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Tan T, Ong W, Chan S, Chan J, Chay W, Lim E, Lim S, Soh L, Tan D, Chia J. Interim Analysis of A Single-Arm Phase 2 Clinical Trial of Regorafenib in Patients with Epithelial Ovarian Cancer. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx663.013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Chan S, Mohamed I, Karandikar S. Appendicitis Over the Age of 40 Years: Should We Image the Colon? Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.156] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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78
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Chan S. P077 Incongruity in detecting dog sensitized individuals between skin prick and specific dog IgE testing. Ann Allergy Asthma Immunol 2017. [DOI: 10.1016/j.anai.2017.08.117] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Mejsak A, Decker E, Askari A, Chan S. Socioeconomical Cost of Acute Pilonidal Sinus Surgery in District General Hospital in UK. Int J Surg 2017. [DOI: 10.1016/j.ijsu.2017.08.221] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Raman S, Ganesh V, Chan S, Chow R, Hoskin P, Lam H, Wan B, Drost L, DeAngelis C, Chow E. A Review of Practice Patterns and Clinical Guidelines in the Palliative Radiation Treatment of Uncomplicated Bone Metastases. Int J Radiat Oncol Biol Phys 2017. [DOI: 10.1016/j.ijrobp.2017.06.1862] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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81
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Khan N, Zhao Y, Rabkin S, Izadnegahdar M, Park J, Guan M, Lee M, Grubisic M, Peng D, Daniele P, Chan S, Humphries K. HOW LOW IS TOO LOW? ANALYSIS OF SYSTOLIC AND DIASTOLIC BLOOD PRESSURE IN PATIENTS WITH AND WITHOUT PRIOR CARDIOVASCULAR DISEASE IN THE SPRINT TRIAL. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.391] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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82
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Chan S, De Luca J, Douglass J. P13: A MULTIDISCIPLINARY APPROACH TO ANAPHYLAXIS: THE IMPORTANCE OF ED/IMMUNOLOGY LIASON. Intern Med J 2017. [DOI: 10.1111/imj.13_13578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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83
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De Luca J, Chan S, Collins C, Patel M, Nicholls K, Douglass J. P14: TRENDS IN GENERAL ANAESTHETIC ALLERGY TESTING: THE ROYAL MELBOURNE HOSPITAL EXPERIENCE. Intern Med J 2017. [DOI: 10.1111/imj.14_13578] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Sinha N, Letourneau J, Chan S, Niemasik E, Xiong P, Harris E, Mok-Lin E, Cedars M, Rosen M. Improvement in quality of life with fertility preservation begins after cancer treatment and persists one year after cancer treatment. Fertil Steril 2017. [DOI: 10.1016/j.fertnstert.2017.07.280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Davitt J, Bourjolly J, Frasso R, Chan S. UNDERSTANDING RACIAL AND ETHNIC DISPARITIES IN HOME HEALTH CARE: PRACTICE AND POLICY FACTORS. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.3442] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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86
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Kumar A, Lau C, Chan S, Ma M, Kearns W. A LONGITUDINAL STUDY OF THE NAVIGATION PATTERNS OF DEMENTIA PATIENTS AND THEIR RELATIONSHIP TO MMSE. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.908] [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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87
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Kenbubpha K, Higgins I, Chan S, Wilson A. PROMOTING ACTIVE AGEING IN OLDER PEOPLE WITH MENTAL DISORDERS: DEVELOPMENT AND TESTING OF A TOOL. Innov Aging 2017. [DOI: 10.1093/geroni/igx004.1934] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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88
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Sun H, Yang M, Fung M, Chan S, Jawi M, Anderson T, Poon MC, Jackson S. Adult males with haemophilia have a different macrovascular and microvascular endothelial function profile compared with healthy controls. Haemophilia 2017. [DOI: 10.1111/hae.13278] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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89
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Chan S, Chan HP, Corney C, Scuderi C, Selvalogan N, Pelecanos A, Ratanjee S. Phosphate binder use in patients undergoing centre-based haemodialysis within the Metro North Kidney Health Service. Intern Med J 2017. [DOI: 10.1111/imj.4_13461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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90
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Chan S, Campbell SB, Clayton PA, Mudge DW, Hawley CM, Johnson DW, Francis FS. Temporal changes in deceased kidney donor characteristics in Australia. Intern Med J 2017. [DOI: 10.1111/imj.2_13457] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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91
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Chan S, Chen JH, Li S, Chang R, Yeh DC, Chang RF, Yeh LR, Kwong J, Su MY. Evaluation of the association between quantitative mammographic density and breast cancer occurred in different quadrants. BMC Cancer 2017; 17:274. [PMID: 28415974 PMCID: PMC5392962 DOI: 10.1186/s12885-017-3270-0] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/06/2016] [Accepted: 04/05/2017] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND To investigate the relationship between mammographic density measured in four quadrants of a breast with the location of the occurred cancer. METHODS One hundred and ten women diagnosed with unilateral breast cancer that could be determined in one specific breast quadrant were retrospectively studied. Women with previous cancer/breast surgery were excluded. The craniocaudal (CC) and mediolateral oblique (MLO) mammography of the contralateral normal breast were used to separate a breast into 4 quadrants: Upper-Outer (UO), Upper-Inner (UI), Lower-Outer (LO), and Lower-Inner (LI). The breast area (BA), dense area (DA), and percent density (PD) in each quadrant were measured by using the fuzzy-C-means segmentation. The BA, DA, and PD were compared between patients who had cancer occurring in different quadrants. RESULTS The upper-outer quadrant had the highest BA (37 ± 15 cm2) and DA (7.1 ± 2.9 cm2), with PD = 20.0 ± 5.8%. The order of BA and DA in the 4 separated quadrants were: UO > UI > LO > LI, and almost all pair-wise comparisons showed significant differences. For tumor location, 67 women (60.9%) had tumor in UO, 16 (14.5%) in UI, 7 (6.4%) in LO, and 20 (18.2%) in LI quadrant, respectively. The estimated odds and the 95% confidence limits of tumor development in the UO, UI, LO and LI quadrants were 1.56 (1.06, 2.29), 0.17 (0.10, 0.29), 0.07 (0.03, 0.15), and 0.22 (0.14, 0.36), respectively. In these 4 groups of women, the order of quadrant BA and DA were all the same (UO > UI > LO > LI), and there was no significant difference in BA, DA or PD among them (all p > 0.05). CONCLUSIONS Breast cancer was most likely to occur in the UO quadrant, which was also the quadrant with highest BA and DA; but for women with tumors in other quadrants, the density in that quadrant was not the highest. Therefore, there was no direct association between quadrant density and tumor occurrence.
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Martinez-Høyer S, Mo A, Docking R, Li J, Chan S, Umlandt P, Fuller M, Jädersten M, Hellström-Lindberg E, Platzbecker U, Parker J, Karsan A. RUNX1 Loss of Function Drives Resistance to Lenalidomide in Del(5Q) Myelodysplastic Syndrome Patients. Leuk Res 2017. [DOI: 10.1016/s0145-2126(17)30178-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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93
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PENG L, Chan S. P01.28 Multiplex gene targeting and studying of TSPYL family by CRISPR/Cas mediated gene engineering. Neuro Oncol 2017. [DOI: 10.1093/neuonc/nox036.104] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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94
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Krop I, Abramson V, Colleoni M, Holmes FA, Estevez L, Hart L, Awada A, Zamagni C, Morris P, Schwartzberg L, Chan S, Wheatley D, Guculp A, Biganzoli L, Steinberg J, Gianni L, Trudeau M, Kelly CM, Uppal H, Tudor IC, Peterson A, Winer E, Yardley DA. Abstract P2-08-01: Results from a randomized placebo-controlled phase 2 trial evaluating exemestane ± enzalutamide in patients with hormone receptor–positive breast cancer. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p2-08-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
This abstract was withdrawn by the authors.
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Dela Cruz MA, Roy P, Chowdhury S, Chan S, Roy HK. Abstract P3-07-18: Exercise and triple negative breast cancer: Unravelling the anti-neoplastic molecular factors through novel culture method. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p3-07-18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background
Despite advances to ameliorate breast cancer survival, triple negative breast cancers (TNBCs) attribute to highly disproportionate mortalities due to its aggressiveness and poor therapeutic response (Bao et al., Cancer Medicine 2014). Despite the lack of target-specific drugs, chemotherapy is the mainstay treatment, warranting more efficacious measures against TNBCs. Studies have shown that physical activity intervention reduced breast cancer risk between 20-80% (Monnikohf et. al., Epidemiology 2007) as well as breast cancer related mortality by 34% (Ibrahim et al., Med Onc 2010). However, it is clear that such intervention uptake in the population may not be feasible given the longstanding public health drive to increase physical activity. Therefore it is imperative to identify the molecular factors that might be involved in cancer prevention and therapy with the long term goal of developing a supplement. Due to the recent epidemiological findings on exercise and breast cancer, we wanted to develop a system to comprehensively identify beneficial myokines using a cell culture system.
Methods
For this study we differentiated C2C12 myoblasts into myotubules. Myotubules were contracted in Krebs Ringer Buffer solution with the C-Pace EP Pacer for 8 hours. Buffer was collected and concentrated using Amicon Ultra-0.5 centrifugal filter tubes to produced an exercise/conditioned medium. To explore the effects of exercise on breast cancer cell lines MCF-7 (ER+) and MDA-MB468 (TNBC line) were treated with conditioned medium for 48 hrs. To explore the effects of exercise and chemotherapeutic efficacy MDA-MB468 cells were treated with doxorubicin, conditioned medium or both for 48 hrs. Protein was isolated and processed for immunoblot analysis. Cell cycle markers p21, pRb, cyclin D1, PCNA as well as apoptotic marker cPARP were assessed to reveal the effects treatment.
Results
Treatment of conditioned medium in MCF-7 revealed marked changes in both p21 (92% increase, p=0.05) and pRb protein expression (62% decrease, p<0.05) as well as a modest reduction in PCNA (24% decrease , p<0.02). Conditioned medium treatment in MDA-MB468 cells showed a reduction in cyclin D1 and PCNA expression (40%, p<0.01 and 30%, p<0.02) as well as an induction of cPARP expression (32%, p=0.09). Doxorubicin treatment increased p21 and cPARP protein expression (2.2-fold increase, p<0.01 and 80% increase, p<0.05 respectively). Treatment of conditioned medium and doxorubicin displayed a synergistic effect with a 3.65-fold increase in p21 (p<0.01) and 130% increase in cPARP (p=0.01).
Conclusions
We have developed a novel system that may enable, for the first time, mechanistic studies to elucidate the role of skeletal muscle/exercise in breast cancer prevention and chemotherapy. Our data indicates a secreted factor(s) from skeletal muscles that plays a role in anti-proliferative and pro-apoptotic effects, which are the hallmark of exercise's anti-neoplastic properties. Studies are ongoing to further understand, characterize and isolate this factor(s) for therapeutic purposes. Given the limited chemotherapeutic options and heterogeneity in TNBC, our exercise culture system sheds a promising light on novel drug development and chemo-sensitization.
Citation Format: Dela Cruz MA, Roy P, Chowdhury S, Chan S, Roy HK. Exercise and triple negative breast cancer: Unravelling the anti-neoplastic molecular factors through novel culture method [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 P3-07-18.
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Krop I, Cortes J, Miller K, Huizing MT, Provencher L, Gianni L, Chan S, Trudeau M, Steinberg J, Sugg J, Liosatos M, Paton VE, Peterson A, Wardley A. Abstract P4-22-08: A single-arm phase 2 study to assess clinical activity, efficacy and safety of enzalutamide with trastuzumab in HER2+ AR+ metastatic or locally advanced breast cancer. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-p4-22-08] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background:Androgen receptor (AR) expression has been observed in up to 77% of human epidermal growth factor receptor 2–positive (HER2+) breast cancer (BC).References:1 Enzalutamide (ENZA) is a potent AR inhibitor approved for patients (pts) with metastatic castration-resistant prostate cancer. In vitro, ENZA enhances antitumor activity of trastuzumab in HER2+ AR+ cell lines and inhibits proliferation in trastuzumab-resistant HER2+ cell lines.2
Methods:Pts with metastatic or locally advanced BC that was HER2+ AR+ by local or central laboratory assessment were enrolled in a single-arm, Simon 2-stage phase 2 study (NCT02091960). Key eligibility criteria included availability of a tissue sample, presence of measurable or evaluable disease per RECIST v1.1, progression on prior trastuzumab and ≥1 prior line of anti-HER2 therapy as the most recent regimen. Brain metastases and history of seizure were exclusionary. Evaluable pts were those with centrally confirmed nuclear AR expression≥10% by immunohistochemistry who received ≥1 dose of ENZA and had ≥1 postbaseline tumor assessment. Pts received ENZA 160 mg daily and trastuzumab 6 mg/kg every 21 days until disease progression. The primary objective was clinical benefit rate at 24 weeks (CBR24), defined as complete or partial response (CR or PR) or stable disease (SD) for ≥24 weeks in evaluable pts. Additional endpoints included safety and progression-free survival (PFS). CBR24 in ≥3 of 21 evaluable pts was required to continue to stage 2 and enrollment of up to 66 evaluable pts total. This design yields a 1-sided type 1 error of 5% and 90% power when the true response is 25%.
Results:Here we present results from stage 1 (data cutoff: Mar 23, 2016), with 22 evaluable pts enrolled (pts 21 and 22 enrolled simultaneously); 18 had received ≥4 prior lines of therapy. Median duration of ENZA exposure was 144 days (range, 22-495), mean number of complete trastuzumab infusions was 6.5. CBR24 was 27.3% (95% confidence interval [CI], 10.7-50.2); 2 confirmed PR and 4 SD ≥24 weeks. Median PFS was 108 days (95% CI, 56-144). All pts experienced ≥1 adverse event (AE) any grade; 5 pts experienced AEs grade ≥3. ENZA-related AEs were reported in 16 pts (72.7%), the most common (in ≥10% of pts) were fatigue (22.7%), nausea (18.2%), diarrhea (13.6%) and arthralgia (13.6%). Serious AEs were reported in 6 pts (27.3%; 2 each of infection and back pain, 1 each of abdominal pain, nausea, vomiting, pyrexia, urinary retention and pulmonary edema). Two pts discontinued due to drug-related AEs: 1 related to both drugs, 1 related to trastuzumab. One on-study death from pulmonary edema was reported, which was not considered related to either drug.
Conclusion:Stage 1 met its primary objective. No new safety signals were identified, and the safety profile in this study was similar to that in men with prostate cancer and women with other BC subtypes treated with ENZA. These results are encouraging for a heavily pretreated population with advanced HER2+ AR+ BC. Enrollment in stage 2 continues with the combination of ENZA and trastuzumab.
1. Micello D et al. Virchows Arch. 2010;457:467-476.
2. Richer J. Presented at AACR Advances in Breast Cancer, San Diego, CA, 2013.
Citation Format: Krop I, Cortes J, Miller K, Huizing MT, Provencher L, Gianni L, Chan S, Trudeau M, Steinberg J, Sugg J, Liosatos M, Paton VE, Peterson A, Wardley A. A single-arm phase 2 study to assess clinical activity, efficacy and safety of enzalutamide with trastuzumab in HER2+ AR+ metastatic or locally advanced 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 P4-22-08.
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Chan S, Francis LP, Kark AL, Bigby KJ, Healy HG, Chern BW. Everolimus-induced tubular toxicity in non-renal cancer. Intern Med J 2016; 46:1454-1455. [PMID: 27981761 DOI: 10.1111/imj.13284] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2016] [Revised: 06/15/2016] [Accepted: 06/27/2016] [Indexed: 11/28/2022]
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Vuylsteke P, Huizing M, Petrakova K, Roylance R, Laing R, Chan S, Abell F, Gendreau S, Rooney I, Apt D, Zhou J, Singel S, Fehrenbacher L. Pictilisib PI3Kinase inhibitor (a phosphatidylinositol 3-kinase [PI3K] inhibitor) plus paclitaxel for the treatment of hormone receptor-positive, HER2-negative, locally recurrent, or metastatic breast cancer: interim analysis of the multicentre, placebo-controlled, phase II randomised PEGGY study. Ann Oncol 2016; 27:2059-2066. [DOI: 10.1093/annonc/mdw320] [Citation(s) in RCA: 63] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2016] [Accepted: 07/30/2016] [Indexed: 11/13/2022] Open
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Nolan R, Payne A, Tanaka R, Ross H, D'Antono B, Chan S, White M, Mielniczuk L. PATIENT ENGAGEMENT WITH E-COUNSELLING PROMOTES SELF-CARE IN HEART FAILURE. Can J Cardiol 2016. [DOI: 10.1016/j.cjca.2016.07.121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Zhu A, Knox J, Kudo M, Chan S, Finn R, Siegel A, Ma J, Watson P, Cheng AL. Pembrolizumab in patients with previously treated advanced hepatocellular carcinoma: Phase 2 KEYNOTE-224 study. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw371.108] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
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