250 results match your criteria: "Oncology Clinical Development[Affiliation]"

Efficacy, safety, and quality of life of dabrafenib plus trametinib treatment in Chinese patients with mutation-positive metastatic non-small cell lung cancer.

Transl Lung Cancer Res

December 2024

Department of Medical Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.

Background: Dabrafenib plus trametinib (Dab + Tram) is an approved targeted therapy in patients with mutated metastatic non-small cell lung cancer (NSCLC). Here, we report the efficacy, safety, and quality of life (QoL) results of Dab + Tram treatment in Chinese patients with mutation-positive metastatic NSCLC.

Methods: This is a single-arm, open-label, multicentre, phase II study (NCT04452877).

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  • - Patients with advanced/metastatic urothelial carcinoma who previously responded to or maintained stable disease with pembrolizumab immunotherapy may benefit from retreatment after disease progression, based on a post hoc analysis involving 49 patients from earlier clinical trials.
  • - The study found that 41% of these patients achieved an objective response following retreatment, with a notable percentage having had a complete response during the initial treatment, and the median duration of the response was around 14 months.
  • - Additionally, the retreatment led to manageable adverse effects, with only 45% experiencing treatment-related events, indicating that pembrolizumab retreatment is a viable and relatively safe option for select patients.
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  • GSK3326595 is a selective inhibitor of PRMT5 being tested for treating blood cancers like MDS, CMML, and AML, showing promise in preclinical studies by decreasing cancer cell growth and increasing cell death.
  • The study aimed to evaluate the drug's clinical activity, safety, and pharmacokinetics in adults with relapsed myeloid neoplasms, focusing on those who received either 400 or 300 mg daily doses.
  • Out of 30 enrolled patients, 17% achieved clinical benefits, primarily those with specific genetic mutations; common side effects included low platelet counts and fatigue, while the drug demonstrated quick absorption characteristics.
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  • Nivolumab combined with chemotherapy has become the standard treatment for advanced HER2-negative gastric cancer, with a focus on understanding its long-term effects through clinical trials.
  • In the ATTRACTON-4 trial, conducted across Japan, South Korea, and Taiwan, patients were assigned to either nivolumab or a placebo alongside common chemotherapy regimens, with the primary goals being progression-free survival and overall survival.
  • After three years, the nivolumab group showed longer progression-free survival but similar overall survival compared to the placebo group, with a significant majority of patients who responded completely to treatment remaining alive, indicating its effective and safe use in this setting.
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  • FGFR genomic alterations are found in 5-10% of human cancers, and erdafitinib has shown promise in treating various advanced solid tumors but its effectiveness in Asian patients was unclear.
  • A phase IIa study was conducted to assess the efficacy of erdafitinib in Asian patients with FGFR-altered advanced cholangiocarcinoma, non-small cell lung cancer (NSCLC), and esophageal cancer by evaluating various response rates and survival metrics.
  • Results indicated a 40.9% objective response rate in cholangiocarcinoma patients, while NSCLC did not show any objective responses; however, all patients experienced adverse effects, highlighting the need for further safety assessment.
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Background: In the THOR trial (NCT03390504) Cohort 1, erdafitinib demonstrated significantly prolonged overall survival (OS) (median 12.1 versus 7.8 months) and reduced risk of death by 36% (hazard ratio 0.

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Background: Nivolumab plus ipilimumab demonstrated promising clinical activity and durable responses in sorafenib-treated patients with advanced hepatocellular carcinoma (HCC) in the CheckMate 040 study at 30.7-month median follow-up. Here, we present 5-year results from this cohort.

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  • Datopotamab deruxtecan (Dato-DXd) is an antibody-drug conjugate designed to target TROP2 in solid tumors, specifically tested for safety and effectiveness in treating hormone receptor-positive and triple-negative breast cancers.
  • In a phase I trial involving 85 patients, the treatment showed an objective response rate of 26.8% for hormone receptor-positive breast cancer and 31.8% for triple-negative breast cancer, with a median progression-free survival of 8.3 months and 4.4 months, respectively.
  • The most common treatment-related side effects included stomatitis, with the study indicating that Dato-DXd has promising clinical potential and an acceptable safety profile, warranting further investigation
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Society for Immunotherapy of Cancer (SITC) recommendations on intratumoral immunotherapy clinical trials (IICT): from premalignant to metastatic disease.

J Immunother Cancer

April 2024

Center for Biotherapies In Situ (BIOTHERIS), INSERM CIC1428, Department for Therapeutic Innovation and Early Phase Trials (DITEP), Gustave Roussy Cancer Center, University of Paris Saclay, Villejuif, France.

Article Synopsis
  • Scientists believe that delivering special medicines directly into tumors could help fight cancer better.
  • An expert group worked together to figure out how to create better tests for these new treatments, including which patients to help.
  • They discussed different ideas on how to design these tests, so they can learn the most about how well the new therapies work for different types of cancer.
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Purpose: The poly (ADP-ribose) polymerase inhibitor niraparib is indicated as maintenance treatment in patients with certain subtypes of advanced ovarian cancer, and is being investigated in patients with other solid tumors. Niraparib is available in 100-mg capsules with a starting dosage of 200 or 300 mg/d. This study assessed the relative bioavailability (BA) and bioequivalence (BE) between a 1 × 300-mg tablet relative to 3 × 100-mg niraparib capsules.

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Background: In CheckMate 9LA, nivolumab plus ipilimumab with chemotherapy prolonged overall survival (OS) versus chemotherapy regardless of tumor PD-L1 expression or histology. We report updated efficacy and safety in all randomized patients with a minimum 4-year follow-up and an exploratory treatment-switching adjustment analysis in all treated patients who received chemotherapy and subsequent immunotherapy.

Methods: Adults with stage IV/recurrent non-small cell lung cancer (NSCLC), no sensitizing alterations, and ECOG performance status ≤1 were randomized 1:1 to nivolumab 360 mg every 3 weeks plus ipilimumab 1 mg/kg every 6 weeks with chemotherapy (two cycles) or chemotherapy (four cycles, with optional maintenance pemetrexed for the nonsquamous population).

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Primary or secondary (i.e., acquired) resistance is a common occurrence in cancer patients and is often associated with high numbers of T regulatory (T) cells (CD4CD25FOXP3).

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Background: HER2-expressing salivary gland carcinoma (SGC) is associated with poor prognosis. Trastuzumab deruxtecan (T-DXd, DS-8201) has shown evidence of antitumor activity for several HER2-expressing solid tumors in multiple studies. This study aimed to present the efficacy and safety of T-DXd in patients with HER2-expressing SGC from a pooled analysis.

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Background: Patients with advanced hepatocellular carcinoma (aHCC) have a poor prognosis and high mortality. Nivolumab monotherapy demonstrated clinical benefit with an acceptable safety profile in patients with aHCC in the CheckMate 040 study. Five-year follow-up of the sorafenib-naive and sorafenib-experienced groups of CheckMate 040 is presented here.

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After disease progression on EGFR tyrosine kinase inhibitor (TKI) therapy, patients with -mutated NSCLC who are then treated with platinum-based chemotherapy (PBC) obtain only limited clinical benefit with transient responses. Therapies with greater efficacy and tolerable safety profiles are needed in this setting. The receptor tyrosine kinase HER3 is widely expressed in NSCLC, and increased expression is associated with poor treatment outcomes.

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  • - Epcoritamab, a bispecific antibody targeting CD3 and CD20, showed promising results in treating relapsed or refractory diffuse large B-cell lymphoma (DLBCL) in a global phase II trial (EPCORE NHL-1), demonstrating deep and lasting responses with manageable side effects.
  • - The phase I/II trial (EPCORE NHL-3) focused on Japanese patients with R/R CD20 B-cell non-Hodgkin's lymphoma who had received two or more prior treatments, revealing an overall response rate of 55.6% and a complete response rate of 44.4% at a median follow-up of 8.4 months after receiving subcutaneous epcoritamab.
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To replace the conventional maximum tolerated dose (MTD) approach, a paradigm for dose optimization and dose selection that relies on model-informed drug development (MIDD) approaches has been proposed in oncology. Here, we report our application of an MIDD approach during phase I to inform dose selection for the late-stage development of datopotamab deruxtecan (Dato-DXd). Dato-DXd is a TROP2-directed antibody-drug conjugate being developed for advanced/metastatic non-small cell lung cancer (NSCLC) and other tumors.

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Background: Belantamab mafodotin (belamaf) has demonstrated clinically meaningful antimyeloma activity in patients with heavily pretreated multiple myeloma. However, it is highly active against dividing cells, contributing to off-target adverse events, particularly ocular toxicity. Changes in best corrected visual acuity (BCVA) and corneal examination findings are routinely monitored to determine Keratopathy Visual Acuity (KVA) grade to inform belamaf dose modification.

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  • Multiple myeloma is an incurable cancer with limited treatment options for patients whose disease has returned after previous therapies; belantamab mafodotin has shown promise in early studies for these patients.
  • The DREAMM-3 phase 3 study involved 325 participants worldwide who were randomized to receive either belantamab mafodotin or a combination of pomalidomide and dexamethasone, with the main goal of evaluating progression-free survival.
  • The study is ongoing, with patients recruited between April 2020 and April 2022, and it aims to determine the safety and efficacy of belantamab mafodotin compared to traditional treatments by September 2022.
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  • The ONO-4538-52/TASUKI-52 study evaluated the effectiveness and safety of nivolumab combined with chemotherapy and bevacizumab for treating advanced non-squamous non-small cell lung cancer (nsNSCLC) in Japan, Korea, and Taiwan.
  • At the interim analysis, patients receiving nivolumab showed significantly longer progression-free survival compared to those who received a placebo, although overall survival data was still early.
  • An updated analysis revealed that patients in the nivolumab group had a median overall survival of 30.8 months versus 24.7 months for the placebo group, suggesting that the nivolumab regimen could be a standard first-line treatment for this type of lung cancer.
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Synovial sarcoma (SS) is a rare and aggressive disease that accounts for 5%-10% of all soft tissue sarcomas. Although it can occur at any age, it typically affects younger adults and children, with a peak incidence in the fourth decade of life. In >95% of cases, the oncogenic driver is a translocation between chromosomes X and 18 that leads to the formation of the SS18::SSX fusion oncogenes.

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Limited treatment options exist for -mutated NSCLC that has progressed after EGFR TKI and platinum-based chemotherapy. HER3 is highly expressed in -mutated NSCLC, and its expression is associated with poor prognosis in some patients. Patritumab deruxtecan (HER3-DXd) is an investigational, potential first-in-class, HER3-directed antibody-drug conjugate consisting of a HER3 antibody attached to a topoisomerase I inhibitor payload a tetrapeptide-based cleavable linker.

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Introduction: In CheckMate 227 Part 1, nivolumab plus ipilimumab prolonged overall survival (OS) versus chemotherapy in patients with metastatic NSCLC, regardless of tumor programmed death-ligand 1 (PD-L1) expression. Here, we report post hoc exploratory systemic and intracranial efficacy outcomes and safety by baseline brain metastasis status at 5 years' minimum follow-up.

Methods: Treatment-naive adults with stage IV or recurrent NSCLC without EGFR or ALK alterations, including asymptomatic patients with treated brain metastases, were enrolled.

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  • Pembrolizumab, an anti-PD-1 therapy, showed efficacy in treating gastric/gastroesophageal junction cancer in Japanese patients across multiple study phases (KEYNOTE-059, KEYNOTE-061, and KEYNOTE-062).
  • The results indicated varying levels of overall survival (OS), progression-free survival (PFS), and objective response rates (ORR) across the studies, with some advantages over chemotherapy.
  • Overall, the findings suggest that pembrolizumab is promising for gastric cancer treatment and further evaluation is warranted.
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