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Cucini C, Boschi S, Funari R, Cardaioli E, Iannotti N, Marturano G, Paoli F, Bruttini M, Carapelli A, Frati F, Nardi F. De novo assembly and annotation of Popillia japonica's genome with initial clues to its potential as an invasive pest. BMC Genomics 2024; 25:275. [PMID: 38475721 DOI: 10.1186/s12864-024-10180-x] [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] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/22/2023] [Accepted: 03/04/2024] [Indexed: 03/14/2024] Open
Abstract
BACKGROUND The spread of Popillia japonica in non-native areas (USA, Canada, the Azores islands, Italy and Switzerland) poses a significant threat to agriculture and horticulture, as well as to endemic floral biodiversity, entailing that appropriate control measures must be taken to reduce its density and limit its further spread. In this context, the availability of a high quality genomic sequence for the species is liable to foster basic research on the ecology and evolution of the species, as well as on possible biotechnologically-oriented and genetically-informed control measures. RESULTS The genomic sequence presented and described here is an improvement with respect to the available draft sequence in terms of completeness and contiguity, and includes structural and functional annotations. A comparative analysis of gene families of interest, related to the species ecology and potential for polyphagy and adaptability, revealed a contraction of gustatory receptor genes and a paralogous expansion of some subgroups/subfamilies of odorant receptors, ionotropic receptors and cytochrome P450s. CONCLUSIONS The new genomic sequence as well as the comparative analyses data may provide a clue to explain the staggering invasive potential of the species and may serve to identify targets for potential biotechnological applications aimed at its control.
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Affiliation(s)
- Claudio Cucini
- Department of Life Sciences, University of Siena, Siena, Italy.
| | - Sara Boschi
- Department of Life Sciences, University of Siena, Siena, Italy
| | - Rebecca Funari
- Department of Life Sciences, University of Siena, Siena, Italy
| | - Elena Cardaioli
- Department of Life Sciences, University of Siena, Siena, Italy
| | - Nicola Iannotti
- Department of Life Sciences, University of Siena, Siena, Italy
| | | | - Francesco Paoli
- Council for Agricultural Research and Agricultural Economy Analysis (CREA), Florence, Italy
| | - Mirella Bruttini
- Department of Medical Biotechnologies, Medical Biotech Hub and Competence Centre, University of Siena, Siena, Italy
- Medical Genetics, University of Siena, Siena, Italy
- Genetica Medica, Azienda Ospedaliera Universitaria Senese, Siena, Italy
| | - Antonio Carapelli
- Department of Life Sciences, University of Siena, Siena, Italy
- National Biodiversity Future Center (NBFC), Palermo, Italy
| | - Francesco Frati
- Department of Life Sciences, University of Siena, Siena, Italy
- National Biodiversity Future Center (NBFC), Palermo, Italy
| | - Francesco Nardi
- Department of Life Sciences, University of Siena, Siena, Italy
- National Biodiversity Future Center (NBFC), Palermo, Italy
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Cialdai F, Bolognini D, Vignali L, Iannotti N, Cacchione S, Magi A, Balsamo M, Vukich M, Neri G, Donati A, Monici M, Capaccioli S, Lulli M. Effect of space flight on the behavior of human retinal pigment epithelial ARPE-19 cells and evaluation of coenzyme Q10 treatment. Cell Mol Life Sci 2021; 78:7795-7812. [PMID: 34714361 PMCID: PMC11073052 DOI: 10.1007/s00018-021-03989-2] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Revised: 09/20/2021] [Accepted: 10/13/2021] [Indexed: 10/20/2022]
Abstract
Astronauts on board the International Space Station (ISS) are exposed to the damaging effects of microgravity and cosmic radiation. One of the most critical and sensitive districts of an organism is the eye, particularly the retina, and > 50% of astronauts develop a complex of alterations designated as spaceflight-associated neuro-ocular syndrome. However, the pathogenesis of this condition is not clearly understood. In the current study, we aimed to explore the cellular and molecular effects induced in the human retinal pigment ARPE-19 cell line by their transfer to and 3-day stay on board the ISS in the context of an experiment funded by the Agenzia Spaziale Italiana. Treatment of cells on board the ISS with the well-known bioenergetic, antioxidant, and antiapoptotic coenzyme Q10 was also evaluated. In the ground control experiment, the cells were exposed to the same conditions as on the ISS, with the exception of microgravity and radiation. The transfer of ARPE-19 retinal cells to the ISS and their living on board for 3 days did not affect cell viability or apoptosis but induced cytoskeleton remodeling consisting of vimentin redistribution from the cellular boundaries to the perinuclear area, underlining the collapse of the network of intermediate vimentin filaments under unloading conditions. The morphological changes endured by ARPE-19 cells grown on board the ISS were associated with changes in the transcriptomic profile related to the cellular response to the space environment and were consistent with cell dysfunction adaptations. In addition, the results obtained from ARPE-19 cells treated with coenzyme Q10 indicated its potential to increase cell resistance to damage.
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Affiliation(s)
- Francesca Cialdai
- ASAcampus Joint Laboratory, ASA Res. Div., Department of Experimental and Clinical Biomedical Sciences "Mario Serio", Università Degli Studi Di Firenze, Firenze, Italy
| | - Davide Bolognini
- Department of Experimental and Clinical Medicine, Università Degli Studi Di Firenze, Firenze, Italy
| | - Leonardo Vignali
- ASAcampus Joint Laboratory, ASA Res. Div., Department of Experimental and Clinical Biomedical Sciences "Mario Serio", Università Degli Studi Di Firenze, Firenze, Italy
| | - Nicola Iannotti
- Department of Life Sciences, Università Degli Studi Di Siena, Siena, Italy
| | - Stefano Cacchione
- Department of Biology and Biotechnology "Charles Darwin", Università Di Roma "La Sapienza", Roma, Italy
| | - Alberto Magi
- Department of Information Engineering, Università Degli Studi Di Firenze, Firenze, Italy
| | | | | | | | | | - Monica Monici
- ASAcampus Joint Laboratory, ASA Res. Div., Department of Experimental and Clinical Biomedical Sciences "Mario Serio", Università Degli Studi Di Firenze, Firenze, Italy
| | - Sergio Capaccioli
- Department of Experimental and Clinical Biomedical Sciences "Mario Serio", Università Degli Studi Di Firenze, viale Morgagni 50, 50134, Firenze, Italy
| | - Matteo Lulli
- Department of Experimental and Clinical Biomedical Sciences "Mario Serio", Università Degli Studi Di Firenze, viale Morgagni 50, 50134, Firenze, Italy.
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Abida W, Iannotti N, Kocabas Argon E, Appleman L, Michaud N, Rajarethinam A, Adib D, Saltzstein D. 586P Safety of tazemetostat (TAZ) in combination with abiraterone/prednisone (A/P) or enzalutamide (E) in patients (Pts) with metastatic castration-resistant prostate cancer (mCRPC). Ann Oncol 2021. [DOI: 10.1016/j.annonc.2021.08.1099] [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: 11/25/2022] Open
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Cucini C, Leo C, Iannotti N, Boschi S, Brunetti C, Pons J, Fanciulli PP, Frati F, Carapelli A, Nardi F. EZmito: a simple and fast tool for multiple mitogenome analyses. Mitochondrial DNA B Resour 2021; 6:1101-1109. [PMID: 33796755 PMCID: PMC7995877 DOI: 10.1080/23802359.2021.1899865] [Citation(s) in RCA: 15] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Complete mitochondrial genome data are frequently applied to address phylogenetic/phylogeographic issues at different taxonomic levels in ecology and evolution. While sample preparation/sequencing is becoming more and more straightforward thanks to dropping costs for next-generation sequencing (NGS), data preparation and visualization remains a manually intensive step that may lead to errors if improperly conducted. We have elaborated, and here introduce, EZmito, a simple and intuitive, freely accessible Web Server aimed at automating some of these tasks. EZmito is divided into three main tools: EZpipe that assembles DNA matrices for phylo-mitogenomic analyses; EZskew that calculates genome, strand, and codon nucleotide compositional skews and EZcodon which computes Relative Synonymous Codon Usage statistics as well as amino acid usage frequency over multiple mitogenomes. Output is produced in tabular format as well as publication-quality graphics.
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Affiliation(s)
- Claudio Cucini
- Department of Life Sciences, University of Siena, Siena, Italy
| | - Chiara Leo
- Department of Life Sciences, Imperial College London, London, UK
| | - Nicola Iannotti
- Department of Life Sciences, University of Siena, Siena, Italy
| | - Sara Boschi
- Department of Life Sciences, University of Siena, Siena, Italy
| | | | - Joan Pons
- Department de Biodiversitat Animal i Microbiana, Institut Mediterrani d'Estudis Avancats, Esporles, Spain
| | | | - Francesco Frati
- Department of Life Sciences, University of Siena, Siena, Italy
| | | | - Francesco Nardi
- Department of Life Sciences, University of Siena, Siena, Italy
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Barcenas CH, Hurvitz SA, Di Palma JA, Bose R, Chien AJ, Iannotti N, Marx G, Brufsky A, Litvak A, Ibrahim E, Alvarez RH, Ruiz-Borrego M, Chan N, Manalo Y, Kellum A, Trudeau M, Thirlwell M, Garcia Saenz J, Hunt D, Bryce R, McCulloch L, Rugo HS, Tripathy D, Chan A. Improved tolerability of neratinib in patients with HER2-positive early-stage breast cancer: the CONTROL trial. Ann Oncol 2020; 31:1223-1230. [PMID: 32464281 DOI: 10.1016/j.annonc.2020.05.012] [Citation(s) in RCA: 64] [Impact Index Per Article: 16.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2020] [Revised: 04/27/2020] [Accepted: 05/07/2020] [Indexed: 01/17/2023] Open
Abstract
BACKGROUND Neratinib is an irreversible pan-HER tyrosine kinase inhibitor approved for extended adjuvant treatment in early-stage HER2-positive breast cancer based on the phase III ExteNET study. In that trial, in which no antidiarrheal prophylaxis was mandated, grade 3 diarrhea was observed in 40% of patients and 17% discontinued due to diarrhea. The international, open-label, sequential-cohort, phase II CONTROL study is investigating several strategies to improve tolerability. PATIENTS AND METHODS Patients who completed trastuzumab-based adjuvant therapy received neratinib 240 mg/day for 1 year plus loperamide prophylaxis (days 1-28 or 1-56). Sequential cohorts evaluated additional budesonide or colestipol prophylaxis (days 1-28) and neratinib dose escalation (DE; ongoing). The primary end point was the incidence of grade ≥3 diarrhea. RESULTS Final data for loperamide (L; n = 137), budesonide + loperamide (BL; n = 64), colestipol + loperamide (CL; n = 136), and colestipol + as-needed loperamide (CL-PRN; n = 104) cohorts, and interim data for DE (n = 60; completed ≥six cycles or discontinued; median duration 11 months) are available. No grade 4 diarrhea was observed. Grade 3 diarrhea rates were lower than ExteNET in all cohorts and lowest in DE (L 31%, BL 28%, CL 21%, CL-PRN 32%, DE 15%). Median number of grade 3 diarrhea episodes was one; median duration per grade 3 episode was 1.0-2.0 days across cohorts. Most grade 3 diarrhea and diarrhea-related discontinuations occurred in month 1. Diarrhea-related discontinuations were lowest in DE (L 20%, BL 8%, CL 4%, CL-PRN 8%, DE 3%). Decreases in health-related quality of life did not cross the clinically important threshold. CONCLUSIONS Neratinib tolerability was improved with preemptive prophylaxis or DE, which reduced the rate, severity, and duration of neratinib-associated grade ≥3 diarrhea compared with ExteNET. Lower diarrhea-related treatment discontinuations in multiple cohorts indicate that proactive management can allow patients to stay on neratinib for the recommended time period. CLINICALTRIALS.GOV: NCT02400476.
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Affiliation(s)
- C H Barcenas
- The University of Texas MD Anderson Cancer Center, Houston, USA.
| | - S A Hurvitz
- University of California Los Angeles, Jonsson Comprehensive Cancer Center, Los Angeles, USA
| | - J A Di Palma
- University of South Alabama College of Medicine, Mobile, USA
| | - R Bose
- Washington University School of Medicine, St Louis, USA
| | - A J Chien
- University of California San Francisco Comprehensive Cancer Center, San Francisco, USA
| | - N Iannotti
- Hematology Oncology Associates of the Treasure Coast, Port St. Lucie, USA
| | - G Marx
- Adventist Health Care, Wahroonga, Australia
| | - A Brufsky
- Magee-Womens Hospital of UPMC, Pittsburgh, USA
| | - A Litvak
- Saint Barnabas Medical Center, Livingston, USA
| | - E Ibrahim
- Redlands Community Hospital, Redlands, USA
| | - R H Alvarez
- Southeastern Regional Medical Center, Inc., Newnan, USA
| | | | - N Chan
- Rutger Cancer Institute of New Jersey, New Brunswick, USA
| | - Y Manalo
- Coastal Bend Cancer Center, Corpus Christi, USA
| | - A Kellum
- North Mississippi Medical Center Hematology and Oncology Clinic, Tupelo, USA
| | - M Trudeau
- Sunnybrook Research Institute, Toronto, Canada
| | - M Thirlwell
- McGill University Health Centre, Montreal, Canada
| | | | - D Hunt
- Puma Biotechnology Inc., Los Angeles, USA
| | - R Bryce
- Puma Biotechnology Inc., Los Angeles, USA
| | | | - H S Rugo
- University of California San Francisco Comprehensive Cancer Center, San Francisco, USA
| | - D Tripathy
- The University of Texas MD Anderson Cancer Center, Houston, USA
| | - A Chan
- Breast Cancer Research Centre-WA & Curtin University, Perth, WA, Australia
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Hrinczenko B, Spigel D, Iannotti N, Safran H, Taylor M, Bennouna J, Goel S, Leach J, Wong D, Kelly K, Verschraegen C, Bajars M, Manitz J, Ruisi M, Gulley J. Long-term avelumab treatment in patients with advanced non-small cell lung cancer (NSCLC): Post hoc analyses from JAVELIN solid tumour. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz260.015] [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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7
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Katakami N, Felip E, Spigel DR, Kim JH, Olivo M, Guo M, Nokihara H, Yang JCH, Iannotti N, Satouchi M, Barlesi F. A randomized, open-label, multicenter, phase 3 study to compare the efficacy and safety of eribulin to treatment of physician's choice in patients with advanced non-small cell lung cancer. Ann Oncol 2017; 28:2241-2247. [PMID: 28911085 PMCID: PMC5834051 DOI: 10.1093/annonc/mdx284] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
BACKGROUND Eribulin is a microtubule dynamics inhibitor with a novel mechanism of action. This phase 3 study aimed to compare overall survival (OS) in patients with heavily pretreated non-small cell lung cancer (NSCLC) receiving eribulin to treatment of physician's choice (TPC). PATIENTS AND METHODS Patients with advanced NSCLC who had received ≥2 prior therapies, including platinum-based doublet and epidermal growth factor receptor tyrosine kinase inhibitor, were randomly assigned to receive eribulin or TPC (gemcitabine, pemetrexed, vinorelbine, docetaxel). The primary endpoint was OS. Secondary endpoints were progression-free survival and objective response rate. RESULTS Five hundred and forty patients were randomized to either eribulin (n = 270) or TPC (n = 270). Median OS for eribulin and TPC was the same: 9.5 months [hazard ratio (HR): 1.16; 95% confidence interval: 0.95-1.41; P = 0.13]. Progression-free survival for eribulin and TPC was 3.0 and 2.8 months, respectively (HR: 1.09; 95% confidence interval: 0.90-1.32; P = 0.39). The objective response rate was 12% for eribulin and 15% for TPC. Clinical benefit rate (eribulin, 57%; TPC, 55%) and disease control rate (eribulin, 63%; TPC, 58%) were similar between treatment arms. The most common adverse event was neutropenia, which occurred in 57% of eribulin patients and 49% of TPC patients at all grades. Other non-hematologic side-effects were manageable and similar in both groups except for peripheral sensory neuropathy (all grades; eribulin, 16%; TPC, 9%). CONCLUSION This phase 3 study did not demonstrate superiority of eribulin over TPC with regard to overall survival. However, eribulin does show activity in the third-line setting for NSCLC. TRIAL REGISTRATION ID www.ClinicalTrials.gov; NCT01454934.
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Affiliation(s)
- N. Katakami
- Division of Integrated Oncology, Institute of Biomedical Research and Innovation Hospital, Kobe, Japan
| | - E. Felip
- Department of Oncology, Vall d’Hebron University Hospital, Barcelona, Spain
| | - D. R. Spigel
- Lung Cancer Research Program, Sarah Cannon Research Institute, Nashville, TN, USA
| | - J.-H. Kim
- Department of Internal Medicine, CHA Bundang Medical Center, CHA University, Gyeonggi-do, Republic of Korea
| | - M. Olivo
- Eisai Inc., Woodcliff Lake, NJ, USA
| | - M. Guo
- Eisai Inc., Woodcliff Lake, NJ, USA
| | - H. Nokihara
- Department of Thoracic Oncology, National Cancer Center Hospital, Tokyo, Japan
| | - J. C.-H. Yang
- Department of Oncology, National Taiwan University Hospital and National Taiwan University Cancer Center, Taipei, Taiwan
| | - N. Iannotti
- Department of Oncology, Hematology–Oncology Associates of Treasure Coast, Port St. Lucie, FL, USA
| | - M. Satouchi
- Department of Thoracic Oncology, Hyogo Cancer Center, Akashi, Japan
| | - F. Barlesi
- Multidisciplinary Oncology & Therapeutic Innovations Department, Assistance Publique Hôpitaux de Marseille, Aix Marseille University, Marseille, France
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Gulley J, Rajan A, Spigel D, Iannotti N, Chandler J, Wong D, Leach J, Edenfield W, Wang D, Bajars M, Von Heydebreck A, Kelly K. 3090 Avelumab (MSB0010718C), an anti-PD-L1 antibody, in patients with metastatic or recurrent non-small-cell lung cancer progressing after platinum-based chemotherapy: A phase Ib trial. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31731-2] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Spigel D, Barlesi F, Felip E, Kim J, Olivo M, Nokihara H, Yang J, Satouchi M, Katakami N, Iannotti N. Efficacy and Safety of Eribulin Compared with Treatment of Physician’s Choice (TPC) in Patients with Advanced Non-Small-Cell Lung Cancer (NSCLC): Results from a Phase 3 Study. Int J Radiat Oncol Biol Phys 2014. [DOI: 10.1016/j.ijrobp.2014.09.037] [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: 10/24/2022]
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Mok T, Geater S, Iannotti N, Thongprasert S, Spira A, Smith D, Lee V, Lim W, Reyderman L, Wang B, Gopalakrishna P, Garzon F, Xu L, Reynolds C. Randomized phase II study of two intercalated combinations of eribulin mesylate and erlotinib in patients with previously treated advanced non-small-cell lung cancer. Ann Oncol 2014; 25:1578-84. [DOI: 10.1093/annonc/mdu174] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [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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Aggarwal C, Meropol NJ, Punt CJ, Iannotti N, Saidman BH, Sabbath KD, Gabrail NY, Picus J, Morse MA, Mitchell E, Miller MC, Cohen SJ. Relationship among circulating tumor cells, CEA and overall survival in patients with metastatic colorectal cancer. Ann Oncol 2013; 24:420-428. [PMID: 23028040 DOI: 10.1093/annonc/mds336] [Citation(s) in RCA: 125] [Impact Index Per Article: 11.4] [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: 01/05/2023] Open
Abstract
BACKGROUND We previously reported results of a prospective trial evaluating the significance of circulating tumor cells (CTCs) in patients with metastatic colorectal cancer (mCRC). This secondary analysis assessed the relationship of the CTC number with carcinoembryonic antigen (CEA) and overall survival. PATIENTS AND METHODS Patients with mCRC had CTCs measured at baseline and specific time points after the initiation of new therapy. Patients with a baseline CEA value ≥ 10 ng/ml and CEA measurements within ± 30 days of the CTC collection were included. RESULTS We included 217 patients with mCRC who had a CEA value of ≥ 10 ng/ml. Increased baseline CEA was associated with shorter survival (15.8 versus 20.7 months, P = 0.012). Among all patients with a baseline CEA value of ≥ 25 ng/ml, patients with low baseline CTCs (<3, n = 99) had longer survival than those with high CTCs (≥ 3, n = 58; 20.8 versus 11.7 months, P = 0.001). CTCs added prognostic information at the 3-5- and 6-12-week time points regardless of CEA. In a multivariate analysis, CTCs at baseline but not CEA independently predicted survival and both CTCs and CEA independently predicted survival at 6-12 weeks. CONCLUSIONS This study demonstrates that both CEA and CTCs contribute prognostic information for patients with mCRC.
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Affiliation(s)
- C Aggarwal
- Department of Medicine, Division of Hematology-Oncology, University of Pennsylvania, Philadelphia.
| | - N J Meropol
- Department of Medicine, Division of Hematology-Oncology, Case Western Reserve University, Cleveland, USA
| | - C J Punt
- Department of Medical Oncology, Academic Medical Center, University of Amsterdam, The Netherlands
| | - N Iannotti
- Hematology Oncology Associates, Port Saint Lucie
| | | | - K D Sabbath
- Medical Oncology and Hematology, PC, New Haven
| | | | - J Picus
- Department of Medical Oncology, Washington University, St Louis
| | - M A Morse
- Department of Medical Oncology, Duke University Medical Center, Durham
| | - E Mitchell
- Department of Medicine, Division of Hematology-Oncology, Thomas Jefferson University, Philadelphia
| | | | - S J Cohen
- Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, USA
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Iannotti N, Masini G, Bernardini C, Soavi L, Cologni G, Malfatto E, Benatti S, Maggiolo F. Comment on: Residual viraemia does not influence 1 year virological rebound in HIV-infected patients with HIV RNA persistently below 50 copies/mL. J Antimicrob Chemother 2012; 67:2540-1; author reply 2541-2. [DOI: 10.1093/jac/dks233] [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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13
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Moyo VM, Higgins MJ, Aravelo-Araujo R, Iannotti N, Charu V, Dhindsa N, Goss PE. A randomized, double-blind phase II trial of exemestane with or without MM-121 in postmenopausal women with locally advanced or metastatic estrogen receptor-positive (ER+) and/or progesterone receptor-positive (PR+), HER2-negative breast cancer. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.tps112] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [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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Mitchell EP, Lacouture M, Shearer H, Iannotti N, Piperdi B, Pillai M, Xu F, Yassine M. Final STEPP results of prophylacatic versus reactive skin toxicity (ST) treatment (tx) for panitumumab (pmab)-related ST in patients (pts) with metastatic colorectal cancer (mCRC). J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.18_suppl.cra4027] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [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
CRA4027 Background: Pmab, a fully human monoclonal antibody targeting the epidermal growth factor receptor (EGFR), is approved as monotherapy in the US for mCRC following disease progression (PD) and in the EU and Canada for tumors bearing wild-type (WT) KRAS. The most common toxicity with anti-EGFR inhibitors are ST. This study of pmab+ chemotherapy (CT) estimates the difference in the incidence of specific ≥ grade 2 ST of interest between pts receiving prophylactic (P) or reactive (R) skin tx. Methods: Pts had unresectable mCRC after PD with 1st-line fluoropyrimidine and oxaliplatin-based CT ± bevacizumab. Pts received either pmab 6.0mg/kg/FOLFIRI Q2W or pmab 9 mg/kg/irinotecan Q3W. Within each stratum, pts were randomized 1:1 to either P ST tx 24 hrs before the 1st dose daily for 6 wks or R ST tx after ST occurred. Tx for ST included: moisturizers, sunscreen, topical steroid, and doxycycline. Efficacy and safety were evaluated by P vs R tx groups, KRAS status (mutant [MT] vs WT), and chemotherapy status. Responses were assessed using modified RECIST with confirmation. Quality of life was assessed using the Dermatology Life Quality Index at screening, wks 2–7, and follow-up. Results: 95 pts were enrolled and randomized: 48 pts to P and 47 pts to R. During the 6 wk ST tx period, 29% of pts in the P group vs 62% of pts in the R group had protocol-specified ≥grade 2 ST. Of the 87 KRAS evaluable pts, 49 (56%) pts had WT KRAS and 38 (44%) pts had MT KRAS. Efficacy and safety are shown. Mean (SD) change in DLQI from baseline was 1.3 (2.6) for P and 4.2 (5.8) for R at wk 3 (when the median time to 1st ≥grade 2 ST was reached in the R group) and was 2.0 (2.8) for P and 2.6 (4.4) for R at wk 7. Conclusions: Prophylactic use of the skin tx regimen resulted in >50% reduction in the rate of specific ≥ grade 2 STs and improved QOL during the 6-week skin tx period vs R use. Numerical differences in favor of the P group were observed for all endpoints. [Table: see text] [Table: see text]
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Affiliation(s)
- E. P. Mitchell
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Lacouture
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - H. Shearer
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - N. Iannotti
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - B. Piperdi
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Pillai
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - F. Xu
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Yassine
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
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15
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Mitchell EP, Lacouture M, Shearer H, Iannotti N, Piperdi B, Pillai M, Xu F, Yassine M. Final STEPP results of prophylacatic versus reactive skin toxicity (ST) treatment (tx) for panitumumab (pmab)-related ST in patients (pts) with metastatic colorectal cancer (mCRC). J Clin Oncol 2009. [DOI: 10.1200/jco.2009.27.15_suppl.cra4027] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
CRA4027 The full, final text of this abstract will be available in Part II of the 2009 ASCO Annual Meeting Proceedings, distributed onsite at the Meeting on May 30, 2009, and as a supplement to the June 20, 2009, issue of the Journal of Clinical Oncology. [Table: see text]
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Affiliation(s)
- E. P. Mitchell
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Lacouture
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - H. Shearer
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - N. Iannotti
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - B. Piperdi
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Pillai
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - F. Xu
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
| | - M. Yassine
- Thomas Jefferson University, Philadelphia, PA; Northwestern University, Chicago, IL; Piedmont Hematology Oncology Associates PLLC, Winston-Salem, NC; Hematology Oncology Associates of Treasure Coast, Port Saint Lucie, FL; University of Massachusetts Medical Center, Worcester, MA; Amgen, Inc., Thousand Oaks, CA
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16
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Cohen SJ, Punt CJA, Iannotti N, Saidman BH, Sabbath KD, Gabrail NY, Picus J, Morse MA, Mitchell E, Miller MC, Doyle GV, Tissing H, Terstappen LWMM, Meropol NJ. Prognostic significance of circulating tumor cells in patients with metastatic colorectal cancer. Ann Oncol 2009; 20:1223-9. [PMID: 19282466 DOI: 10.1093/annonc/mdn786] [Citation(s) in RCA: 378] [Impact Index Per Article: 25.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
BACKGROUND We demonstrated that circulating tumor cell (CTC) number at baseline and follow-up is an independent prognostic factor in metastatic colorectal cancer (mCRC). This analysis was undertaken to explore whether patient and treatment characteristics impact the prognostic value of CTCs. PATIENTS AND METHODS CTCs were enumerated with immunomagnetic separation from the blood of 430 patients with mCRC at baseline and on therapy. Patients were stratified into unfavorable and favorable prognostic groups based on CTC levels of > or = 3 or <3 CTCs/7.5 ml, respectively. Subgroups were analyzed by line of treatment, liver involvement, receipt of oxaliplatin, irinotecan, or bevacizumab, age, and Eastern Cooperative Oncology Group performance status (ECOG PS). RESULTS Seventy-one percent of deaths have occurred. Median follow-up for living patients is 25.8 months. For all patients, progression-free survival (PFS) and overall survival (OS) for unfavorable compared with favorable baseline CTCs is shorter (4.4 versus 7.8 m, P = 0.004 for PFS; 9.4 versus 20.6 m, P < 0.0001 for OS). In all patient subgroups, unfavorable baseline CTC was associated with inferior OS (P < 0.001). In patients receiving first- or second-line therapy (P = 0.003), irinotecan (P = 0.0001), having liver involvement (P = 0.002), >/=65 years (P = 0.0007), and ECOG PS of zero (P = 0.04), unfavorable baseline CTC was associated with inferior PFS. CONCLUSION Baseline CTC count is an important prognostic factor within specific subgroups defined by treatment or patient characteristics.
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Affiliation(s)
- S J Cohen
- Department of Medical Oncology, Fox Chase Cancer Center, Philadelphia, PA 19111-2497, USA.
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17
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Mitchell EP, LaCouture ME, Shearer H, Iannotti N, Piperdi B, Pillai MV, Xu F, Couture M, Yassine M. A phase II, open-label trial of skin toxicity (ST) evaluation (STEPP) in metastatic colorectal cancer (mCRC) patients (pts) receiving panitumumab (pmab) + FOLFIRI or irinotecan-only chemotherapy (CT) as 2nd-line treatment (tx): Interim analysis. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.15007] [Citation(s) in RCA: 6] [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: 11/20/2022] Open
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18
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Donati K, Rossi M, Iannotti N, Calbi M, Marzocchetti A, Pedicelli A, Di Castelnuovo A, Fantoni M, Iacoviello L, Cauda R, De Luca A. Do genetic polymorphisms associated with inflammation/lipodystrophy or endothelial damage predict carotid alterations in HIV+ subjects under cART? J Int AIDS Soc 2008. [DOI: 10.1186/1758-2652-11-s1-p99] [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: 11/10/2022] Open
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19
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Meropol NJ, Cohen SJ, Iannotti N, Saidman BH, Sabbath KD, Miller MC, Doyle GV, Tissing H, Terstappen L, Punt C. Circulating tumor cells (CTC) predict progression free (PFS) and overall survival (OS) in patients with metastatic colorectal cancer. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.4010] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.7] [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
4010 Background: Treatment options for patients with metastatic colorectal cancer (mCRC) have recently expanded. However, the introduction of new regimens has highlighted the need for biomarkers to guide and monitor therapy. This study investigates the hypothesis that CTC levels can predict clinical outcomes in patients with mCRC. Methods: In a prospective multi-center study, 7.5 mL of blood from 456 patients with mCRC were tested for CTC using immunomagnetic separation before starting 1st, 2nd or 3rd line therapy and at subsequent radiographic follow-up timepoints. Response on imaging was determined by participating centers. Results: Patients were stratified into unfavorable and favorable prognostic groups based on levels of =3 or <3 CTC per 7.5mL, respectively. Median PFS, OS and significance between the two groups (log rank test) at different timepoints after the initiation of therapy is indicated in the table . The OS of patients converting to or maintaining unfavorable CTC at follow up timepoints was worse than for patients maintaining favorable CTC (12.6, 7.0 vs. 21.1 months, respectively, p<0.0001). In multivariate analyses, which included age, ECOG performance status, and the line and type of therapy, CTC remained the most significant independent predictor of outcome. Conclusions: CTC levels before treatment and at subsequent timepoints are an independent predictor of PFS and OS in patients with mCRC. CTC levels of =3 per 7.5mL of blood after initiation of therapy are highly predictive of shorter PFS and OS. A large randomized phase III study to confirm these findings in mCRC patients receiving first line therapy recently completed accrual (DCCG CAIRO- 2). [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- N. J. Meropol
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - S. J. Cohen
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - N. Iannotti
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - B. H. Saidman
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - K. D. Sabbath
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - M. C. Miller
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - G. V. Doyle
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - H. Tissing
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - L.W.M.M. Terstappen
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
| | - C.J.A. Punt
- Fox Chase Cancer Center, Philadelphia, PA; Hematology Oncology Associates, Port Saint Lucie, FL; Medical Oncology Associates, Kingston, PA; Medical Oncology and Hematology, PC, New Haven, CT; Immunicon Corporation, Huntingdon Valley, PA; Radboud University Nijmegen Medical Center, Nijmegen, The Netherlands
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20
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Das A, Spira A, Iannotti N, Savin M, Zang E, Datta K, Shapiro G, Patturajan M, Silberman S. A phase II study of a novel anti-tubulin, E7389, in patients with advanced non-small cell lung cancer (NSCLC). J Clin Oncol 2006. [DOI: 10.1200/jco.2006.24.18_suppl.7106] [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] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
7106 Background: E7389, a synthetic analog of halichondrin B that was isolated from a marine sponge, has broad anti-proliferative activity at nanomolar levels and a unique profile of tubulin interactions. Methods: This is an open-label, single-arm, stratified phase II study of E7389 in patients with measurable, recurrent and/or metastatic NSCLC who progressed during or after platinum-based doublet chemotherapy. E7389 (1.4 mg/m2) was administered as a bolus IV on days 1, 8, and 15 of a 28-day cycle to 72 patients (cohort 1) in stratum I (55 taxane pretreated patients) and stratum II (17 taxane-naive patients) and on Days 1 and 8 of a 21-day cycle (cohort 2), providing an additional 22 patients in stratum I. The primary efficacy endpoint was objective response rate to E7389 monotherapy. Results: As of 9 December 2005, 94 evaluable patients received E7389. Nineteen tumors were classified as squamous cell carcinomas, 39 as adenocarcinomas, and 36 were large cell carcinomas or unclassified. The median number of cycles completed was 3. Fifteen patients completed 6 or more cycles and 75 patients underwent tumor assessments after cycle 2. Major toxicities related to study drug included myelosuppression, nausea, fatigue, dehydration, arthralgias, dyspnea, and peripheral neuropathy. Based on RECIST criteria, 6 partial responses (PR) were observed among 94 evaluable patients (PR rate = 6.4%, 95% CI: 2.8%, 12.8%). For 33 patients the best response was stable disease (SD rate = 35.1%, 95% CI: 25.5%, 45.1%). Disease control rate (PR + SD) was 41.5% (95% CI: 31.4%, 51.7%). For cohort 1, the 12-week progression free survival rate was 57.2%. As of 9 December 2005, median PFS time was 108 days (95% CI = 55, min-max = 1–239+). Cohort 2 is being followed to estimate their 12-week PFS. The correlation of beta tubulin isotype, stathmin, microtubule-associated protein 4 (MAP4) and tau protein mRNA expression with tumor responses is on-going. Conclusions: Based on this data, E7389 has been shown to be safe and effective in the treatment of NSCLC patients. Updated information and results of molecular correlations of responses will be presented. [Table: see text]
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Affiliation(s)
- A. Das
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - A. Spira
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - N. Iannotti
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - M. Savin
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - E. Zang
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - K. Datta
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - G. Shapiro
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - M. Patturajan
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
| | - S. Silberman
- Eisai Medical Research, Inc., Ridgefield Park, NJ; Fairfax Northern Virginia Hematology Oncology, Fairfax, VA; Hematology-Oncology Associates, Port Saint-Lucie, FL; Texas Oncology PA, Dallas, TX
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21
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Markman M, D'Acquisto R, Iannotti N, Kris M, Hakes T, Bajorin D, Bosl G, Reichman B, Casper E, Magill G. Phase-1 trial of high-dose intravenous cisplatin with simultaneous intravenous sodium thiosulfate. J Cancer Res Clin Oncol 1991; 117:151-5. [PMID: 2007612 DOI: 10.1007/bf01613139] [Citation(s) in RCA: 26] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
Previous pharmacological and clinical data have suggested that it is possible to increase significantly the dose of "active" cisplatin delivered systemically by the simultaneous administration of intravenous sodium thiosulfate. In order to define more critically the toxicity and potential efficacy of this therapeutic approach, 36 patients with a variety of solid tumors and limited pretreatment were entered into a phase-1 trial of high-dose intravenous cisplatin plus sodium thiosulfate. The maximally tolerated dose of cisplatin was found to be 200 mg/m2, excessive renal toxicity being observed at a dose of 225 mg/m2 (6/14 courses associated with serum creatinine rise to greater than 2.0 mg-%). Following several courses of high-dose cisplatin, peripheral neuropathy becomes the limiting toxicity (9/15 patients receiving at least three courses of cisplatin at greater than or equal to 150 mg/m2 experienced at least grade-1 neuropathy). Significant ototoxicity developed after only one or two treatment courses, but with continued treatment hearing loss appeared to stabilize in the moderately severe range in most patients. Major responses (PR/CR) were observed in 7/27 evaluable patients. We conclude that cisplatin can be administered at a dose at 200 mg/m2 as a 2-h infusion (with simultaneous sodium thiosulfate) with significant but acceptable toxicities and without evidence of loss of anti-neoplastic activity (secondary to the presence of thiosulfate). However, owing to the development of neurotoxicity most patients will be unable to receive more than three courses of this high-dose treatment regimen.
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Affiliation(s)
- M Markman
- Department of Medicine, Memorial Sloan-Kettering Cancer Center, New York, New York 10021
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