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Bujosa Rodríguez A, Molto Valiente C, Tapia J, Gich I, Barnadas A, Amir E, Tibau A. 1585MO Factors associated with change in overall survival and quality of life between time of approval and post-marketing among anti-cancer therapies. Ann Oncol 2020. [DOI: 10.1016/j.annonc.2020.08.1897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Tapia J, Gavira J, Riudavets M, Ponce O, Gich I, Barnadas A, Majem M. 1719P Clinical characteristics and 28-day mortality among patients with solid cancers and COVID-19 in a tertiary hospital. Ann Oncol 2020. [PMCID: PMC7506311 DOI: 10.1016/j.annonc.2020.08.1783] [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: 11/26/2022] Open
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Barnadas A, Muñoz M, Margelí M, Chacón JI, Cassinello J, Antolin S, Adrover E, Ramos M, Carrasco E, Jimeno MA, Ojeda B, González X, González S, Constenla M, Florián J, Miguel A, Llombart A, Lluch A, Ruiz-Borrego M, Colomer R, Del Barco S. BOMET-QoL-10 questionnaire for breast cancer patients with bone metastasis: the prospective MABOMET GEICAM study. J Patient Rep Outcomes 2019; 3:72. [PMID: 31865481 PMCID: PMC6925605 DOI: 10.1186/s41687-019-0161-y] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [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: 05/29/2019] [Accepted: 11/15/2019] [Indexed: 11/18/2022] Open
Abstract
Background Bone metastasis (BM) is the most common site of disease in metastatic breast cancer (MBC) patients. BM impacts health-related quality of life (HRQoL). We tested prospectively the psychometric properties of the Bone Metastasis Quality of Life (BOMET-QoL-10) measure on MBC patients with BM. Methods Patients completed the BOMET-QoL-10 questionnaire, the Visual Analogue Scale (VAS) for pain, and a self-perceived health status item at baseline and at follow-up visits. We performed psychometric tests and calculated the effect size of specific BM treatment on patients´ HRQoL. Results Almost 70% of the 172 patients reported symptoms, 23.3% experienced irruptive pain, and over half were receiving chemotherapy. BOMET-QoL-10 proved to be a quick assessment tool performing well in readability and completion time (about 10 min) with 0–1.2% of missing/invalid data. Although BOMET-QoL-10 scores remained fairly stable during study visits, differences were observed for patient subgroups (e.g., with or without skeletal-related events or adverse effects). Scores were significantly correlated with physician-reported patient status, patient-reported pain, symptoms, and perceived health status. BOMET-QoL-10 scores also varied prospectively according to changes in pain intensity. Conclusions BOMET-QoL-10 performed well as a brief, easy-to-administer, useful, and sensitive HRQoL measure for potential use for clinical practice with MBC patients. Trial registration NCT03847220. Retrospectively registered on clinicaltrials.gov (February the 20th 2019).
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Affiliation(s)
- A Barnadas
- Medical Oncology Department, Hospital de la Santa Creu I Sant Pau, C/Sant Antoni Maria Claret, 167, 08041, Barcelona, Spain. .,Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.
| | - M Muñoz
- Medical Oncology Department, Hospital Clinic i Provincial, C/ Villarroel n° 170, 08036, Barcelona, Spain
| | - M Margelí
- Medical Oncology Department, Ctra, Hospital Germans Trias i Pujol, Canyet s/n, 08916 Badalona, Barcelona, Spain
| | - J I Chacón
- Medical Oncology Department, Hospital Virgen de la Salud, Avda. Barber, n° 30, 45005, Toledo, Spain
| | - J Cassinello
- Medical Oncology Department, Hospital General de Guadalajara, C/ Donantes de Sangre, s/n, 19002, Guadalajara, Spain
| | - S Antolin
- Medical Oncology Department, Complejo Hospitalario U. A Coruña, C/ Xubias de Abaixo s/n, 15006, A Coruña, Spain
| | - E Adrover
- Medical Oncology Department, Complejo Hospitalario Universitario de Albacete, C/ Hermanos Falcó n° 37, 02006, Albacete, Spain
| | - M Ramos
- Medical Oncology Department, Centro Oncológico de Galicia, C/ Doctor Camilo Veiras s/n, 15009, A Coruña, Spain
| | - E Carrasco
- GEICAM (Spanish Breast Cancer Group), Avda. de los Pirineos n° 7, 28703 San Sebastián de los Reyes, Madrid, Spain
| | - M A Jimeno
- GEICAM (Spanish Breast Cancer Group), Avda. de los Pirineos n° 7, 28703 San Sebastián de los Reyes, Madrid, Spain
| | - B Ojeda
- Medical Oncology Department, Hospital de la Santa Creu I Sant Pau, C/Sant Antoni Maria Claret, 167, 08041, Barcelona, Spain
| | - X González
- Medical Oncology Department, Hospital General de Catalunya, Carrer de Pedro Pons 1, 08195, Sant Cugat del Valles, Barcelona, Spain
| | - S González
- Medical Oncology Department, Hospital Mutua de Terrassa, Barcelona, Plaza del Dr. Robert n°5, 08221, Terrassa, Barcelona, Spain
| | - M Constenla
- Medical Oncology Department, Complejo Hospitalario De Pontevedra, Calle Mourente s/n, 36071, Pontevedra, Galicia, Spain
| | - J Florián
- Medical Oncology Department, Hospital Comarcal de Barbastro, Ctra. Nacional 240, s/n, 22300, Barbastro, Huesca, Spain
| | - A Miguel
- Medical Oncology Department, Hospital Althaia Manresa, C/ Dr. Joan Soler, s/n, 08243, Manresa, Barcelona, Spain
| | - A Llombart
- Medical Oncology Department, Hospital Arnau de Vilanova, Avda. Alcalde Rovira Roure, 80, 25198, Lleida, Spain
| | - A Lluch
- Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain.,Hospital Clínico Universitario de Valencia, Biomedical Research Institute INCLIVA, Valencia, Spain
| | - M Ruiz-Borrego
- Medical Oncology Department, Hospital Virgen del Rocío, Avda. Manuel Siurot, s/n, 41013, Sevilla, Spain
| | - R Colomer
- Medical Oncology Department, Hospital Universitario La Princesa, C/ Diego de León n° 62, 28006, Madrid, Spain
| | - S Del Barco
- Medical Oncology Department, Hospital U. Josep Trueta, Avda. De França s/n, 17007, Gerona, Spain
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Salvador J, Ciruelos E, Jiménez-Rodríguez B, De La Cruz L, Villanueva Vázquez R, De Toro R, Antón A, Moreno F, Álvarez I, Quiroga V, de la Haba J, González-Santiago S, Díaz N, Barnadas A, Cantos B, Delgado Mingorance I, Bellet Ezquerra M, Martín M, Martínez N, Vicente E. Interim results from CompLEEment-1 (A phase IIIb study of ribociclib and letrozole as first-line therapy for advanced breast cancer in an expanded population): Spanish cohort results. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz242.031] [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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Rodríguez AB, Tapia J, Hwang T, Valiente CM, Templeton A, Barnadas A, Amir E, Tibau A. Change in magnitude of clinical benefit, overall survival (OS) and quality of life (QoL) between time of approval and post-marketing among cancer drugs approved by the US Food and Drug Administration (FDA) 2006-2015. Ann Oncol 2019. [DOI: 10.1093/annonc/mdz263.001] [Citation(s) in RCA: 1] [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: 11/13/2022] Open
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Salvador J, Ciruelos EM, Prat A, Jiménez-Rodríguez B, de la Cruz L, Martínez N, Villanueva Vázquez R, de Toro R, Antón A, Moreno F, Alvarez I, Gavila J, Quiroga V, Vicente E, de la Haba J, González-Santiago S, Díaz N, Barnadas A, Cantos Sánchez de Ibargüen B, Delgado JI, Bellet M, Gimeno A, Sanz S, Martin M. Abstract P6-18-17: Ribociclib + letrozole in patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2–) advanced breast cancer (aBC) with no prior endocrine therapy (ET) for ABC: CompLEEment-1 trial, preliminary results from Spanish population. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p6-18-17] [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: The phase III Monaleesa-2, Monaleesa-3 and Monaleesa-7 trials have shown significantly improved PFS for the combination ribociclib + ET vs ET + placebo in pre-, peri-, and postmenopausal women with HR+/HER2–, first and second line aBC. The Compleement-1 trial is a phase IIIb, single-arm, open-label, international study to assess the safety and efficacy of ribociclib + letrozole in men and women who have not received prior ET for HR+, HER2– ABC [J Clin Oncol 36, 2018 (suppl; abstr 1056)].
Methods: 526 patients with HR+, HER2– ABC, ≤1 line of prior CT, and no prior ET for aBC were enrolled in the Compleement-1trial in Spain from April 2017 to January 2018. Patients received ribociclib (600 mg/day, 3 weeks on/1 week off) + letrozole (2.5 mg/day); men and premenopausal women received concomitant goserelin (3.6 mg subcutaneous implant every 28 days). The primary objective was safety and tolerability. Here we report on a sub-analysis from the Spanish population of Compleement-1 trial including baseline characteristics and early safety results for the first patients enrolled who completed at least 56 days of follow-up or discontinued before the cut-off date (3rd Oct 2017).
Results: One hundred fifty four patients constituted the analytical cohort for this sub-analysis. Demographics and baseline characteristics: median age was 52 years (range 24-82); 1% of patients were male, 31.8% female pre-menopausal and 67.5% female post-menopausal; 44.2% vs 38.3% of patients had visceral disease vs bone only disease; 49.9% patients had ≥2 metastatic sites; and 34.4% of patients presented as de novo stage IV. The median exposure for study treatment was 1.8 months (range 0.8-1.8). The grade 3/4 events reported >1% included neutropenia (50%), increased GGT levels (3.2%), leukopenia (1.3%), and increased ALT (1.3%). QTcF prolongation >480ms based on ECG data was reported in 1.2% patients. Median dose intensity for ribociclib was 600mg/day (range 476.5-600); 11% of patients required one dose reduction (8.4% due to AEs), 59.7% had at least one dose interruption (57.1% due to AEs) and 9.7% were permanently discontinued (4.5% due to AEs).
Conclusions: Preliminary safety results from this Compleement-1 sub-analysis including Spanish population are consistent with previous data presented from Monaleesa-2, Monaleesa-3, Monaleesa-7 and Compleement-1. These data support the predictable and manageable safety profile of ribociclib in combination with letrozole. Clinical trial information: NCT02941926
Citation Format: Salvador J, Ciruelos EM, Prat A, Jiménez-Rodríguez B, de la Cruz L, Martínez N, Villanueva Vázquez R, de Toro R, Antón A, Moreno F, Alvarez I, Gavila J, Quiroga V, Vicente E, de la Haba J, González-Santiago S, Díaz N, Barnadas A, Cantos Sánchez de Ibargüen B, Delgado JI, Bellet M, Gimeno A, Sanz S, Martin M. Ribociclib + letrozole in patients with hormone receptor-positive (HR+), human epidermal growth factor receptor 2-negative (HER2–) advanced breast cancer (aBC) with no prior endocrine therapy (ET) for ABC: CompLEEment-1 trial, preliminary results from Spanish population [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P6-18-17.
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Affiliation(s)
- J Salvador
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - EM Ciruelos
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - A Prat
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - B Jiménez-Rodríguez
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - L de la Cruz
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - N Martínez
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - R Villanueva Vázquez
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - R de Toro
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - A Antón
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - F Moreno
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - I Alvarez
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - J Gavila
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - V Quiroga
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - E Vicente
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - J de la Haba
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - S González-Santiago
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - N Díaz
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - A Barnadas
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - B Cantos Sánchez de Ibargüen
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - JI Delgado
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - M Bellet
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - A Gimeno
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - S Sanz
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
| | - M Martin
- Virgen del Rocio University Hospital. Biomedicine Institute (IBIS), Sevilla, Andalucia, Spain; University Hospital 12 de Octubre, Madrid, Spain; Clinic Barcelona University Hospital, Barcelona, Cataluña, Spain; Virgen de la Victoria University Hospital, Malaga, Andalucia, Spain; Virgen de la Macarena University Hospital, Sevilla, Andalucia, Spain; Ramon y Cajal University Hospital, Madrid, Spain; Institut Català d'Oncologia-Hospital Duran i Reynals, Barcelona, Cataluña, Spain; Jerez University Hospital, Jerez, Andalucia, Spain; Miguel Servet University Hospital, Zaragoza, Aragon, Spain; Hospital Clínico San Carlos, Madrid, Spain; Donostia University Hospital, Donostia, Pais Vasco, Spain; Fundación Instituto Valenciano de Oncologia, Valencia, Spain; Catalan Institut of Oncology (ICO) - Hospital Germans Trias i Pujol, Badalona, Cataluña, Spain; Insular Gran Canaria University Hospital, Gran Canaria, Canarias, Spain; Reina Sofia University Hospital, Cordoba, Andalucia, Spain; San Pedro de Alcantara University H
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Martín M, Barrios CH, Torrecillas L, Ruiz-Borrego M, Bines J, Segalla J, Ruiz A, García-Sáenz JA, Torres R, de la Haba J, García E, Gómez HL, Llombart A, Rodríguez de la Borbolla M, Baena JM, Barnadas A, Calvo L, Pérez-Michel L, Ramos M, Castellanos J, Rodríguez-Lescure A, Cárdenas J, Vinholes J, Martínez de Dueñas E, Godes MJ, Seguí MA, Antón A, López-Álvarez P, Moncayo J, Amorim G, Villar E, Reyes S, Sampaio C, Cardemil B, Escudero MJ, Bezares S, Carrasco E, Lluch A. Abstract GS2-04: Efficacy results from CIBOMA/2004-01_GEICAM/2003-11 study: A randomized phase III trial assessing adjuvant capecitabine after standard chemotherapy for patients with early triple negative breast cancer. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-gs2-04] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [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: Triple negative breast cancers (TNBC) have a greater risk of relapse than non-TNBC. New therapeutic approaches are needed for these patients (pts). CIBOMA/2004-01_GEICAM/2003-11 is a multinational, randomized phase III trial exploring adjuvant capecitabine (X) after completion of standard treatment in early TNBC pts.
Materials and Methods: Patients with operable, node-positive (or node-negative with tumor size ≥ 1 cm), centrally confirmed hormone receptor-negative, HER2-negative early BC, who had received 6–8 cycles (cy) of standard anthracycline and/or taxane-containing chemotherapy or 4 cy of doxorubicin-cyclophosphamide (for node-negative disease) in the (neo)adjuvant setting, were eligible. Patients were randomized to either 8 cy of X (1,000 mg/m2 bid, days 1–14, every 3 weeks) or observation. Stratification factors included center, prior taxane-based therapy, number of involved axillary lymph nodes and phenotype (basal vs non-basal, according to cytokeratins 5/6 and/or EGFR positivity). The primary objective was to compare the disease-free survival (DFS) between both treatment arms, and secondary objectives included the comparison in terms of 5-year DFS, overall survival (OS) and safety. Assuming a 30% risk reduction in DFS rate at 5 years (from 64.7% to 73.7%, hazard ratio 0.70) with 80% power and a two-tailed log-rank test at 0.05, 834 evaluable pts were needed. 876 pts had to be finally enrolled considering a drop-out rate of 5%.
Results: Recruitment of 876 pts from 8 countries was completed in September 2011. Median age was 49 years; 68.5% of pts were postmenopausal, 55.5% were lymph node negative, 71.7% had a basal phenotype, 67.5% received chemotherapy based on anthracyclines and taxanes. Median follow-up was 7.3 years (range 0.0 to 11.1). DFS was not significantly prolonged with X vs observation (hazard ratio (HR) 0.82; 95% confidence interval (CI), 0.63 to 1.06; P=0.1353). Five-year DFS was 79.6% (95% CI, 75.8% to 83.4%) with X and 76.8% (95% CI, 72.7% to 80.9%) with observation. OS was not statistically different between treatment arms (HR 0.92; 95% CI, 0.66 to 1.28; P=0.6228). In subgroup analysis for DFS, we found no statistically significant interaction between X treatment and different subgroups, with the exception of basal vs non-basal phenotypes (basal HR 0.97, 95% CI 0.72 to 1.32, P=0.8620; non-basal HR 0.51, 95% CI, 0.31 to 0.86, P=0.0101; interaction P=0.0357). Similar results were found for OS (basal HR 1.20, 95% CI 0.81 to 1.77, P=0.3684; non-basal HR 0.48, 95% CI, 0.26 to 0.91, P=0.0205; interaction P=0.0155). 75.2% of pts completed 8 cy of X, with a median relative dose intensity of 86.3%. Grade (G) 3 or higher adverse events (AEs) were observed in 40.4% of pts in X arm. In 9.6% of pts the AEs were related with X. Hand-foot syndrome was the most common AE in X arm (G3 on 18.8% of pts).
Conclusions: In our study, the addition of adjuvant X after standard (neo) adjuvant anthracycline and/or taxane-containing chemotherapy was not associated with a statistically significant improvement of DFS or OS compared to observation in pts with early TNBC. However, in a subgroup analysis a significant DFS and OS improvement was observed with X in pts with non-basal phenotype.
Sponsor: CIBOMA.
Citation Format: Martín M, Barrios CH, Torrecillas L, Ruiz-Borrego M, Bines J, Segalla J, Ruiz A, García-Sáenz JA, Torres R, de la Haba J, García E, Gómez HL, Llombart A, Rodríguez de la Borbolla M, Baena JM, Barnadas A, Calvo L, Pérez-Michel L, Ramos M, Castellanos J, Rodríguez-Lescure A, Cárdenas J, Vinholes J, Martínez de Dueñas E, Godes MJ, Seguí MA, Antón A, López-Álvarez P, Moncayo J, Amorim G, Villar E, Reyes S, Sampaio C, Cardemil B, Escudero MJ, Bezares S, Carrasco E, Lluch A. Efficacy results from CIBOMA/2004-01_GEICAM/2003-11 study: A randomized phase III trial assessing adjuvant capecitabine after standard chemotherapy for patients with early triple negative breast cancer [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr GS2-04.
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Affiliation(s)
- M Martín
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - CH Barrios
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - L Torrecillas
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - M Ruiz-Borrego
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J Bines
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J Segalla
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - A Ruiz
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - JA García-Sáenz
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - R Torres
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J de la Haba
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - E García
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - HL Gómez
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - A Llombart
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - M Rodríguez de la Borbolla
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - JM Baena
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - A Barnadas
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - L Calvo
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - L Pérez-Michel
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - M Ramos
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J Castellanos
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - A Rodríguez-Lescure
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J Cárdenas
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J Vinholes
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - E Martínez de Dueñas
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - MJ Godes
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - MA Seguí
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - A Antón
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - P López-Álvarez
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - J Moncayo
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - G Amorim
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - E Villar
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - S Reyes
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - C Sampaio
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - B Cardemil
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - MJ Escudero
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - S Bezares
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - E Carrasco
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
| | - A Lluch
- Hospital General Universitario Gregorio Marañón, Madrid, Spain. Instituto de Investigación Sanitaria Gregorio Marañón. Universidad Complutense, Madrid, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC-ISCIII, Madrid, Spain; Centro de Pesquisa Clínica Hospital São Lucas da PUCRS, Porto Alegre/RS, Brazil; Latin American Cooperative Oncology Group (LACOG), Porto Alegre/RS, Brazil; Centro Médico Nacional 20 de Noviembre, Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado (ISSSTE), Mexico DF, Mexico; Hospital Universitario Virgen del Rocío, Seville, Spain; Instituto Nacional de Câncer (INCA) José Alencar Gomes da Silva, Rio de Janeiro, Brazil; Hospital Amaral Carvalho, Chácara Braz Miraglia, Jaú - SP, Brazil; Instituto Valenciano de Oncología, Valencia, Spain; Hospital Clínico San Carlos, Madrid, Spain; Instituto Nacional del Cáncer, Santiago, Chile; Hospital Universitario Reina Sofía, Córdoba, Spain; Hospital General Universitario Morales Messeguer, Murcia, Spain; In
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Alba E, Rueda OM, Lluch A, Albanell J, Chin SF, Chacón JI, Calvo L, De la Haba-Rodriguez J, Bermejo B, Ribelles N, Sánchez-Rovira P, Plazaola A, Barnadas A, Cirauqul B, Ramos M, Arcusa A, Carrasco E, Herranz J, Chiesa M, Caballero R, Santonja A, Rojo F, Caldas C. Abstract P5-12-03: Genome copy number entropy as predictor of response for neoadjuvant therapy in early breast cancer. Cancer Res 2019. [DOI: 10.1158/1538-7445.sabcs18-p5-12-03] [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
Copy Number Alterations (CNAs) represent changes in the copy number of genomic segments of somatic cells due to chromosomal instability. CNAs include gene amplifications or deletions and can be involved in tumorigenesis. We analyzed CNAs data in pre- and post-treatment (ttm) tumors from patients (pts) with early breast cancer (BC) in the neoadjuvant trials GEICAM/2006-03 and GEICAM/2006-14, with the aim to identify CNAs in particular genomic regions (genetic entropy) associated with treatment response.
Methods
GEICAM/2006-03 (NCT00432172) HER2-negative pts were selectively treated according to clinical subtypes: triple negative (TN) pts were treated with standard anthracycline/taxane -based chemotherapy (AT-CT) +/- carboplatin, while luminal patients were randomized to AT-CT vs. hormonotherapy; GEICAM/2006-14 (NCT00841828) HER2+ pts received AT-CT plus anti-HER2 therapy.Shallow-whole genome Illumina sequencing DNA data from 204 paraffin-embedded tumors (100 pre- and 104 post-ttm) were segmented to obtain CNAs and recurrent altered genomic regions were defined. We used Wilcoxon test to analyze the frequency of altered regions and logistic regression analyses to explore their association with tumor response, in terms of pathological complete response (pCR) in breast and axilla. Validation of altered genes associated with therapy response was performed in the microarray gene expression-based Hatzis dataset (GSE25066) from pts receiving neoadjuvant AT-CT (1).
Results
A total of 672 regions covering the whole genome were identified upon analysis of CNAs data. Regions were categorized according to their alteration status as amplified, normal and lost. Comparative analysis of alterations revealed 11 regions significantly different (p<0.05) in pre- vs post-ttm tumors. Logistic regression analysis showed that in pre-ttm tumors specific alterations of 8 regions localized in 3 different genomic loci (11q12, 16q22 and 21q22) were significantly associated with pCR (p<0.05). Independent analyses of CNAs data with “CGH regions” and “GISTIC2.0” tools confirmed the special relevance of 2 of these 8 regions (#653 and #654), amplified in the locus 21q22.12. This locus contains 20 genes whose expression was tested in Hatzis dataset (1) (GSE25066): the analysis showed that overexpression of 5 of these 20 genes (CHAF1B, CBR1, CBR3, RCAN1 and SLC5A3) turned out to be significantly higher in the cohort of pts who reached pCR, in agreement with our findings. Some of these genes have already been described as proliferation markers (CHAF1B) or involved in treatment response (CBR1) in BC. Other genes related to BC in this genomic region are the transcription factor RUNX1 and the Lysine Methyltransferase SETD4.
Conclusions
According to our results, neoadjuvant therapy can modulate genomic aberrations landscape in BC. Our data suggest that amplification of specific genes in the genomic locus (21q22.12) is involved in the neoadjuvant therapy response in early BC.
(1): Hatzis et al., JAMA 2011, 305(18) 1873-81
Citation Format: Alba E, Rueda OM, Lluch A, Albanell J, Chin S-F, Chacón JI, Calvo L, De la Haba-Rodriguez J, Bermejo B, Ribelles N, Sánchez-Rovira P, Plazaola A, Barnadas A, Cirauqul B, Ramos M, Arcusa A, Carrasco E, Herranz J, Chiesa M, Caballero R, Santonja A, Rojo F, Caldas C. Genome copy number entropy as predictor of response for neoadjuvant therapy in early breast cancer [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P5-12-03.
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Affiliation(s)
- E Alba
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - OM Rueda
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - A Lluch
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - J Albanell
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - S-F Chin
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - JI Chacón
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - L Calvo
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - J De la Haba-Rodriguez
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - B Bermejo
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - N Ribelles
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - P Sánchez-Rovira
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - A Plazaola
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - A Barnadas
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - B Cirauqul
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - M Ramos
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - A Arcusa
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - E Carrasco
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - J Herranz
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - M Chiesa
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - R Caballero
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - A Santonja
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - F Rojo
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
| | - C Caldas
- Instituto de Investigación Biomédica de Málaga (IBIMA) - Hospital Clínico Universitario Virgen de la Victoria, Málaga, Spain; Centro de Investigación Biomédica en Red de Oncología, CIBERONC, Madrid, Spain; GEICAM, Spanish Breast Cancer Group, Madrid, Spain; Cancer Research UK Cambridge Institute, Li Ka Shing Centre, University of Cambridge, Cambridge, United Kingdom; Hospital Clínico Universitario de Valencia. Biomedical Research Institute INCLIVA. University of Valencia, Valencia, Spain; Hospital del Mar, Barcelona, Spain; Hospital Virgen de la Salud, Toledo, Spain; Complejo Hospitalario Universitario de A Coruña, A Coruña, Spain; Instituto Maimónides de Investigación Biomédica de Córdoba (IMIBIC) - H. Universitario Reina Sofía, Universidad de Córdoba, Córdoba, Spain; Hospital Clínico Universitario de Valencia, Valencia, Spain; Complejo Hospitalario de Jaén, Jaen, Spain; Onkologikoa, San Sebastián, Spain; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Hospital Germans Trias i Pujol, Barcelona, Spai
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Blancas I, Aguirre E, Morales S, Gonzálvez ML, Servitja S, Díaz N, Del Barco S, Barnadas A, Margelí M, García Carbonero I, Llombart A. Real-world data on the efficacy and safety of weekly oral vinorelbine in breast cancer patients previously treated with anthracycline or taxane-based regimens. Clin Transl Oncol 2018; 21:459-466. [PMID: 30293232 DOI: 10.1007/s12094-018-1946-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [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: 07/20/2018] [Accepted: 09/05/2018] [Indexed: 01/29/2023]
Abstract
PURPOSE To evaluate the efficacy and safety of oral weekly vinorelbine 60 mg/m2 for metastatic breast cancer (MBC) in patients previously treated with anthracyclines or taxanes in routine clinical practice. MATERIALS AND METHODS Fifty-five patients were enrolled in a prospective multicentre study conducted in Spain. Women ≥ 18 years of age with locally advanced breast cancer who were not candidates for surgical treatment with a radical intention or patients with stage IV disease, and who had received a prior taxane or anthracycline regimen were eligible for participation. RESULTS Median age was 67 years. Median progression-free survival was 3.7 months (95% CI 2.5-4.9), median overall survival 10 months (95% CI 6.6-13.5), and overall response rate and clinical benefit rate were 29.1% and 49.1%, respectively. Main grade 3 and 4 toxicities were neutropenia 9.1%, febrile neutropenia 3.6% and constipation 3.6%. In total, 86% of the patients received complete treatment without delays or dose reduction. Moreover, HER2-positive patients who received oral vinorelbine concomitantly with trastuzumab showed better response (complete response: HER2-positive 14.3% vs. HER2-negative 0%; partial response: HER2-positive 42.9% vs. HER2-negative 25.6%; p = 0.008), better disease control rate (HER2-positive 100% vs. HER2-negative 46.2%; p = 0.011), and better values for the remaining analysed variables than HER2-negative patients. CONCLUSION Our study provides real-world data on the use of oral weekly vinorelbine, which proves an effective and well-tolerated regimen for MBC patients previously treated with taxanes or anthracyclines. Patients with HER2-positive disease could also benefit from this treatment in combination with trastuzumab.
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Affiliation(s)
- I Blancas
- Department of Medical Oncology, University Hospital San Cecilio, Av. De la Investigación s/n, 18016, Granada, Spain.
| | - E Aguirre
- Department of Medical Oncology, University Hospital Arnau de Vilanova, Lleida, Spain
| | - S Morales
- Department of Medical Oncology, University Hospital Arnau de Vilanova, Lleida, Spain
| | - M L Gonzálvez
- Department of Medical Oncology, University Hospital Arrixaca, Murcia, Spain
| | - S Servitja
- Department of Medical Oncology, Hospital Del Mar, Barcelona, Spain
| | - N Díaz
- Department of Medical Oncology, University Hospital San Juan de Alicante, Alicante, Spain
| | - S Del Barco
- Department of Medical Oncology, Institut Català d'Oncologia, Girona, Spain
| | - A Barnadas
- Department of Medical Oncology, University Hospital Sant Pau, Barcelona, Spain
| | - M Margelí
- Department of Medical Oncology, Institut Català d'Oncologia, Badalona, Spain
| | - I García Carbonero
- Department of Medical Oncology, Virgen de La Salud Hospital, Toledo, Spain
| | - A Llombart
- Department of Medical Oncology, Arnau de Vilanova Hospital, Valencia, Spain
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Borrell Puy M, Molto Valiente C, Vokinger K, Hwang T, Ocana Fernandez A, Templeton A, Seruga B, Gich Saladich I, Barnadas A, Amir E, Tibau A. Magnitude of clinical benefit in trials supporting US Food and Drug Administration (FDA) accelerated approval (AA) and European Medicines Agency (EMA) conditional marketing authorisation (CMA) and subsequent trials supporting conversion to full approval. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy297.007] [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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Molto Valiente C, Borrell M, Ocana Fernandez A, Templeton A, del Carpio L, Del Paggio J, Barnadas A, Booth C, Tibau A, Amir E. Magnitude of clinical benefit of cancer drugs approved based on single-arm trials (SAT) by the US Food and Drug Administration (FDA). Ann Oncol 2018. [DOI: 10.1093/annonc/mdy297.006] [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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12
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Molto Valiente C, Borrell M, Hwang T, Gich Saladich I, Barnadas A, Amir E, Kesselheim A, Tibau A. Magnitude of clinical benefit of trials supporting US Food and Drug Administration (FDA) approval of breakthrough and non-breakthrough drugs. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy297.008] [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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13
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Anguera Palacios G, del Carpio L, Molina MA, Aguado C, Gras-Cabrerizo J, Leon X, Gonzalez-Cao M, Karachaliou N, Mozos A, Gonzalez A, Barnadas A, Rosell R, Majem M. Molecular analysis of NRAS, BRAF, C-KIT, ROS1, ALK and RET alterations in serial biopsies in sinonasal mucosal melanoma. Ann Oncol 2018. [DOI: 10.1093/annonc/mdy287.037] [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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Gil-Gil M, Bellet M, Morales S, Barnadas A, Manso L, Morilla Ruiz I, Azaro A, Ciruelos Gil E, Garcia Martínez E, Marínez N, Melé M, Soler T, Villagrasa P, Pernas S. Abstract P6-15-06: SOLTI-0702 CAPRICE: Final results of a phase II study of pegylated liposomal doxorubicin plus cyclophosphamide followed by paclitaxel as neoadjuvant chemotherapy in elderly or cardiotoxicity-prone patients with high-risk breast cancer: 5-year overall survival disease free survival and late cardiac safety. Cancer Res 2018. [DOI: 10.1158/1538-7445.sabcs17-p6-15-06] [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:
Anthracycline and taxane-based chemotherapy is the standard treatment for high-risk breast cancer. However, conventional anthracyclines are not commonly used in elderly patients or those patients prone to cardiotoxicity and there is a potential risk leaving them undertreated. Pegylated liposomal doxorubicin (PLD) has comparable efficacy, but significantly less cardiotoxicity than conventional anthracyclines. We conducted a phase II trial to assess the efficacy and safety of a neoadjuvant chemotherapy (NC) based on PLD and paclitaxel (PTX) in this group of patients. The pathological complete response, breast conservative surgery (BCS) and safety data at a 35-month follow-up were published (Gil-Gil et al. Breast Cancer Res Treat 2015). Here we present the final analysis of 5-year overall survival (OS) and 5-year disease-free survival (DFS) and cardiac safety after 60 months of follow-up.
Methods:
Fifty patients with stage II (48%) and III (52%) breast cancer (seven cases were T4d) and with at least one risk factor for developing cardiotoxicity were included. NC schedule: PLD 35 mg/m2 plus cyclophosphamide 600 mg/m2 every 4 weeks for four cycles, followed by 80 mg/m2 weekly PTX for 12. Median age was 73 years old (84% were older than 65 years). Forty-eight (96%) of tumors were triple negative (TN). Secondary objectives included 5-year DFS, 5year OS and cardiac safety measured by a decrease in left ventricular ejection fraction (LVEF), electrocardiogram (ECG) anda cardiac questionnaire performed every 3 months during the first year, every 6 months year 2-3 and every 12 months year 4-5 of follow-up.
Results: Forty-eight patients (96%) completed the 4 cycles of PLD plus CPM, while only 26 patients (52%) could complete the 12 weeks of PTX. Forty-six patients (92%) underwent surgery. After surgery: 27 patients received radiotherapy, 2 letrozole and 1 trastuzumab. The 5-year OS was 56% (95% CI 41.2-68.4) and the 5-year DFS was 54.4% [95% CI: 38.3-67.9].No significant decrease in LVEF was seen (mean baseline LVEF was 66.6 (52-86) and mean LVEF after 60 months was 66 (54.5-73). Four patients (8%) developed cardiotoxicity (in 2 cases G3). There were 5 non-cancer deaths (10%): 3 during treatment (all in patients > 80 years: a sudden death one month after surgery, a haemorrhagic stroke 30 days after completing chemotherapy and a non-neutropenic pneumonia); and 2 during follow-up (1 Amyotrophic Lateral Sclerosis and 1 intestinal ischemia).
Conclusions:
PLD followed by PTX as NC was feasible in a fragile population of patients who were not candidates for conventional doxorubicin. The 5 year DFS and 5 year OS in elderly patients with bulky TN tumors were similar tothe reported in the literature. This regimen could be an option for the neoadjuvant treatment of cardiotoxicity-prone patients or elderly patients who present high-risk breast cancer.
Citation Format: Gil-Gil M, Bellet M, Morales S, Barnadas A, Manso L, Morilla Ruiz I, Azaro A, Ciruelos Gil E, Garcia Martínez E, Marínez N, Melé M, Soler T, Villagrasa P, Pernas S. SOLTI-0702 CAPRICE: Final results of a phase II study of pegylated liposomal doxorubicin plus cyclophosphamide followed by paclitaxel as neoadjuvant chemotherapy in elderly or cardiotoxicity-prone patients with high-risk breast cancer: 5-year overall survival disease free survival and late cardiac safety [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 P6-15-06.
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Affiliation(s)
- M Gil-Gil
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - M Bellet
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - S Morales
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - A Barnadas
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - L Manso
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - I Morilla Ruiz
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - A Azaro
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - E Ciruelos Gil
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - E Garcia Martínez
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - N Marínez
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - M Melé
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - T Soler
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - P Villagrasa
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
| | - S Pernas
- Institut Català d'Oncologia, IDIBELL, L' Hospitalet, Spain; Hospital Vall d´Hebron, Barcelona, Spain; Hospital Arnau de Vilanova, Leida, Spain; Hospital de Sant Pau, Barcelona, Spain; Hospital. 12 de Octubre, Madrid, Spain; Hospital. JM Morales Messeguer, Murcia, Spain; Hospital Ramón y Cajal, Madrid, Spain; Hospital Sant Joan, Reus, Spain; Hospital Universitari de Bellvitge, Barcelona, Spain; SOLTI, Barcelona, Spain
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Valiente CM, Tibau A, Fernandez AO, Templeton A, del Carpio Huerta L, Del Paggio J, Barnadas A, Booth C, Amir E. Comparison of the European Society for Medical Oncology Magnitude of Clinical Benefit Scale (ESMO-MCBS) in clinical trials supporting US Food and Drug Administration (FDA) approval of orphan vs. non-orphan drugs. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx440.063] [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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Ramon y Cajal T, Lasa A, Llort G, Lopez C, Yagüe C, Cornet M, Gisbert A, Fisas D, Calvo N, Vethencourt A, Barba A, Quero S, Martinez E, Hernan I, Ruiz A, Arcusa A, Saigi E, Barnadas A, Surralles J. Multi-gene panels: new clinical experience in hereditary breast and ovarian cancer. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx383.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Molto Valiente C, Amir E, Ocana Fernandez A, Templeton A, del Carpio Huerta L, Del Paggio J, Barnadas A, Booth C, Tibau A. Magnitude of clinical benefit of randomized controlled trials supporting US Food and Drug Administration approval of drugs for solid tumours. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx385.001] [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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Puy MB, Valiente CM, Fernandez AO, Templeton A, Seruga B, Gich I, Barnadas A, Amir E, Tibau A. Clinical benefit of randomized controlled trials (RCT) supporting US Food and Drug Administration (FDA) conversion from accelerated to full approval. Ann Oncol 2017. [DOI: 10.1093/annonc/mdx440.065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
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Duran-Lozano L, Reyes V, Mollà M, Fuentes-Raspall M, Altabas M, Ramón y Cajal T, Barnadas A, Diez O, Giralt J, Gutiérrez-Enríquez S. PO-0958: Radiogenomics: role of non-coding RNA genes in increased radiotherapy sensitivity. Radiother Oncol 2017. [DOI: 10.1016/s0167-8140(17)31395-6] [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: 10/19/2022]
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Rugo HS, Drumea KC, Campone M, Barnadas A, Petrenciuc O, Zhang A, Li R, Coleman RE. Abstract OT1-04-05: A phase 2 randomized, double-blind, placebo-controlled trial of radium-223 dichloride with exemestane and everolimus in patients with HER2-negative, hormone receptor–positive breast cancer and bone metastases. Cancer Res 2017. [DOI: 10.1158/1538-7445.sabcs16-ot1-04-05] [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: Treatment options for bone-dominant metastatic breast cancer (MBC) are limited. Radium-223, a first-in-class α emitter with a targeted antitumor effect on bone metastases (mets), was well tolerated and reduced bone biomarker levels in a phase 2 study in patients with bone-dominant MBC (Coleman et al. Breast Cancer Res Treat. 2014). In patients with HER2- estrogen receptor+ (ER+) bone-dominant MBC, everolimus + exemestane (EVE+EXE) improved progression-free survival (PFS) versus EXE alone. Radium-223 combined with EVE+EXE may improve outcomes in patients with HER2- ER+ bone-dominant MBC; this trial will evaluate efficacy and safety of radium-223 versus placebo in these patients (NCT02258451).
Trial design: Patients are randomized to receive (1:1) radium-223 (50 kBq/kg [55 kBq/kg after National Institute of Standards and Technology update] IV) or placebo × 6 cycles q 4 wk + EXE (25 mg PO q d) + EVE (10 mg PO q d) plus best supportive care. EXE+EVE continues until disease progression or unacceptable toxicity. Stratification is by geographic region (EU/N America vs Asia), prior hormone therapy (1 vs ≥ 2), and presence of visceral disease (yes vs no).
Eligibility criteria: Eligible patients are pre- or postmenopausal with HER2- ER+ MBC and have ≥ 2 bone mets or have soft tissue and/or visceral mets. Patients must have measurable disease per RECIST v1.1, ≥ 1 prior line of hormone therapy for MBC, and 1-2 prior skeletal-related events; be on bisphosphonates or denosumab; and have an ECOG score of 0-1. Patients must have had no past or current need for chemotherapy for MBC, no unresolved spinal cord compression, and no prior EVE treatment.
Specific aims: The primary end point is symptomatic skeletal event–free survival (SSE-FS). Secondary end points are overall survival; times to opiate use, pain progression, and cytotoxic chemotherapy; radiologic PFS; and safety. Safety and efficacy are assessed every 4 weeks. Long-term safety is assessed until study termination.
Statistical methods: Assuming a 1-sided α of 0.1, 90% power, ∼ 160 SSE-FS events will be required for the analysis. Efficacy will be analyzed by a stratified log-rank test. Safety analysis will be descriptive.
Present and target accrual: Estimated enrollment is ∼ 311 patients. Currently, 74 patients are randomized.
Contact Oana Petrenciuc, Bayer HealthCare Pharmaceuticals, oana.petrenciuc@bayer.com, for more information.
Citation Format: Rugo HS, Drumea KC, Campone M, Barnadas A, Petrenciuc O, Zhang A, Li R, Coleman RE. A phase 2 randomized, double-blind, placebo-controlled trial of radium-223 dichloride with exemestane and everolimus in patients with HER2-negative, hormone receptor–positive breast cancer and bone metastases [abstract]. In: Proceedings of the 2016 San Antonio Breast Cancer Symposium; 2016 Dec 6-10; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2017;77(4 Suppl):Abstract nr OT1-04-05.
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Affiliation(s)
- HS Rugo
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - KC Drumea
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - M Campone
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - A Barnadas
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - O Petrenciuc
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - A Zhang
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - R Li
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
| | - RE Coleman
- UCSF Helen Diller Family Comprehensive Cancer Center, San Francisco, CA; Rambam Medical Center, Haifa, Israel; Institut de Cancerologie de l'Ouest, Saint Herblain, France; Hospital de la Santa Creu i Sant Pau, Barcelona, Spain; Bayer HealthCare Pharmaceuticals, Whippany, NJ; University of Sheffield, Weston Park Hospital, Sheffield, United Kingdom
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Diaz-Guardamino IE, Lopez-Tarruella S, García-Sáenz J, Moreno HG, Moreno F, Jerez Y, Fuentes H, Marquez-Rodas I, Cebollero M, Del Monte-Millan M, Picornell A, Massarrah T, Barnadas A, Prat A, García AB, Bosch RC, Pelaez B, González-Rivera M, Perou C, Martin M. Intrinsic subtype and response to neoadjuvant chemotherapy with carboplatin and docetaxel (TCb) in triple-negative breast cancer (TNBC). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw364.44] [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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Palacios GA, Molina-Vila M, Gras-Cabrerizo J, León X, Mayo C, Servat JC, Pérez-Rosado A, Rodríguez S, González-Cao M, Karachaliou N, Barnadas A, Rosell R, Majem M. Molecular analysis in serial biopsies in sinonasal mucosal melanoma. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw376.57] [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: 11/14/2022] Open
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Sala Gonzalez N, Buxo M, Mora J, Maroto P, Palou J, Esquena S, Sancho G, Barnadas A. 2562 Chromogranin A and Enolase levels in serum as prognostic factors in castration prostate cancer resistant. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)31381-8] [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: 10/22/2022]
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Tibau A, López Vilar ó L, Anguera G, Virgili A, Pérez-Olabarria M, Vázquez T, Gich I, Alonso C, Ojeda B, Ramoń y Cajal T, Murata P, Enrique L, Escuin D, Barnadas A. 266 Predictive and prognostic value of microtubule-associated protein-tau and classes I to IV b-tubulin isotypes in locally advancedbreast cancer. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30151-4] [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: 11/17/2022]
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Virgili A, Arqueros C, Payán S, Moreno E, Vila J, Vethencourt A, Dueñas N, Anguera G, Gómez de Liaño A, Maroto P, Barnadas A. 1623 Retrospective analyses of the patterns of platelet transfusions in patients with solid tumors treated with chemotherapy. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30711-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Anguera G, Tibau A, Andrés-Pretel F, Andrés M, Seruga B, Templeton A, Jerez Y, Vera-Badillo F, Barnadas A, Martin M, Amir E, Ocańa A. 1215 Role of cooperative groups and funding source in clinical studies that support approved therapy for breast cancer. Eur J Cancer 2015. [DOI: 10.1016/s0959-8049(16)30519-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Alés-Martínez JE, Ruiz A, Chacón JI, Lluch Hernández A, Ramos M, Córdoba O, Aguirre E, Barnadas A, Jara C, González S, Plazaola A, Florián J, Andrés R, Sánchez Rovira P, Frau A. Preventive treatments for breast cancer: recent developments. Clin Transl Oncol 2014; 17:257-63. [PMID: 25445174 PMCID: PMC4357652 DOI: 10.1007/s12094-014-1250-2] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2014] [Accepted: 10/17/2014] [Indexed: 11/15/2022]
Abstract
Breast cancer is a burden for western societies, and an increasing one in emerging economies, because of its high incidence and enormous psychological, social, sanitary and economic costs. However, breast cancer is a preventable disease in a significant proportion. Recent developments in the armamentarium of effective drugs for breast cancer prevention (namely exemestane and anastrozole), the new recommendation from the National Institute for Health and Care Excellence to use preventative drugs in women at high risk as well as updated Guidelines from the US Preventive Services Task Force and the American Society of Clinical Oncology should give renewed momentum to the pharmacological prevention of breast cancer. In this article we review recent major developments in the field and examine their ongoing repercussion for breast cancer prevention. As a practical example, the potential impact of preventive measures in Spain is evaluated and a course of practical actions is delineated.
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Affiliation(s)
- J E Alés-Martínez
- Hospital Nuestra Señora de Sonsoles, GEICAM Spanish Breast Cancer Group, Ávila, Spain,
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Sonnenblick A, Azim H, De Azambuja E, Francis P, Nordenskjöld B, Crown J, Gutiérez J, Quinaux E, Mastropasqua M, Ameye L, Anderson M, Lluch A, Goldhirsch A, Di Leo A, Barnadas A, Cortes-Funes H, Piccart M. Ten-Year Safety and Efficacy Analyses of the Big 02-98 Phase III Trial with an Exploratory Analysis on the Role of Ki67 in Predicting Benefit of Adjuvant Docetaxel in Er Positive Patients. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu327.13] [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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Tibau B, Bedard P, Vera-Badillo F, Templeton A, Ocana A, Seruga B, Barnadas A, Amir E. Author Financial Conflicts of Interest (Fcois) in Clinical Practice Guidelines (Cpgs) for Systemic Anti-Cancer Drugs. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu353.1] [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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Vethencourt A, Lista AGDL, Sancho Pardo G, Palou J, Páez D, Del Carpio L, Arqueros C, Dueñas N, Virgili A, Barnadas A, Maroto P. Incidence and Pattern of Second Neoplasms in Patients Diagnosed with Invasive Transitional Carcinoma of the Urinary Tract. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu337.64] [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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Lorusso V, Śmiałowska-Janiszewska A, Krzemieniecki K, Novoa SA, Mefti F, Janssen J, Steger G, Bird B, Turazza M, Yosef H, Albuisson E, Barnadas A, Batist G, De Mouzon J, Erdkamp F, Leonard R, Namer M, Maumus-Robert S, Aapro M. Use of Liposomal Doxorubicin for Metastatic Breast Cancer Management Across Europe: Results of Eos (European Observatory & Survey). Ann Oncol 2014. [DOI: 10.1093/annonc/mdu329.45] [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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Sebio A, Salazar J, Páez D, Berenguer-Llergo A, del Río E, Tobeña M, Martín-Richard M, Sullivan I, Targarona E, Balart J, Baiget M, Barnadas A. EGFR ligands and DNA repair genes: genomic predictors of complete response after capecitabine-based chemoradiotherapy in locally advanced rectal cancer. Pharmacogenomics J 2014; 15:77-83. [DOI: 10.1038/tpj.2014.33] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/03/2014] [Revised: 03/31/2014] [Accepted: 05/22/2014] [Indexed: 02/06/2023]
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Martin-Richard M, Gallego R, Pericay C, Garcia Foncillas J, Queralt B, Casado E, Barriuso J, Iranzo V, Juez I, Visa L, Saigi E, Barnadas A, Garcia-Albeniz X, Maurel J. Multicenter phase II study of oxaliplatin and sorafenib in advanced gastric adenocarcinoma after failure of cisplatin and fluoropyrimidine treatment. A GEMCAD study. Invest New Drugs 2014; 31:1573-9. [PMID: 24077981 DOI: 10.1007/s10637-013-0020-2] [Citation(s) in RCA: 56] [Impact Index Per Article: 5.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2013] [Accepted: 08/23/2013] [Indexed: 02/06/2023]
Abstract
BACKGROUND Cisplatin and fluoropyrimidine (CF) are standard first- line treatment in advanced gastric cancer, but no second-line treatment has yet been established. We present a phase II study in which we evaluated the efficacy and toxicity of the combination of Sorafenib (S), and Oxaliplatin as second-line therapy. METHODS Patients with progressive gastric adenocarcinoma after CF- first-line, ECOG 0-2, and measurable disease were included. The primary objective was PFS. Treatment doses were Oxaliplatin 130 mg/m²/3 weeks and Sorafenib 800 mg/bid/d. RESULTS We included 40 patients. CR was 2.5% and SD was 47.2%. Grade 3-4 toxic effects were neutropenia (9.8%), thrombocytopenia (7.3%), neurotoxicity (4.9%) and diarrhea (4.9%). Median PFS was 3 months (95%CI: 2.3-4.1) and median OS was 6.5 months (95% CI: 5.2-9.6). Time to progression (TTP) to first line therapy was a prognosis factor. Median OS was 9.7 months when time-to-progression during first-line chemotherapy was >6 months and 5.6 m when it was <6 months (p = 0.04). CONCLUSIONS Time-to-progression under a CF-based first-line therapy determines subgroups of GC patients with different prognosis. The combination of Oxaliplatin-Sorafenib in advanced GC patients previously treated with CF appears safe, but our results do not support the implementation of a phase III trial.
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Pavon M, Téllez-Gabriel M, Arroyo-Solera I, Leon X, Lopez M, Céspedes M, Casanova I, Barnadas A, Mangues R, Parreño M. 589: New molecular markers associated with clinical outcome in locally advanced head and neck carcinoma. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50524-2] [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]
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Téllez-Gabriel M, Gallardo A, Arroyo-Solera I, Navas L, León X, Quer M, Barnadas A, Mangues R, Pavon M. 691: SERPINE1 immunostaining is associated with clinical outcome in head and neck squamous cell carcinoma. Eur J Cancer 2014. [DOI: 10.1016/s0959-8049(14)50610-7] [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: 11/27/2022]
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Peiró G, Ortiz-Martínez F, Gallardo A, Pérez-Balaguer A, Sánchez-Payá J, Ponce JJ, Tibau A, López-Vilaro L, Escuin D, Adrover E, Barnadas A, Lerma E. Src, a potential target for overcoming trastuzumab resistance in HER2-positive breast carcinoma. Br J Cancer 2014; 111:689-95. [PMID: 24937674 PMCID: PMC4134494 DOI: 10.1038/bjc.2014.327] [Citation(s) in RCA: 64] [Impact Index Per Article: 6.4] [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: 02/25/2014] [Revised: 05/07/2014] [Accepted: 05/13/2014] [Indexed: 12/15/2022] Open
Abstract
BACKGROUND Src is a non-receptor tyrosine kinase involved in signalling and crosstalk between growth-promoting pathways. We aim to investigate the relationship of active Src in response to trastuzumab of HER2-positive breast carcinomas. METHODS We selected 278 HER2-positive breast cancer patients with (n=154) and without (n=124) trastuzumab treatment. We performed immunohistochemistry on paraffin-embedded tissue microarrays of active Src and several proteins involved in the PI3K/Akt/mTOR pathway, PIK3CA mutational analysis and in vitro studies (SKBR3 and BT474 cancer cells). The results were correlated with clinicopathological factors and patients' outcome. RESULTS Increased pSrc-Y416 was demonstrated in trastuzumab-resistant cells and in 37.8% of tumours that correlated positively with tumour size, necrosis, mitosis, metastasis to the central nervous system, p53 overexpression and MAPK activation but inversely with EGFR and p27. Univariate analyses showed an association of increased active Src with shorter survival in patients at early stage with HER2/hormone receptor-negative tumours treated with trastuzumab. CONCLUSIONS Src activation participates in trastuzumab mechanisms of resistance and indicates poor prognosis, mainly in HER2/hormone receptor-negative breast cancer. Therefore, blocking this axis may be beneficial in those patients.
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Affiliation(s)
- G Peiró
- 1] Department of Pathology, University General Hospital of Alicante, Pintor Baeza 12, Alicante 03010, Spain [2] Research Unit, University General Hospital of Alicante, Pintor Baeza 12, Alicante 03010, Spain
| | - F Ortiz-Martínez
- Research Unit, University General Hospital of Alicante, Pintor Baeza 12, Alicante 03010, Spain
| | - A Gallardo
- Department of Pathology, Clinica Girona, Joan Maragall 16, Girona 17003, Spain
| | - A Pérez-Balaguer
- Research Unit, University General Hospital of Alicante, Pintor Baeza 12, Alicante 03010, Spain
| | - J Sánchez-Payá
- Department of Epidemiology, University General Hospital of Alicante, Pintor Baeza 12, Alicante 03010, Spain
| | - J J Ponce
- Department of Clinical Oncology, University General Hospital of Alicante, Pintor Baeza 12, Alicante 03010, Spain
| | - A Tibau
- Department of Clinical Oncology, Hospital de la Santa Creu i Sant Pau, Sant Quintí 87-89, Barcelona 08041, Spain
| | - L López-Vilaro
- Department of Pathology, Hospital de la Santa Creu i Sant Pau, Sant Quintí 87-89, Barcelona 08041, Spain
| | - D Escuin
- Institut d'Investigacions Biomèdiques, Hospital de la Santa Creu i Sant Pau, Sant Quintí 87-89, Barcelona 08041, Spain Barcelona, Spain
| | - E Adrover
- Department of Clinical Oncology, University General Hospital of Albacete, Hermanos Falcó s/n, Albacete 02006, Spain
| | - A Barnadas
- Department of Clinical Oncology, Hospital de la Santa Creu i Sant Pau, Sant Quintí 87-89, Barcelona 08041, Spain
| | - E Lerma
- Department of Pathology, Hospital de la Santa Creu i Sant Pau, Sant Quintí 87-89, Barcelona 08041, Spain
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Gallego O, Cuatrecasas M, Benavides M, Segura PP, Berrocal A, Erill N, Colomer A, Quintana MJ, Balaña C, Gil M, Gallardo A, Murata P, Barnadas A. Efficacy of erlotinib in patients with relapsed gliobastoma multiforme who expressed EGFRVIII and PTEN determined by immunohistochemistry. J Neurooncol 2013; 116:413-9. [PMID: 24352766 PMCID: PMC3890043 DOI: 10.1007/s11060-013-1316-y] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2013] [Accepted: 11/17/2013] [Indexed: 11/26/2022]
Abstract
Epidermal growth factor receptor gene (EGFR) alteration is a common feature in most of glioblastoma multiforme (GBM). Robust response of anti-EGFR treatments has been mostly associated with the EGFR deletion mutant variant III (EGFRvIII) and expression of PTEN. We have performed a prospective trial in order to confirm the efficacy of erlotinib treatment in patients with relapsed GBM who expressed EGFRvIII and PTEN. All patients included in the trial were required to be PTEN (+++), EGFR (+++) and EGFRvIII (+++) positives by immunohistochemistry. This new phase II trial enrolled 40 patients and was design to be stopped in case of fewer than two responses in the first 13 patients. Patient eligibility included histopathology criteria, radiological progression, more than 18 years old, Karnofsky performed status, KPS > 50, and adequate bone marrow and organ function. There was no limit to the number of prior treatments for relapses. No enzyme-inducing antiepileptic drugs were allowed. The primary endpoints were response and progression-free survival at 6 months (PFS6). Thirteen patients (6 men, 7 women) with recurrent GBM received erlotinib 150 mg/day. Median age was 53 years, median KPS was 80, and median prior treatments for relapses were 2. There was one partial response and three stable diseases (one at 18 months). PFS at 6 months was 20 %. Dose reduction for toxicity was not needed in any patient. Dermatitis was the main treatment-related toxicity, grade 1 in 8 patients and grade 2 in 5 patients. No grade 3 toxicity was observed. Median survival was 7 months (95 % IC 1.41–4.7). As conclusion, monotherapy with erlotinib in GBM relapses patients with high protein expression for PTEN (+++), EGFR (+++), and EGFRvlII (+++) showed low toxicity but minimal efficacy and the trial stopped.
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Affiliation(s)
- Oscar Gallego
- Medical Oncology Service, Santa Creu i Sant Pau Hospital, Sant Antoni Mº Claret nº 167, 08025, Barcelona, Spain,
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Téllez-Gabriel M, Navas L, León X, López-Pousa A, Que M, Barnadas A, Mangues R, Pavón M. PO-100: Identification of Head and Neck Carcinoma Cell Lines with a Mesenchymal Phenotype. Radiother Oncol 2013. [DOI: 10.1016/s0167-8140(15)34719-8] [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: 11/16/2022]
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Tusquets I, De la Piedra C, Manso L, Crespo C, Gómez P, Calvo L, Ruiz M, Martínez P, Perelló A, Antón A, Codes M, Margelí M, Murias A, Salvador J, Seguí MA, De Juán A, Gavilá J, Luque M, Pérez D, Zamora P, Arizcum A, Chacón JI, Heras L, Barnadas A. Abstract P1-07-18: Association between Bone Turnover Markers in patients with breast cancer and bone metastases on treatment with bisphosphonates (ZOMAR study). Cancer Res 2012. [DOI: 10.1158/0008-5472.sabcs12-p1-07-18] [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: The presence of bone metastases (BMe) alters the balance of bone remodeling and consequently, levels of bone turnover markers (BTM). Increased levels of these biomarkers are related to the risk of skeletal-related events (SREs), disease progression and death. Treatment with bisphosphonates reduces the probability of SREs through osteoclastic activity inhibition. The aim of this study was to determine the relation between BTM, bone metastasis development and SREs, disease progression and death in patients with breast cancer (BC) and BMe.
Patients and methods: Observational, prospective and multicenter study. Patients with BC and BMe; no previous bone treatment in the last 6 months prior to study entry. Urinary aminoterminal telopeptide of collagen I (NTX, Osteomark NTx Urine, Wampole Laboratories, USA); urinary alpha-alpha-isomer of carboxyterminal telopeptide of collagen I (αα-CTX, ALPHA Crosslaps EIA, ids, UK) and serum bone alkaline phosphatase (BALP, OSTASE BAP, ids, UK) were determined at baseline (V0) and every 3 mo along 18 months (V6). Patients were treated with zoledronic acid (ZA) at inclusion and every 3–4 weeks.
Results: 234 patients with BC and BMe were analyzed. BTM results were available for 219 patients at basal visit (V0) and every 3 mo of treatment along 18 months (V6). Population basal characteristics (234 patients): mean age: 59.8 years; ER+: 80.3%; PR+: 64.9%; HER 2+: 18.3%. Patients with pathologic baseline levels were: 49.8% NTX, 39.6% αα-CTX and 83.4% BALP. A significant decrease was observed in BTM at V2 vs V0 after 6 months: 13.7%, 8.4% and 58.4% presented pathologic values of NTX, αα-CTX and BALP respectively. Normalized levels remained steady throughout 18 mo follow-up, finding significant decrease for each BMT for each time point except at V6 for αα-CTX. Regarding association between BTM and SREs, progression and exitus, a significant association was observed between pathologic levels of BTM throughout follow-up: with SRE at V3, V4 for NTX; with disease progression at V3, V4, V5, V6 for NTX, at V2 for αα–CTX and at each follow up visit for BALP; and with death at V1,4,5 for NTX, at V5 for αα–CTX and at V1,2,3,4,5 for BALP.
Conclusions: Addition of ZA to standard systemic therapy reduced BTM levels during the first 3 months of treatment and normalized levels remained steady throughout 18 months follow up except at Month 18 for αα-CTX. Pathological levels of BTM were significantly associated with SRE, disease progression and death.
Citation Information: Cancer Res 2012;72(24 Suppl):Abstract nr P1-07-18.
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Affiliation(s)
- I Tusquets
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - C De la Piedra
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - L Manso
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - C Crespo
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - P Gómez
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - L Calvo
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - M Ruiz
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - P Martínez
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - A Perelló
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - A Antón
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - M Codes
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - M Margelí
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - A Murias
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - J Salvador
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - MA Seguí
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - A De Juán
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - J Gavilá
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - M Luque
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - D Pérez
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - P Zamora
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - A Arizcum
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - JI Chacón
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - L Heras
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
| | - A Barnadas
- Hospital del Mar, Barcelona, Spain; Instituto de Investigación Sanitaria Fundación Jiménez Díaz, Madrid, Spain; Hospital 12 de Octubre, Madrid, Spain; Hospital Universitario Ramón y Cajal, Madrid, Spain; Hospital Universitario Vall d'Hebrón, Barcelona, Spain; Hospital Universitario A Coruña Juan Canalejo, A Coruña, Spain; Hospital Universitario Virgen del Rocío, Sevilla, Spain; Hospital de Basurto, Vizcaya, Spain; Hospital Son Dureta, Palma de Mallorca, Spain; Hospital Miguel Servet, Zaragoza, Spain; Hospital Virgen Macarena, Sevilla, Spain; H. Universitario Trias y Pujol, Barcelona, Spain; Hospital Universitario Insular de Gran Canaria, Gran Canaria, Spain; Hospital Nuestra Señora de Valme, Sevilla, Spain; Hospital Parc Taulí Sabadell, Barcelona, Spain; Hospital Marqués Valdecilla, Santander, Spain; Instituto Valenciano de Oncología, Valencia, Spain; Hospital General de Asturias, Oviedo, Spain; Hospital Costa del Sol, Málaga, Spain; Hospital La Paz, Madrid, Spain; Hospital Palencia Río Carrio
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Font R, Espinas JA, Gil-Gil M, Barnadas A, Ojeda B, Tusquets I, Segui MA, Margelí M, Arcusa A, Prat A, Garcia M, Borras JM. Prescription refill, patient self-report and physician report in assessing adherence to oral endocrine therapy in early breast cancer patients: a retrospective cohort study in Catalonia, Spain. Br J Cancer 2012; 107:1249-56. [PMID: 22955858 PMCID: PMC3494419 DOI: 10.1038/bjc.2012.389] [Citation(s) in RCA: 58] [Impact Index Per Article: 4.8] [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] [Indexed: 01/18/2023] Open
Abstract
AIMS To compare different methods in order to assess adherence and persistence with oral endocrine therapy in women diagnosed with breast cancer (BC) in Catalonia. MATERIALS AND METHODS This study covered all women newly diagnosed with stage I, II or IIIa BC and positive hormone receptors at six hospitals in Catalonia (Spain) in 2004. Adherence was assessed on the basis of physician report and patient self-report using a telephone questionnaire. Persistence was measured by refill prescriptions. We used the Kappa index to compare adherence measures and logistic regression to evaluate adherence-related risk factors. RESULTS The study covered a total of 692 women. Adherence ranged from 92% (self-report) to 94.7% (physician report), depending on the measure used; persistence was 74.7% at 5 years of follow-up. Low concordance between measures was observed (Kappa range: 0.018-0.267). Patients aged 50-74 years showed higher adherence than those aged <50 years. Adherence was also associated with: adjuvant chemotherapy and sequential hormonal therapy. CONCLUSIONS Concordance between the different measures was remarkably low, indicating the need for further research. Adherence is an issue in the management of BC patients taking oral drugs, and should be assessed in clinical practice.
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Affiliation(s)
- R Font
- Catalonian Cancer Strategy Unit, Department of Health, Catalonian Regional Authority, L'Hospitalet de Llobregat, Barcelona, Spain
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Sullivan I, Majem Tarruella M, Páez D, Pallarés C, Paré L, Del Rio E, Lopez Pousa A, Barnadas A, Ramón Y Cajal T, Baiget M. Effect of Germline Polymorphisms of DNA Repair Genes on Chemotherapy Outcome in Advanced Non-Small Cell Lung Cancer (NSCLC) Patients. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33837-0] [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: 10/25/2022] Open
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Murata E, Stradella A, Páez D, Puyal MT, Garcia AS, Gonzalez A, Targarona E, Baiget M, Barnadas A, Martín-Richard M. Prognostic Value of BRAF and KRAS Mutations in Colorectal Cancer Patients. Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33113-6] [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: 10/25/2022] Open
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Pavón MA, Parreño M, Téllez-Gabriel M, Sancho FJ, López M, Céspedes MV, Casanova I, Lopez-Pousa A, Mangues MA, Quer M, Barnadas A, León X, Mangues R. Gene expression signatures and molecular markers associated with clinical outcome in locally advanced head and neck carcinoma. Carcinogenesis 2012; 33:1707-16. [PMID: 22696598 DOI: 10.1093/carcin/bgs207] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022] Open
Abstract
The purpose of this study was to identify molecular markers associated with tumor recurrence and survival in patients with locally advanced head and neck squamous cell carcinoma (HNSCC). We studied the expression profile of 63 pre-treatment tumor biopsies obtained from locally advanced HNSCCs treated with standard treatments. Cluster analysis identified three tumor subtypes associated with significant differences in local recurrence-free survival (LRFS) (P<0.001), progression free-survival (PFS) (P<0.009) and overall survival (OS) (P<0.004). Tumor subtype 1, associated with short LRFS, PFS and OS, showed features of epithelial-mesenchymal transition and undifferentiation. It also overexpressed genes involved in cell adhesion, NF-κB and integrin signalling. Tumor subtype 3, associated with longer LRFS, PFS and OS, showed a high degree of differentiation and overexpressed genes located in chromosomal regions 19q13 and 1q21. Tumor subtype 2, which had an intermediate clinical outcome between subtype 1 and subtype 3, overexpressed genes involved in branching morphogenesis. Finally, we validated the association between gene cluster classification and patient survival using Gene Set Enrichment Analysis and two HNSCC data sets obtained from two independent patient cohorts. In conclusion, we generated a gene prognostic signature associated with survival in locally advanced patients using the expression profile of the pre-treatment tumor biopsy. Independent prospective studies would be necessary to assess if the proposed survival signature could help to guide clinical management of HNSCC.
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Affiliation(s)
- M A Pavón
- Grup d'Oncogènesi i Antitumorals, Institut d'Investigacions Biomèdiques Sant Pau, Barcelona, Spain
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Manso L, Tusquets I, De la Piedra C, Crespo C, Gomez P, Calvo L, Galve E, Borrego MR, Rifá J, Barnadas A. 5022 POSTER DISCUSSION Association Between Circulating Tumour Cells and Bone Turnover Markers in Patients With Breast Cancer and Bone Metastases on Treatment With Bisphosphonates (ZOMAR Study). Eur J Cancer 2011. [DOI: 10.1016/s0959-8049(11)71464-2] [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: 10/17/2022]
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Barnadas A, De la Piedra C, Crespo C, Gomez Pardo P, Calvo L, Calvo EG, Ruiz-Borrego M, Rifa J, Manso L, Anton A, Codes M, Margeli M, Murias A, Salvador J, Seguí-Palmer MA, De Juan A, Gavila J, Perez D, Luque M, Tusquets I. Association between bone turnover markers and skeletal-related events in patients with breast cancer and bone metastases on treatment with bisphosphonates: ZOMAR study results at nine months of follow-up. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.594] [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: 11/20/2022] Open
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Krzemieniecki K, Antolín Novoa S, Gozy M, Schumacher C, Steger GG, Carteni' G, Bird BR, Albuisson E, Barnadas A, Batist G, De Mouzon J, Erdkamp F, Leonard RCF, Lueck H, Namer M, Venturini M, Ronga P, Maumus-Robert S, Aapro MS. Therapeutic management of metastatic breast cancer across Europe: European observatory and survey (EOS). J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e11556] [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: 11/20/2022] Open
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Stradella A, Lopez-Pousa A, Quintana MJ, Murata P, Ortin M, Gallego O, Sullivan I, Robert L, Sebio A, Gracia I, De Vega JM, Barnadas A. High-dose chemotherapy plus autologous stem cell transplation (HDCT/ SCT) in patients with sarcoma: A single institution experience. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.10042] [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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48
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Robert L, Maroto JP, Sebio A, Martin C, Palou J, Sancho G, Sullivan I, Murata P, Stradella A, Barnadas A. Docetaxel rechallenge in patients with prostate cancer progressing under castration levels of testosterone (PPuCT): A single-center study. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e15105] [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: 11/20/2022] Open
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Sebio A, Paez D, Pare L, Salazar J, Del Rio E, Barnadas A, Baiget M. A pharmacogenetic study in rectal cancer patients treated with preoperative chemoradiotherapy based on capecitabine: Polymorphisms in thymidilyate synthase and DNA repair genes. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.e14009] [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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Blancas I, Morales S, Diaz N, Barnadas A, Gonzalvez ML, del Barco S, Lopez de Ceballos MH, Perez FJ, Llombart-Cussac A. Efficacy and safety of oral vinorelbine (NVBO) in first- or second-line metastatic breast cancer (MBC). J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.1090] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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