The Detailed Analysis of Polish Patients with Non-Small Cell Lung Cancer Through Insights from Molecular Testing (POL-MOL Study) DOI Open Access
Dariusz M. Kowalski, Magdalena Zaborowska-Szmit, Maciej Bryl

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(21), P. 11354 - 11354

Published: Oct. 22, 2024

Molecular testing is recommended in patients with metastatic non-small cell lung cancer (NSCLC), but the extent of its use Poland unknown. The aim POL-MOL study was to investigate frequency using molecular Polish NSCLC. invited oncologists completed two questionnaires, and data for 1001 undergoing systemic treatment NSCLC were collected. tests following genetic mutations recorded:

Language: Английский

ML385, an Nrf2 Inhibitor, Synergically Enhanced Celastrol Triggered Endoplasmic Reticulum Stress in Lung Cancer Cells DOI Creative Commons
Chenxin Xu, Yinghua Chen, Zhenhuan Zhou

et al.

ACS Omega, Journal Year: 2024, Volume and Issue: 9(43), P. 43697 - 43705

Published: Oct. 15, 2024

Lung cancer is one of the leading causes death. Celastrol a natural product that has shown anticancer activity but not yet been applied in clinical settings due to its narrow therapeutic window. In this study, we discovered celastrol stimulates an abnormal rise reactive oxygen species (ROS) level lung cells and ROS scavenger N-acetylcysteine (NAC) could counteract cell death caused by celastrol. At same time, upregulated expression cytoprotective transcription factor Nrf2 downstream proteins, which are effective preventing oxidative damage accumulation. Notably, found overexpression enhances tolerance H460 with Keap1 mutation insensitive This indicates increase contributes survival cells. Thus, brought inhibitor ML385 suppress activation Nrf2. We when were added together rates decreased more detected became much higher compared treatment alone. also suppressed HO-1 GCLC, amplified celastrol-induced ATF4/CHOP-dependent endoplasmic reticulum stress (ER stress). Above all, our study enhanced increases ER stress, research provides potential strategy for preclinical investigation

Language: Английский

Citations

3

Pertuzumab Plus Trastuzumab in Patients With Lung Cancer With ERBB2 Mutation or Amplification: Results From the Targeted Agent and Profiling Utilization Registry Study DOI
Apar Kishor Ganti, Michael Rothe, Pam K. Mangat

et al.

JCO Precision Oncology, Journal Year: 2023, Volume and Issue: 7

Published: June 1, 2023

PURPOSE The Targeted Agent and Profiling Utilization Registry Study is a pragmatic basket trial evaluating antitumor activity of commercially available targeted agents in patients with advanced cancers harboring potentially actionable genomic alterations. Data from cohort lung cancer ERBB2 mutation or amplification treated pertuzumab plus trastuzumab (P + T) are reported. METHODS Eligible had any histology, no standard treatment options, measurable disease (RECIST v1.1), Eastern Cooperative Oncology Group performance status 0-2, adequate organ function, tumors amplification. Simon's two-stage design was used primary end point control (DC), defined as objective response (OR) per RECIST v. 1.1 stable (SD) at least 16 weeks duration (SD16+). Secondary points included safety, response, SD, progression-free survival, overall survival. RESULTS Twenty-eight (27 non–small-cell, 1 small-cell) (n = 15), 12), both 1) were enrolled November 2016 to July 2020. All evaluable for efficacy toxicity. Three partial (two mutation; one amplification) seven SD16+ (five two observed DC rate 37% (95% CI, 21 50; P .005) OR 11% 2 28). Five more grade 3 4 adverse serious events possibly related T. CONCLUSION Combination T showed evidence heavily pretreated non–small-cell amplification, particularly those exon 20 insertion mutations.

Language: Английский

Citations

7

The Importance of Biomarker Testing in the Treatment of Advanced Non-Small Cell Lung Cancer: A Podcast DOI Creative Commons
Fred R. Hirsch, Chul Kim

Oncology and Therapy, Journal Year: 2024, Volume and Issue: 12(2), P. 223 - 231

Published: March 27, 2024

The identification of actionable biomarkers and development targeted therapies have revolutionized the field lung cancer treatment. In patients with advanced non-small cell (NSCLC), biomarker testing can inform selection effective as well avoid that are less likely to be in certain populations. A growing number targets, including those involving EGFR, ALK, ROS1, BRAF, MET, KRAS, NTRK, RET, HER2, PD-L1, identified testing. More than half NSCLC tumors harbor genetic alterations targeted. When these treated therapy, survival quality life may significantly improved. addition, broad-based molecular detect identifying who potentially eligible for current or future clinical trials. Comprehensive rates communities often low, turnaround times results unacceptably long. There is an unmet need widespread, efficient, routine all recommended by guidelines. New techniques technologies make this attainable goal. Panel-based sequencing platforms becoming more accessible, analysis circulating tumor DNA common. podcast, we discuss importance explore topics such methodologies, effect on patient outcomes, emerging technologies, strategies improving United States. Supplementary file1 (MP4 121301 KB).

Language: Английский

Citations

2

Real World Safety and Outcome of First Line Pembrolizumab Monotherapy for Metastatic NSCLC with PDL-1 Expression ≥ 50%: A National Italian Multicentric Cohort (“PEMBROREAL” Study) DOI Open Access
Alessandro Cafaro, Flavia Foca, Oriana Nanni

et al.

Published: April 16, 2024

Results from the phase III Keynote-024 clinical trial have established Pembrolizumab monotherapy as first-line standard of care for patients with metastatic NSCLC who PD-L1 expression ≥ 50%, EGFR and ALK wild-type. However, given differences between treated in routine practice within a trial, real-world data are needed to confirm treatment benefit practice. Given lack on large cohorts long follow-up, we designed retrospective observational study were Pembrolizumab, starting its reimbursement eligibility until December 2020. The primary endpoints assess PFS OS using Kaplan-Meier method, response safety. We followed 880 (median follow-up: 35.1 months) February 2022. Median 8.6 months (95% CI: 7.6-10.0) 25.5 21.8-31.6), respectively. also found that ECOG PS, smoking habit prognostic factors PFS, while age, sex, histology had an impact OS. Multivariable analysis confirms role both 39.9% reported adverse event, but only 6.3% discontinued therapy due toxicity. Our results suggest long-term setting well safety profile consistent Keynote-042. Many collected variables appear influence outcome, these exploratory unadjusted analyses should be interpreted caution.

Language: Английский

Citations

2

The Detailed Analysis of Polish Patients with Non-Small Cell Lung Cancer Through Insights from Molecular Testing (POL-MOL Study) DOI Open Access
Dariusz M. Kowalski, Magdalena Zaborowska-Szmit, Maciej Bryl

et al.

International Journal of Molecular Sciences, Journal Year: 2024, Volume and Issue: 25(21), P. 11354 - 11354

Published: Oct. 22, 2024

Molecular testing is recommended in patients with metastatic non-small cell lung cancer (NSCLC), but the extent of its use Poland unknown. The aim POL-MOL study was to investigate frequency using molecular Polish NSCLC. invited oncologists completed two questionnaires, and data for 1001 undergoing systemic treatment NSCLC were collected. tests following genetic mutations recorded:

Language: Английский

Citations

2