Publications by authors named "Seong Hoon Shin"

Purpose: The role of neoadjuvant chemotherapy in locally advanced sinonasal squamous cell carcinoma (SNSCC) has not been established prospectively. We conducted a phase II trial of neoadjuvant chemotherapy (NAC) with docetaxel/cisplatin/5-fluorouracil (TPF) in this population.

Materials And Methods: Eligible patients had unresectable, locally advanced SNSCC, defined as T3/4 stage or potential compromise of critical organ function on surgery.

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Background: Lung cancer, especially non-small cell lung cancer (NSCLC), poses a significant health challenge globally due to its high mortality. Afatinib, a second-generation epidermal growth factor receptor-tyrosine kinase inhibitor (EGFR-TKI), has shown superior efficacy over traditional chemotherapy in NSCLC treatment. However, issues like secondary resistance and adverse effects call for alternative therapies.

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Background: The physical dependence on prescription opioids among cancer survivors remains an under-investigated area, with a scarcity of well-designed prospective studies.

Methods: This single-arm, phase-2 clinical trial in Korea assessed the efficacy and safety of a transdermal buprenorphine patch (TBP) in managing physical dependence on prescription opioids in cancer survivors, as confirmed through the DSM-5 criteria or psychiatric consultation for opioid withdrawal. This study involved a 4-phase treatment protocol of screening, induction/stabilization, discontinuation, and monitoring.

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Article Synopsis
  • This study explored how genetic changes in PI3KCA and cell cycle pathways affect the effectiveness of durvalumab in patients with head and neck squamous cell carcinoma who did not respond to prior platinum-based treatments.
  • Data was collected from a phase II trial involving 87 patients segmented into three groups based on their genetic alterations: PIK3CA changes (Group A), cell cycle alterations (Group B), and no significant genetic changes (Group C).
  • The results showed no significant differences in treatment outcomes between the groups, but lower neutrophil-lymphocyte and platelet-lymphocyte ratios were associated with better progression-free survival, suggesting these could be useful biomarkers for predicting treatment response.
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Purpose: This study investigated palliative care physicians' attitudes regarding social issues related to opioid use.

Methods: An email survey was sent to 674 physicians who were members of the Korean Society for Hospice and Palliative Care (KSHPC).

Results: Data from 66 physicians were analyzed (response rate, 9.

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Background: Immune checkpoint inhibitor (ICI) or irinotecan-based chemotherapy is frequently used after failure of second-line paclitaxel plus ramucirumab treatment for patients with locally advanced unresectable or metastatic advanced gastric cancer (AGC). This study aimed to compare the efficacy between ICI and irinotecan-based chemotherapy as third-line treatment in patients with AGC.

Methods: We retrospectively reviewed patients with AGC, whose third-line treatment started between July 2019 and June 2021 at 17 institutions in Korea.

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Background/aim: This study investigated the treatment patterns and prognosis of patients with metastatic or unresectable colorectal cancer (mCRC) treated with chemotherapy with targeting agents.

Patients And Methods: This longitudinal multicenter study included 963 patients with mCRC who were treated in Korea between 2016 and 2020. Treatment patterns and efficacy were compared according to the mutation status and clinical factors.

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  • This study evaluates the efficacy of a combination treatment (ABCP) involving atezolizumab, bevacizumab, paclitaxel, and carboplatin for patients with non-small-cell lung cancer who have progressed after tyrosine kinase inhibitor therapy.
  • The results show that the ABCP treatment led to significantly better objective response rates and progression-free survival compared to the traditional treatment (PC), particularly in patients with higher PD-L1 expression.
  • Overall survival rates were similar between both treatment groups, and while ABCP had a comparable safety profile, it was associated with higher rates of treatment-related side effects compared to the PC arm.
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  • - This study investigated a targeted treatment approach for patients with platinum-refractory recurrent and/or metastatic head and neck squamous cell carcinoma (HNSCC) through a genomic profile-based trial involving multiple treatment arms.
  • - Patients were assigned to different treatment groups based on their genetic profiles, with various inhibitors used, and crossover to an anti-PD-L1 treatment was allowed if their initial therapy failed.
  • - The trial enrolled 203 patients and found varying levels of disease control and response rates across different arms, while the treatments were generally well-tolerated with no treatment-related deaths reported.
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We evaluated the safety, tolerability, pharmacokinetics and antitumor activity of barecetamab monotherapy and combination cetuximab therapy in patients with advanced solid cancers, especially head and neck cancer (HNC). Part 1 was a 3 + 3 dose-escalation study in which 15 patients received barecetamab at 1, 3, 5, 10 and 20 mg/kg intravenously (IV) on days 1 and 28 and weekly in patients with advanced solid cancer. Part 2 was a dose-expansion study including two patient groups with advanced HNC, including six patients receiving barecetamab at 20 mg/kg IV every 3 weeks and 12 patients receiving barecetamab and cetuximab (400 mg/m on day 1 followed by 250 mg/m every week).

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Background And Purpose: Administration of pegylated granulocyte-colony-stimulating factor (peg-GCSF) 24 to 72 hours after chemotherapy is usually recommended. Next-day administration (after 24 hours) resulted in fewer duration of grade (Gr) 4 chemotherapy-induced neutropenia (CIN) and decreased severity of CIN than same-day (within 4 hours). However, patients sometimes receive same-day Peg-GCSF for the sake of convenience.

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Background: Salivary duct carcinoma (SDC) is uncommon but is the most aggressive subtype of salivary gland carcinomas. The high positivity rate for human epidermal growth factor receptor 2 (HER2) led to an investigation of the efficacy of HER2-targeted agents. Docetaxel-PM (polymeric micelle) is a low-molecular-weight, nontoxic, biodegradable, and docetaxel-loaded micellar formulation.

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Purpose: Evidence in favor of adding docetaxel in treatment of metastatic hormone-sensitive prostate cancer (mHSPC) has led to docetaxel in conjunction with androgen deprivation therapy (ADT) as standard therapy. The aim of this study was to examine the effectiveness of docetaxel with ADT for Korean patients with mHSPC in real-world practice.

Materials And Methods: A retrospective cohort study was performed at six Korean hospitals for patients with mHSPC treated with docetaxel plus ADT.

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We aimed to compare treatment modalities and outcomes by gender in patients with locally advanced head and neck squamous cell carcinoma (LA-HNSCC). We characterized the sex-specific differences and compared the overall survival (OS) between male and female patients in a multicenter cohort of LA-HNSCC. To minimize the observed confounding, propensity score matching was utilized.

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Article Synopsis
  • Patients with mutation-positive non-small cell lung cancer treated with first-line afatinib inevitably develop resistance, making access to effective second-line treatments crucial for managing disease progression.
  • In a study of 737 patients, those who received subsequent osimertinib after acquiring the T790M mutation showed a longer total time on treatment (35.10 months) compared to those who didn't have the mutation and received chemotherapy (18.80 months) or had unknown mutation status (12.00 months).
  • The results indicated a high overall response rate (75.7%) for afatinib and notable CNS efficacy, with 67.0% response rate in patients with initial brain metastasis, suggesting that sequential treatment could
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Purpose: To evaluate the safety and effectiveness of aflibercept in combination with fluorouracil, leucovorin, and irinotecan (FOLFIRI) in Korean patients with metastatic colorectal cancer (mCRC) who progressed with oxaliplatin-containing regimen.

Methods: This was a prospective observational study conducted at 22 sites across Korea between February 2018 and September 2019. Patients aged > 19 years with a diagnosis of mCRC who were prescribed aflibercept plus FOLFIRI, after progression with an oxaliplatin-containing regimen were included.

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  • - Older patients (aged ≥ 70) with locally advanced head and neck squamous cell carcinoma (LA-HNSCC) represent 18.7% of a cohort studied, showing more advanced disease and worse performance status compared to younger patients.
  • - Treatment for these older patients included concurrent chemoradiotherapy (44.5%), surgery (41.0%), and a significant portion (14.5%) who did not complete planned treatment.
  • - Results indicated that older patients had a 60% higher risk of death compared to younger counterparts, with those having oral cavity cancer facing the worst survival rates, highlighting the need for tailored research on this age group.
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Background: Immune checkpoint inhibitors (ICIs) have shown significant improvements in patients with advanced non-small cell lung cancer (NSCLC). One of the major issues with ICIs is determining the optimal treatment duration.

Methods: This multicenter, retrospective study analyzed clinical outcomes in patients with NSCLC who completed 2 years of ICI therapy or were treated for more than 6 months and then discontinued ICIs without disease progression at 11 medical centers in Korea between August 2017 and December 2020.

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Article Synopsis
  • The study investigates how chemotherapy before surgery (induction chemotherapy, IC) affects outcomes in patients with locally advanced head and neck cancer, focusing on who responds to treatment and their survival rates.
  • Out of 445 patients, 158 received IC; those who responded to IC had significantly better survival rates, while non-responders had a much higher risk of mortality.
  • Ultimately, the results suggest that a multi-faceted treatment approach is essential for non-responders, while responders benefited similarly from either surgery or concurrent chemoradiotherapy (CCRT).
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Old age alone does not reflect an intolerability to chemotherapy. However, upfront dose reduction (UDR) of the first cycle of first-line palliative chemotherapy has sometimes been chosen by physicians for older adults with metastatic cancer due to concerns regarding adverse events. The development of predictive factors for UDR of palliative chemotherapy would be helpful for treatment planning among older adults.

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This study assessed epidemiologic data and clinical outcomes, including venous thromboembolism (VTE) recurrence and bleeding events, in patients with cancer-associated VTE, and assessed factors associated with clinical outcomes. Data were extracted from retrospective medical-chart review of adult patients diagnosed with cancer-associated deep vein thrombosis or pulmonary embolism who received anticoagulation treatment for ≥3 months. Patients were classified by: low-molecular-weight heparin (LMWH), direct oral anticoagulants (DOACs), and other anticoagulants.

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Background: Afatinib is an epidermal growth factor receptor - tyrosine kinase inhibitor (EGFR-TKI) with proven efficacy for treating patients with advanced or metastatic non-small cell lung cancer (NSCLC). Unfortunately, responses are limited by acquired resistance. Because traditional Korean medicine may have synergistic effects when combined with chemotherapy or radiotherapy, the aim of our study is to elucidate the efficacy and safety of afatinib plus HangAmDan-B1 (HAD-B1) combination therapy in the treatment of patients with NSCLC, as well as EGFR mutations, who need afatinib therapy.

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Article Synopsis
  • This study evaluated the effectiveness of immune checkpoint inhibitors (ICIs) in patients with recurrent or metastatic head and neck squamous cell carcinoma after they had undergone platinum-based chemotherapy.
  • The analysis included 125 patients and found an overall response rate of 15%, with median progression-free survival of 2.7 months and overall survival of 10.8 months.
  • Key clinical biomarkers, such as a high neutrophil-to-lymphocyte ratio and larger target lesion size, were identified as predictors of poor response and survival outcomes with ICIs.
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Background: Pulmonary sarcomatoid carcinoma (PSC) is rare with a poor outcome and is resistant to conventional cytotoxic chemotherapy. The efficacy and safety of durvalumab and tremelimumab for treating recurrent or metastatic PSCs were assessed by a nonrandomized, open-label, phase II study.

Methods: A total of 18 patients with recurrent or metastatic PSC received 1500 mg of durvalumab and 75 mg of tremelimumab every four weeks, followed by 750 mg of durvalumab every two weeks until the disease progressed, or an unacceptable toxicity level was reached.

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