Publications by authors named "K Swales"

BACKGROUNDPhase 1 study of ATRinhibition alone or with radiation therapy (PATRIOT) was a first-in-human phase I study of the oral ATR (ataxia telangiectasia and Rad3-related) inhibitor ceralasertib (AZD6738) in advanced solid tumors.METHODSThe primary objective was safety. Secondary objectives included assessment of antitumor responses and pharmacokinetic (PK) and pharmacodynamic (PD) studies.

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Inflammation is a hallmark of cancer. In patients with cancer, peripheral blood myeloid expansion, indicated by a high neutrophil-to-lymphocyte ratio, associates with shorter survival and treatment resistance across malignancies and therapeutic modalities. Whether myeloid inflammation drives progression of prostate cancer in humans remain unclear.

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Article Synopsis
  • - The study explored the effectiveness and safety of using a combination of CDK4/6 inhibitor (palbociclib) and PI3K inhibitor (taselisib), along with the hormone therapy (fulvestrant), in treating advanced ER-positive HER2-negative breast cancer with specific genetic mutations.
  • - Results showed that the triplet therapy led to a 37.5% response rate in the targeted patient group, while both doublet and triplet therapies were well tolerated and provided durable disease control.
  • - High levels of cyclin E1 and changes in circulating tumor DNA (ctDNA) were linked to shorter progression-free survival, indicating that monitoring these factors could help refine treatment strategies for breast cancer patients.
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Purpose: AT13148 is an oral AGC kinase inhibitor, which potently inhibits ROCK and AKT kinases. In preclinical models, AT13148 has been shown to have antimetastatic and antiproliferative activity.

Patients And Methods: The trial followed a rolling six design during dose escalation.

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Article Synopsis
  • Preclinical studies suggest that combining PARP inhibitors (like olaparib) with PI3K/AKT pathway inhibitors (like capivasertib) is effective for treating certain tumors.
  • An investigator-led phase I trial tested this combination on 64 patients with advanced solid tumors, using an intrapatient dose-escalation approach to determine safety and efficacy.
  • Results showed that 44.6% of patients experienced clinical benefits, and the combination was well tolerated, indicating potential for further development in future clinical trials.
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