41 results match your criteria: "National Center for Tumor Diseases NCT West[Affiliation]"

Antibodies targeting the immune checkpoint molecules PD-1, PD-L1 and CTLA-4, administered alone or in combination with chemotherapy, are the standard of care in most patients with metastatic non-small-cell lung cancers. When given before curative surgery, tumor responses and improved event-free survival are achieved. New antibody combinations may be more efficacious and tolerable.

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Article Synopsis
  • The study highlights that dermatologists in Germany face challenges in diagnosing skin conditions in people of color (PoC), which can lead to misdiagnoses.* -
  • An online survey of 129 dermatologists showed they performed better at identifying skin diseases in light skin (Ls) patients compared to patients with skin of color (SoC), correctly diagnosing 72.1% vs. 52.8% of cases.* -
  • The results indicate a need for additional training for dermatologists to enhance their visual diagnostic skills and confidence when treating patients with SoC.*
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In patients with oligometastatic NSCLC, a cT3-cT4 primary tumor or an cN2/cN3 lymph node status was reported to be associated with unfavorable outcome. The aim of this study was to assess the importance of definitive or neoadjuvant thoracic radiochemotherapy for long-term outcome of these patients in order to find more appropriate treatment schedules. Analysis of the West Cancer Centre (WTZ) institutional database from 08/2016 to 08/2020 was performed.

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  • Sentinel Lymph Node Biopsy (SLNB) is crucial for staging cutaneous melanoma, and this review evaluates advanced molecular testing methods like gene expression profiling (GEP) and immunohistochemistry (IHC) for predicting sentinel lymph node prognosis compared to traditional approaches.
  • The importance of identifying high-risk melanoma patients is increasing as advancements in therapy reduce the need for SLNB, and molecular testing platforms such as DecisionDx and Merlin Assay are under validation for clinical use.
  • Despite their promise, many tissue-based molecular tests face methodological challenges like small sample sizes and poor correlation with established clinical variables, leading to limited implementation in practice.
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Background: Effective treatment options are limited for patients with advanced melanoma who have progressed on immune checkpoint inhibitors (ICI) and targeted therapies (TT). Preclinical models support the combination of ICI with TT; however, clinical trials evaluating the efficacy of triplet combinations in first-line setting showed limited advantage compared to TT only.

Methods: We conducted a retrospective, multicenter study, that included patients with advanced melanoma who were treated with BRAF/MEK inhibitors in combination with an anti-PD-(L)1 antibody (triplet therapy) after failure of at least one anti-PD-(L)1-based therapy and one TT in seven major melanoma centers between February 2016 and July 2022.

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JCO Pembrolizumab adjuvant therapy was shown to significantly improve recurrence-free survival (RFS) and distant metastasis-free survival (DMFS) in patients with resected stage IIB or IIC melanoma in earlier analyses of the randomized, double-blind, phase III KEYNOTE-716 study (ClinicalTrials.gov identifier: NCT03553836). We report results of the protocol-specified final analysis of DMFS for KEYNOTE-716.

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LIONS PREY: A New Logistic Scoring System for the Prediction of Malignant Pulmonary Nodules.

Cancers (Basel)

February 2024

Department of Thoracic Surgery, West German Cancer Center, University Medical Center Essen-Ruhrlandklinik, University Duisburg-Essen, 45239 Essen, Germany.

Objectives: Classifying radiologic pulmonary lesions as malignant is challenging. Scoring systems like the Mayo model lack precision in predicting the probability of malignancy. We developed the logistic scoring system 'LIONS PREY' (Lung lesION Score PREdicts malignancY), which is superior to existing models in its precision in determining the likelihood of malignancy.

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Comprehensive biomarker diagnostics of unfavorable cancer of unknown primary to identify patients eligible for precision medical therapies.

Eur J Cancer

March 2024

German Cancer Consortium (DKTK), Partner site University Hospital Essen, Essen, Germany; West German Cancer Center, Institute for Developmental Cancer Therapeutics, University Hospital Essen, Essen, Germany.

Purpose: Current guidelines recommend combination chemotherapy for treatment of patients with unfavorable cancer of unknown primary (CUP). Biomarker-guided targeted therapies may offer additional benefit. Data on the feasibility and effectiveness of comprehensive genomic biomarker profiling of CUP in a standard clinical practice setting are limited.

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Article Synopsis
  • * It analyzed data from 578 treatment-naïve melanoma patients receiving anti-PD-1 therapy, distinguishing between those who took antibiotics before or during treatment.
  • * Results indicate that antibiotic use within 60 days before starting ICB is linked to poorer progression-free survival (PFS) and overall survival (OS), while antibiotics taken after treatment initiation do not significantly impact these outcomes.
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The side effect registry immuno-oncology (SERIO) - A tool for systematic analysis of immunotherapy-induced side effects.

Eur J Cancer

March 2024

Department of Dermatology and Allergy, LMU University Hospital, LMU Munich, Munich, Germany; SERIO Registry (www.serio-registry.org); Department of Dermatology, Friedrich-Alexander University Erlangen-Nürnberg (FAU) and University Hospital Erlangen (UKER), Deutsches Zentrum Immuntherapie (DZI) and Comprehensive Cancer Center Erlangen-European Metropolitan Area of Nürnberg (CCC-ER-EMN), Erlangen, Germany. Electronic address:

Article Synopsis
  • Immunotherapies, especially immune checkpoint inhibitors, are effective against various tumors but often lead to serious side effects that need thorough analysis to improve patient outcomes.
  • The international Side-Effect Registry Immuno-Oncology (SERIO) collects detailed data on side effects from immunotherapy across different tumor types, focusing on immune-related adverse events (irAE) and integrating new modules for specific syndromes.
  • With 1398 documented irAE cases from 58 centers in 13 countries, SERIO has provided valuable insights into the prevalence and severity of these side effects, contributing to numerous publications aimed at improving management strategies for patients experiencing these adverse events.
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Pancreatic cancer acquires resistance to MAPK pathway inhibition by clonal expansion and adaptive DNA hypermethylation.

Clin Epigenetics

January 2024

Bridge Institute of Experimental Tumor Therapy (BIT) and Division of Solid Tumor Translational Oncology (DKTK), West German Cancer Center, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

Article Synopsis
  • Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer that often resists conventional therapies, with over 90% of cases linked to a KRAS mutation, making treatment extremely challenging.
  • Researchers studied primary tumor cells from genetically modified mice to understand how PDAC cells develop resistance to MEK inhibitors, analyzing various molecular data to track changes over time.
  • They discovered that resistance evolved through the expansion of a single cell clone with significant DNA methylation changes, which were reversible upon drug withdrawal and could be targeted with DNA methyltransferase inhibitors.
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Extent of resection for low-grade gliomas - Prognostic or therapeutic?

Clin Neurol Neurosurg

January 2024

Department of Radiation Oncology, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, 622 West 168th Street, BNH B011, New York, NY 10032, USA; Herbert Irving Comprehensive Cancer Center, Columbia University Vagelos College of Physicians and Surgeons and NewYork-Presbyterian, 1130 St Nicholas Ave, New York, NY 10032, USA. Electronic address:

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  • The study analyzed the epigenetic changes in gliomas from 132 patients over time, comparing initial and recurrent tumors in both IDH-wildtype (IDHwt) and IDH-mutant (IDHmut) types.
  • IDHwt gliomas remained stable in their epigenetic profile, while IDHmut gliomas showed a notable decrease in DNA methylation, making their profiles more similar to IDHwt tumors.
  • The research identified HOXD13 as crucial for the evolution of IDHmut tumors and found that treatment led to changes in the tumor microenvironment, like increased blood vessel formation and T-cell presence, mimicking the characteristics of IDHwt gliomas.
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Irradiation with electrons is the primary treatment regime for localized conjunctival low-grade lymphomas. However, radiation-induced cataracts are a major cause of treatment-related morbidity. This study investigates whether lens-sparing electron irradiation produces sufficient disease control rates while preventing cataract formation.

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