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Brunello A, Dalla Torre A, Gallo P, Gubiani D, Montanari A, Saccomanno N. Crowdsourced Reconstruction of Cellular Networks to Serve Outdoor Positioning: Modeling, Validation and Analysis. Sensors (Basel) 2022; 23:352. [PMID: 36616950 PMCID: PMC9823457 DOI: 10.3390/s23010352] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/31/2022] [Revised: 12/22/2022] [Accepted: 12/24/2022] [Indexed: 06/17/2023]
Abstract
Positioning via outdoor fingerprinting, which exploits the radio signals emitted by cellular towers, is fundamental in many applications. In most cases, the localization performance is affected by the availability of information about the emitters, such as their coverage. While several projects aim at collecting cellular network data via crowdsourcing observations, none focuses on information about the structure of the networks, which is paramount to correctly model their topology. The difficulty of such a modeling is exacerbated by the inherent differences among cellular technologies, the strong spatio-temporal nature of positioning, and the continuously evolving configuration of the networks. In this paper, we first show how to synthesize a detailed conceptual schema of cellular networks on the basis of the signal fingerprints collected by devices. We turned it into a logical one, and we exploited that to build a relational spatio-temporal database capable of supporting a crowdsourced collection of data. Next, we populated the database with heterogeneous cellular observations originating from multiple sources. In addition, we illustrate how the developed system allows us to properly deal with the evolution of the network configuration, e.g., by detecting cell renaming phenomena and by making it possible to correct inconsistent measurements coming from mobile devices, fostering positioning tasks. Finally, we provide a wide range of basic, spatial, and temporal analyses about the arrangement of the cellular network and its evolution over time, demonstrating how the developed system can be used to reconstruct and maintain a deep knowledge of the cellular network, possibly starting from crowdsourced information only.
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Affiliation(s)
- Andrea Brunello
- Data Science and Automatic Verification Laboratory, University of Udine, 33100 Udine, Italy
| | - Andrea Dalla Torre
- Data Science and Automatic Verification Laboratory, University of Udine, 33100 Udine, Italy
- u-blox Italia SpA, Sgonico, 34010 Trieste, Italy
| | - Paolo Gallo
- Data Science and Automatic Verification Laboratory, University of Udine, 33100 Udine, Italy
| | - Donatella Gubiani
- Data Science and Automatic Verification Laboratory, University of Udine, 33100 Udine, Italy
| | - Angelo Montanari
- Data Science and Automatic Verification Laboratory, University of Udine, 33100 Udine, Italy
| | - Nicola Saccomanno
- Data Science and Automatic Verification Laboratory, University of Udine, 33100 Udine, Italy
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Brunello A, Galiano A, Schiavon S, Guglieri I, Nucci D, Pambuku A, Dal Col A, Bergamo F, Finotto S, Bolshinsky M, Stragliotto S, Rizzato M, Lonardi S, Zagonel V. 1273P Early integration between oncologic treatment and palliative care: Experience of the simultaneous care outpatient clinic at Veneto Institute of Oncology, ESMO Designated Center. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1406] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Bergamo F, Brunello A, Procaccio L, Sergi G, Gatti M, Bergo E, Galiano A, Tierno G, Chiusole B, Feltrin A, Daniel F, Prete A, De Grandis M, Piva V, Barsotti G, Rasola C, Maddalena G, Cerma K, Lonardi S, Zagonel V. 399P Role of geriatric assessment and oncological multidimensional prognostic index in elderly patients with metastatic colorectal cancer in a real-world setting. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.537] [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: 11/29/2022] Open
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Chiusole B, Tortorelli I, Galiano A, Murtas F, Ahcene Djaballah S, Tierno G, Banzato A, Gatti M, Di Maggio A, Sergi G, Rastrelli M, Sbaraglia M, Zagonel V, Brunello A. 1517P Role of geriatric assessment and oncological multidimensional prognostic index (onco-MPI) in older patients (age ≥70 years) with advanced soft tissue sarcoma in a real-world setting. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.07.1620] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/01/2022] Open
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Bernardini A, Brunello A, Gigli GL, Montanari A, Saccomanno N. OSASUD: A dataset of stroke unit recordings for the detection of Obstructive Sleep Apnea Syndrome. Sci Data 2022; 9:177. [PMID: 35440646 PMCID: PMC9018698 DOI: 10.1038/s41597-022-01272-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2021] [Accepted: 03/23/2022] [Indexed: 11/09/2022] Open
Abstract
Polysomnography (PSG) is a fundamental diagnostical method for the detection of Obstructive Sleep Apnea Syndrome (OSAS). Historically, trained physicians have been manually identifying OSAS episodes in individuals based on PSG recordings. Such a task is highly important for stroke patients, since in such cases OSAS is linked to higher mortality and worse neurological deficits. Unfortunately, the number of strokes per day vastly outnumbers the availability of polysomnographs and dedicated healthcare professionals. The data in this work pertains to 30 patients that were admitted to the stroke unit of the Udine University Hospital, Italy. Unlike previous studies, exclusion criteria are minimal. As a result, data are strongly affected by noise, and individuals may suffer from several comorbidities. Each patient instance is composed of overnight vital signs data deriving from multi-channel ECG, photoplethysmography and polysomnography, and related domain expert's OSAS annotations. The dataset aims to support the development of automated methods for the detection of OSAS events based on just routinely monitored vital signs, and capable of working in a real-world scenario.
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Affiliation(s)
- Andrea Bernardini
- Clinical Neurology Unit, Udine University Hospital, 33100, Udine, Italy.
| | - Andrea Brunello
- Department of Mathematics, Computer Science, and Physics, University of Udine, 33100, Udine, Italy.
| | - Gian Luigi Gigli
- Clinical Neurology Unit, Udine University Hospital, 33100, Udine, Italy
| | - Angelo Montanari
- Department of Mathematics, Computer Science, and Physics, University of Udine, 33100, Udine, Italy
| | - Nicola Saccomanno
- Department of Mathematics, Computer Science, and Physics, University of Udine, 33100, Udine, Italy.
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Palassini E, Mir O, Grignani G, Vincenzi B, Gelderblom H, Sebio A, Valverde C, Baldi GG, Brunello A, Cardellino GG, Marrari A, Badalamenti G, Martin-Broto J, Ferraresi V, Libertini M, Turano S, Gataa I, Collini P, Tos APD, Gennaro M, Bini F, Provenzano S, Vullo SL, Mariani L, Le Cesne A, Casali PG. Systemic treatment in advanced phyllodes tumor of the breast: a multi-institutional European retrospective case-series analyses. Breast Cancer Res Treat 2022; 192:603-610. [PMID: 35150367 DOI: 10.1007/s10549-022-06524-4] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2021] [Accepted: 01/16/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND We aimed at investigating outcome of systemic treatments in advanced breast PT. METHODS All cases of advanced breast PT treated with systemic treatments from 1999 to 2019, in one of the referral sarcoma centers involved in the study, were retrospectively reviewed. RESULTS 56 female patients were identified. Median age was 52 (range of 25-76) years. Patients received a median number of 2 systemic treatments (range of 1-4). Best responses according to RECIST were 1 (3.7%) CR, 11 (40.7%) PR, 6 (22.2%) SD, 9 (33.3%) PD with anthracyclines plus ifosfamide (AI); 2 (16.7%) PR, 4 (33.3%) SD, 6 (50.0%) PD with anthracycline alone; 3 (18.8%) PR, 4 (25.0%) SD, 9 (56.3%) PD with high-dose ifosfamide given as a continuous infusion (HD-IFX); 3 (20.0%) SD, 12 (80.0%) PD with a gemcitabine-based regimen (with 2 patients not evaluable); 1 (8.3%) PR, 2 (16.7%) SD, 9 (75.0%) PD with trabectedin (with 1 patient not evaluable); 1 (16.7%) PR, 1 (16.7%) SD, 4 (66.7%) PD with tyrosine-kinase inhibitors (TKI). The median PFS were 5.7 (IQR 2.5-9.1) months with AI; 3.2 (IQR 2.2-5.0) months with anthracycline alone; 3.4 (IQR 1.4-6.7) months with HD-IFX; 2.1 (IQR 1.4-5.2) months with gemcitabine-based chemotherapy; 1.8 (IQR 0.7-6.6) months with trabectedin; 3.4 (IQR 3.1-3.8) months with TKI. With a median follow-up of 35.3 (IQR 17.6-66.9) months, OS from the start of first-line systemic treatment was 15.2 (IQR 7.6-39.6) months. CONCLUSION In this series of advanced PT (to our knowledge, the largest reported so far), AI was associated with a high rate of responses, however, with a median PFS of 5.7 months. Other systemic treatments were poorly active.
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Affiliation(s)
- E Palassini
- Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
| | - O Mir
- Department of Ambulatory Cancer Care, Sarcoma Group, Gustave Roussy, Villejuif, France
| | - G Grignani
- Division of Medical Oncology, Candiolo Cancer Institute, FPO - IRCCS, Candiolo, TO, Italy
| | - B Vincenzi
- Department of Medical Oncology, Campus Biomedico University, Rome, Italy
| | - H Gelderblom
- Department of Medical Oncology, LUMC - Leiden University Medical Center, Leiden, Netherlands
| | - A Sebio
- Hospital Santa Creu i Sant Pau, Universitat Autònoma de Barcelona, Barcelona, Spain
| | - C Valverde
- Vall d'Hebron University Hospital, Barcelona, Spain
| | - G G Baldi
- Department of Medical Oncology, Ospedale "Santo Stefano", Prato, Italy
| | - A Brunello
- Department of Oncology, Oncology 1 Unit, Istituto Oncologico Veneto - IOV, IRCCS, Padua, Italy
| | - G G Cardellino
- Department of Oncology, Presidio "S. Maria della Misericordia" di Udine, Azienda Sanitaria Universitaria Friuli Centrale, Udine, Italy
| | - A Marrari
- Department of Oncology and Hematology, Humanitas Cancer Center Rozzano, Rozzano, Milan, Italy
| | - G Badalamenti
- Department of Surgical, Oncological and Oral Sciences, Section of Medical Oncology, University of Palermo, Palermo, Italy
| | - J Martin-Broto
- Fundación Jiménez Díaz University Hospital, Madrid, Spain
| | - V Ferraresi
- Sarcomas and Rare Tumors Unit, IRCCS Regina Elena National Cancer Institute, Rome, Italy
| | - M Libertini
- Department of Oncology, Fondazione Poliambulanza, Brescia, Italy
| | - S Turano
- Department of Oncology, Azienda Ospedaliera di Cosenza, Cosenza, Italy
| | - I Gataa
- Department of Ambulatory Cancer Care, Sarcoma Group, Gustave Roussy, Villejuif, France
| | - P Collini
- Department of Pathology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - A P Dei Tos
- Department of Pathology, Azienda Ospedaliera Università Padova, Padua, Italy
| | - M Gennaro
- Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - F Bini
- Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - S Provenzano
- Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - S Lo Vullo
- Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - L Mariani
- Unit of Clinical Epidemiology and Trial Organization, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
| | - A Le Cesne
- Department of Ambulatory Cancer Care, Sarcoma Group, Gustave Roussy, Villejuif, France
| | - P G Casali
- Department of Medical Oncology, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy
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Brunello A, Civilini M, De Martin S, Felice A, Franchi M, Iacumin L, Saccomanno N, Vitacolonna N. Machine learning-assisted environmental surveillance of Legionella: A retrospective observational study in Friuli-Venezia Giulia region of Italy in the period 2002–2019. Informatics in Medicine Unlocked 2022. [DOI: 10.1016/j.imu.2021.100803] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
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Bernardini A, Brunello A, Gigli GL, Montanari A, Saccomanno N. AIOSA: An approach to the automatic identification of obstructive sleep apnea events based on deep learning. Artif Intell Med 2021; 118:102133. [PMID: 34412849 DOI: 10.1016/j.artmed.2021.102133] [Citation(s) in RCA: 13] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2021] [Revised: 06/23/2021] [Accepted: 06/24/2021] [Indexed: 12/31/2022]
Abstract
Obstructive Sleep Apnea Syndrome (OSAS) is the most common sleep-related breathing disorder. It is caused by an increased upper airway resistance during sleep, which determines episodes of partial or complete interruption of airflow. The detection and treatment of OSAS is particularly important in patients who suffered a stroke, because the presence of severe OSAS is associated with higher mortality, worse neurological deficits, worse functional outcome after rehabilitation, and a higher likelihood of uncontrolled hypertension. The gold standard test for diagnosing OSAS is polysomnography (PSG). Unfortunately, performing a PSG in an electrically hostile environment, like a stroke unit, on neurologically impaired patients is a difficult task; moreover, the number of strokes per day vastly outnumbers the availability of polysomnographs and dedicated healthcare professionals. Hence, a simple and automated recognition system to identify OSAS cases among acute stroke patients, relying on routinely recorded vital signs, is highly desirable. The vast majority of the work done so far focuses on data recorded in ideal conditions and highly selected patients, and thus it is hardly exploitable in real-life circumstances, where it would be of actual use. In this paper, we propose a novel convolutional deep learning architecture able to effectively reduce the temporal resolution of raw waveform data, like physiological signals, extracting key features that can be used for further processing. We exploit models based on such an architecture to detect OSAS events in stroke unit recordings obtained from the monitoring of unselected patients. Unlike existing approaches, annotations are performed at one-second granularity, allowing physicians to better interpret the model outcome. Results are considered to be satisfactory by the domain experts. Moreover, through tests run on a widely-used public OSAS dataset, we show that the proposed approach outperforms current state-of-the-art solutions.
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Affiliation(s)
- Andrea Bernardini
- Clinical Neurology Unit, Udine University Hospital, Piazzale Santa Maria della Misericordia, 15, 33100 Udine, Italy.
| | - Andrea Brunello
- Department of Mathematics, Computer Science, and Physics, University of Udine, Via delle Scienze 206, 33100 Udine, Italy.
| | - Gian Luigi Gigli
- Clinical Neurology Unit, Udine University Hospital, Piazzale Santa Maria della Misericordia, 15, 33100 Udine, Italy.
| | - Angelo Montanari
- Department of Mathematics, Computer Science, and Physics, University of Udine, Via delle Scienze 206, 33100 Udine, Italy.
| | - Nicola Saccomanno
- Department of Mathematics, Computer Science, and Physics, University of Udine, Via delle Scienze 206, 33100 Udine, Italy.
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Brunello A, Urgolo A, Pittino F, Montvay A, Montanari A. Virtual Sensing and Sensors Selection for Efficient Temperature Monitoring in Indoor Environments. Sensors (Basel) 2021; 21:s21082728. [PMID: 33924423 PMCID: PMC8069146 DOI: 10.3390/s21082728] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [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] [Received: 03/08/2021] [Revised: 04/02/2021] [Accepted: 04/06/2021] [Indexed: 11/16/2022]
Abstract
Real-time estimation of temperatures in indoor environments is critical for several reasons, including the upkeep of comfort levels, the fulfillment of legal requirements, and energy efficiency. Unfortunately, setting an adequate number of sensors at the desired locations to ensure a uniform monitoring of the temperature in a given premise may be troublesome. Virtual sensing is a set of techniques to replace a subset of physical sensors by virtual ones, allowing the monitoring of unreachable locations, reducing the sensors deployment costs, and providing a fallback solution for sensor failures. In this paper, we deal with temperature monitoring in an open space office, where a set of physical sensors is deployed at uneven locations. Our main goal is to develop a black-box virtual sensing framework, completely independent of the physical characteristics of the considered scenario, that, in principle, can be adapted to any indoor environment. We first perform a systematic analysis of various distance metrics that can be used to determine the best sensors on which to base temperature monitoring. Then, following a genetic programming approach, we design a novel metric that combines and summarizes information brought by the considered distance metrics, outperforming their effectiveness. Thereafter, we propose a general and automatic approach to the problem of determining the best subset of sensors that are worth keeping in a given room. Leveraging the selected sensors, we then conduct a comprehensive assessment of different strategies for the prediction of temperatures observed by physical sensors based on other sensors’ data, also evaluating the reliability of the generated outputs. The results show that, at least in the given scenario, the proposed black-box approach is capable of automatically selecting a subset of sensors and of deriving a virtual sensing model for an accurate and efficient monitoring of the environment.
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Affiliation(s)
- Andrea Brunello
- Data Science and Automatic Verification Laboratory, University of Udine, Via delle Scienze 206, 33100 Udine, Italy;
- Correspondence: (A.B.); (A.U.)
| | - Andrea Urgolo
- Data Science and Automatic Verification Laboratory, University of Udine, Via delle Scienze 206, 33100 Udine, Italy;
- Correspondence: (A.B.); (A.U.)
| | - Federico Pittino
- Silicon Austria Labs GmBH, Europastraße 12, A-9524 Villach, Austria; (F.P.); (A.M.)
| | - András Montvay
- Silicon Austria Labs GmBH, Europastraße 12, A-9524 Villach, Austria; (F.P.); (A.M.)
| | - Angelo Montanari
- Data Science and Automatic Verification Laboratory, University of Udine, Via delle Scienze 206, 33100 Udine, Italy;
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Frezza AM, Napolitano A, Miceli R, Badalamenti G, Brunello A, Buonomenna C, Casali PG, Caraceni A, Grignani G, Gronchi A, Infante G, Morosi C, Saita L, Simeone N, Zaffaroni N, Vincenzi B, Stacchiotti S. Clinical prognostic factors in advanced epithelioid haemangioendothelioma: a retrospective case series analysis within the Italian Rare Cancers Network. ESMO Open 2021; 6:100083. [PMID: 33714008 PMCID: PMC7957151 DOI: 10.1016/j.esmoop.2021.100083] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/14/2020] [Revised: 02/08/2021] [Accepted: 02/09/2021] [Indexed: 12/30/2022] Open
Abstract
Background This multicentric, retrospective study conducted within the Italian Rare Cancer Network describes clinical features and explores their possible prognostic relevance in patients with advanced epithelioid haemangioendothelioma (EHE) started on surveillance. Patients and methods We collected data on adult patients with molecularly confirmed, advanced EHE consecutively referred at five sarcoma reference centres between January 2010 and June 2018, with no evidence of progressive disease (PD) and started on surveillance. Overall survival (OS) and progression-free survival (PFS) univariable and multivariable Cox analyses were performed. In the latter, due to the low number of cases and events, penalized likelihood was applied, and variable selection was performed using a random forest model. Results Sixty-seven patients were included. With a median follow-up of 50.2 months, 51 (76%) patients developed PD and 16 (24%) remained stable. PD at treatment start did not meet RECIST version 1.1 in 15/51 (29%) patients. The 3-year PFS and OS were 25.4% and 71.1%, respectively, in the whole population. Tumour-related pain (TRP) was the most common baseline symptom (32.8%), followed by temperature (20.9%), fatigue (17.9%), and weight loss (16.4%). Baseline TRP (P = 0.0002), development of TRP during follow-up (P = 0.005), baseline temperature (P = 0.002), and development of fatigue during follow-up (P = 0.007) were associated with a significantly worst PFS. An association between baseline TRP (P < 0.0001), development of TRP during follow-up (P = 0.0009), evidence of baseline serosal effusion (P = 0.121), and OS was recorded. Conclusion Because of the poor outcome observed in EHE patients presenting with serosal effusion, TRP, temperature, or serosal effusion, upfront treatment in this subgroup could be considered. Prognosis prediction in advanced EHE at presentation remains a challenge. This study explores the prognostic value of clinical and radiological features in advanced EHE patients on surveillance. Given their prognostic impact, symptoms and serosal effusion in EHE patients on surveillance should be regularly checked. In advanced EHE patients presenting with pain, temperature, or serosal effusion, upfront treatment could be considered.
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Affiliation(s)
- A M Frezza
- Medical Oncology, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy.
| | - A Napolitano
- Medical Oncology, Università Campus Bio-Medico di Roma, Rome, Italy
| | - R Miceli
- Department of Clinical Epidemiology and Trial Organisation, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
| | - G Badalamenti
- Medical Oncology, Policlinico Paolo Giaccone, Palermo, Italy
| | - A Brunello
- Department of Oncology, Medical Oncology Unit 1, Veneto Institute of Oncology, IRCCS, Padua, Italy
| | - C Buonomenna
- Department of Radiology, IRCCS Foundation National Cancer Institute, Milan, Italy
| | - P G Casali
- Medical Oncology, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy
| | - A Caraceni
- Palliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
| | - G Grignani
- Candiolo Cancer Institute, FPO-IRCCS, Candiolo, Turin, Italy
| | - A Gronchi
- Department of Surgery, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
| | - G Infante
- Department of Clinical Epidemiology and Trial Organisation, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
| | - C Morosi
- Department of Radiology, IRCCS Foundation National Cancer Institute, Milan, Italy
| | - L Saita
- Palliative Care, Pain Therapy and Rehabilitation Unit, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
| | - N Simeone
- Medical Oncology, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
| | - N Zaffaroni
- Molecular Pharmacology Unit, Department of Applied Research and Technological Development, Fondazione IRCCS - Istituto Nazionale Tumori, Milan, Italy
| | - B Vincenzi
- Medical Oncology, Università Campus Bio-Medico di Roma, Rome, Italy
| | - S Stacchiotti
- Medical Oncology, Fondazione IRCCS - Istituto Nazionale dei Tumori, Milan, Italy
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Frezza A, Ravi V, Lo Vullo S, Tolomeo F, Wei-Wu Chen T, Teterycz P, Baldi G, Italiano A, Penel N, Brunello A, Duffaud F, Hindi N, Iwata S, Smrke A, Fedenko A, Gelderblom H, Van Der Graaf W, Vozy A, Vincenzi B, Stacchiotti S. 1627MO Systemic therapies in advanced epithelioid haemangioendothelioma (EHE): A retrospective international series from the World Sarcoma Network. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1853] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022] Open
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Roitero K, Brunello A, Serra G, Mizzaro S. Effectiveness evaluation without human relevance judgments: A systematic analysis of existing methods and of their combinations. Inf Process Manag 2020. [DOI: 10.1016/j.ipm.2019.102149] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [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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Bergo E, Caccese M, Padovan M, Bellu L, Brunello A, Zagonel V, Lombardi G. Comprehensive geriatric assessment (CGA) can categorize elderly glioblastoma (GBM) patients into three groups predicting survival: A monoinstitutional study. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz243.030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Brunello A, Echard P, Oss S. From science to theatre. Nat Nanotechnol 2019; 14:402-403. [PMID: 31065071 DOI: 10.1038/s41565-019-0445-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Affiliation(s)
- Andrea Brunello
- Arditodesìo Theatre Company, Trento, Italy.
- Department of Physics, University of Trento, Trento, Italy.
| | | | - Stefano Oss
- Department of Physics, University of Trento, Trento, Italy
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Brunello A, Gallo P, Marzano E, Montanari A, Vitacolonna N. An Event-Based Data Warehouse to Support Decisions in Multi-Channel, Multi-Service Contact Centers. Journal of Cases on Information Technology 2019. [DOI: 10.4018/jcit.2019010103] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Multi-channel contact centers are an increasingly important component of today's business world. They serve as a primary customer-facing channel for firms in many different industries, and employ millions of operators across the globe. During their operation, they generate vast amounts of data, ranging from automatically registered logs to handwritten notes and voice recordings. Unfortunately, in most firms, data of interest is unstructured, and stored in several databases, making their exploitation very hard. This article presents a decision support system for a multi-channel, multi-service contact center for front office business process outsourcing, along with its prospective extension to a decision management system. Its core is an enterprise-wide data warehouse, based on the general concept of an event. The proposed system supports a broad new set of advanced analysis tasks, ranging from operator performance assessment to call-flow simulation and data mining, providing operational and management staff the basis for taking effective operative and strategic decisions.
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Ronco C, Heifetz A, Fox K, Curtin C, Brendolan A, Gastaldon F, Crepaldi C, Fortunato A, Pietribasi G, Caberlotto A, Brunello A, Manani SM, Zanella M, La Greca G. Beta 2-microglobulin Removal by Synthetic Dialysis Membranes. Mechanisms and Kinetics of the Molecule. Int J Artif Organs 2018. [DOI: 10.1177/039139889702000303] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Beta 2-microglobulin (ß2-m) accumulation represents a possible complication of long term dialysis. It is therefore important to evaluate the capacity of removal of this molecule from the patient by different dialysis membranes. The present study is aimed at evaluating the mechanisms involved in ß2-m removal by three different synthetic membranes: a) highly asymmetric hydrophobic polysulfone (Biosulfane, NMC), b) moderately asymmetric and hydrophobic polysulfone (PS600, Fresenius), c) Polyacylonitrile (AN69HF, Hospal). The adsorption capacity and sieving coefficients of the three membranes for native and labeled ß2-m were studied in vitro utilizing human blood. The amount adsorbed by the membrane was measured by the elution of the molecule obtained with a detergent solution. Clearances, total removal and membrane adsorption were studied in six patients treated in a randomized sequence with the three membranes. For this purpose, plasma and dialysate measurements as well as total collection of spent dialysate and ß2-m elution from the used dialyzers were carried out. Ex novo generation of ß2-m did not take place during in vitro circulation. The molecule was removed by the studied membranes both by filtration and adsorption. The Biosulfane membrane removed ß2-m mostly by adsorption while the PS600 membrane removed ß2-m almost entirely by filtration. Intermediate behaviour was shown by AN69 membrane. Similar quantities of ß2-m were removed from the patients with the three membranes. Total removal could only be precisely measured by adding the quantity of ß2-m eluted from the membrane to the amount recovered in the spent dialysate. Out of total removal, adsorption was more than 90% with Biosulfane, while only 5% with the PS600. These findings contribute to the understanding of the discrepancy found between the clearance measured from the plasma side and that measured from the dialysate side. In conclusion, clearance and sieving measurements for ß2-m cannot be correctly performed unless the capacity of adsorption of the membrane is taken into account.
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Affiliation(s)
- C. Ronco
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - A. Heifetz
- Washington Research Center, Washington, DC
| | - K. Fox
- National Medical Care, Rockleigh, New Jersey - USA
| | - C. Curtin
- National Medical Care, Rockleigh, New Jersey - USA
| | - A. Brendolan
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - F. Gastaldon
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - C. Crepaldi
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - A. Fortunato
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - G. Pietribasi
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - A. Caberlotto
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - A. Brunello
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - S. Milan Manani
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - M. Zanella
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
| | - G. La Greca
- Department of Nephrology, St. Bortolo Hospital, Vicenza - Italy
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Abstract
Effectiveness evaluation of information retrieval systems by means of a test collection is a widely used methodology. However, it is rather expensive in terms of resources, time, and money; therefore, many researchers have proposed methods for a cheaper evaluation. One particular approach, on which we focus in this article, is to use fewer topics: in TREC-like initiatives, usually system effectiveness is evaluated as the average effectiveness on a set of
n
topics (usually,
n
=50, but more than 1,000 have been also adopted); instead of using the full set, it has been proposed to find the best subsets of a few good topics that evaluate the systems in the most similar way to the full set. The computational complexity of the task has so far limited the analysis that has been performed. We develop a novel and efficient approach based on a multi-objective evolutionary algorithm. The higher efficiency of our new implementation allows us to reproduce some notable results on topic set reduction, as well as perform new experiments to generalize and improve such results. We show that our approach is able to both reproduce the main state-of-the-art results and to allow us to analyze the effect of the collection, metric, and pool depth used for the evaluation. Finally, differently from previous studies, which have been mainly theoretical, we are also able to discuss some practical topic selection strategies, integrating results of automatic evaluation approaches.
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Lombardi G, Bergo E, Bellu L, Caccese M, Lettiero A, Tierno G, Pambuku A, Brunello A, Zagonel V. Comprehensive geriatric assessment (CGA) for outcome prediction in elderly patients (PTS) with glioblastoma (GBM): A mono-institutional experience. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy273.369] [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: 11/14/2022] Open
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Lombardi G, Bergo E, Bellu L, Caccese M, Lettiero A, Tierno G, Pambuku A, Brunello A, Zagonel V. P01.021 Comprehensive Geriatric Assessment (CGA) for outcome prediction in elderly patients (PTS)with glioblastoma (GBM): a mono-institutional experience. Neuro Oncol 2018. [DOI: 10.1093/neuonc/noy139.063] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- G Lombardi
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - E Bergo
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - L Bellu
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - M Caccese
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - A Lettiero
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - G Tierno
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - A Pambuku
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - A Brunello
- Veneto Institute of Oncology-IRCCS, Padova, Italy
| | - V Zagonel
- Veneto Institute of Oncology-IRCCS, Padova, Italy
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Brunello A, Jiménez F, Marzano E, Palma J, Sánchez G, Sciavicco G. Towards semi-automatic human performance evaluation: The case study of a contact center. INTELL DATA ANAL 2018. [DOI: 10.3233/ida-173586] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Andrea Brunello
- Department of Mathematics, Physics, and Computer Science, University of Udine, Udine, Italy
| | - Fernando Jiménez
- Faculty of Computer Science, University of Murcia, Murcia, Spain
| | | | - José Palma
- Faculty of Computer Science, University of Murcia, Murcia, Spain
| | - Gracia Sánchez
- Faculty of Computer Science, University of Murcia, Murcia, Spain
| | - Guido Sciavicco
- Department of Mathematics and Computer Science, University of Ferrara, Ferrara, Italy
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La Verde N, Collovà E, Blasi L, Pinotti G, Bernardo A, Bonotto M, Garrone O, Brunello A, Cavazzini MG, Bareggi C, Prochilo T, Porcu L, Moretti A, Barni S. Abstract P1-14-04: Overall survival in metastatic breast cancer patients in the third millennium: Results of an Italian study. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p1-14-04] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
BACKGROUND - Metastatic breast cancer (MBC) is a life-threatening disease. It is important to provide data about real-life MBC patients (pts) to understand the current prognostic factors. The aim of the present observational study, named COSMO (Checking Overall Survival in a MBC Observational study) is to describe the overall survival (OS) in a large cohort of MBC pts, assessing its correlation with specific prognostic factors (demographic, clinic, pathologic and biological).
PATIENTS AND METHODS - The COSMO study is a multicenter, retrospective, cohort study, developed throughout the collaboration of 31 Italian oncological centers. Data about pts diagnosed as metastatic from 01/01/2000 to 31/12/2008, were collected. The association between molecular subtypes, metastatic sites, disease free interval (DFI) and OS were assessed. Pts were classified in three subgroups, based on the biological characteristics of their tumor: luminal, HER2-positive (regardless of hormone receptor) and triple negative (TN). Metastatic sites were categorized as visceral versus non-visceral disease, only bone and central nervous system (CNS) metastases. DFI was calculated from diagnosis to first relapse only for M0 pts.
RESULTS - Of 3931 MBC pts enrolled in the study, 3720 were evaluable, with a median age of 61 years (interquartile range, IQR, 51-71). 1804 (62,1%) pts had a luminal disease, 691 (23,8%) HER2-positive, 410 (14.1%) TN. Median DFI was 3.2 years (IQR 1.7- 6.0). Regarding metastatic sites, pts with visceral disease were 2332 (63%); 826 (22,2%) pts had bone isolated metastases; in 306 (8,3%) pts, CNS metastases were reported. With a median follow up of 9 years (IQR 5.7-11.0) and 3098 (83.3%) recorded events, we founded a median OS of 2.8 years (95%CI: 2.7-2.9) years. OS was strictly depending from molecular subtypes with a better prognosis for HER2-positive versus luminal and TN MBC pts, median OS of 3.1 (95%CI 2.8-3.4), 3.0 (95%CI: 2.9-3.1) and 1.5 (95%CI: 1.3-1.7) years respectively (p-value<0.001). 525 (14,1%) pts received trastuzumab. Metastatic sites affect prognosis, with a better OS for bone disease (3.4 years, 95%CI: 3.1-3.6) versus visceral disease (2.2 years 95%CI: 2.0- 2.3). Brain metastasis correlate with the worst prognosis: OS of 1.5 years (95% CI: 0.8 – 1.7). Even DFI shows a correlation with prognosis: pts with DFI>2 years show a median OS of 3 years (95% CI: 2.9 – 3.2), while those with DFI<2 years have a median OS of 2.4 years (95% CI: 2.3-2.6); HR was 0.69 (95%CI: 0,62-0,76) for every five years of increase in DFI (p-value<0.001).
CONCLUSIONS - Molecular subtype is crucial for prognosis: HER2-positive subtype has the best prognosis, while TN subtype has the shorter OS. Having a longer DFI from diagnosis (>2 years) correlate with a better prognosis. Our study confirm that sites of metastasis affects outcome: visceral involvement correlates with poor prognosis and, particularly, pts with brain metastasis represent the worst subgroup, while pts with solely bone disease have the best prognosis. The COSMO study provides a view on the Italian landscape of MBC between 2000 and 2008, adding new insights about pts prognosis.
Citation Format: La Verde N, Collovà E, Blasi L, Pinotti G, Bernardo A, Bonotto M, Garrone O, Brunello A, Cavazzini MG, Bareggi C, Prochilo T, Porcu L, Moretti A, Barni S, On Behalf of COSMO Study Group. Overall survival in metastatic breast cancer patients in the third millennium: Results of an Italian study [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P1-14-04.
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Affiliation(s)
- N La Verde
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - E Collovà
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - L Blasi
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - G Pinotti
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - A Bernardo
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - M Bonotto
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - O Garrone
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - A Brunello
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - MG Cavazzini
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - C Bareggi
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - T Prochilo
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - L Porcu
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - A Moretti
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
| | - S Barni
- ASST Fatebenefratelli Sacco PO Fatebenefratelli, Milan, MI, Italy; Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, MI, Italy; ASST Ovest Milanese, Legnano, MI, Italy; Istituti Clinici Scientifici Maugeri, Pavia, PV, Italy; ASST Bergamo Ovest Ospedale di Treviglio, Treviglio, BG, Italy; Fondazione Poliambulanza di Brescia, Brescia, BS, Italy; ASST-Settelaghi Varese, Varese, VA, Italy; Università degli Studi di Udine, Scuola di Specializzazione in Oncologia Medica, Udine, UD, Italy; S. Croce & Carle Teaching Hospital, Oncology, Cuneo, CN, Italy; IRCCS Istituto Oncologico Veneto, Padova, PD, Italy; ASST Mantova, AO Carlo Poma, Mantova, MN, Italy; ARNAS AO Ospedale Civico Cristina Benfratelli, Palermo, PA, Italy; IRCCS - Istituto di Ricerche Farmacologiche Mario Negri, Milan, MI, Italy
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Biganzoli L, Berardi R, Pedersini R, Minisini AM, Caremoli ER, Spazzapan S, Lima JS, Baldari D, Orlando L, Magnolfi E, Pistelli M, Brunello A, Zafarana E, Bernardo A, Leo S, Colleoni M, Donati S, De Placido S, Parolin V, Vitale S, Di Leo A, Puglisi F, Boni L, Cinieri S. Abstract P6-14-01: The effect trial: A randomized phase II trial evaluating two different doses of weekly (W) NAB-paclitaxel (NP) as first-line chemotherapy in older breast cancer (BC) patients (pts). Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p6-14-01] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Abstract
Background: W taxanes (T) are commonly used in the treatment of older BC pts, with neurotoxicity (NTX) and fatigue being dose-limiting toxicities with a possible negative impact on function. No prospective data exists on the safety and efficacy of W NP in this population. NP might be of particular value in older pts, due to no need for premedication with steroids and shorter time to recovery from neurotoxicity than conventional T, resulting in a reduced risk of exacerbation of comorbidities such as hypertension and diabetes, and possibly of functional decline (FD). Methods: Pts aged ≥ 65 years (y) with Her-2 negative or Her-2 positive (+), but contraindicated to anti-Her-2 therapy, advanced BC were randomized to receive NP as first-line chemotherapy at either 100 (Arm A) or 125 mg/m2 (Arm B), days 1, 8, 15 q 28. The primary end-point was event-free survival (EFS). An event was either disease progression (PD), death, or FD - defined as a decrease of at least 1 point from baseline values of activities of daily living (ADL) or instrumental ADL (IADL), deemed by the investigator as treatment-related and confirmed at the subsequent cycle. Secondary endpoints included progression-free survival (PFS), response rate (RR) in pts with measurable disease, and incidence of adverse events (AEs). Results: From January 2013 to September 2016, 160 pts were randomized in 15 Italian centres; all but 2 who never started NP were eligible for final analysis. Pts median age was 72y (range 65-84) in Arm A and 73y (range 65-88) in Arm B. Median ECOG performance status was 0 (range 0-2). Baseline IADL impairment was reported in 20 pts (25%) in both arms. >80% pts had ER+ tumors; 2 pts had HER2+ disease. Visceral disease was present in 71% (Arm A) and 70% (Arm B) of pts. Prior exposure to T in the neo/adjuvant setting was 14% (Arm A) and 13% (Arm B). Median number of delivered cycles of NP was 6 (range 1-28 in Arm A, and 1-22 in Arm B), with 3 pts still on treatment. Dose reductions were similarly reported (72% of pts Arm A, 78% of pts Arm B). At a median follow-up of 21 months (mos) (Interquartile range 14-28.4) 140 events were observed. Arm A/Arm B: PD n=53(67%)/n=52(66%); FD n=13(15%)/n=14(18%), death n=3(4%)n=5(6%). Outcomes data are reported in the following table:
Outcomes Arm AArm BMedian EFS, mos (90% CI)6.2 (5.5-8.4)6.4 (5.8-7.7)Median PFS, mos (95% CI)8.3 (5.9-10.5)8.8 (7.4-10.3)RR (95% CI)37% (25-50)42% (30-54)
Fatigue (Arm A: grade (G)2 29%, G3 11%; Arm B: G2 46%, G3 5%) and NTX (Arm A: G2 15%, G3 4%; Arm B: G2 28%, G3 8%) were the most frequently reported AEs. No G4 AEs were reported with the exception of neutropenia (1 pt in arm A) and leucopenia (3 pts in Arm A, 1 pt in arm B). 1 G5 (sepsis) was recorded in Arm B. NTX was reported as the reason for treatment discontinuation in 21 pts (13%) of whom 16 (21%) in arm B. Conclusion: Looking at classical study endpoints (PFS, RR), both doses of NP are active in older pts. However, 17% of pts had to stop treatment due to FD, assessed according to predefined criteria. Due to similar efficacy and reduced NTX, W NP 100 is the suggested dose to be used in older pts with advanced BC.
Citation Format: Biganzoli L, Berardi R, Pedersini R, Minisini AM, Caremoli ER, Spazzapan S, Lima JS, Baldari D, Orlando L, Magnolfi E, Pistelli M, Brunello A, Zafarana E, Bernardo A, Leo S, Colleoni M, Donati S, De Placido S, Parolin V, Vitale S, Di Leo A, Puglisi F, Boni L, Cinieri S. The effect trial: A randomized phase II trial evaluating two different doses of weekly (W) NAB-paclitaxel (NP) as first-line chemotherapy in older breast cancer (BC) patients (pts) [abstract]. In: Proceedings of the 2017 San Antonio Breast Cancer Symposium; 2017 Dec 5-9; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2018;78(4 Suppl):Abstract nr P6-14-01.
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Affiliation(s)
- L Biganzoli
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - R Berardi
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - R Pedersini
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - AM Minisini
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - ER Caremoli
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - S Spazzapan
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - JS Lima
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - D Baldari
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - L Orlando
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - E Magnolfi
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - M Pistelli
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - A Brunello
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - E Zafarana
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - A Bernardo
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - S Leo
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - M Colleoni
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - S Donati
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - S De Placido
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - V Parolin
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - S Vitale
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - A Di Leo
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - F Puglisi
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - L Boni
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
| | - S Cinieri
- Sandro Pitigliani Medical Oncology Unit, Instituto Toscano Tumori, Prato, Italy; Clinica Oncologica – Università Politecnica delle Marche – Ospedali Riuniti di Ancona, Ancona, Italy; Oncologia-Breast Unit Spedali Civili di Brescia, Brescia, Italy; Dipartimento di Area Medica, Università degli Studi di Udine, Udine, Udine, Italy; Oncologia Medica A.O.Papa Giovanni XXIII, Bergamo, Italy; Oncologia Medica B, Centro di Riferimento Oncologico, Istituto Nazionale Tumori, Aviano, Aviano, Italy; Clinical Trials Coordinating Centre, AOU Careggi Instituto Toscano Tumori, Firenze, Italy; Oncologia Medica, Ospedale Perrino, ASL Brindisi Sora, Brindisi, Italy; Oncologia Medica Ospedale Civile SS Trinità di SoraOV Padova, Frosinone, Italy; Oncologia Medica 1 Istituto Oncologico Veneto- IOV Padova, Padova, Italy; Unita Operativa Complessa di Oncologia, Fondazione Maugeri, IRCCS di Pavia, Pavia, Italy; Oncologia Geriatrica, U.O. Oncologia Medica, Ospedale V. Fazzi, Lecce, Italy; Istituto Europeo di Oncologia di Milano, Mila
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Stragliotto S, Lamberti E, Guglieri I, Schiavon S, Nardi M, Procaccio L, Brunello A, Dadduzio V, Galuppo S, Zagonel V, Murgioni S. Simultaneous Care clinic: a three-year monoinstitutional experience. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx435] [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: 11/14/2022] Open
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Geuna E, Benvenuti S, Verginelli F, Galizia D, Cerea G, Stella G, Ardizzoni A, Ciuffreda L, Curigliano G, De Braud F, Gennari A, Tonini G, Brunello A, Cassoni P, Senetta R, Sapino A, Marsoni S, Boccaccio C, Comoglio P, Montemurro F. Agnostos precision medicine project: a multicenter clinical and translational initiative in patients (PTS) with cancer of unknown primary (CUP). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw345.57] [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: 11/14/2022] Open
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Rumiato E, Brunello A, Ahcene-Djaballah S, Borgato L, Gusella M, Menon D, Pasini F, Amadori A, Saggioro D, Zagonel V. Predictive markers in elderly patients with estrogen receptor-positive breast cancer treated with aromatase inhibitors: an array-based pharmacogenetic study. Pharmacogenomics J 2015; 16:525-529. [PMID: 26503812 DOI: 10.1038/tpj.2015.73] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/20/2015] [Revised: 08/27/2015] [Accepted: 09/08/2015] [Indexed: 11/09/2022]
Abstract
So far, no reliable predictive clinicopathological markers of response to aromatase inhibitors (AIs) have been identified, and little is known regarding the role played by host genetics. To identify constitutive predictive markers, an array-based association study was performed in a cohort of 55 elderly hormone-dependent breast cancer (BC) patients treated with third-generation AIs. The array used in this study interrogates variants in 225 drug metabolism and disposition genes with documented functional significance. Six variants emerged as associated with response to AIs: three located in ABCG1, UGT2A1, SLCO3A1 with a good response, two in SLCO3A1 and one in ABCC4 with a poor response. Variants in the AI target CYP19A1 resulted associated with a favourable response only as haplotype; haplotypes with increased response association were also detected for ABCG1 and SLCO3A1. These results highlight the relevance of host genetics in the response to AIs and represent a first step toward precision medicine for elderly BC patients.
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Affiliation(s)
- E Rumiato
- Immunology and Molecular Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - A Brunello
- Medical Oncology 1 Unit, Department of Clinical and Experimental Oncology, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - S Ahcene-Djaballah
- Medical Oncology 1 Unit, Department of Clinical and Experimental Oncology, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - L Borgato
- Hemato-Oncology Unit, Medical Science Department ULSS 13, Mirano, Venezia, Italy
| | - M Gusella
- Division of Oncology, Rovigo General Hospital, ULSS 18, Rovigo, Italy
| | - D Menon
- Division of Oncology, Rovigo General Hospital, ULSS 18, Rovigo, Italy
| | - F Pasini
- Division of Oncology, Rovigo General Hospital, ULSS 18, Rovigo, Italy
| | - A Amadori
- Immunology and Molecular Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy.,Department of Surgery, Oncology, and Gastroenterology, Oncology Section, University of Padova, Padova, Italy
| | - D Saggioro
- Immunology and Molecular Oncology Unit, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
| | - V Zagonel
- Medical Oncology 1 Unit, Department of Clinical and Experimental Oncology, Veneto Institute of Oncology IOV-IRCCS, Padova, Italy
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26
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Maruzzo M, Basso U, Diminutto A, Roma A, Brunello A, Aliberti C, Banzato A, Guglieri I, Opocher G, Zattoni F, Zagonel V. Survival analysis of patients with metastatic renal cell carcinoma treated with sunitinib: a single centre, real-word experience. Ann Oncol 2015. [DOI: 10.1093/annonc/mdv341.22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
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Mustacchi G, Puglisi F, Molino AM, Crivellari D, Ghiotto C, Ferro A, Brunello A, Saracchini S, Turazza M, Cretella E, Iop A, Malagoli M, Stefani M. Observational study on adjuvant trastuzumab in HER2-positive early breast cancer patients. Future Oncol 2015; 11:1493-500. [DOI: 10.2217/fon.15.34] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Aim: This observational study investigates the use of adjuvant trastuzumab (AT) in HER2-positive breast cancer patients in a real-life setting, focusing on relapse and discontinuation rates. Patients & methods: Data on a group of HER2-positive patients collected from 13 oncology centers of northeast Italy were analyzed. Results: In total, 1245 patients were analyzed. 13.1% of patients were excluded from AT because of comorbidities, age, tumor stage, refusal or other reasons; 8.2% of patients who received AT interrupted the therapy, mainly for toxicity. Overall the relapse rate was 10.9% in the AT-treated population versus 22.6% in nontreated patients (follow-up: 37.4 and 62.1 months, respectively). Disease-free survival (DFS) was lower in AT-relapsed patients than in not-relapsed. Statistical analysis showed a correlation between DFS and estrogen receptor status in AT-treated patients. Conclusion: Relapse rates are lower in clinical setting compared to clinical trials. Overall, AT is effective in HER2-positive early-stage breast cancer patients.
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Affiliation(s)
- G Mustacchi
- Medical Oncology, University of Trieste, Via Lucrezio 9, 34134 Trieste, Italy
| | - F Puglisi
- Department of Oncology, AOUI Udine, Italy
| | - AM Molino
- Medical Oncology, AOUI, Verona, Italy
| | - D Crivellari
- Medical Oncology C, CRO, IRCCS, Aviano (PN), Italy
| | - C Ghiotto
- Medical Oncology 2, Istituto Oncologico Veneto-IRCCS, Padova, Italy
| | - A Ferro
- Medical Oncology, Santa Chiara Hospital, Trento, Italy
| | - A Brunello
- Medical Oncology, Istituto Oncologico Veneto-IRCCS, Padova, Italy
| | - S Saracchini
- Medical Oncology, S Maria degli Angeli Hospital, Pordenone, Italy
| | - M Turazza
- Medical Oncology, Sacro Cuore Don Calabria Hospital, Negrar (Verona), Italy
| | | | - A Iop
- Medical Oncology, ASS5 FVG, Palmanova (UD), Italy
| | | | - M Stefani
- Medical Oncology, ULSS 10 Veneto, San Dona’ di Piave (VE), Italy
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Gambaro G, Bertaglia G, Brunello A, Vincenti M, Nassuato MA, Baggio B. Renal tubular function in the elderly. Contrib Nephrol 2015; 105:81-4. [PMID: 8252876 DOI: 10.1159/000422474] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/29/2023]
Affiliation(s)
- G Gambaro
- Institute of Internal Medicine, University Hospital, Padova, Italy
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Rumiato E, Brunello A, Ahcene-Djaballah S, Borgato L, Gusella M, Pasini F, Fiduccia P, Amadori A, Zagonel V, Saggioro D. 651: An array-based pharmacogenetic study on elderly patients with advanced breast cancer treated with aromatase inhibitors. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50571-0] [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: 11/17/2022]
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Lumachi F, Brunello A, Maruzzo M, Basso U, Basso SMM. Treatment of estrogen receptor-positive breast cancer. Curr Med Chem 2014; 20:596-604. [PMID: 23278394 DOI: 10.2174/092986713804999303] [Citation(s) in RCA: 170] [Impact Index Per Article: 17.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/20/2012] [Revised: 11/15/2012] [Accepted: 12/01/2012] [Indexed: 12/12/2022]
Abstract
Estrogen receptor (ER) expression is the main indicator of potential responses to endocrine therapy (ET), and approximately 70% of human breast cancers (BCs) are hormone-dependent and ER-positive. The introduction of adjuvant systemic therapy led to a significant improvement in post-surgical survival and a reduction in disease relapse, especially in women with early BC and those with ER+ tumors, who may receive ET alone or in combination with cytotoxic therapy. Adjuvant ET currently consists of (i) ovarian suppression, (ii) selective estrogen receptor modulators (SERMs) and down-regulators, and (iii) aromatase inhibitors (AIs). In patients with ER+ tumors pharmacologic ovary suppression with gonadotropin-releasing hormone agonists in combination with standard adjuvant therapy is generally more effective than adjuvant chemotherapy alone. Tamoxifen is the best established SERM, has favorable effects on BC control and bone metabolism, but also has adverse effects due to its estrogenic activity in other tissues. For these reasons, other SERMs have been developed. Fulvestrant is an ER down-regulator with several potential advantages over SERMs, including a 100-fold increase in its affinity for ER compared with tamoxifen and no estrogen-like activity in the uterus. The inhibition of the aromatase system with third-generation AIs is associated with improved survival in patients with advanced BC compared with SERMs. In postmenopausal patients with ER+ BC adjuvant treatment with AIs should be performed, either as sequential treatment after tamoxifen or as upfront therapy. Studies evaluating the role of AIs as first-line therapy are ongoing and the results are encouraging.
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Affiliation(s)
- F Lumachi
- Department of Surgical, Oncological & Gastroenterological Sciences, University of Padua, School of Medicine, Padova, Italy.
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Brunello A, Basso U, Sacco C, Sava T, De Vivo R, Camerini A, Barile C, Roma A, Maruzzo M, Falci C, Zagonel V. Safety and activity of sunitinib in elderly patients (≥ 70 years) with metastatic renal cell carcinoma: a multicenter study. Ann Oncol 2013; 24:336-342. [PMID: 23051952 DOI: 10.1093/annonc/mds431] [Citation(s) in RCA: 36] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND Actual tolerability of sunitinib is still poorly documented in elderly patients with metastatic renal cell carcinoma (mRCC). PATIENTS AND METHODS Charts of elderly patients treated with sunitinib for mRCC were reviewed in six Italian centers to assess safety (primary objective), efficacy and correlation of toxicity with comprehensive geriatric assessment (CGA) (secondary objectives). RESULTS Sixty-eight patients were eligible, and the median age was 74 years. CGA was carried out in 34 patients (41% fit, 41% vulnerable and 18.5% frail). The dose reduction to 37.5 mg was made upfront or soon after the first cycle in 69.1%. More frequent toxic effects were fatigue (80.9%), mucositis (61.8%) and hypertension (58.8%). Cardiac events occurred in nine patients. In 10 patients, therapy was interrupted early due to rapidly progressive disease (10.3%) or severe toxicity (4.4%: 1 cardiac failure, 1 fatigue, 1 febrile neutropenia). At a median follow-up of 27.1 months, the median OS was 18.3 months and the median PFS was 13.6 months. Correlation was not found between frailty at CGA with severe toxicity nor with response. CONCLUSIONS Treatment with sunitinib is effective in elderly patients; yet early interruptions were frequent. Starting treatment at reduced dose and escalating in the absence of severe toxicity could be suggested.
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Affiliation(s)
- A Brunello
- Unit of Medical Oncology 1, Istituto Oncologico Veneto-IOV, IRCCS Padova.
| | - U Basso
- Unit of Medical Oncology 1, Istituto Oncologico Veneto-IOV, IRCCS Padova
| | - C Sacco
- Division of Medical Oncology, Santa Maria della Misericordia Hospital, Udine
| | - T Sava
- Unit of Medical Oncology, University of Verona, Verona
| | - R De Vivo
- Unit of Medical Oncology, San Bortolo Hospital, Vicenza
| | - A Camerini
- Medical Oncology Department, Istituto Toscano Tumori, Viareggio
| | - C Barile
- Division of Medical Oncology, Civil Hospital of Rovigo, Rovigo
| | - A Roma
- Unit of Medical Oncology 1, Istituto Oncologico Veneto-IOV, IRCCS Padova
| | - M Maruzzo
- Unit of Medical Oncology 1, Istituto Oncologico Veneto-IOV, IRCCS Padova
| | - C Falci
- Unit of Medical Oncology 2, Istituto Oncologico Veneto-IOV, IRCCS, Padova, Italy
| | - V Zagonel
- Unit of Medical Oncology 1, Istituto Oncologico Veneto-IOV, IRCCS Padova
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Brunello A, Borgato L, Basso U, Lumachi F, Zagonel V. Targeted Approaches to Triple-Negative Breast Cancer: Current Practice and Future Directions. Curr Med Chem 2013; 20:605-12. [DOI: 10.2174/092986713804999321] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/25/2012] [Revised: 11/20/2012] [Accepted: 12/01/2012] [Indexed: 11/22/2022]
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Lumachi F, Luisetto G, Basso SMM, Basso U, Brunello A, Camozzi V. Endocrine therapy of breast cancer. Curr Med Chem 2011; 18:513-22. [PMID: 21143113 DOI: 10.2174/092986711794480177] [Citation(s) in RCA: 104] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/16/2010] [Accepted: 12/18/2010] [Indexed: 12/29/2022]
Abstract
Breast cancer remains one of the first leading causes of death in women, and currently endocrine treatment is of major therapeutic value in patients with estrogen-receptor positive tumors. Selective estrogen-receptor modulators (SERMs), such as tamoxifen and raloxifene, aromatase inhibitors, and GnRH agonists are the drugs of choice. Tamoxifen, a partial nonsteroidal estrogen agonist, is a type II competitive inhibitor of estradiol at its receptor, and the prototype of SERMs. Aromatase inhibitors significantly lower serum estradiol concentration in postmenopausal patients, having no detectable effects on adrenocortical steroids formation, while GnRH agonists suppress ovarian function, inducing a menopause-like condition in premenopausal women. Endocrine therapy has generally a relatively low morbidity, leading to a significant reduction of mortality for breast cancer. The aim of chemoprevention is to interfere early with the process of carcinogenesis, reducing the risk of cancer development. As preventive agents, raloxifene and tamoxifene are equivalent, while raloxifene has more potent antiresorptive effects in postmenopausal osteoporosis. Endocrine treatment is usually considered a standard choice for patients with estrogen-receptor positive cancers and non-life-threatening advanced disease, or for older patients unfit for aggressive chemotherapy regimens. Several therapeutic protocols used in patients with breast cancer are associated with bone loss, which may lead to an increased risk of fracture. Bisphosphonates are the drugs of choice to treat such a drug-induced bone disease. The aim of this review is to outline current understanding on endocrine therapy of breast cancer.
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Affiliation(s)
- F Lumachi
- Department of Surgical & Gastroenterological Sciences, University of Padua, School of Medicine, Via Giustiniani 2, 35128 Padova, Italy.
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Basso U, Falci C, Brunello A, Zafferri V, Fiduccia P, Sergi G, Lonardi S, Lamberti E, Castegnaro E, Solda' C, Cossutta F, Chiarion-Sileni V, Monfardini S, Zagonel V. Prognostic value of multidimensional geriatric assessment (MGA) on survival of a prospective cohort of 880 elderly cancer patients (ECP). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.9065] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [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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Roma A, Basso U, Brunello A, Maruzzo M, Zagonel V, Nardin M, Bezzon E, Zovato S, Opocher G. First-line sunitinib in patients with renal cell carcinoma (RCC) and von Hippel-Lindau syndrome (VHL). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.7_suppl.373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
373 Background: VHL is a rare hereditary condition caused by germline alteration of VHL gene predisposing to multiple renal and other tumors. Since acquired dysregulation of VHL-dependent pathways is often present in patients with sporadic RCC treated with first-line sunitinib (SUN), there is a strong rationale to use the same drug in VHL patients with progressive disease in the kidneys or other sites. Methods: We performed a retrospective analysis of SUN therapy in genetically confirmed VHL patients treated at our Institution for multifocal or advanced RCC. Results: From February 2007 to October 2010, 9 VHL patients were proposed first-line SUN for RCC, mean age 44 yrs (26-60), F:M ratio 2:1. SUN was administered for a mean of 9 cycles (1-20). Eight of 9 pts received at least two cycles and were considered for response evaluation: all 8 were stable according to RECIST criteria, but decrease in radiological density of lesions was observed in 7 of 8 pts (87.5%). Density decrease was noted not only in renal and hepatic lesions but also in some pancreatic nodules; all CNS haemangioblastoma lesions remained stable (see table). Preliminary median PFS is > 13 months (8 censored, 1 deceased). Conclusions: SUN treatment in VHL patients appears to achieve good disease control not only in renal tumors but also in synchronous VHL-related lesions, especially pancreatic solid nodules whose exact nature (metastatic RCC or neuroendocrine tumor) cannot be ruled out without invasive biopsies. [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- A. Roma
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - U. Basso
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - A. Brunello
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - M. Maruzzo
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - V. Zagonel
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - M. Nardin
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - E. Bezzon
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - S. Zovato
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
| | - G. Opocher
- Oncologia Medica 1, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Radiodiagnostica Oncologica, Istituto Oncologico Veneto, IRCCS, Padova, Italy; Unità Tumori Ereditari, Istituto Oncologico Veneto, IRCCS, Padova, Italy
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Monfardini S, Basso U, Fiduccia P, Brunello A, Baretta Z, Soldàa C, Lamberti E, Bozza F, Jirillo A, Falci C. Can the short screening test Vulnerable Elders Survey 13 (VES-13) substitute for the time-consuming comprehensive geriatric assessment (CGA) to identify vulnerable/frail elderly breast cancer patients? J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.9114] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.3] [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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Basso U, Roma A, Falci C, Brunello A, Fiduccia P, Vamvakas L, Bononi A, Gusella M, Banzato A, Monfardini S. Biweekly liposomal pegylated doxorubicin in elderly women with advanced breast cancer: A prospective multicenter trial focusing on tolerability and cardiotoxicity. J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.1138] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Begnini A, Tessari G, Turco A, Malerba G, Naldi L, Gotti E, Boschiero L, Forni A, Rugiu C, Piaserico S, Fortina A, Brunello A, Cascone C, Girolomoni G, Gomez Lira M. PTCH1
gene haplotype association with basal cell carcinoma after transplantation. Br J Dermatol 2010; 163:364-70. [DOI: 10.1111/j.1365-2133.2010.09776.x] [Citation(s) in RCA: 12] [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: 11/28/2022]
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Monfardini S, Falci C, Crivellari D, Molino A, De Matteis A, Brunello A, Lonardi S, Massa I, Fiduccia P, Basso U. P33 Increasing age and vulnerability/frailty are associated with a delayed diagnosis made more by self examination than screening mammography in older breast cancer women: results of a prospective observational trial in 5 Italian centres. Crit Rev Oncol Hematol 2009. [DOI: 10.1016/s1040-8428(09)70071-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Brunello A, Maruzzo M, Ghiotto C, Koussis H, Basso U, Monfardini S, Jirillo A. 4010 Role of adjuvant chemotherapy in elderly (≥70 years) women with high-risk early breast cancer. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)70744-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Basso U, Rossi E, Indraccolo S, Barile C, Sava T, Aieta M, Brunello A, Jirillo A, Amadori A, Zamarchi R. 7117 Do circulating tumor cells (CTCs) correlate with response to first-line sunitinib in metastatic renal carcinoma? EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)71450-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Falci C, Basso U, Crivellari D, Molino A, De Matteis A, Brunello A, Lonardi S, Massa I, Fiduccia P, Monfardini S. 4007 Advanced age, vulnerability/frailty and presence of comorbidities are associated with a delayed diagnosis made more by self examination than screening mammography in older breast cancer women: results of a prospective observational trial in 5 Italian centers. EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)70741-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Monfardini S, Falci C, Crivellari D, Molino A, De Matteis A, Brunello A, Lonardi S, Massa I, Fiduccia P, Basso U. 4015 Early breast cancer in elderly women undergoing multidimensional geriatric assessment (MGA): does the consultation with Adjuvant!online change the choice of postoperative therapy? EJC Suppl 2009. [DOI: 10.1016/s1359-6349(09)70749-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Z'Graggen WJ, Brander L, Tuchscherer D, Brunello A, Passath C, Takala J, Jakob SM, Bostock H. Assessment of muscle membrane properties using muscle velocity recovery cycles in patients with critical illness polyneuromyopathy. Crit Care 2009. [PMCID: PMC4083997 DOI: 10.1186/cc7275] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Tuchscherer D, Z'Graggen W, Brunello A, Passath C, Sinderby C, Takala J, Jakob SM, Brander L. Neurally adjusted ventilatory assistance in patients with critical illness polyneuromyopathy. Crit Care 2009. [PMCID: PMC4083996 DOI: 10.1186/cc7274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Monfardini S, Brunello A, Crivellari D, Puglisi F, Paccagnella A, Molino A, Mustacchi G, Beda M, Luciani A, Simoncini E, Pogliani C, Basso U. Activity and safety of trastuzumab in advanced breast cancer in elderly women (≥ 70 years) in italy. Crit Rev Oncol Hematol 2008. [DOI: 10.1016/s1040-8428(08)70104-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
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Falci C, Monfardini S, Pasetto L, Basso U, Lonardi S, Brunello A, Lamberti E, Sinigaglia G, Jirillo A. A phase II study of adapted chemotherapy for first-line treatment of metastatic colo-rectal cancer (mCRC) in patients aged 70 years or over, systematically evaluated through Comprehensive Geriatric Assessment. Crit Rev Oncol Hematol 2008. [DOI: 10.1016/s1040-8428(08)70097-0] [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: 11/30/2022] Open
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Brunello A, Monfardini S, Crivellari D, Puglisi F, Nascimben O, Scattolin G, Molino A, Mustacchi G, Beda M, Basso U. Multicenter analysis of activity and safety of trastuzumab plus chemotherapy in advanced breast cancer in elderly women (≥ 70 years). J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.1096] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.8] [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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Popa M, Wallace K, Brunello A, Extermann M. The impact of polypharmacy on toxicity from chemotherapy in elderly patients: Focus on cytochrome P-450 inhibition and protein binding effects. J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.9505] [Citation(s) in RCA: 3] [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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