Publications by authors named "Wang Mengzhao"

Glecirasib (JAB-21822) is a new covalent oral KRAS-G12C inhibitor. This multicenter, single-arm phase 2b study assessed the efficacy and safety of glecirasib administered orally at 800 mg daily in patients with locally advanced or metastatic KRAS-mutated nonsmall-cell lung cancer. The primary endpoint was the objective response rate (ORR) assessed by an independent review committee (IRC).

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The treatment of non-small-cell lung cancer (NSCLC) has progressed from histology-oriented cytotoxic therapy to the era of molecular biology-oriented targeted therapy and immunotherapy. As the first tyrosine kinase inhibitor (TKI) targeting the pathway, crizotinib is widely used as a first-line regimen for -rearranged NSCLC. However, due to the paucity of solid data from randomized, controlled phase III clinical studies, clinicians often require more systematic, real-world data-based guidance for its optimal clinical use.

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mutations are common in non-small cell lung cancer (NSCLC) and are associated with patient prognosis; however, targeting has faced various difficulties. Currently, immunotherapy, chemotherapy, and chemoimmunotherapy play pivotal roles in the first-line treatment of -mutated NSCLC. Here, we summarize the current evidence on first-line therapies and compare the treatment outcomes and biomarkers for different regimens.

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Background: The gut microbiome is associated with the occurrence and severity of immune-related adverse events (irAEs) in cancer patients undergoing immunotherapy. However, the relationship between the lower respiratory tract (LRT) microbiome and checkpoint inhibitor pneumonitis (CIP) in lung cancer patients who underwent immunotherapy is unclear. The aim of the present study was to investigate the associations between the LRT microbiome and CIP in lung cancer patients receiving immunotherapy.

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Background: Multiple agents can be used to treat patients with EGFR mutated non-small cell lung cancer (NSCLC) who develop resistance to EGFR tyrosine kinase inhibitors (TKIs), but the clinical outcome was not satisfactory, especially in patients with multiple lines of prior therapies. Therefore, there is an unmet medical need for these patients. Sunvozertinib is an oral, potent, irreversible, and mutant-selective EGFR TKI targeting EGFR mutations with weak activity against wild-type EGFR.

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Background: Inflammatory myofibroblastic tumor (IMT) is a rare intermediate-grade neoplasm. It presents a great challenge in diagnosis and treatment. This study aims to identify the clinicopathological characteristics of IMT.

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Background: Cancer cachexia significantly contributes to morbidity and mortality in patients with non-small-cell lung cancer (NSCLC). Inflammatory pathways mediated by interleukin-6 (IL-6) play a crucial role in the development of cancer cachexia. This study aimed to investigate the use of tocilizumab in the management of NSCLC with coexisting IL-6-elevated cachexia.

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Background: The influence of the gut microbiota on long-term immune checkpoint inhibitor (ICI) efficacy and immune-related adverse events (irAEs) is poorly understood, as are the underlying mechanisms.

Methods: We performed gut metagenome and metabolome sequencing of gut microbiotas from patients with lung cancer initially treated with anti-PD-1/PD-L1 therapy and explored the underlying mechanisms mediating long-term (median follow-up 1167 days) ICI responses and immune-related adverse events (irAEs). Results were validated in external, publicly-available datasets (Routy, Lee, and McCulloch cohorts).

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  • * A study of 136 patients revealed a 31.6% incidence of renal injury, with older age, cisplatin use, and more treatment cycles increasing risk; some patients had to discontinue pemetrexed due to low kidney function.
  • * Despite renal injury, the overall survival rates were similar for patients with and without kidney issues, highlighting the need for ongoing kidney monitoring during pemetrexed treatment.
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The study was to evaluate the clinical outcomes of azvudine versus nirmatrelvir-ritonavir against omicron strains of coronavirus disease 2019 infections and determine their comparative effectiveness. This retrospective study included 716 patients who received nirmatrelvir-ritonavir (NR group) or azvudine (FNC group) at Peking Union Medical College Hospital between 1 November 2022 and 27 February 2023. Patients in the FNC group (n = 304) were younger, exhibited less severe symptoms, started antiviral therapy later, received corticosteroids more frequently, and used tocilizumab less frequently than patients in the NR group (n = 412).

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  • Cough variant asthma (CVA) is a common condition causing chronic cough, but its complex nature and unclear biological mechanisms make treatment challenging.
  • A study analyzed the sputum metabolome of CVA patients, finding alterations in metabolic pathways linked to arginine, purine, and pyrimidine metabolism that could be improved with anti-asthmatic medication.
  • Specific metabolites, like dipeptides and thiamine phosphate, were identified as potential biomarkers for both diagnosing CVA and predicting treatment responses, suggesting issues with mitochondrial energy metabolism may play a role in CVA's development.
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  • * Tepotinib, a selective MET inhibitor, showed effectiveness in treating a 60-year-old man with advanced lung adenocarcinoma who had this mutation, leading to significant tumor shrinkage and a remarkable pathological response after surgery.
  • * This case suggests tepotinib's potential as a neoadjuvant therapy for NSCLC with METex14 mutations, indicating the need for more clinical trials to explore its feasibility in perioperative settings.
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Background: Checkpoint inhibitor pneumonitis (CIP) is a relatively uncommon but potentially life-threatening immune-related adverse event (irAE). Lung biopsies have not been commonly performed for CIP patients. Bronchoalveolar lavage fluid (BALF) analysis is a useful diagnostic approach for interstitial lung disease.

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In cancer development and progression, the Hippo signaling pathway functions. The transcriptional enhanced associate domain (TEAD) stands out as a pivotal transcription factor within this pathway, and the suppression of TEAD represents a promising approach for cancer treatment. The primary aim of the study was to establish an analytical method for the concurrent quantification of a novel TEAD target inhibitor, BPI-460372, and its principal metabolites, BPI-460444 and BPI-460456, in human plasma.

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Ocular metastasis is a rare type of distant metastasis of lung cancer. Limited information is available regarding ocular symptoms, diagnosis, treatment, and prognosis. We reported 16 patients diagnosed with ocular metastasis from lung cancer treated at our hospital from January 1988 to March 2024 and conducted a systematic review of 100 patients retrieved from the PubMed database from January 2014 to December 2023.

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  • Nofazinlimab is a humanized antibody targeting PD-1, showing no dose-limiting toxicities in an Australian first-in-human study with a maximum tolerated dose not reached in the 1-10 mg/kg range.
  • A phase 1a/1b trial in Chinese patients assessed its safety and efficacy, with phase 1a determining a recommended phase 2 dose of 200 mg every 3 weeks, while no dose-limiting toxicities were reported in phase 1b.
  • The results indicated that 23.9% of patients achieved confirmed objective responses, particularly in those with unresectable hepatocellular carcinoma when combined with lenvatinib, showing promising preliminary efficacy for further studies.
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  • The study aimed to explore Chinese physicians' views on diagnosing and treating non-small cell lung cancer (NSCLC) patients with specific EGFR mutations using an online questionnaire conducted from December 2022 to March 2023.!* -
  • Out of 53,729 distributed questionnaires, 390 valid responses indicated that EGFR mutation testing was common, with chemotherapy plus antiangiogenic therapy being the most frequently used treatment, while emerging targeted therapies also gained relevance.!* -
  • Physicians expressed high satisfaction with targeted agents' effectiveness and safety, with a significant majority seeing EGFR exon20ins-targeted TKIs as the most promising treatment for both first-line (80.2%) and second-line (73.3%)
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  • Neoadjuvant chemoimmunotherapy is the recommended treatment for resectable non-small-cell lung cancer (NSCLC), but many patients opt for radiotherapy instead of surgery, leaving its effectiveness uncertain.
  • A study analyzed data from 175 stage III NSCLC patients, comparing outcomes between those who had surgery and those who received radiotherapy after neoadjuvant treatment, finding that surgery generally had better progression-free survival (PFS) rates.
  • After matching the groups for comparison, results suggested that while both treatments were comparable, patients with stage IIIA disease benefitted more from surgery, and radiotherapy had a higher rate of certain adverse events.
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  • Immune-related adverse events (irAEs) are significant issues for cancer patients undergoing treatment with immune checkpoint inhibitors (ICIs).
  • Pancreas-specific irAEs are uncommon but can present with various symptoms including elevated pancreatic enzymes, pancreatitis, and diabetes.
  • A study found 22 cases of pancreas-specific irAEs in 21 lung cancer patients, with injuries affecting 13 patients, pancreatitis occurring in 4, and diabetes developing in 5.
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  • - A study with 447 lung cancer patients investigated the humoral and cellular immune responses post Omicron infection, showing that symptoms were generally mild but fatigue, shortness of breath, and persistent cough were notable long-term effects.
  • - Vaccination significantly enhanced antibody responses for at least 7 months, with higher immune responses observed in vaccinated patients compared to unvaccinated ones.
  • - Only 9.74% of patients were reinfected, and those who were had lower antibody levels, especially among unvaccinated patients undergoing anti-cancer immunotherapy, indicating that vaccination is crucial for protection against reinfection.
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  • * The Hippo signaling pathway, a key biological mechanism involved in development and immune response, plays an essential role in the development of drug resistance in NSCLC through its regulation of two major proteins: YAP and TAZ.
  • * Recent research has focused on how the Hippo pathway contributes to drug resistance, exploring potential therapeutic targets and biomarkers that could help manage NSCLC more effectively.
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Melatonin (MT) and reduced glutathione (GSH) roles in mitigating chromium (Cr) toxicity in sweetpotato were explored. Plants, pre-treated with varying MT and GSH doses, were exposed to Cr (40 μM). Cr severely hampered growth by disrupting leaf photosynthesis, root system, and oxidative processes and increased Cr absorption.

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  • - The study investigates the safety and effectiveness of penpulimab, a PD-1 inhibitor, combined with chemotherapy for treating advanced squamous non-small-cell lung cancer (NSCLC) in patients who cannot undergo surgical resection or chemoradiotherapy.
  • - Conducted in 74 hospitals across China, this phase 3 clinical trial involved random assignment of eligible patients to receive either penpulimab plus chemotherapy or a placebo, with key assessments focusing on progression-free survival.
  • - Outcomes were analyzed based on an intention-to-treat approach, considering both the overall population and a subgroup of patients with a specific PD-L1 tumour proportion score, while ensuring masking to maintain the integrity of results.
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Background: Severe acute respiratory syndrome coronavirus 2 will coexist with humans for a long time, and it is therefore important to develop effective treatments for coronavirus disease 2019 (COVID-19). Recent studies have demonstrated that antiviral therapy is a key factor in preventing patients from progressing to severe disease, even death. Effective and affordable antiviral medications are essential for disease treatment and are urgently needed.

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Purpose: The phase III CheckMate 722 trial (ClinicalTrials.gov identifier: NCT02864251) evaluated nivolumab plus chemotherapy versus chemotherapy in patients with epidermal growth factor receptor ()-mutated metastatic non-small-cell lung cancer (NSCLC) after disease progression on EGFR tyrosine kinase inhibitors (TKIs).

Methods: Patients with disease progression after first- or second-generation EGFR TKI therapy (without T790M mutation) or osimertinib (with/without T790M mutation) were randomly assigned 1:1 to nivolumab (360 mg once every 3 weeks) plus platinum-doublet chemotherapy (once every 3 weeks) or platinum-doublet chemotherapy alone (once every 3 weeks) for four cycles.

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