and potential DOI Open Access
Karuna Ganesh, Zsofia K. Stadler, Andrea Cercek

et al.

Nature Reviews Gastroenterology & Hepatology, Journal Year: 2019, Volume and Issue: 16(6), P. 361 - 375

Published: March 18, 2019

Language: Английский

Citations

1400

Cholangiocarcinoma — evolving concepts and therapeutic strategies DOI
Sumera I. Ilyas, Shahid A. Khan, Christopher L. Hallemeier

et al.

Nature Reviews Clinical Oncology, Journal Year: 2017, Volume and Issue: 15(2), P. 95 - 111

Published: Oct. 10, 2017

Language: Английский

Citations

1353

Comprehensive review of targeted therapy for colorectal cancer DOI Creative Commons
Yuanhong Xie, Yingxuan Chen, Jing‐Yuan Fang

et al.

Signal Transduction and Targeted Therapy, Journal Year: 2020, Volume and Issue: 5(1)

Published: March 20, 2020

Abstract Colorectal cancer (CRC) is among the most lethal and prevalent malignancies in world was responsible for nearly 881,000 cancer-related deaths 2018. Surgery chemotherapy have long been first choices patients. However, prognosis of CRC has never satisfying, especially patients with metastatic lesions. Targeted therapy a new optional approach that successfully prolonged overall survival Following successes anti-EGFR (epidermal growth factor receptor) agent cetuximab anti-angiogenesis bevacizumab, agents blocking different critical pathways as well immune checkpoints are emerging at an unprecedented rate. Guidelines worldwide currently updating recommended targeted drugs on basis increasing number high-quality clinical trials. This review provides overview existing CRC-targeted their underlying mechanisms, discussion limitations future trends.

Language: Английский

Citations

1326

Molecular Determinants of Response to Anti–Programmed Cell Death (PD)-1 and Anti–Programmed Death-Ligand 1 (PD-L1) Blockade in Patients With Non–Small-Cell Lung Cancer Profiled With Targeted Next-Generation Sequencing DOI
Hira Rizvi, Francisco Sánchez-Vega,

Konnor La

et al.

Journal of Clinical Oncology, Journal Year: 2018, Volume and Issue: 36(7), P. 633 - 641

Published: Jan. 16, 2018

Purpose Treatment of advanced non-small-cell lung cancer with immune checkpoint inhibitors (ICIs) is characterized by durable responses and improved survival in a subset patients. Clinically available tools to optimize use ICIs understand the molecular determinants response are needed. Targeted next-generation sequencing (NGS) increasingly routine, but its role identifying predictors not known. Methods Detailed clinical annotation data were collected for patients treated anti-programmed death-1 or death-ligand 1 [anti-programmed cell death (PD)-1] therapy profiled targeted NGS (MSK-IMPACT; n = 240). Efficacy was assessed Response Evaluation Criteria Solid Tumors (RECIST) version 1.1, benefit (DCB) defined as partial response/stable disease that lasted > 6 months. Tumor mutation burden (TMB), fraction copy number-altered genome, gene alterations compared among DCB no (NDB). Whole-exome (WES) performed 49 compare quantification TMB versus WES. Results Estimates correlated well WES (ρ 0.86; P < .001). greater than NDB ( .006). more common, progression-free longer at increasing thresholds above below 50th percentile (38.6% v 25.1%; .001; hazard ratio, 1.38; .024). The genome highest those NDB. Variants EGFR STK11 associated lack benefit. PD-L1 expression independent variables, composite plus further enriched ICIs. Conclusion accurately estimates elevated likelihood did correlate expression; both variables had similar predictive capacity. incorporation into multivariable models should result power.

Language: Английский

Citations

1239