427 results match your criteria: "Clinical Division of Oncology[Affiliation]"

Article Synopsis
  • In the TOPAZ-1 trial, patients with biliary tract cancers (BTC) who had recurrence within 6 months of surgery were excluded, which often happens in practice. This study looked into the effectiveness of cisplatin-gemcitabine-durvalumab (CGD) in patients who did experience early recurrence.
  • The study enrolled 178 BTC patients who had surgery and then underwent treatment with CGD after experiencing either early or late disease recurrence. Key goals were to measure overall survival (OS) and progression-free survival (PFS).
  • Results showed no significant differences in OS and PFS between early and late relapse groups, suggesting CGD is effective regardless of when the cancer
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Background: The TOPAZ-1 phase III trial showed a survival benefit with durvalumab plus gemcitabine and cisplatin in patients with advanced biliary tract cancer (BTC). To understand this combination's real-world efficacy and tolerability, we conducted a global multicenter retrospective analysis of its first-line treatment outcomes.

Methods: We included patients with unresectable, locally advanced, or metastatic BTC treated with durvalumab, gemcitabine, and cisplatin at 39 sites in 11 countries (Europe, the United States, and Asia).

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Hematopoietic stem cells (HSCs) are characterized by the ability to self-renew and to replenish the hematopoietic system. The cell-cycle kinase cyclin-dependent kinase 6 (CDK6) regulates transcription, whereby it has both kinase-dependent and kinase-independent functions. Herein, we describe the complex role of CDK6, balancing quiescence, proliferation, self-renewal, and differentiation in activated HSCs.

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Article Synopsis
  • * A study involving 152 patients with WHO grade IV glioma followed them over two years, identifying 24 patients (16%) who developed VTE, with a case-control analysis of those affected and matched controls.
  • * The study found that hsa-miR-451a was the most prevalent miRNA, and identified potential VTE biomarker candidates like hsa-miR-221-3p, providing valuable data for future research in the area.
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  • E-TRAB was a study aimed at evaluating the value of geriatric assessments in older patients with soft tissue sarcoma (STS) receiving trabectedin as a first-line treatment.
  • The study involved 69 older patients, with an average age of 78, and assessed their overall survival, quality of life, and treatment-related toxicities using various assessment tools.
  • Findings indicated that while trabectedin was generally safe, certain predictors from the geriatric assessments, such as the Long Timed Up and Go test and CARG score, were linked to outcomes like overall survival and hospitalizations related to treatment side effects.
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Article Synopsis
  • Soft tissue sarcomas, like liposarcoma (LPS), are rare with high recurrence after surgery and poor outcomes when advanced.
  • Eribulin is a chemotherapy drug approved for use in metastatic LPS after initial treatments fail, but its effectiveness post-surgery wasn't known until this study.
  • The study found that five high-risk LPS patients treated with eribulin after surgery had a median progression-free survival of 12.3 months and overall survival of 44.3 months, with manageable side effects, suggesting eribulin may be a viable option for certain patients.
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Locally advanced or metastatic cholangiocarcinoma is an aggressive carcinoma with a dismal prognosis. For the first-line treatment of locally advanced or metastatic cholangiocarcinoma, cisplatin/gemcitabine has been the standard of care for more than 10 years. Its combination with the immune checkpoint inhibitor durvalumab resulted in an efficiency improvement in the phase III setting.

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Plasma Clot Properties in Patients with Pancreatic Cancer.

Cancers (Basel)

August 2023

Clinical Division of Haematology and Haemostaseology, Department of Medicine I, Medical University of Vienna, 1090 Vienna, Austria.

Pancreatic cancer is one of the most prothrombotic malignancies. Plasma clot properties may be altered in patients with pancreatic cancer, and circulating tissue factor (TF) may play an important role. We applied a modified plasma clot formation assay (only CaCl and phospholipids were added to initiate clotting) and a standard clotting assay (lipidated TF was also added) to investigate whether plasma clot properties are altered in pancreatic cancer patients (n = 40, 23 female) compared to sex-matched healthy controls.

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Article Synopsis
  • Systemic pan-tumor analyses help uncover key features related to cancer immune response and patient outcomes across different tumor types.
  • A study involving 32 patients and 25 tumor types employed multi-omics data to discover various tumor-specific neoantigens using an optimized computational pipeline that integrates DNA/RNA sequencing and mass spectrometry.
  • The research highlights the significance of RNA data in identifying potential neoantigens, revealing 32 promising candidates linked to RNA-identified variants, thereby emphasizing the need for further exploration in this area.
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Purpose: mutation is associated with a poor outcome in metastatic colorectal cancer (mCRC). This clinical trial investigated the efficacy of triplet chemotherapy (fluorouracil, folinic acid, oxaliplatin, and irinotecan) combined with either cetuximab or bevacizumab in patients with previously untreated -mutant mCRC.

Patients And Methods: In this controlled, randomized, open-label phase II trial, 109 patients were randomly assigned, 107 of whom were included into the full analysis set (FAS).

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Article Synopsis
  • * Conducted on 158 patients treated at the Medical University of Vienna, the research utilized statistical methods like Kaplan-Meier curves and Cox proportional hazard models to analyze data collected from 1994 to 2021.
  • * Findings showed that higher fibrinogen levels were associated with poorer overall survival rates, with a significant hazard ratio indicating increased mortality risk as fibrinogen levels rose; this remained true even after adjusting for tumor stage.
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Growth differentiation factor-15 and prediction of cancer-associated thrombosis and mortality: a prospective cohort study.

J Thromb Haemost

September 2023

Clinical Division of Hematology and Hemostaseology, Department of Medicine I, Medical University of Vienna, Vienna, Austria. Electronic address:

Background: Patients with cancer are at increased risk of venous thromboembolism (VTE) and arterial thromboembolic/thrombotic events (ATEs). Growth differentiation factor-15 (GDF-15) improves cardiovascular risk assessment, but its predictive utility in patients with cancer remains undefined.

Objectives: To investigate the association of GDF-15 with the risks of VTE, ATE, and mortality in patients with cancer and its predictive utility alongside established models.

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Apoptosis is a form of regulated cell death (RCD) that involves proteases of the caspase family. Pharmacological and genetic strategies that experimentally inhibit or delay apoptosis in mammalian systems have elucidated the key contribution of this process not only to (post-)embryonic development and adult tissue homeostasis, but also to the etiology of multiple human disorders. Consistent with this notion, while defects in the molecular machinery for apoptotic cell death impair organismal development and promote oncogenesis, the unwarranted activation of apoptosis promotes cell loss and tissue damage in the context of various neurological, cardiovascular, renal, hepatic, infectious, neoplastic and inflammatory conditions.

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Background: Patients with cancer have an increased risk of developing venous thromboembolism. Neutrophils and neutrophil extracellular traps (NETs) reportedly influence the risk of cancer-associated thrombosis. Subpopulations of high and low-density neutrophils (HDN/LDN) are of specific interest, as they might have different functions in cancer patients.

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Current Standards and Future Outlooks in Metastatic Her2-Positive Breast Cancer.

Breast Care (Basel)

February 2023

Clinical Division of Oncology, Department of Internal Medicine, Medical University Graz, Graz, Austria.

Background: Approximately 20% of all breast cancer cases show overexpression or amplification of the human epidermal growth factor receptor 2 (Her2) [Cancer Epidemiol Biomarkers Prev. 2017;26(4):632-41]. With the introduction of trastuzumab, lapatinib, and pertuzumab to the realm of treatment, a new era of antibody-drug conjugates had only begun.

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Article Synopsis
  • - The study investigates liver function protein level changes in breast cancer patients over a year, examining data from 104 patients with liver metastases at the Medical University of Vienna.
  • - Key findings show significant elevation of liver enzymes (AST, ALT, GGT, LDH, ALP) and decreased albumin levels six months before liver metastasis detection, indicating potential early indicators for screening.
  • - Elevated AST and reduced albumin at diagnosis correlated with shorter survival times, suggesting that monitoring these liver function indicators could improve patient outcomes and treatment options.
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Liquid biopsy is a promising tool for therapy monitoring of cancer patients, but a need for further research in this field exists in order to improve sensitivity, specificity, standardization and minimize costs. In our present study, we evaluated two panels of transcripts related with the presence of circulating tumor cells (CTCs) (Panel 1: , , and Panel 2: , , , , and ) in two cohorts of breast cancer patients (metastatic and early). A blood cell fraction possibly containing CTCs was isolated with density gradient centrifugation, followed by RNA isolation and qPCR using TaqMan or RT-qPCR using hybridization probes.

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Evolution of HER2 Targeting in Metastatic Breast Cancer.

Breast Care (Basel)

December 2022

Division of Oncology, Department of Internal Medicine and Comprehensive Cancer Center, Medical University of Graz, Graz, Austria.

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Localised Synovial Sarcoma in Adolescents and Young Adults Versus Adults - Is There a Difference in Outcome?

Clin Oncol (R Coll Radiol)

March 2023

Clinical Division of Oncology, Department of Medicine I, Medical University of Vienna, Vienna, Austria. Electronic address:

Aims: Synovial sarcomas are a rare subgroup of soft-tissue sarcoma arising in adolescents and young adults (AYA) and in adult patients. The objective of our analysis was to investigate the outcomes and potential differences of AYA versus adult patients with initially localised disease.

Materials And Methods: In total, 51 patients (25 AYA and 26 adult) were identified and evaluated in this retrospective single centre analysis.

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Venous and arterial thromboembolism (VTE/ATE) are common complications in cancer patients. Antithrombin deficiency is a risk factor for thrombosis in the general population, but its connection to risk of cancer-associated thrombosis is unclear. We investigated the association of antithrombin activity levels with risk of cancer-associated VTE/ATE and all-cause mortality in an observational cohort study including patients with cancer, the Vienna Cancer and Thrombosis Study.

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(1) Background: The incidence of psychological distress and its impact on renal cell carcinoma (RCC) patients is unclear. Our aim was to analyze the literature regarding the prevalence of psychological distress and its impact on patients with non-metastatic or metastatic RCC; (2) Methods: A systematic search of five databases was performed. Studies were considered eligible if they included patients with RCC, had a prospective or retrospective design, and assessed anxiety, depression, or psychological distress at any time during treatment or follow-up.

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