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Cipolla C, Lupo S, Grassi N, Battaglia MC, Mesi C, Scandurra G, Gebbia V, Valerio MR. The Impact of Neoadjuvant Chemotherapy on Axillary Surgical Management of Patients With Breast Cancer and Positive Axillary Lymph Nodes. Anticancer Res 2024; 44:2047-2053. [PMID: 38677748 DOI: 10.21873/anticanres.17008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2024] [Revised: 02/29/2024] [Accepted: 03/01/2024] [Indexed: 04/29/2024]
Abstract
BACKGROUND/AIM Sentinel lymph node biopsy (SLNB) is effective in patients with breast cancer (BC) and positive axillary lymph nodes undergoing neoadjuvant chemotherapy (NAC). However, the frequency with which axillary lymphadenectomy (ALND) can be avoided remains debated. This study aimed to identify patient populations that can benefit from this approach. PATIENTS AND METHODS The data of 195 consecutive patients with BC and positive axillary lymph nodes at diagnosis who underwent NAC were retrospectively analyzed. In all cases, the positivity of the lymph nodes was confirmed by cytological examination. Patients converted to ycN0 after NAC were considered eligible for SLNB. Indications for ALND were failed mapping, fewer than three SLNs recovered, and positive SLNs. RESULTS Of 195 cN1 patients potentially eligible for SLNB, 71 (36.4%) remained clinically ycN+ after NAC and underwent elective ALND, while 124 (83.7%) converted to ycN0 after NAC and SLNB. The lymph node identification rate was 95.9% (119/124 patients) with three or more SLNs recovered in 83 cases (89.8%). One or two lymph nodes were recovered in 36 cases (30.2%). Nodal pathologic complete response (pCR) was found in 34/83 (40.9%) patients with three or more SLNs recovered. Considering all 195 patients initially included in the study, 55 patients (28.2%) achieved lymph node pCR after NAC. Nodal pCR varied based on hormone receptor and HER2 status, with rates ranging from 20.7% for ER+/HER2- patients to 95.3% for ER-/HER2+ patients (p<0.001). CONCLUSION More than 80% of cN1 patients in our study were eligible for SLNB after NAC. ALND could be avoided in approximately 30% of cases, supporting the role of NAC in reducing the need for ALND among patients with lymph node metastases.
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Affiliation(s)
- Calogero Cipolla
- Department of Surgical Oncological and Oral Sciences, University of Palermo, Palermo, Italy
- Breast Unit - AOUP Paolo Giaccone Palermo, Palermo, Italy
| | - Simona Lupo
- Breast Unit - AOUP Paolo Giaccone Palermo, Palermo, Italy
| | - Nello Grassi
- Department of Surgical Oncological and Oral Sciences, University of Palermo, Palermo, Italy
| | | | - Chiara Mesi
- UOC Medical Oncology - AOUP Paolo Giaccone Palermo, Palermo, Italy
| | | | - Vittorio Gebbia
- Chair of Medical Oncology, School of Medicine, University of Enna Kore, Enna, Italy;
- Director of Medical Oncology Unit, CdC Torina, Palermo, Italy
| | - Maria Rosaria Valerio
- Department of Surgical Oncological and Oral Sciences, University of Palermo, Palermo, Italy
- UOC Medical Oncology - AOUP Paolo Giaccone Palermo, Palermo, Italy
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Martorana F, Scandurra G, Valerio MR, Cufari S, Vigneri P, Sanò MV, Scibilia G, Scollo P, Gebbia V. A review and metanalysis of metronomic oral single-agent cyclophosphamide for treating advanced ovarian carcinoma in the era of precision medicine. J Oncol Pharm Pract 2024; 30:173-181. [PMID: 38018146 DOI: 10.1177/10781552231216689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2023]
Abstract
OBJECTIVE Oral metronomic cyclophosphamide has been used as a single agent or in combination with other drugs for several solid tumors with interesting results in disease palliation and mild to moderate toxicity, notably in patients with recurrent epithelial ovarian cancer (EOC) progressing after systemic chemotherapy. In this paper, we report a review and a metanalysis of heterogeneous data published up to date. DATA SOURCES The literature search was restricted to single-agent MOC. The analysis was conducted through March 2023 by consulting PubMed, Embase, Google Scholar, and The Cochrane Library databases. Research string and Medical Subject Headings included "ovarian tumor," "ovarian carcinoma," or "ovarian cancer," "fallopian tube cancer," "primary peritoneal cancer," "oral chemotherapy," and "metronomic cyclophosphamide." All articles were assessed for quality by at least two investigators independently, and a < 18 patients sample size cutoff was chosen as a lower limit with a Cohen's kappa statistical coefficient for accuracy and reliability. Metanalysis of selected papers was carried out according to a fixed model. DATA SUMMARY The percentage of agreement between investigators on literature study selection was very high, reaching 96.9% with a Cohen's k of 0.929. MOC pooled objective response rate (ORR) and disease control rate for recurrent or platinum-refractory ovarian cancer were 18.8% (range 4-44%) and 36.2% (range 16-58.8%), respectively. The mean progressive-free survival and overall survival were 3.16 months (range 1.9 to 5.0 months) and 8.7 months (range 8 to 13 months), respectively. The fixed model metanalysis of selected studies showed a 16% median ORR (12-20% CI, p < 0.001). CONCLUSIONS Single-agent oral cyclophosphamide in EOC holds promise as a treatment option, even in the era of precision medicine. Genetic factors, such as DNA repair gene polymorphisms, may influence treatment response. Combining cyclophosphamide with biological agents such as PARP inhibitors or immunotherapy agents is an area of active investigation.
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Affiliation(s)
- Federica Martorana
- Medical Oncology Unit, Humanitas istituto Clinico Catanese, Catania, Italy
- Department of Clinical and Experimental Medicine, Center of Experimental Oncology and Hematology, University of Catania, Catania, Italy
| | | | | | | | - Paolo Vigneri
- Medical Oncology Unit, Humanitas istituto Clinico Catanese, Catania, Italy
- Department of Clinical and Experimental Medicine, Center of Experimental Oncology and Hematology, University of Catania, Catania, Italy
| | - Maria Vita Sanò
- Medical Oncology Unit, Humanitas istituto Clinico Catanese, Catania, Italy
| | | | - Paolo Scollo
- Gynecological Oncology Unit, Ospedale Cannizzaro, Catania, Italy
- Faculty of Medicine, Chair of Gynecology Kore University, Enna, Italy
| | - Vittorio Gebbia
- Chair of Medical Oncology, Faculty of Medicine, University of Enna Kore, Enna, Italy
- Medical Oncology Unit, CdC Torina, Palermo, Italy
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Gebbia V, Martorana F, Scandurra G, Valerio MR, Cufari S, Vigneri P, Sanò MV, Scollo P. A retrospective, real-life analysis of metronomic oral single-agent cyclophosphamide for the treatment of platinum-pretreated advanced ovarian carcinoma in Italy. J Oncol Pharm Pract 2023:10781552231189867. [PMID: 37501558 DOI: 10.1177/10781552231189867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 07/29/2023]
Abstract
INTRODUCTION Metronomic oral cyclophosphamide (MOC) presents many potential advantages, such as significantly less severe side effects than standard regimens, ease of administration, and the delivery of a dose-dense but not necessarily dose-intense treatment. These observations prompted us to evaluate in a retrospective, multicenter study the efficacy and toxicity of MOC in a real-life series of pretreated cancer patients. METHODS The study is a multicenter, retrospective analysis of the activity of single-agent MOC in patients with recurrent or residual epithelial ovarian, fallopian tube, or primary. Eligible patients were continuously treated with MOC at 50 mg/day until progression, toxicity, or death. Overall response rate (ORR), stable disease (SD), and disease control rate (DCR) were reported. RESULTS The study included 62 patients. Three patients reached a complete response rate (5%), 11 had a partial response rate (18), and 15 had stabilization of disease (24) for an ORR of 23% and a DCR of 47%. Patients with low-grade indolent tumors showed an ORR and an SD rate higher than that observed in non-indolent ones (33% vs. 18% and 28% vs. 14%, respectively). Overall, progression-free survival was 3.5 months (range 1-9 months). CONCLUSION Single-agent MOC is active and very well tolerated in a significant fraction of patients with refractory, recurrent, or residual epithelial ovarian, fallopian tube, or primary peritoneal cancer. In the vision of a practical approach, single-agent MOC may be a useful palliative treatment option for patients with poor tolerance to high-dose regimens or widely pretreated. Further studies are needed better to characterize the role of such an approach in clinical practice.
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Affiliation(s)
- Vittorio Gebbia
- Casa di Cura Torina, Palermo, Italy
- Faculty of Medicine and Surgery, Kore University, Enna, Italy
| | - Federica Martorana
- Medical Oncology Unit, Humanitas Istituto Clinico Catanese, Catania, Italy
- Department of Clinical and Experimental Medicine, Center of Experimental Oncology and Hematology, University of Catania, Catania, Italy
| | | | | | | | - Paolo Vigneri
- Medical Oncology Unit, Humanitas Istituto Clinico Catanese, Catania, Italy
- Department of Clinical and Experimental Medicine, Center of Experimental Oncology and Hematology, University of Catania, Catania, Italy
| | - Maria Vita Sanò
- Medical Oncology Unit, Humanitas Istituto Clinico Catanese, Catania, Italy
| | - Paolo Scollo
- Faculty of Medicine and Surgery, Kore University, Enna, Italy
- Gynecological Oncology Unit, Ospedale Cannizzaro, Catania, Italy
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Scandurra G, Ciofi C, Smulko J, Wen H. A review of design approaches for the implementation of low-frequency noise measurement systems. Rev Sci Instrum 2022; 93:111101. [PMID: 36461421 DOI: 10.1063/5.0116589] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/29/2022] [Accepted: 10/20/2022] [Indexed: 06/17/2023]
Abstract
Electronic noise has its roots in the fundamental physical interactions between matter and charged particles, carrying information about the phenomena that occur at the microscopic level. Therefore, Low-Frequency Noise Measurements (LFNM) are a well-established technique for the characterization of electron devices and materials and, compared to other techniques, they offer the advantage of being non-destructive and of providing a more detailed view of what happens in the matter during the manifestation of physical or chemical phenomena. For this reason, LFNM acquire particular importance in the modern technological era in which the introduction of new advanced materials requires in-depth and thorough characterization of the conduction phenomena. LFNM also find application in the field of sensors, as they allow to obtain more selective sensing systems even starting from conventional sensors. Performing meaningful noise measurements, however, requires that the background noise introduced by the measurement chain be much smaller than the noise to be detected and the instrumentation available on the market does not always meet the specifications required for reaching the ultimate sensitivity. Researchers willing to perform LFNM must often resort to the design of dedicated instrumentation in their own laboratories, but their cultural background does not necessarily include the ability to design, build, and test dedicated low noise instrumentation. In this review, we have tried to provide as much theoretical and practical guidelines as possible, so that even researchers with a limited background in electronic engineering can find useful information in developing or customizing low noise instrumentation.
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Affiliation(s)
- G Scandurra
- Department of Engineering, University of Messina, Messina 98166, Italy
| | - C Ciofi
- Department of Engineering, University of Messina, Messina 98166, Italy
| | - J Smulko
- Department of Metrology and Optoelectronics, Gdańsk University of Technology, 80-233 Gdańsk, Poland
| | - H Wen
- College of Electrical and Information Engineering, Hunan University, Changsha 410082, China
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Tuninetti V, Milani A, Pignata S, Lorusso D, Castaldo D, De Giorgi U, Savarese A, Biglia N, Scandurra G, Testa S, Mangili G, Di Maio M, Turinetto M, Mammoliti S, Scotto G, Artioli G, Valabrega G. 50P Direct-acting oral anticoagulants prescribing pattern in patients with gynaecological cancer: Results of a survey among Italian oncologists belonging to MITO group and AIOM society. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.067] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Carminati M, Scandurra G. Advances in measurements and instrumentation leveraging embedded systems. Rev Sci Instrum 2021; 92:121601. [PMID: 34972470 DOI: 10.1063/5.0070073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 09/06/2021] [Indexed: 06/14/2023]
Abstract
The expression "embedded systems" is used in different contexts and with broad meanings, but in electronics, it refers to systems that contain peripherals and a firmware for local digital data processing, often on a single board. Embedded systems are often associated with the field of computer science, emphasizing the software and programming aspects of systems. However, the progress made on the hardware side cannot be ignored, and without such technological advances, embedded systems would not exist. In fact, the progress in the field of microelectronics drives a constant evolution of variegated digital platforms, which gradually become easier to program and configure, thus reducing the development and prototyping phase and causing a strong impact on different research and application fields.
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Affiliation(s)
- M Carminati
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano 20133, Italy
| | - G Scandurra
- Dipartimento di Ingegneria, Università degli Studi di Messina, Messina 98166, Italy
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Carminati M, Scandurra G. Impact and trends in embedding field programmable gate arrays and microcontrollers in scientific instrumentation. Rev Sci Instrum 2021; 92:091501. [PMID: 34598486 DOI: 10.1063/5.0050999] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/21/2021] [Accepted: 08/16/2021] [Indexed: 06/13/2023]
Abstract
Microcontrollers and field-programmable gate arrays have been largely leveraged in scientific instrumentation since decades. Recent advancements in the performance of these programmable digital devices, with hundreds of I/O pins, up to millions of logic cells, >10 Gb/s connectivity, and hundreds of MHz multiple clocks, have been accelerating this trend, extending the range of functions. The diversification of devices from very low-cost 8-bit microcontrollers up to 32-bit ARM-based ones and a system of chip combining programmable logic with processors make them ubiquitous in modern electronic systems, addressing diverse challenges from ultra-low power operation, with sub-µA quiescent current in sleep mode for portable and Internet of Things applications, to high-performance computing, such as in machine vision. In this Review, the main motivations (compactness, re-configurability, parallelization, low latency for sub-ns timing, and real-time control), the possible approaches of the adoption of embedded devices, and the achievable performances are discussed. Relevant examples of applications in opto-electronics, physics experiments, impedance, vibration, and temperature sensing from the recent literature are also reviewed. From this bird-eye view, key paradigms emerge, such as the blurring of boundaries between digital platforms and the pervasiveness of machine learning algorithms, significantly fostered by the possibility to be run in embedded devices for distributing intelligence in the environment.
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Affiliation(s)
- M Carminati
- Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Milano 20133, Italy
| | - G Scandurra
- Dipartimento di Ingegneria, Università degli Studi di Messina, Messina 98166, Italy
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Fornarini G, Rebuzzi SE, Banna GL, Calabrò F, Scandurra G, De Giorgi U, Masini C, Baldessari C, Naglieri E, Caserta C, Manacorda S, Maruzzo M, Milella M, Buttigliero C, Tambaro R, Ermacora P, Morelli F, Nolè F, Astolfi C, Sternberg CN. Immune-inflammatory biomarkers as prognostic factors for immunotherapy in pretreated advanced urinary tract cancer patients: an analysis of the Italian SAUL cohort. ESMO Open 2021; 6:100118. [PMID: 33984678 PMCID: PMC8134706 DOI: 10.1016/j.esmoop.2021.100118] [Citation(s) in RCA: 30] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/15/2021] [Revised: 03/04/2021] [Accepted: 03/17/2021] [Indexed: 12/18/2022] Open
Abstract
Background Reliable and affordable prognostic and predictive biomarkers for urothelial carcinoma treated with immunotherapy may allow patients' outcome stratification and drive therapeutic options. The SAUL trial investigated the safety and efficacy of atezolizumab in a real-world setting on 1004 patients with locally advanced or metastatic urothelial carcinoma who progressed to one to three prior systemic therapies. Patients and methods Using the SAUL Italian cohort of 267 patients, we investigated the prognostic role of neutrophil-to-lymphocyte ratio (NLR) and systemic immune-inflammation index (SII) and the best performing one of these in combination with programmed death-ligand 1 (PD-L1) with or without lactate dehydrogenase (LDH). Previously reported cut-offs (NLR >3 and NLR >5; SII >1375) in addition to study-defined ones derived from receiver operating characteristic (ROC) analysis were used. Results The cut-off values for NLR and SII by the ROC analysis were 3.65 (sensitivity 60.4; specificity 63.0) and 884 (sensitivity 64.4; specificity 67.5), respectively. The median overall survival (OS) was 14.7 months for NLR <3.65 [95% confidence interval (CI) 9.9-not reached (NR)] versus 6.0 months for NLR ≥3.65 (95% CI 3.9-9.4); 14.7 months for SII <884 (95% CI 10.6-NR) versus 6.0 months for SII ≥884 (95% CI 3.7-8.6). The combination of SII, PD-L1, and LDH stratified OS better than SII plus PD-L1 through better identification of patients with intermediate prognosis (77% versus 48%, respectively). Multivariate analyses confirmed significant correlations with OS and progression-free survival for both the SII + PD-L1 + LDH and SII + PD-L1 combinations. Conclusion The combination of immune-inflammatory biomarkers based on SII, PD-L1, with or without LDH is a potentially useful and easy-to-assess prognostic tool deserving validation to identify patients who may benefit from immunotherapy alone or alternative therapies. Reliable biomarkers for immunotherapy may assist in treatment decision making and clinical trial design and interpretation. Immune-inflammatory biomarkers were investigated for their prognostic role within the Italian SAUL study cohort. ROC-based cut-offs were 3.65 for NLR and 884 for SII. Both NLR and SII were prognostic with SII performing slightly better than NLR. The combination of SII, PD-L1, and LDH stratified OS better than SII + PD-L1; both were independent prognostic factors.
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Affiliation(s)
- G Fornarini
- Medical Oncology Unit 1, IRCCS Ospedale Policlinico San Martino, Genova, Italy
| | - S E Rebuzzi
- Medical Oncology Unit 1, IRCCS Ospedale Policlinico San Martino, Genova, Italy; Department of Internal Medicine and Medical Specialties, University of Genoa, Genoa, Italy
| | - G L Banna
- Department of Oncology, Portsmouth Hospitals University NHS Trust, Portsmouth, UK
| | - F Calabrò
- Medical Oncology, Azienda Ospedaliera S. Camillo-Forlanini, Rome, Italy
| | - G Scandurra
- Medical Oncology, Azienda Ospedaliera Cannizzaro di Catania, Catania, Italy
| | - U De Giorgi
- Medical Oncology, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) - IRCCS, Meldola, Italy
| | - C Masini
- Medical Oncology, AUSL-IRCCS di Reggio Emilia, Reggio Emilia, Italy
| | - C Baldessari
- Oncology, Azienda Ospedaliero - Universitaria di Modena, Modena, Italy
| | - E Naglieri
- Division of Medical Oncology, IRCCS Istituto Tumori Bari Giovanni Paolo II - IRCCS, Bari, Italy
| | - C Caserta
- Medical Oncology Unit, Azienda Ospedaliera S. Maria, Terni, Italy
| | - S Manacorda
- Medical Oncology, Azienda Ospedaliero-Universitaria Pisana, Pisa, Italy
| | - M Maruzzo
- Medical Oncology Unit 1, Department of Oncology, Istituto Oncologico Veneto, IOV-IRCCS, Padua, Italy
| | - M Milella
- Dipartimento di Oncologia, Policlinico Universitario G.B. Rossi Borgo Roma, Verona, Italy
| | - C Buttigliero
- Medical Oncology, Università degli Studi di Torino, Turin, Italy
| | - R Tambaro
- U.O.C di Oncologia Sperimentale Uroginecologica, I.N.T. IRCCS Fondazione G. Pascale, Naples, Italy
| | - P Ermacora
- Dipartimento di Oncologia, Azienda Ospedaliero Universitaria di Udine, Udine, Italy
| | - F Morelli
- Casa Sollievo della Sofferenza, S. Giovanni Rotondo, Foggia, Italy
| | - F Nolè
- IEO, Istituto Europeo di Oncologia IRCCS, Milan, Italy
| | - C Astolfi
- Medical Affairs & Clinical Operation, Roche S.p.A., Monza, Italy
| | - C N Sternberg
- Hematology and Oncology, Englander Institute for Precision Medicine Weill Cornell Medicine, New York-Presbyterian, New York, USA.
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Rebuzzi S, Sternberg C, Fornarini G, Calabro' F, Baldessari C, Scandurra G, De Giorgi U, Masini C, Naglieri E, Caserta C, Galli L, Maruzzo M, Zampiva I, Buttigliero C, Astolfi C, Banna G. 768P Prognostic score combining systemic inflammation index (SII) and PD-L1 +/- LDH in advanced urinary tract carcinoma patients treated with atezolizumab: Subanalysis in the Italian population of the SAUL study. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.840] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Adamo V, Ricciardi G, Schifano S, Russo A, Gebbia V, Blasi L, Giuffrida D, Scandurra G, Savarino A, Butera A, Borsellino N, Verderame F, Caruso M. Nab-paclitaxel (nab-P) in metastatic breast cancer (MBC) in elderly patients: A real life setting (NEREIDE study). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy272.310] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Adamo V, Ricciardi G, Schifano S, Russo A, Gebbia V, Blasi L, Giuffrida D, Scandurra G, Savarino A, Butera A, Borsellino N, Verderame F, Caruso M. Safety and efficacy of the treatment with Nab-paclitaxel in mEtastaticbREast cancer In elDerlypatiEnts: NEREIDE Study. Eur J Cancer 2018. [DOI: 10.1016/s0959-8049(18)30567-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Adamo V, Ricciardi G, Schifano S, Russo A, Gebbia V, Blasi L, Giuffrida D, Scandurra G, Savarino A, Butera A, Borsellino N, Verderame F, Caruso M. Safety and efficacy of the treatment with Nab-paclitaxel in mEtastatic bREast cancer In elDerly patiEnts: NEREIDE study. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx424.054] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fabi A, De Laurentiis M, Caruso M, Valle E, Moscetti L, Santini D, Cannita K, Carbognin L, Ciccarese M, Rossello R, Arpino G, Leonardi V, Montemurro F, La Verde N, Generali DG, Zambelli A, Scandurra G, Russillo M, Paris I, D'Ottavio AM, Filippelli G, Giampaglia M, Stani S, Fabbri A, Alesini D, Giannarelli D, Cognetti F. Abstract P4-21-11: T-DM1 in HER2 positive advanced breast cancer patients: Real world practice from a multicenter observational study. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p4-21-11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: T-DM1 showed remarkable activity in metastatic HER-2 positive breast cancer (mBC) and it was recently approved for clinical use in patients (pts) who previously failed Trastuzumab- and Taxanes-based therapies. Currently, little is known on the performance of T-DM1 in a “real life” scenario. Therefore, we investigated effectiveness and safety of T-DM1 in Italian daily practice.
Methods: Pts baseline characteristics and clinical outcome of pts with HER-2 positive mBC treated with T-DM1 between 2013 and 2015 at 20 Italian Institutions were retrospectively collected and analyzed.
Results: 300 pts were included in our analysis. Median age was 51 years (27-78); visceral metastases were present in 204 (68%) pts and brain metastases in 86 (29%). It is noteworthy that 111 (37%) pts received T-DM1 as pure second line, 83 (28%) as third line and 96 (32%) as further lines. Moreover 10 (3%) pts had T-DM1 as first line because disease recurrence occurred during or adjuvant trastuzumab of within 6 months of its completion. The overall response rate (ORR) was 40%, global disease control rate (gDCR) 64%, median progression-free survival (PFS) 7.0 months (C.I.95%: 5.6-8.4) and overall survival (OS) at 2 years 63%. Pts with 1, 2 and 3 or more metastatic site had OS at 2 years of 87%, 67% and 46%, respectively (p<0.0001). When T-DM1 was given as second line the PFS was 8.0 months and beyond second-line was 6.8 months. Interestingly, for 38 (13%) pts who progressed after Pertuzumab-plus trastuzumab and taxanes as first line treatment, ORR and gDCR were similar to pertuzumab-naïve patients (38% and 62%, respectively) However PFS was 5.0 months (C.I.95%: 4.3-5.7) compared to 9.0 (95% C.I. 5.5-12.4) achieved in pts not receiving a previous pertuzumab-based treatment. Most frequent grade ≥3 toxicities were thrombocytopenia (2.6%), alopecia (2.1%), hypertransaminasemia (2.2%), neutropenia (1.3%), asthenia (1.3%) and diarrhea (0.4%).
Conclusions: To our knowledge, this is the first real life, multicenter retrospective analysis evaluating efficacy and safety of T-DM1 in pretreated HER-2 positive mBC pts. We observed remarkable results in terms of PFS and OS, especially when T-DM1 was given early in the course of metastatic disease. Shortened PFS in patients progressing after pertuzumab suggest further analyses to better define possible molecular mechanisms of cross-resistences between two molecules. As a whole there was no evidence of significant or unexpected toxicities. Although these findings should be taken with caution due to the retrospective analysis and the different lines of previous treatment considered, we confirmed the potential therapeutic role of T-DM1 across a heterogeneous population of HER-2 positive mBC patients. The final analysis will be presented to the meeting.
Citation Format: Fabi A, De Laurentiis M, Caruso M, Valle E, Moscetti L, Santini D, Cannita K, Carbognin L, Ciccarese M, Rossello R, Arpino G, Leonardi V, Montemurro F, La Verde N, Generali DG, Zambelli A, Scandurra G, Russillo M, Paris I, D'Ottavio AM, Filippelli G, Giampaglia M, Stani S, Fabbri A, Alesini D, Giannarelli D, Cognetti F. T-DM1 in HER2 positive advanced breast cancer patients: Real world practice from a multicenter observational study [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr P4-21-11.
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Affiliation(s)
- A Fabi
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - M De Laurentiis
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - M Caruso
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - E Valle
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - L Moscetti
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - D Santini
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - K Cannita
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - L Carbognin
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - M Ciccarese
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - R Rossello
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - G Arpino
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - V Leonardi
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - F Montemurro
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - N La Verde
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - DG Generali
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - A Zambelli
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - G Scandurra
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - M Russillo
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - I Paris
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - AM D'Ottavio
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - G Filippelli
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - M Giampaglia
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - S Stani
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - A Fabbri
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - D Alesini
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - D Giannarelli
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
| | - F Cognetti
- Istituto Nazionale Tumori Regina Elena, Roma; Istituto Nazionale Tumori Fondazione Pascale, Napoli; CCO Humanitas, Catania; Ospedale Oncologico Armando Businco, Cagliari; Azienda Ospedaliero-Universitaria, Modena; Campus Bio Medico, Roma; Presidio Ospedaliero S. Salvatore, L'Aquila; Azienda Universitaria Integrata, Verona; Ospedale Vito Fazzi, Lecce; Ospedale S. Vincenzo, Taormina; Università Federico II, Napoli; ARNAS Civico, Palermo; Fondazione del Piemonte per l'Oncologia, Candiolo; Ospedale S. Raffaele, Milano; Istituti Ospedalieri, Cremona; Azienda Ospedaliera Ospedali Riuniti, Bergamo; Ospedale Oncologico, Catania; Ospedale Oncologico, Lucca; Università Cattolica del Sacro Cuore Agostino Gemelli, Roma; Ospedale S. Giovanni Addolorata, Roma; Ospedale S. Francesco di Paola, Paola; Azienda Ospedaliera S. Carlo, Potenza; Ospedale S. Spirito, Roma; Ospedale Belcolle, Viterbo
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La Verde N, Moretti A, Damia G, Paternò E, Santini D, Garrone O, Fabi A, Ciccarese M, Cretella E, Torri V, Generali D, Grasso D, Puglisi F, Collovà E, Roila F, Bertolini A, Barni S, Vici P, Luigi C, Scandurra G, Bramati A, Dazzani MC, Farina G. Abstract OT1-01-05: PAINTER: Evaluation of eribulin tolerability and correlation between a set of polymorphisms and neuropathy in patients with metastatic breast cancer. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-ot1-01-05] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
BACKGROUND Eribulin is a synthetic analogue of halichondrin B which inhibits microtubule dynamics. It has been approved in Europe for the treatment of locally advanced or metastatic breast cancer (mBC) progressed after at least two chemotherapy regimens for advanced disease. The most common adverse events (AEs) were fatigue, neutropenia and peripheral neuropathy, which occurs with an incidence ranging from 13.9% to 35%. It was severe only in a small proportion of patients, suggesting an individual susceptibility. The neurotoxicity mechanisms associated with microtubulin interfering agents have not been fully defined. Few studies reported an association between some SNPs (Single Nucleotide Polymorphisms) and microtubulin interfering agents-induced neuropathy, mainly taxanes. As the use of Eribulin becomes more widespread, a better knowledge of its safety profile, outside of clinical trials, is warranted. Given that Eribulin toxicity can result in treatment discontinuation, the ability to anticipate which patients will experience severe toxicity could allow for either early intervention or even possibly for prophylactic therapy, or for a better selection of patients eligible for treatment.
METHODS This is a multicenter, interventional, single-arm, phase IV study. The primary objective is the evaluation of the safety and tolerability profile of Eribulin in an unselected population of patients with mBC. Secondary objectives are the description of compliance to treatment and efficacy.
ENDPOINTS
•Incidence, time of onset, severity and duration of all AEs experienced during treatment with Eribulin, especially the most common reported in previous studies but also other possible unexpected toxicities.
•Association between a set of selected SNPs and the onset of any grade peripheral neuropathy. Specifically, 15 SNPs located in genes involved in microtubule dynamics or resulted from genome wide association studies, will be analyzed.
•Evaluation of quality of life during treatment using validated questionnaires.
•Assessment of dose intensity and dose schedule maintenance.
•DOT (Duration Of Treatment) and OS (Overall Survival).
STATISTICAL METHODS Summary statistics will be used in order to describe patient characteristics. Safety endpoints will be estimated by means of absolute and relative frequencies and associated 95%CI. The relationship between baseline variables and the risk of severe toxicity, as well as the relationship between SNPs and risk of neuropathy will be described by means of contingency tables and their association with outcome will be assessed by χ2 test of Mantel-Haenzel and a logistic regression model. DOT and OS will be described using Kaplan-Meier curves. A sample size of 200 patients will also allow us to get a good fitting for statistical analysis of the relationship between primary endpoint and not more than 10 factors. Regarding the relationship between SNPs and risk of neuropathy it will be feasible to screen for association about 10-15 SNPs, with known prevalence >15%.
PRESENT ACCRUAL AND TARGET ACCRUAL 98 of 200 patients were enrolled until 18/05/2016. Target accrual is open for 200 patients.
CONTACT INFORMATION Nicla La Verde: nicla.laverde@asst-fbf-sacco.it.
Citation Format: La Verde N, Moretti A, Damia G, Paternò E, Santini D, Garrone O, Fabi A, Ciccarese M, Cretella E, Torri V, Generali D, Grasso D, Puglisi F, Collovà E, Roila F, Bertolini A, Barni S, Vici P, Luigi C, Scandurra G, Bramati A, Dazzani MC, Farina G. PAINTER: Evaluation of eribulin tolerability and correlation between a set of polymorphisms and neuropathy in patients with metastatic breast cancer [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr OT1-01-05.
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Affiliation(s)
- N La Verde
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - A Moretti
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - G Damia
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - E Paternò
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - D Santini
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - O Garrone
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - A Fabi
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - M Ciccarese
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - E Cretella
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - V Torri
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - D Generali
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - D Grasso
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - F Puglisi
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - E Collovà
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - F Roila
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - A Bertolini
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - S Barni
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - P Vici
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - C Luigi
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - G Scandurra
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - A Bramati
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - MC Dazzani
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
| | - G Farina
- ASST Fatebenefratelli Sacco, PO Fatebenefratelli, Milan, Italy; Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy; Campus Bio-Medico, University of Rome, Rome, Italy; Unit of Medical Oncology, S. Croce & Carle Teaching Hospital, Cuneo, Italy; Medical Oncology A, INT Regina Elena, Rome, Italy; Vito Fazi Hospital, Lecce, Italy; Medical Oncology, Azienda Sanitaria dell'Alto Adige, Bolzano, Italy; Laboratory of Methodology for Biomedical Research, IRCCS-Mario Negri Institute for Pharmacological Research, Milan, Italy; Unit of Molecular Therapy & Pharmacogenomic, AO Azienda Istituti Ospitalieri di Cremona, Cremona, Italy; Medical Oncology, IRCCS Foundation, San Matteo Hospital, Pavia, Italy; University Hospital of Udine, Udine, Italy; Oncology Unit, AO Ospedale Civile di Legnano, Legnano, Italy; Medical Oncology, Santa Maria Hospital, Terni, Italy; Medical Oncology Unit, A.O. Valtellina e Valchiavenna, Sondrio, Italy; Treviglio-Caravaggio Hospital, Treviglio, Italy; "Regina Elena" National Cancer Inst
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15
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Scandurra G, Marletta F, Nicolini S, Banna G, Di Stefano A, Cali' S, Acquaviva G, Tamburo M, Corsaro G, Scibilia G, Ippolito M, Scollo P. Safety and efficacy of new techniques of radiotherapy in oligometastatic recurrence ovarian cancer ( ROC) patients with BRCA 1/2 mutation. A monoistitutional experience. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw338.02] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Fabi A, Alesini D, De Laurentiis M, Valle E, Santini D, Cannita K, Carbognin L, Ciccarese M, Arpino G, Leonardi V, Montemurro F, La Verde N, Generali D, Scandurra G, Russillo M, Paris I, D'Ottavio A, Filippelli G, Stani S, Giannarelli D, Cognetti F. Italian observational study on T-DM1 in HER2 positive advanced breast cancer patients: real world effectiveness and safety. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw337.07] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
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17
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Fabi A, Cannita K, Ferretti G, Ciccarese M, Arpino G, Montemurro F, La Verde NM, Generali DG, Scandurra G, Filippelli G, Russillo M, Paris I, Stani S, Fabbri A, Minelli M, Cognetti F, Giannarelli D. Real-life effectiveness of T-DM1 in heavily pretreated HER2-positive advanced breast cancer patients: An Italian observational study. J Clin Oncol 2016. [DOI: 10.1200/jco.2016.34.15_suppl.e12019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- Alessandra Fabi
- Division of Medical Oncology, “Regina Elena” National Cancer Institute, Rome, Italy
| | | | | | | | | | - Filippo Montemurro
- Fondazione del Piemonte per l'Oncologia, Candiolo Cancer Center, Candiolo, Italy
| | | | | | | | | | | | - Ida Paris
- Catholic University of the Sacred Heart, Rome, Italy
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Giusi G, Giordano O, Scandurra G, Rapisarda M, Calvi S, Ciofi C. Publisher's Note: "High sensitivity measurement system for the direct-current, capacitance-voltage, and gate-drain low frequency noise characterization of field effect transistors" [Rev. Sci. Instrum. 87, 044702 (2016)]. Rev Sci Instrum 2016; 87:059902. [PMID: 27250488 DOI: 10.1063/1.4950949] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Affiliation(s)
- G Giusi
- University of Messina, I-98166 Messina, Italy
| | - O Giordano
- University of Messina, I-98166 Messina, Italy
| | - G Scandurra
- University of Messina, I-98166 Messina, Italy
| | | | - S Calvi
- IMM-CNR, I-00133 Rome, Italy
| | - C Ciofi
- University of Messina, I-98166 Messina, Italy
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Giusi G, Giordano O, Scandurra G, Rapisarda M, Calvi S, Ciofi C. High sensitivity measurement system for the direct-current, capacitance-voltage, and gate-drain low frequency noise characterization of field effect transistors. Rev Sci Instrum 2016; 87:044702. [PMID: 27131690 DOI: 10.1063/1.4945263] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/05/2023]
Abstract
Measurements of current fluctuations originating in electron devices have been largely used to understand the electrical properties of materials and ultimate device performances. In this work, we propose a high-sensitivity measurement setup topology suitable for the automatic and programmable Direct-Current (DC), Capacitance-Voltage (CV), and gate-drain low frequency noise characterization of field effect transistors at wafer level. Automatic and programmable operation is particularly useful when the device characteristics relax or degrade with time due to optical, bias, or temperature stress. The noise sensitivity of the proposed topology is in the order of fA/Hz(1/2), while DC performances are limited only by the source and measurement units used to bias the device under test. DC, CV, and NOISE measurements, down to 1 pA of DC gate and drain bias currents, in organic thin film transistors are reported to demonstrate system operation and performances.
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Affiliation(s)
- G Giusi
- University of Messina, I-98166 Messina, Italy
| | - O Giordano
- University of Messina, I-98166 Messina, Italy
| | - G Scandurra
- University of Messina, I-98166 Messina, Italy
| | | | - S Calvi
- IMM-CNR, I-00133 Rome, Italy
| | - C Ciofi
- University of Messina, I-98166 Messina, Italy
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Romano A, Scandurra G. Divergences in the determinants of investments in renewable energy sources: hydroelectric vs. other renewable sources. J Appl Stat 2016. [DOI: 10.1080/02664763.2016.1163526] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Fabi A, Moscetti L, Ciccarese M, Caramanti M, Salesi N, La Verde N, Russillo M, Generali D, Scandurra G, Vari S, Pacetti U, Cognetti F, Giannarelli D. Eribulin in heavily pretreated metastatic breast cancer patients and clinical/biological feature correlations: impact on the practice. Future Oncol 2015; 11:431-8. [PMID: 25675124 DOI: 10.2217/fon.14.271] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
AIM This multicenter study describes the effectiveness of eribulin in current practice. PATIENTS & METHODS In total, 78 patients with advanced metastatic breast cancer, previously treated with two or more chemotherapy lines were enrolled. RESULTS The median duration of response and disease stability were 7.5 (5.4-9.5) and 8.9 (6.2-11.6) months, respectively, with a clinical benefit (CB) at 6 months in 41% of patients. CB in visceral and nonvisceral metastases were 72.7 and 88.9%, respectively. Eribulin was active also in brain metastases, with 47% CB. The activity was shown in all biological subtypes. Toxicities were manageable. CONCLUSION Our study confirms the effectiveness of eribulin mesylate in the treatment of patients with metastatic breast cancer and two or more lines of chemotherapy, in particular in the good disease control at the different metastatic sites.
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Affiliation(s)
- Alessandra Fabi
- Department of Medical Oncology, Regina Elena National Cancer Institute, Rome, Italy
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Scandurra G, Banna G, Scibilia G, Di Stefano A, La Spina S, Scollo P. “The group's waiting room: groups of self- help in oncology”. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv347.30] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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La Spina S, Scandurra G, Scibilia G, Di Stefano A, Banna G, Scollo P. “The long survival in oncology: which QoL? Finding study in more than five years after the end of treatment”. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv347.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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24
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Banna G, Anile G, Russo G, Vigneri P, Castaing M, Nicolosi M, Strano S, Fraggetta F, Marletta F, Gieri S, Spina S, Scandurra G, Calì S, Lipari H, Ippolito M. Predictive and prognostic value of early pet evaluation on disease progression of advanced non-small cell lung cancer. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv343.35] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abstract
We propose a new approach for the realization of very low noise programmable current sources mainly intended for application in the field of low frequency noise measurements. The design is based on a low noise Junction Field Effect Transistor (JFET) acting as a high impedance current source and programmability is obtained by resorting to a low noise, programmable floating voltage source that allows to set the sourced current at the desired value. The floating voltage source is obtained by exploiting the properties of a standard photovoltaic MOSFET driver. Proper filtering and a control network employing super-capacitors allow to reduce the low frequency output noise to that due to the low noise JFET down to frequencies as low as 100 mHz while allowing, at the same time, to set the desired current by means of a standard DA converter with an accuracy better than 1%. A prototype of the system capable of supplying currents from a few hundreds of μA up to a few mA demonstrates the effectiveness of the approach we propose. When delivering a DC current of about 2 mA, the power spectral density of the current fluctuations at the output is found to be less than 25 pA/√Hz at 100 mHz and less than 6 pA/√Hz for f > 1 Hz, resulting in an RMS noise in the bandwidth from 0.1 to 10 Hz of less than 14 pA.
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Affiliation(s)
- G Scandurra
- Dipartimento di Ingegneria Elettronica, Chimica e Ingegneria Industriale, University of Messina, Messina 98166, Italy
| | - G Cannatà
- Dipartimento di Ingegneria Elettronica, Chimica e Ingegneria Industriale, University of Messina, Messina 98166, Italy
| | - G Giusi
- Dipartimento di Ingegneria Elettronica, Chimica e Ingegneria Industriale, University of Messina, Messina 98166, Italy
| | - C Ciofi
- Dipartimento di Ingegneria Elettronica, Chimica e Ingegneria Industriale, University of Messina, Messina 98166, Italy
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Colloca⁎ G, Carreca I, Monfardini S, Gambardella A, Biganzoli L, Barbieri V, Castagneto B, Scandurra G, Tirelli U, Bernabei R, Cova D, Condemi G. Assessment and treatment of elderly people with cancer: Italian (AIOM–SIGG) onco-geriatric survey results. J Geriatr Oncol 2012. [DOI: 10.1016/j.jgo.2012.10.077] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
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Scandurra G, Aiello RA, Taibi E, Sanò MV, Ali M, Fallica G, Chiarenza M, Mazzola A, Di Marco R, Clementi S, Di Leo MGV, Miano E, Caruso M. Different outcomes of cardiologic safety of trastuzumab in adjuvant or metastatic setting in patients with breast cancer: A single institution experience. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e11028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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28
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Andreis D, Scandurra G, Santini D, Gucciardino C, La Verde NM, Girelli S, Alabiso I, Saetta A, Atzori F, Collovà E, Ferzi A, Gori S, Lipari H, Saggia C, Marcon I, Generali DG. First-line bevacizumab (B) plus paclitaxel (P) in HER2-negative (HER2-ve) metastatic breast cancer (mBC): Efficacy and safety in an Italian multicenter retrospective study. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e11502] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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29
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Ali M, Todaro A, Aiello RA, D'agostino A, Scandurra G, Taibi E, Costa C, Caruso M, Girlando A. The role of integrated treatments for patients with cancer with bone metastases: The quarterback study. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e19655] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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30
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Carillio G, Aiello R, Mazzola A, Ali' M, Scandurra G, Taibi E, Chiarenza M, Fallica G, Caruso F, Caruso M. Use of trastuzumab associated with cisplatin and vinorelbine followed by docetaxel as a neoadjuvant regimen for patients with HER2-positive breast cancer. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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31
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Scandurra G, Taibi E, Aiello RA, Chiarenza M, Mazzola A, Vita Sano M, Miano E, Fallica G, Caruso M. After HERA trial: Safety and activity of trastuzumab plus chemotherapy as first-line therapy for patients with breast cancer previously treated with trastuzumab in adjuvant setting—A single-institution experience. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.1136] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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32
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Carillio G, Aiello R, Alì M, Mazzola A, Scandurra G, Taibi E, Chiarenza M, Fallica G, Caruso F, Caruso M. Neoadjuvant trastuzumab in a sequential nonanthracycline-based regimen for patients with stage II-III breast cancer. J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.e11559] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
e11559 Background: Recently, some studies have demonstrated benefit from adding trastuzumab to neoadjuvant anthracycline-containing chemotherapy for HER2-positive breast cancer patients. However, trastuzumab can increase cardiotoxicity, particularly when combined with anthracyclines. This represents a relevant issue for patients who usually need to receive radiotherapy or further systemic treatment. Methods: In the late 2007 we started a phase II study for testing activity and safety of neoadjuvant trastuzumab in association with sequential chemotherapy, based on favourable in vitro combination index, proven efficacy, and moderate cardiotoxicity. Weekly trastuzumab for 18 weeks was combined with cisplatin 80 mg/m2 on day 1 and vinorelbine 25 mg/m2 on days 1+8 q3w for 3 courses, followed by docetaxel 100 mg/m2 q3w for further 3 courses. Peg- filgrastim was administered to prevent neutropenia. Adjuvant trastuzumab q3w was planned for one year. Eligible patients had stage II-III core-biopsied breast carcinoma with overexpressed or amplified HER2/neu. Adequate cardiac function with LVEF ≥ 50% was required for trastuzumab administration. Primary end-point was pathologic complete responses (pCR) rate. The study is registered on the European Clinical Trials Database. Results: Among 17 enrolled patients, 15 were evaluable for primary end-point. Median age was 50 years (range 23–70), stage II and III breast cancer in 4 and 13 patients, respectively, with 4 cases of stage IIIB (2 T4b and 2 T4d), and 2 women with synchronous bilateral cancer. Neoadjuvant regimen yielded 6/15 pCR (40%). Only 3/12 patients treated with lymphadenectomy due to initial clinically suspected axillary nodes presented pN+, but none of them had more than 3 positive nodes. In two cases we observed a total pCR, involving both primary tumor and axillary nodes. Treatment was safe, with only 2 events of short G4 non febrile neutropenia on 97 chemotherapy cycles. Alopecia was moderate at the end of treatment, without any case of complete hair loss. No significant cardiac dysfunction was recorded during the neoadjuvant therapy. Conclusions: The present sequential non anthracycline-based chemotherapy associated with weekly trastuzumab showed promising results in neoadjuvant setting. No significant financial relationships to disclose.
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Affiliation(s)
- G. Carillio
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - R. Aiello
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - M. Alì
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - A. Mazzola
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - G. Scandurra
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - E. Taibi
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - M. Chiarenza
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - G. Fallica
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - F. Caruso
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
| | - M. Caruso
- Humanitas Centro Catanese Di Oncologia, Catania, Italy
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Carillio G, Scandurra G, Aiello R, Taibi E, Mazzola A, Alì M, Bagnato S, Fallica G, Chiarenza M, Caruso M. Fulvestrant in metastatic breast cancer: Safety, efficacy, and role as mainteinance therapy for heavily pretreated patients. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.1133] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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34
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Adamo V, Franchina T, Adamo B, Scandurra G, Scimone A. Brain metastases in patients with non-small cell lung cancer: focus on the role of chemotherapy. Ann Oncol 2006; 17 Suppl 2:ii73-75. [PMID: 16608991 DOI: 10.1093/annonc/mdj930] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/02/2023] Open
Affiliation(s)
- V Adamo
- Department of Human Pathology, Medical Oncology and Integrated Therapies Unit, A.O. Universitaria Policlinico G.Martino, Messina, Italy
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35
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Adamo V, Magno C, Spitaleri G, Garipoli C, Maisano C, Alafaci E, Adamo B, Rossello R, Scandurra G, Scimone A. Phase II Study of Gemcitabine and Cisplatin in Patients with Advanced or Metastatic Bladder Cancer: Long-Term Follow-Up of a 3-Week Regimen. Oncology 2005; 69:391-8. [PMID: 16319510 DOI: 10.1159/000089993] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2005] [Accepted: 07/23/2005] [Indexed: 11/19/2022]
Abstract
BACKGROUND Bladder cancer is the fifth most common cancer among men and the seventh among women. At diagnosis, at least 25% of bladder cancer tumors are locally or systemically advanced. Systemic chemotherapy is the only current modality for advanced or metastatic transitional cell carcinoma of the bladder. Recently, a phase III randomized study has demonstrated that the regimen with gemcitabine (GMC) and cisplatin (CDDP) had a survival advantage similar to the standard M-VAC (methotrexate, vinblastine, doxorubicin and cisplatin), with a better safety profile. AIM It was the aim of this study to evaluate the tumor response rate, the median time to progression, the median survival and toxicity in a 21-day schedule with GMC and CDDP in patients with advanced/metastatic bladder cancer. PATIENTS AND METHODS From September 1998 to December 2000, 27 patients with advanced/metastatic transitional cell carcinoma were enrolled. All patients received 1,200 mg/m(2) GMC administered as a 30-min intravenous infusion on days 1 and 8, and 75 mg/m(2) CDDP as a 1-hour infusion on day 2. Cycles were repeated every 21 days. The patients had a median age of 59.8 years (range 39-75) and an Eastern Cooperative Oncology Group performance status of 0-2. RESULTS Twenty-five patients were valuable for toxic effects, length of survival and tumor response. The statistical analysis was performed in May 2004. Mean and median follow-up were 20.23 and 13.2 months (range 2-68), respectively. The overall remission rate (complete response + partial response) was 48% (95% CI 28.4-67.6%). The median time to progression was 9 months (range 2-56). The median duration of survival for all patients was 13.2 months (range 2-68+), with 1-year and 23-month survival rates of 60 and 20%, respectively. There was no grade 4 toxicity or treatment-related death. Grade 3 anemia was observed in 4 patients (16%) and grade 3 thrombocytopenia occurred in 6 patients (24%). No grade 3-4 nausea/vomiting or neutropenia was observed. CONCLUSION GMC and CDDP is an active schedule with a good safety profile in a 21-day regimen. It may be a valid alternative to the standard 28-day regimen due to its high tumor response and survival with a low incidence of toxicity, especially in pretreated and metastatic patients.
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Affiliation(s)
- V Adamo
- Department of Human Pathology, Medical Oncology and Integrated Therapies Unit, A.O. Universitaria Policlinico G. Martino, Messina, Italy.
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De Luca B, Majorana M, Massimino R, Scandurra G. [Panoramic radiography and bitewing technique in the assessment of proximal carious++ lesions]. Radiol Med 1991; 82:345-7. [PMID: 1947274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Affiliation(s)
- B De Luca
- Istituto di Radiologia, Università di Catania
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37
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Marilli O, Foti AM, Scandurra G, Di Primo A, Musumeci S. [Operator exposure levels in nuclear medicine studies]. Med Lav 1991; 82:50-5. [PMID: 1865847] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
In diagnostic examinations performed in nuclear medicine, radio-isotopes with a relatively short half-life are used, the quantity varying according to the type of examination. After administration of the labelled substance, the patient becomes a large source of ionizing radiations. During the course of a scintigraphic examination, the operator is obliged to go near the couch to assist the patient in the positions and will therefore inevitably be in this radiation field. The paper reports the radio-activity levels recorded at gonad and eye levels of the operator in positions most frequently held during the course of the most commonly performed scintigraphic examinations using a G.E. STARCAM 500 A gamma-camera.
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Affiliation(s)
- O Marilli
- Istituto di Radiologia dell'Università di Catania
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38
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Scandurra G. [Levels of the electromagnetic field in the vicinity of therapeutic devices using radiofrequency and microwaves]. Med Lav 1989; 80:335-40. [PMID: 2593971] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
The paper presents the results of an analysis made on the electromagnetic field levels around RF and MW equipment used for medical purposes to achieve induced thermogenesis in body areas affected by disease. An irradiation diagram was constructed for some of the most widely used devices in clinical practice and measurements were made on RF devices to identify the influence of obstacles in determining electric field levels, such as accessories or persons present in the working environment. Electric field and power density levels were checked, as can be measured at a distance of 100 cm at identical selected power during a typical "lumbar-dorsal spine" treatment using different types of RF and MW devices, to identify the different degree of electromagnetic pollution that each of the devices causes.
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Puleo S, Di Cataldo A, Li Destri G, La Greca G, Castobello C, Bartoloni G, Privitera G, Scandurra G, Latteri F, Rodolico G. Radio-Hyperthermia for Subcutaneous Metastasis of Hemangiopericytoma of the Mediastinum: Case Report. Tumori 1988; 74:485-8. [PMID: 3188247 DOI: 10.1177/030089168807400418] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Hemangiopericytoma is a rare type of neoplasia originating from the Zimmermann pericytes and can arise in numerous sites. As it is difficult to correlate the histologic aspect with the prognosis, it was considered advisable to take account of other factors such as age and tumoral site. Aggressive surgery followed by irradiation therapy is suggested as the most suitable management. Hyperthermia also was adopted in treating subcutaneous metastasis, but its role has yet to be fully defined.
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Affiliation(s)
- S Puleo
- First Department of Surgical Clinic, Università di Catania, Italia
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