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Calvo E, de Jonge M, Rasco D, Moreno V, Chang YW, Chiney M, Motwani M, Penugonda S, Petrich A, Ratain M, LoRusso P. First-in-human study of ABBV-621 in patients (pts) with previously treated sold tumours: Dose-optimization cohorts. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz244.019] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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52
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Stradella A, Johnson M, Goel S, Chandana S, Galsky M, Calvo E, Moreno V, Park H, Arkenau HT, Cervantes A, Madrid LF, Mileshkin L, Plummer R, Evans J, Horvath L, Prawira A, Pelham R, Mu S, Andreu-Vieyra C, Barve M. Updated results of the PARP1/2 inhibitor pamiparib in combination with low-dose (ld) temozolomide (TMZ) in patients (pts) with locally advanced or metastatic solid tumours. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz244.013] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Abstract
The availability of an unprecedented massive amount of data has provided a magnificent window of opportunity for the development of new drugs. There are currently more drugs in development targeting cancer than any other disease. While this has brought us new waves of drugs, the counterpart is that with these new molecules we have different mechanisms of action, drug kinetics and dynamics, response types and toxicity profiles, which impair classical early clinical trial designs from being effective and efficient. What we once treated as a 'one-size-fits-all' homogeneous disease, has now been uncovered to be a rather heterogeneous condition with multiple targetable mutations. As this generates endless scenarios, it will be impossible to design single 'me-too' trials for every different disease, target, biomarker and agent. To overcome this, we must focus on improving early phase studies, undoubtedly the most critical step from bench to bedside. Goals include decreasing clinical development times, lowering research and development costs and optimizing decisions in advancing through the several phases with a higher degree of certainty in exchange for less failed attempts. We need more informative and, really, transformative early phase designs that seek to obtain the typical late phase objectives in a time continuum and to allow for more robust and efficient go/no-go decisions. With this in mind, different classes of drugs seem to fit with different designs, which present solutions to the different challenges that they pose after finding the maximum tolerated dose/optimum biological dose. This article reviews these concepts and designs and how they can adapt to this new reality in early phase investigation.
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Martinez P, Baldan-Martin M, López J, Martin-Lorenzo M, Santiago-Hernandez A, Agudiez M, Vázquez J, Calvo E, Ruiz-Hurtado G, Vivanco F, Ruilope L, Barderas M, Llamas GA. Molecular Profile Of Cardiovascular Risk In Young Population: A Promising Tool For Early Prevention. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.179] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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55
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Rodriguez-Sanchez E, Navarro-García J, Aceves-Ripoll J, González-Lafuente L, Corbacho-Alonso N, Cabrera M, Calvo E, Alvarez-Llamas G, Barderas M, Ruilope L, Ruiz-Hurtado G. Lifetime Cardiovascular Risk Is Associated With Systemic Oxidative Status In Young Adults Independently Of Traditional Cardiovascular Risk Factors. Atherosclerosis 2019. [DOI: 10.1016/j.atherosclerosis.2019.06.486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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56
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Chau I, Bendell J, Soriano A, Arkenau H, Cultrera J, Santana-Davila R, Calvo E, Tourneau CL, Zender L, Mi G, Schelman W, Ferry D, Herbst R, Fuchs C. Safety and antitumor activity from the phase Ib study of ramucirumab plus pembrolizumab in treatment-naïve advanced gastric or gastroesophageal junction (G/GEJ) adenocarcinoma (JVDF). Ann Oncol 2019. [DOI: 10.1093/annonc/mdz157.001] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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de Miguel M, Calvo E. Early-phase clinical drug development of novel agents: a changing paradigm. Ann Oncol 2019; 30:1033-1037. [PMID: 31114864 DOI: 10.1093/annonc/mdz165] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 08/09/2023] Open
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58
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Castaño A, Pedraza-Díaz S, Cañas AI, Pérez-Gómez B, Ramos JJ, Bartolomé M, Pärt P, Soto EP, Motas M, Navarro C, Calvo E, Esteban M. Mercury levels in blood, urine and hair in a nation-wide sample of Spanish adults. THE SCIENCE OF THE TOTAL ENVIRONMENT 2019; 670:262-270. [PMID: 30903899 DOI: 10.1016/j.scitotenv.2019.03.174] [Citation(s) in RCA: 23] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/08/2018] [Revised: 03/12/2019] [Accepted: 03/12/2019] [Indexed: 05/27/2023]
Abstract
Mercury (Hg) is among the top 10 environmental chemicals of major public health concern (WHO). The Minamata Convention on Mercury (United Nations Environment Program, 2017), commits signing countries to control anthropogenic mercury emissions and reduce human exposure. Human biomonitoring (HBM) programs, are the most straight-forward approaches to get information on the actual exposure levels in the population and assess over time. We report here the results of a HBM study in a nationwide cross-section of Spanish adults (18-65y) as baseline values obtained before the Minamata Convention entered into force. Subsequent follow-ups will show if the Convention has been successful. The study includes 1880 blood samples, 1704 urine samples and 577 hair samples from all Spanish regions collected and analysed under a strictly quality controlled and quality assured protocol. The EU-DEMOCOPHES project demonstrated that fish and seafood are the major sources of mercury exposure and that the Spanish as well as the Portuguese populations have higher levels than other European countries. The data from the present study confirms this pattern at national level and that inhabitants in coastal regions have higher values than from inland regions. The geometric mean (GM) for blood is 6.35 μg Hg/l, in urine is 1.11 μg Hg/l and for hair is 1.91 μg Hg/g. In an international comparison these values are not exceptional. Spanish concentrations fall into the group of Easter Mediterranean populations. Although information on gender, age, occupational sector, geographical area, sampling period and frequency of fish consumption is reported in the tables, the purpose of this paper has not been to analyse the determinants of exposure in detail but to provide baseline data for future assessments and for regional authorities.
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Hoffmann C, Calugaru V, Garcia VM, Mirabel X, de Spéville BD, Calvo E, Jouffroy T, Rodrigez J, Chilles-Wang A, Yemi M, Lesnik M, Badois N, Liem X, Salas S, Fakhri N, Khanà SWH, Le Tourneau C. OC-043 HNSCC in elderly frail patients treated by hafnium oxide nanoparticles activated by IMRT. Radiother Oncol 2019. [DOI: 10.1016/s0167-8140(19)30209-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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60
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Babiker H, Brana I, Mahadevan D, Owonikoko T, Calvo E, Rischin D, Moreno V, Papadopoulos K, Crittenden M, Formenti S, Giralt J, Garrido P, Hervás Morón A, Mohan K, Fury M, Lowy I, Stankevich E, Feng M, Li J, Mathias M. Phase I expansion cohort results of cemiplimab, a human PD-1 monoclonal antibody, in combination with radiotherapy (RT), cyclophosphamide and GM-CSF, in patients (pts) with recurrent or metastatic head and neck squamous cell carcinoma (R/M HNSCC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy487.005] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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61
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Owonikoko T, Papadopoulos K, Johnson M, Gil Martín M, Moreno V, Salama A, Calvo E, Yee N, Safran H, Aljumaily R, Mahadevan D, Niu J, Kal Mohan K, Li J, Stankevich E, Mathias M, Lowy I, Fury M, Babiker H. Phase I study of cemiplimab, a human monoclonal anti-PD-1, in patients with unresectable locally advanced or metastatic cutaneous squamous cell carcinoma (CSCC): Longer follow-up efficacy and safety data. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy487.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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62
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Calugaru V, Hoffmann C, Garcia VM, Mirabel X, Dodger B, Calvo E, Jouffroy T, Rodriguez J, Chilles A, Yemi M, Lesnik M, Badois N, Liem X, Le Tourneau C. Elderly Patients: NBTXR3 as a Novel Treatment Option in Locally Advanced HNSCC. Int J Radiat Oncol Biol Phys 2018. [DOI: 10.1016/j.ijrobp.2018.07.790] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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63
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Middleton M, Wermke M, Calvo E, Chartash E, Zhou H, Zhao X, Niewel M, Dobrenkov K, Moreno V. Phase I/II, multicenter, open-label study of intratumoral/intralesional administration of the retinoic acid–inducible gene I (RIG-I) activator MK-4621 in patients with advanced or recurrent tumors. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy424.016] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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64
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Babiker H, Brana I, Mahadevan D, Owonikoko T, Calvo E, Rischin D, Moreno V, Papadopoulos K, Crittenden M, Formenti S, Giralt J, Garrido Lopez P, Hervás Morón A, Mohan K, Fury M, Lowy I, Stankevich E, Feng M, Li J, Mathias M. Phase I expansion cohort results of cemiplimab, a human PD-1 monoclonal antibody, in combination with radiotherapy (RT), cyclophosphamide and GM-CSF, in patients (pts) with recurrent or metastatic head and neck squamous cell carcinoma (R/M HNSCC). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy288.044] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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65
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Forster M, Moreno V, Calvo E, Olmedo M, Lopez-Criado M, Lopez-Vilariño J, Nuñez R, Kahatt C, Soto-Matos A. P1.12-20 Overall Survival with Lurbinectedin Plus Doxorubicin in Relapsed SCLC. Results from an Expansion Cohort of a Phase Ib Trial. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.855] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
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66
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Regidor PA, Colli E, Calvo E. Klinische Entwicklung von GinoRing®. Ein neuer Etonogestrel/Ethinylestradiol haltiger Vaginalring zur Verhütung. Vergleichende Bioäquivalenz zum NuvaRing®. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1671277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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67
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Le Tourneau C, Calugaru V, Moreno V, Mirabel X, Dodger B, Calvo E, Jouffroy T, Rodriguez J, Chilles A, Yemi M, Hoffmann C. Elderly patients with locally advanced head and neck squamous cell carcinoma treated with NBTXR3 nanoparticles activated by radiotherapy: A phase I trial. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy287.014] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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68
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Owonikoko T, Papadopoulos K, Gil-Martin M, Moreno V, Salama A, Calvo E, Safran H, González-Martín A, Aljumaily R, Mahadevan D, Niu J, Kal Mohan K, Li J, Stankevich E, Mathias M, Lowy I, Fury M, Babiker H. Phase I study of cemiplimab, a human monoclonal anti-PD-1, in patients with unresectable locally advanced or metastatic cutaneous squamous cell carcinoma (CSCC): Longer follow-up efficacy and safety data. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy289.048] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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69
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Rosenberg J, Sharma P, de Braud F, Basso U, Calvo E, Bono P, Morse M, Ascierto P, Lopez-Martin J, Brossart P, Rohrberg K, Reguart N, Lin W, Meadows-Shropshire S, Saci A, Callahan M, Siefker-Radtke A. Nivolumab (N) alone or in combination with ipilimumab (I) in patients (pts) with platinum-pretreated metastatic urothelial carcinoma (mUC), including the nivolumab 1 mg/kg + ipilimumab 3 mg/kg expansion from CheckMate 032. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy424.038] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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70
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Regidor PA, Colli E, Calvo E. Bakterielle Adhäsion an einem neuen Vaginalring zur Verhütung (GinoRing®). Vergleich zum vorhandenen Ring NuvaRing®. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1670988] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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71
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Doger de Spéville B, Moreno V, Hernandez T, Boni V, de Miguel M, Rojo F, Lopez-Rios F, Calvo E. Lack of efficiency of precision oncology with target-based investigational treatments for patients in early phase clinical trials based on pre-screened molecular alterations. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy303.003] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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72
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Moreno V, Gil-Martin M, Johnson M, Aljumaily R, Lopez-Criado M, Northfelt D, Crittenden M, Jabbour S, Rosen L, Calvo E, Papadopoulos K, Garrido P, Hervás Morón A, Rietschel P, Mohan K, Li J, Stankevich E, Feng M, Lowy I, Fury M. MA04.01 Cemiplimab, a Human Monoclonal Anti-PD-1, Alone or in Combination with Radiotherapy: Phase 1 NSCLC Expansion Cohorts. J Thorac Oncol 2018. [DOI: 10.1016/j.jtho.2018.08.340] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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73
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Regidor PA, Colli E, Calvo E. Klinische Entwicklung von GinoRing®. Ein neuer Etonogestrel/Ethinylestradiol haltiger Vaginalring zur Verhütung. Vergleichende Verträglichkeit, Akzeptanz und Tragekomfort zum NuvaRing®. Geburtshilfe Frauenheilkd 2018. [DOI: 10.1055/s-0038-1670989] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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74
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Duquenne J, Mabalukwa J, Calvo E, Michaux C, Staub T. [A disseminated strongyloidiasis in a non immunocompromised patient]. REVUE MEDICALE DE LIEGE 2018; 73:383-386. [PMID: 30113779] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Strongyloidiasis is a parasitosis mainly located in tropical and subtropical regions. Its European incidence is increasing due to population migration. The symptomatology is variable, largely depending on the host immune status. The diagnosis may be challenging as a specific inquiry is needed. The disseminated status, called hyperinfection syndrome, is a life-threatening disease that might occur in immunosuppressed patients. The patient's chances for a successful outcome depend on a quick and specific management. The treatment is based on anthelminthic agents such as ivermectine or albendazole for which the dosage will vary according to the infection type.
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Romero-Laorden N, Piñeiro-Yañez E, Gutierrez-Pecharroman A, Pacheco MI, Calvo E, Al-Shahrour F, Castro E, Olmos D. Somatic BRCA2 bi-allelic loss in the primary prostate cancer was associated to objective response to PARPi in a sporadic CRPC patient. Ann Oncol 2018; 28:1158-1159. [PMID: 28453706 DOI: 10.1093/annonc/mdx067] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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