Publications by authors named "J A Konner"

Purpose: Inhibition of the cyclin D-cyclin dependent kinase (CDK)4/6-INK4-retinoblastoma pathway can overcome acquired or de novo treatment resistance to endocrine monotherapy. Responses to endocrine monotherapy in advanced endometrial cancer (EC) are suboptimal, perhaps due to genomic alterations that promote estrogen receptor (ER)-independent cyclin D1-CDK4/6 activation. We hypothesized that addition of abemaciclib, a CDK4/6 kinase inhibitor, to antiestrogen therapy with fulvestrant will be an effective therapeutic strategy in patients with advanced or recurrent EC.

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Purpose: Survival of patients with metastatic sarcoma remains poor, and there is a pressing need for new therapies. Most sarcoma subtypes are not responsive to immune checkpoint inhibition alone. Lenvatinib, a multireceptor tyrosine kinase inhibitor targeting tumor vasculature, has an immunomodulatory activity that contributes to its antitumor effects.

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Objective: Folate receptor alpha (FRα) is overexpressed on >90% of high-grade epithelial ovarian cancers (EOC). Targeting FRα with antibody-drug conjugates has proven utility in the platinum-resistant setting. It is also a potential therapeutic target for immuno-oncologic agents, such as peptide vaccines that work primarily via adaptive and humoral immunity.

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Article Synopsis
  • The SORAYA trial investigated the efficacy of mirvetuximab soravtansine-gynx in patients with FRα-high platinum-resistant ovarian cancer, achieving a primary endpoint with an objective response rate of 32.4%.
  • With a median overall survival of 15.0 months, those with fewer previous therapies had better outcomes (18.7 months for one to two lines vs. 11.6 months for three lines).
  • Response rates varied by treatment history, with a higher objective response rate noted in patients receiving mirvetuximab as their first treatment in the platinum-resistant setting (34.8%) compared to those who had prior therapies (28.2%).
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