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Schuler M, Tan EH, O'Byrne K, Zhang L, Boyer M, Mok T, Hirsh V, Yang JH, Lee K, Lu S, Shi Y, Kim SW, Laskin J, Kim DW, Arvis CD, Kölbeck K, Massey D, Fan J, Paz-Ares L, Park K. Time-to-treatment failure (TTF) with first-line afatinib (A) vs gefitinib (G) in patients (pts) with EGFR mutation-positive (EGFRm+) advanced non-small-cell lung cancer (NSCLC): Randomized phase IIb LUX-lung 7 (LL7) trial. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw383.30] [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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Al-Batran S, Schuler M, Zvirbule Z, Manikhas G, Lordick F, Tureci O, Huber C. LBA-06 IMAB362: a novel immunotherapeutic antibody targeting the tight-junction protein component CLAUDIN18.2 in gastric cancer. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw237.06] [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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103
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Tabernero J, van Geel R, Guren T, Yaeger R, Spreafico A, Faris J, Yoshino T, Yamada Y, Kim Tae W, Bendell J, Schuler M, Lenz HJ, Eskens F, Desai J, Hochster H, Avsar E, Demuth T, Sandor V, Elez E, Schellens J. O-026 Combination of encorafenib and cetuximab with or without alpelisib in patients with advanced BRAF-mutant colorectal cancer (BRAFm CRC): phase 2 results. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw198.25] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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104
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Schuler M, Yang JH, Planchard D. Reply to the letter to the editor ‘What is the clinical impact of the LUX-Lung 5 trial?’ by Addeo. Ann Oncol 2016; 27:1172-1173. [DOI: 10.1093/annonc/mdw144] [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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Schuler M, Yang JCH, Park K, Kim JH, Bennouna J, Chen YM, Chouaid C, De Marinis F, Feng JF, Grossi F, Kim DW, Liu X, Lu S, Strausz J, Vinnyk Y, Wiewrodt R, Zhou C, Wang B, Chand VK, Planchard D. Afatinib beyond progression in patients with non-small-cell lung cancer following chemotherapy, erlotinib/gefitinib and afatinib: phase III randomized LUX-Lung 5 trial. Ann Oncol 2016; 27:417-23. [PMID: 26646759 PMCID: PMC4769992 DOI: 10.1093/annonc/mdv597] [Citation(s) in RCA: 108] [Impact Index Per Article: 13.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2015] [Revised: 11/11/2015] [Accepted: 11/23/2015] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Afatinib has demonstrated clinical benefit in patients with non-small-cell lung cancer progressing after treatment with erlotinib/gefitinib. This phase III trial prospectively assessed whether continued irreversible ErbB-family blockade with afatinib plus paclitaxel has superior outcomes versus switching to chemotherapy alone in patients acquiring resistance to erlotinib/gefitinib and afatinib monotherapy. PATIENTS AND METHODS Patients with relapsed/refractory disease following ≥1 line of chemotherapy, and whose tumors had progressed following initial disease control (≥12 weeks) with erlotinib/gefitinib and thereafter afatinib (50 mg/day), were randomized 2:1 to receive afatinib plus paclitaxel (40 mg/day; 80 mg/m(2)/week) or investigator's choice of single-agent chemotherapy. The primary end point was progression-free survival (PFS). Other end points included objective response rate (ORR), overall survival (OS), safety and patient-reported outcomes. RESULTS Two hundred and two patients with progressive disease following clinical benefit from afatinib were randomized to afatinib plus paclitaxel (n = 134) or single-agent chemotherapy (n = 68). PFS (median 5.6 versus 2.8 months, hazard ratio 0.60, P = 0.003) and ORR (32.1% versus 13.2%, P = 0.005) significantly improved with afatinib plus paclitaxel. There was no difference in OS. Global health status/quality of life was maintained with afatinib plus paclitaxel over the entire treatment period. The median treatment duration was 133 and 51 days with afatinib plus paclitaxel and single-agent chemotherapy, respectively; 48.5% of patients receiving afatinib plus paclitaxel and 30.0% of patients receiving single-agent chemotherapy experienced drug-related grade 3/4 adverse events. Treatment-related adverse events were consistent with those previously reported with each agent. CONCLUSION Afatinib plus paclitaxel improved PFS and ORR compared with single-agent chemotherapy in patients who acquired resistance to erlotinib/gefitinib and progressed on afatinib after initial benefit. LUX-Lung 5 is the first prospective trial to demonstrate the benefit of continued ErbB targeting post-progression, versus switching to single-agent chemotherapy. TRIAL REGISTRATION NUMBER NCT01085136 (clinicaltrials.gov).
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Jelusic D, Wittmann M, Schuler M, Schultz K. Kann eine 3-wöchige stationäre pneumologische Rehabilitation (PR) und nachfolgend regelmäßige körperliche Aktivität bei COPD-Patienten die Anzahl der KH-Aufenthalte/-Tage im Folgejahr reduzieren? Pneumologie 2016. [DOI: 10.1055/s-0036-1572257] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Wingart S, Jelusic D, Wittmann M, Schuler M, Schultz K. Ist eine Verbesserung der 6-Minuten-Gehstrecke im Rahmen der Rehabilitation ein Prädiktor für ein anschließendes regelmäßiges körperliches Training? Pneumologie 2016. [DOI: 10.1055/s-0036-1572180] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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108
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Reijnders T, Schuler M, Wittmann M, Jelusic D, Schultz K, Petersen S, Leupoldt AV. Ist Einsamkeit ein Prädiktor für den Gesundheitsstatus und den Reha-Erfolg bei COPD-Patienten? Pneumologie 2016. [DOI: 10.1055/s-0036-1572037] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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109
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Leupoldt AV, Reijnders T, Schuler M, Wittmann M, Jelusic D, Petersen S, Schultz K. Validity of a self-administered questionnaire version of the Transition Dyspnea Index in patients with COPD. Pneumologie 2016. [DOI: 10.1055/s-0036-1572038] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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110
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Wittmann M, Jelusic D, Schuler M, Schultz K. Lebensqualität und Dyspnoe bei COPD-Patienten nach Reha: ist das Geschlecht ein Prädiktor für den Langzeitverlauf? Pneumologie 2016. [DOI: 10.1055/s-0036-1572186] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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111
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Dickgreber N, Yang JCH, Ahn MJ, Halmos B, Hirsh V, Hochmair M, Levy B, de Marinis F, Mok T, O'Byrne K, Okamoto I, Schuler M, Sebastian M, Shah R, Tan EH, Yamamoto N, Märten A, Massey D, Wind S, Carbone D. Influence of dose adjustment on afatinib safety and efficacy in patients (pts) with advanced EGFR mutation-positive (EGFRm+) non-small cell lung cancer (NSCLC). Pneumologie 2016. [DOI: 10.1055/s-0036-1572233] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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112
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Schwaighofer B, Jelusic D, Wittmann M, Schuler M, Schultz K. Wird das Rauchverhalten von COPD-Patienten durch eine stationäre pneumologische Rehabilitation beeinflusst? Welche Langzeiteffekte zeigen sich nach 3, 6, 9 und 12 Monaten? Pneumologie 2016. [DOI: 10.1055/s-0036-1572045] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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113
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Schwaighofer B, Jelusic D, Wittmann M, Schuler M, Schultz K. Psychische Komorbidität bei COPD Rehabilitanden: Welche Langzeiteffekte zeigen sich 3, 6, 9 und 12 Monate nach einer stationären pneumologischen Rehabilitation? Pneumologie 2016. [DOI: 10.1055/s-0036-1572035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Schultz K, Jelusic D, Wittmann M, Schuler M. Kann ein routinemäßiges Inspirationsmuskeltraining (IMT) die Kurz- und Langzeitergebnisse der pneumologischen Rehabilitation (PR) bei COPD bzgl. Dyspnoe verbessern? Ergebnisse der RIMTCOR-RCT (Routinemäßiges IMT im Rahmen der COPD-Rehabilitation). Pneumologie 2016. [DOI: 10.1055/s-0036-1572253] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Wu YL, Sequist L, Geater S, Orlov S, Lee K, Tsai CM, Kato T, Kiura K, Barrios C, Schuler M, Hirsh V, Yamamoto N, O'Byrne K, Mok T, Massey D, Märten A, Yang JH. 446P Afatinib (A) versus chemotherapy (CT) for EGFR mutation-positive NSCLC patients (pts) aged ≥65 years: Subgroup analyses of LUX-Lung 3 (LL3) and LUX-Lung 6 (LL6). Ann Oncol 2015. [DOI: 10.1093/annonc/mdv532.30] [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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Wu YL, Sequist L, Schuler M, Yamamoto N, Zhou C, Hu CP, O'Byrne K, Hirsh V, Mok T, Zazulina V, Yang JH. 445P Overall survival (OS) with afatinib (A) vs chemotherapy (CT) in patients (pts) with NSCLC harboring EGFR mutations (mut): Subgroup analyses by race in LUX-Lung 3 (LL3) and LUX-Lung 6 (LL6). Ann Oncol 2015. [DOI: 10.1093/annonc/mdv532.29] [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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Schuler M, Hornemann B, Pawandenat C, Kramer M, Hentschel L, Beck H, Kasten P, Singer S, Schaich M, Ehninger G, Platzbecker U, Schetelig J, Bornhäuser M. Feasibility of an exercise programme in elderly patients undergoing allogeneic stem cell transplantation - a pilot study. Eur J Cancer Care (Engl) 2015; 25:839-48. [DOI: 10.1111/ecc.12400] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2015] [Indexed: 11/26/2022]
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Passaro A, Yang J, Ahn M, Dickgreber N, Halmos B, Hirsh V, Hochmair M, Levy B, de Marinis F, Mok T, O'Byrne K, Okamoto I, Schuler M, Sebastian M, Shah R, Tan E, Yamamoto N, Märten A, Wind S, Carbone D. Influence of dose adjustment on afatinib safety and efficacy in patients (pts) with advanced EGFR mutation-positive (EGFRm+) non-small cell lung cancer (NSCLC). Ann Oncol 2015. [DOI: 10.1093/annonc/mdv343.14] [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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119
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Schuler M, Grießinger N. [Erratum to: Opioids for noncancer pain in the elderly]. Schmerz 2015; 29:530. [PMID: 26391689 DOI: 10.1007/s00482-015-0064-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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120
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Ahnert J, Schuler M, Legner R, Berger H, Vogel H. Anträge auf psychosomatische Rehabilitation – Häufigkeit, Qualität und Befürwortungsrate im Vergleich zu Anträgen auf somatische Rehabilitation. DAS GESUNDHEITSWESEN 2015. [DOI: 10.1055/s-0035-1563228] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Schuler M, Becker A, Lindena G, Mattenklodt P. [Treatment of elderly with chronic pain in geriatric care and pain therapy facilities in Germany. Survey results]. Schmerz 2015; 29:422-30. [PMID: 26267819 DOI: 10.1007/s00482-015-0035-z] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Even though there are no satisfactory data available on the prevalence of chronic pain in the elderly, it is certainly a common problem in Germany. The goal of this study is to provide information on the treatment of elderly patients with chronic pain in geriatric care and pain therapy facilities in Germany. METHOD Throughout Germany geriatric and pain clinics were asked by email about their treatment practice of patients with chronic pain. The questions related to four types of patients sharing the same chronic pain characteristics and comorbidities but differing with respect to cognitive and physical impairment. The questions were divided into the following areas: equipment, staff, patient care, documentation, and cooperation. RESULTS Replies from a total of 85 institutions were evaluated. The response rates were approximately 5 % for geriatric units and 10 % for pain units. More patients with chronic pain are treated in geriatrics units than in pain therapy facilities due to larger capacities. Although all four types of patients are treated in both types of facilities, the functionally more competent patients are more common in pain therapy facilities. In geriatrics, the inverse relationship was found. Differences exist in the staff structure and qualification, frequency and refinement of individual and group therapies, assessments used, teamwork, documentation, and cooperation with outpatient care. CONCLUSION Due to the differences between geriatric and pain management departments shown in all investigated areas, an exchange between these two cross-sectional subjects could help to improve inpatient, outpatient and intersectoral treatment of elderly patients with chronic pain.
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Elez E, Schellens J, van Geel R, Bendell J, Spreafico A, Schuler M, Yoshino T, Delord JP, Yamada Y, Lolkema M, Faris J, Eskens F, Sharma S, Yaeger R, Lenz HJ, Wainberg Z, Avsar E, Chatterjee A, Jaeger S, Demuth T, Tabernero J. LBA-08 Results of a phase 1b study of the selective BRAF V600 inhibitor encorafenib in combination with cetuximab alone or cetuximab + alpelisib for treatment of patients with advanced BRAF-mutant metastatic colorectal cancer. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv262.08] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Pogorzelski M, Ting S, Gauler T, Breitenbücher F, Vossebein I, Hoffarth S, Markowetz J, Lang S, Bergmann C, Brandau S, Abu-Jawad J, Schmid K, Schuler M, Kasper S. 39 Molecular dissection of the impact of frequent genetic alterations on the response of head and neck cancers to anti-epidermal growth factor receptor-directed therapies. Oral Oncol 2015. [DOI: 10.1016/j.oraloncology.2015.02.040] [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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Schuler M, Hansen C, Winand R, Stover C, Otto E, Beyer J, Kahaly G. Urinary and plasma glycosaminoglycans in endocrine ophthalmopathy. DEVELOPMENTS IN OPHTHALMOLOGY 2015; 25:58-67. [PMID: 8359354 DOI: 10.1159/000422424] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/30/2023]
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