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Cozzolino R, De Giulio B, Martignetti A, Forte G, Dallio M, Romeo M, Scognamiglio F, Ventriglia L, Stocchero M, Federico A. Urinary volatile Organic compounds in non-alcoholic fatty liver disease (NAFLD), type two diabetes mellitus (T2DM) and NAFLD-T2DM coexistence. Metabolomics 2022; 18:98. [PMID: 36441279 DOI: 10.1007/s11306-022-01960-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Accepted: 11/18/2022] [Indexed: 11/29/2022]
Abstract
INTRODUCTION Accumulating evidence have shown a significant correlation between urinary volatile organic compounds (VOCs) profile and the manifestation of several physiological and pathological states, including liver diseases. Previous studies have investigated the urinary metabolic signature as a non-invasive tool for the early discrimination between non-alcoholic fatty liver (NAFL) and non-alcoholic steatohepatitis (NASH), which nowadays represents one of the most important challenges in this context, feasible only by carrying out liver biopsy. OBJECTIVES The aim of the study was to investigate the differences in the urinary VOCs profiles of non-alcoholic fatty liver disease (NAFLD) patients, diabetes mellitus (T2DM) subjects and NAFLD/T2DM patients. METHODS Headspace solid-phase microextraction (HS-SPME) coupled with gas chromatography-mass spectrometry (GC-MS) was applied to profile the urinary VOCs. Urine samples were analysed both under acid and alkaline conditions, to obtain a range of urinary volatiles with different physicochemical properties. RESULTS Urinary VOCs profiles of 13 NAFLD patients, 13 T2DM subjects and 13 NAFLD/T2DM patients were investigated by multivariate and univariate data analysis techniques which allowed to identify 21 volatiles under alkaline conditions able to describe the NAFLD/T2DM group concerning the other two groups. CONCLUSION Our results suggest that VOCs signatures can improve the knowledge of the pathological condition where NAFLD coexists with T2DM and discovering new features that are not simply the sum of the two diseases. These preliminary findings may be considered as hypothesis-generating, to be clearly confirmed by larger prospective investigations.
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Affiliation(s)
- Rosaria Cozzolino
- Institute of Food Science, National Research Council (CNR), via Roma 64, 83100, Avellino, Italy.
| | - Beatrice De Giulio
- Institute of Food Science, National Research Council (CNR), via Roma 64, 83100, Avellino, Italy.
| | - A Martignetti
- Institute of Food Science, National Research Council (CNR), via Roma 64, 83100, Avellino, Italy
| | - G Forte
- Institute of Food Science, National Research Council (CNR), via Roma 64, 83100, Avellino, Italy
| | - M Dallio
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Miraglia 2, 80138, Naples, Italy
| | - M Romeo
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Miraglia 2, 80138, Naples, Italy
| | - F Scognamiglio
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Miraglia 2, 80138, Naples, Italy
| | - L Ventriglia
- Hepatogastroenterology Division, Department of Precision Medicine, University of Campania Luigi Vanvitelli, Piazza Miraglia 2, 80138, Naples, Italy
| | - M Stocchero
- Department of Women's and Children's Health, University of Padua, Padua, Italy
| | - A Federico
- Institute of Food Science, National Research Council (CNR), via Roma 64, 83100, Avellino, Italy
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Cozzolino R, Mari A, Ramezani S, Martignetti A, Piacente S, De Giulio B. Assessment of volatile compounds as potential markers of water deficit stress of two wild ecotypes of Salvia reuterana Boiss. J Food Compost Anal 2021. [DOI: 10.1016/j.jfca.2021.103939] [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: 10/21/2022]
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Cozzolino R, De Giulio B, Pellicano M, Pace B, Capotorto I, Martignetti A, D'Agresti M, Laurino C, Cefola M. Volatile, quality and olfactory profiles of fresh-cut polignano carrots stored in air or in passive modified atmospheres. Lebensm Wiss Technol 2021. [DOI: 10.1016/j.lwt.2020.110408] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
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Cozzolino R, Martignetti A, De Giulio B, Malorni L, Addeo F, Picariello G. SPME GC‐MS monitoring of volatile organic compounds to assess typicity of Pecorino di Carmasciano ewe‐milk cheese. INT J DAIRY TECHNOL 2021. [DOI: 10.1111/1471-0307.12756] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Rosaria Cozzolino
- Institute of Food Science National Research Council (CNR) via Roma 64 Avellino83100Italy
| | - Antonella Martignetti
- Institute of Food Science National Research Council (CNR) via Roma 64 Avellino83100Italy
| | - Beatrice De Giulio
- Institute of Food Science National Research Council (CNR) via Roma 64 Avellino83100Italy
| | - Livia Malorni
- Institute of Food Science National Research Council (CNR) via Roma 64 Avellino83100Italy
| | - Francesco Addeo
- Dipartimento di Agraria Università di Napoli “Federico II” Parco Gussone Portici, NapoliI‐80055Italy
| | - Gianluca Picariello
- Institute of Food Science National Research Council (CNR) via Roma 64 Avellino83100Italy
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Cozzolino R, De Giulio B, Petriccione M, Martignetti A, Malorni L, Zampella L, Laurino C, Pellicano M. Comparative analysis of volatile metabolites, quality and sensory attributes of Actinidia chinensis fruit. Food Chem 2020; 316:126340. [DOI: 10.1016/j.foodchem.2020.126340] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/02/2019] [Revised: 01/23/2020] [Accepted: 01/30/2020] [Indexed: 11/27/2022]
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Malorni L, Curigliano G, Minisini AM, Cinieri S, Tondini CA, D'Hollander K, Arpino G, Bernardo A, Martignetti A, Criscitiello C, Puglisi F, Pestrin M, Sanna G, Moretti E, Risi E, Biagioni C, McCartney A, Boni L, Buyse M, Migliaccio I, Biganzoli L, Di Leo A. Palbociclib as single agent or in combination with the endocrine therapy received before disease progression for estrogen receptor-positive, HER2-negative metastatic breast cancer: TREnd trial. Ann Oncol 2019; 29:1748-1754. [PMID: 29893790 DOI: 10.1093/annonc/mdy214] [Citation(s) in RCA: 66] [Impact Index Per Article: 13.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023] Open
Abstract
Background The activity of palbociclib as a single agent in advanced breast cancer has not been extensively studied, with the only available clinical data limited to heavily pretreated patients. Preclinical data suggests palbociclib may partially reverse endocrine resistance, though this hypothesis has not been evaluated in previous clinical studies. This phase II, open-label, multicenter study examined the activity of palbociclib monotherapy, as well as palbociclib given in combination with the same endocrine therapy (ET) that was received prior to disease progression, in postmenopausal women with moderately pretreated, estrogen receptor-positive, HER2 negative advanced breast cancer. Patients and methods Eligible women with advanced disease which had progressed on one or two prior ETs were randomized 1 : 1 to receive either palbociclib alone, or palbociclib in combination with the ET as previously received. Primary end point was clinical benefit rate (CBR); secondary end points included progression-free survival (PFS). Results Between October 2012 and July 2016, a total of 115 patients were randomized. The CBR was 54% [95% confidence interval (CI): 41.5-63.7] for combination therapy, and 60% (95% CI: 47.8-72.9) for monotherapy. Median PFS was 10.8 months (95% CI: 5.6-12.7) for combination therapy, and 6.5 months (95% CI: 5.4-8.5) for monotherapy [hazard ratio (HR) 0.69; 95% CI: 0.4-1.1, exploratory P-value = 0.12]. Exploratory analyses revealed the PFS advantage for combination therapy was seen in the subgroup of patients who received prior ET for >6 months (HR 0.53; 95% CI: 0.3-0.9, exploratory P-value = 0.02), but not in those who received prior ET for ≤6 months. Conclusion Palbociclib has clinical activity as a single agent in women with moderately pretreated, oestrogen receptor-positive, HER2-negative advanced breast cancer. Palbociclib may have potential to reverse endocrine resistance in patients with a history of previous durable response to ET. Clinical trial information NCT02549430.
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Affiliation(s)
- L Malorni
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy.
| | - G Curigliano
- Division of Early Drug Development, Department of Haematology and Haemato-Oncology, Istituto Europeo di Oncologia, University of Milan, Milan, Italy
| | - A M Minisini
- Department of Oncology, Azienda Sanitaria Universitaria Integrata di Udine, Udine, Italy
| | - S Cinieri
- Medical Oncology Department, ASL Brindisi, Brindisi, Italy
| | - C A Tondini
- Hospital Papa Giovanni XXIII, Bergamo, Italy
| | - K D'Hollander
- International Drug Development Institute, Louvain-La-Neuve, Belgium
| | - G Arpino
- Department of Clinical Medicine and Surgery, University of Naples Federico II, Naples
| | - A Bernardo
- Medical Oncology Department, ICS Maugeri IRCCS, Pavia, Italy
| | - A Martignetti
- Oncology Department, Azienda USL Toscana Sud Est, Hospital Alta Val D'Elsa, Poggibonsi Siena, Italy
| | - C Criscitiello
- Division of Early Drug Development, Istituto Europeo di Oncologia, Milan, Italy
| | - F Puglisi
- Medical Oncology and Cancer Prevention Unit, IRCCS, CRO National Cancer Institute, Aviano; Department of Medicine, University of Udine, Udine, Italy
| | - M Pestrin
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - G Sanna
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - E Moretti
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - E Risi
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - C Biagioni
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - A McCartney
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - L Boni
- Clinical Trial Coordinating Center, AOU Careggi, Istituto Toscano Tumori, Florence, Italy
| | - M Buyse
- International Drug Development Institute, San Francisco, USA
| | - I Migliaccio
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - L Biganzoli
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
| | - A Di Leo
- "Sandro Pitigliani" Medical Oncology Department, Hospital of Prato, Prato, Italy
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Fratianni F, Cozzolino R, Martignetti A, Malorni L, d’Acierno A, De Feo V, da Cruz AG, Nazzaro F. Biochemical composition and antioxidant activity of three extra virgin olive oils from the Irpinia Province, Southern Italy. Food Sci Nutr 2019; 7:3233-3243. [PMID: 31660137 PMCID: PMC6804774 DOI: 10.1002/fsn3.1180] [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] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2019] [Revised: 07/09/2019] [Accepted: 07/24/2019] [Indexed: 12/24/2022] Open
Abstract
Extra virgin olive oil (EVOO), appraised for its healthy properties, represents an important element for the economy of several countries of the Mediterranean area, including Italy. Our study aimed to evaluate some biochemical characteristics (polyphenols and volatile compounds) as well as the antioxidant activity of three EVOOs obtained from the varieties Ravece, Ogliarola, and Ruvea antica, grown in the same field of an Irpinian village, Montella, in the Campania region, Southern Italy. Extra virgin olive oil Ruvea antica contained the greatest amount of total polyphenols and showed the highest antioxidant activity. Principal component analysis of the aromatic profiles indicated that the three EVOOs could be easily discriminated according to the cultivar. 1-Hexanol, 2-hexen-1-ol, 3-pentanone, representing the most abundant volatiles of the EVOO Ruvea antica, and 2-hexenal, which resulted the main component in EVOOs Ogliarola and Ravece, could be considered as markers to discriminate these three EVOOs, according to the ReliefF feature selection algorithm.
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Affiliation(s)
- Florinda Fratianni
- Istituto di Scienze dell’AlimentazioneConsiglio Nazionale delle Ricerche (CNR‐ISA)AvellinoItaly
| | - Rosaria Cozzolino
- Istituto di Scienze dell’AlimentazioneConsiglio Nazionale delle Ricerche (CNR‐ISA)AvellinoItaly
| | - Antonella Martignetti
- Istituto di Scienze dell’AlimentazioneConsiglio Nazionale delle Ricerche (CNR‐ISA)AvellinoItaly
| | - Livia Malorni
- Istituto di Scienze dell’AlimentazioneConsiglio Nazionale delle Ricerche (CNR‐ISA)AvellinoItaly
| | - Antonio d’Acierno
- Istituto di Scienze dell’AlimentazioneConsiglio Nazionale delle Ricerche (CNR‐ISA)AvellinoItaly
| | - Vincenzo De Feo
- Dipartimento di FarmaciaUniversità degli Studi di SalernoFiscianoItaly
| | - Adriano G. da Cruz
- Departamento de Alimentos, Instituto Federal de EducaçãoCiencia e Tecnologia de Rio de Janeiro (IFRJ)Rio de JaneiroBrazil
| | - Filomena Nazzaro
- Istituto di Scienze dell’AlimentazioneConsiglio Nazionale delle Ricerche (CNR‐ISA)AvellinoItaly
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Nazzaro F, Fratianni F, Cozzolino R, Martignetti A, Malorni L, De Feo V, Cruz AG, d'Acierno A. Antibacterial Activity of Three Extra Virgin Olive Oils of the Campania Region, Southern Italy, Related to Their Polyphenol Content and Composition. Microorganisms 2019; 7:E321. [PMID: 31491985 PMCID: PMC6780878 DOI: 10.3390/microorganisms7090321] [Citation(s) in RCA: 27] [Impact Index Per Article: 5.4] [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: 07/22/2019] [Revised: 09/03/2019] [Accepted: 09/04/2019] [Indexed: 01/08/2023] Open
Abstract
Production of extra virgin olive oil (EVOO) represents an important element for the economy of Southern Italy. Therefore, EVOO is recognized as a food with noticeable biological effects. Our study aimed to evaluate the antimicrobial activity exhibited by the polyphenolic extracts of EVOOs, obtained from three varieties of Olea europea L. (Ruvea antica, Ravece, and Ogliarola) cultivated in the village of Montella, Avellino, Southern Italy. The study evaluated the inhibiting effect of the extracts against some Gram-positive and Gram-negative bacteria. Statistical analysis, used to relate values of antimicrobial activity to total polyphenols and phenolic composition, revealed a different behavior among the three EVOO polyphenol extracts. The method applied could be useful to predict the influence of singular metabolites on the antimicrobial activity.
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Affiliation(s)
- Filomena Nazzaro
- Istituto di Scienze dell'Alimentazione-Consiglio Nazionale delle Ricerche (CNR-ISA), Via Roma 64, 83100 Avellino, Italy.
| | - Florinda Fratianni
- Istituto di Scienze dell'Alimentazione-Consiglio Nazionale delle Ricerche (CNR-ISA), Via Roma 64, 83100 Avellino, Italy.
| | - Rosaria Cozzolino
- Istituto di Scienze dell'Alimentazione-Consiglio Nazionale delle Ricerche (CNR-ISA), Via Roma 64, 83100 Avellino, Italy.
| | - Antonella Martignetti
- Istituto di Scienze dell'Alimentazione-Consiglio Nazionale delle Ricerche (CNR-ISA), Via Roma 64, 83100 Avellino, Italy.
| | - Livia Malorni
- Istituto di Scienze dell'Alimentazione-Consiglio Nazionale delle Ricerche (CNR-ISA), Via Roma 64, 83100 Avellino, Italy.
| | - Vincenzo De Feo
- Dipartimento di Farmacia, Università di Salerno, Via Giovanni Paolo II, 132, Fisciano, 84084 Salerno, Italy.
| | - Adriano G Cruz
- Instituto Federal de Educação, Ciência e Tecnologia di Rio de Janeiro (IFRJ), Departamento de Alimentos, Rio de Janeiro 20270-021, Brazil.
| | - Antonio d'Acierno
- Istituto di Scienze dell'Alimentazione-Consiglio Nazionale delle Ricerche (CNR-ISA), Via Roma 64, 83100 Avellino, Italy.
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Cozzolino R, Cefola M, Pace B, Malorni L, Martignetti A, Montemurro N, Pellicano MP. Quality, sensory and volatile profiles of fresh-cut big top nectarines cold stored in air or modified atmosphere packaging. Int J Food Sci Technol 2018. [DOI: 10.1111/ijfs.13758] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
Affiliation(s)
- Rosaria Cozzolino
- Institute of Food Science; National Research Council-CNR; via Roma 64 83100 Avellino Italy
| | - Maria Cefola
- Institute of Sciences of Food Production; National Research Council-CNR; Via G. Amendola, 122/O 70126 Bari Italy
- Institute of Sciences of Food Production; National Research Council-CNR; URT c/o CS-DAT, Traversa Viale Fortore 71121 Foggia Italy
| | - Bernardo Pace
- Institute of Sciences of Food Production; National Research Council-CNR; Via G. Amendola, 122/O 70126 Bari Italy
- Institute of Sciences of Food Production; National Research Council-CNR; URT c/o CS-DAT, Traversa Viale Fortore 71121 Foggia Italy
| | - Livia Malorni
- Institute of Food Science; National Research Council-CNR; via Roma 64 83100 Avellino Italy
| | - Antonella Martignetti
- Institute of Food Science; National Research Council-CNR; via Roma 64 83100 Avellino Italy
| | - Nicola Montemurro
- Institute of Sciences of Food Production; National Research Council-CNR; Via G. Amendola, 122/O 70126 Bari Italy
- Institute of Sciences of Food Production; National Research Council-CNR; URT c/o CS-DAT, Traversa Viale Fortore 71121 Foggia Italy
| | - Mario Paolo Pellicano
- Institute of Food Science; National Research Council-CNR; via Roma 64 83100 Avellino Italy
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Cozzolino R, De Giulio B, Marena P, Martignetti A, Günther K, Lauria F, Russo P, Stocchero M, Siani A. Urinary volatile organic compounds in overweight compared to normal-weight children: results from the Italian I.Family cohort. Sci Rep 2017; 7:15636. [PMID: 29142292 PMCID: PMC5688068 DOI: 10.1038/s41598-017-15957-7] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [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: 05/12/2017] [Accepted: 11/06/2017] [Indexed: 12/28/2022] Open
Abstract
Accumulating evidence shows that urinary volatile organic compounds (VOCs) could be perturbed in many physiological and pathological states, including several diseases and different dietary exposures. Few studies investigated the urinary metabolic signature associated to excess body weight and obesity in adult populations, while a different VOCs profile was found in exhaled breath in obese as compared to lean children. Aim of this study was to evaluate the VOCs profile in the urine of 21 overweight/obese (OW/Ob) and 28 normal-weight (NW) children belonging to the Italian cohort of the I. Family study. Urine samples were analysed by Solid Phase Micro-Extraction (SPME) GC-MS under both acidic and alkaline conditions, in order to profile a wider range of urinary volatiles with different physicochemical properties. Multivariate statistics techniques were applied to bioanalytical data to visualize clusters of cases and detect the VOCs able to differentiate OW/Ob from NW children. Under alkaline conditions, fourteen VOCs were identified, distinguishing OW/Ob from NW children. Our results suggest that VOCs signatures differ between OW/Ob and NW children. However, the biological and pathophysiological meaning of the observed differences needs to be elucidated, in order to better understand the potential of urinary VOCs as early metabolic biomarkers of obesity.
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Affiliation(s)
| | | | | | | | - Kathrin Günther
- Leibniz Institute for Prevention Research and Epidemiology - BIPS, Bremen, Germany
| | | | - Paola Russo
- Institute of Food Science, CNR, Avellino, Italy
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Cozzolino R, Pace B, Cefola M, Martignetti A, Stocchero M, Fratianni F, Nazzaro F, De Giulio B. Assessment of volatile profile as potential marker of chilling injury of basil leaves during postharvest storage. Food Chem 2016; 213:361-368. [DOI: 10.1016/j.foodchem.2016.06.109] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 06/29/2016] [Accepted: 06/29/2016] [Indexed: 10/21/2022]
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Vivaldi C, Buccianti P, Musettini G, Bergamo F, Rizzato M, Sainato A, Martignetti A, Lucchesi S, Franceschi M, Boso C, Pasqualetti F, Ginocchi L, Di Clemente F, Gonnelli A, Urbani L, Montrone S, Maretto I, Sidoti F, Falcone A, Masi G. TRUST: Phase II trial of induction chemotherapy (CT) with FOLFOXIRI + bevacizumab (BV) followed by chemo-radiotherapy (CRT) + BV and surgery in locally advanced rectal carcinoma (LARC). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw370.65] [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: 11/12/2022] Open
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Vivaldi C, Buccianti P, Musettini G, Bergamo F, Rizzato M, Sainato A, Martignetti A, Lucchesi S, Franceschi M, Boso C, Pasqualetti F, Ginocchi L, Di Clemente F, Gonnelli A, Urbani L, Fornaro L, Montrone S, Maretto I, Balestro R, Falcone A, Masi G. TRUST: phase II trial of induction chemotherapy (CT) with FOLFOXIRI plus bevacizumab (BV) followed by chemo-radiotherapy (CRT) plus BV and surgery in locally advanced rectal carcinoma (LARC). Ann Oncol 2016. [DOI: 10.1093/annonc/mdw335.12] [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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Marmorino F, Cremolini C, Loupakis F, Salvatore L, Masi G, Barbara C, Dargenio F, Miraglio E, Ginocchi L, Antonuzzo L, Moretto R, Schirripa M, Chiara S, Banzi C, Amoroso D, Bonetti A, Martignetti A, Paris M, Boni L, Tomcikova D, Falcone A. Lactate dehydrogenase (LDH) levels predict benefit from the continuation of bevacizumab (bev) beyond progression in metastatic colorectal cancer (mCRC): subgroup analysis of the randomized BEBYP study. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw335.06] [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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Farzad M, Falzetta A, Casi C, Giallombardo A, Biancanelli S, Martignetti A, Bianchi E. Potentiation and tolerance preservation of morphine induced analgesia in rodents and healthy volunteers. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw344.16] [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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Marmorino F, Cremolini C, Loupakis F, Antoniotti C, Barbara C, Dargenio F, Miraglio E, Masi G, Salvatore L, Schirripa M, Borelli B, Marcucci L, Antonuzzo L, Chiara S, Banzi C, Amoroso D, Bonetti A, Martignetti A, Paris M, Boni L, Tomcikova D, Falcone A. PD-004 Lactate dehydrogenase (LDH) levels predict benefit from the continuation of bevacizumab (bev) beyond progression in metastatic colorectal cancer (mCRC): subgroup analysis of the randomized BEBYP study. Ann Oncol 2016. [DOI: 10.1093/annonc/mdw200.04] [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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Cozzolino R, Ramezani S, Martignetti A, Mari A, Piacente S, De Giulio B. Determination of volatile organic compounds in the dried leaves ofSalviaspecies by solid-phase microextraction coupled to gas chromatography mass spectrometry. Nat Prod Res 2015; 30:841-8. [DOI: 10.1080/14786419.2015.1076817] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Cozzolino R, De Magistris L, Saggese P, Stocchero M, Martignetti A, Di Stasio M, Malorni A, Marotta R, Boscaino F, Malorni L. Use of solid-phase microextraction coupled to gas chromatography–mass spectrometry for determination of urinary volatile organic compounds in autistic children compared with healthy controls. Anal Bioanal Chem 2014; 406:4649-62. [DOI: 10.1007/s00216-014-7855-z] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/27/2014] [Revised: 04/23/2014] [Accepted: 04/24/2014] [Indexed: 11/30/2022]
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Torino F, Cascinu S, Ciardiello F, Ballestrero A, Lencioni M, Filippelli G, Martignetti A, Granetto C, Sarmiento R, Gasparini G. A phase II study of neoadjuvant antiangiogenic therapy combined with capecitabine (C) and radiotherapy (RT) in patients (pts) with locally advanced rectal cancer (LARC). J Clin Oncol 2008. [DOI: 10.1200/jco.2008.26.15_suppl.15113] [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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20
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Zampino MG, Magni E, Zorzino L, Santoro L, Massacesi C, Zaniboni A, Di Clemente F, Martignetti A, Boselli S, de Braud F. Epidermal growth factor receptor (EGFR) serum level may predict response in patients with advanced colorectal cancer (ACC) treated with gefitinib. J Clin Oncol 2007. [DOI: 10.1200/jco.2007.25.18_suppl.4119] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
4119 Background: EGFR-overexpression reported in colorectal cancer, justifies use of EGFR inhibitors. We conducted a phase II study (ESMO 2005) in ACC with the aim to assess efficacy of gefitinib plus oxaliplatin containing regimen. Main biological objective was to assess serum EGFR extra-cellular binding domain as surrogate marker of tyrosine-kinase inhibition and as predictor of outcome. Methods: 57 patients with EGFR-positive ACC,received gefitinib 250 mg/day combined with simplified FOLFOX-6 for at least 4 cycles,for a maximum of 10 courses.In not progressive disease, gefitinib was continued as maintenance treatment. Tumour assessment by RECIST criteria was performed at baseline and every 4 cycles.Serum EGFR extracellular binding-domain was evaluated by quantitative enzyme-linked immunoadsorbent.Serum EGFR as predictive factor was evaluated both taking into account the basal value only,and the whole EGFR pattern over time.The analyses were performed by logistic and Cox’s regression model with time-dependent covariate respectively;both models included centre, gender,age and site of primary tumours as adjusting factors. Results: Serum samples for EGFR were obtained at baseline and at every assessment.During mono-therapy phase the patients with serum samples decreased. Over treatment,34 patients reported a CR or PR as best objective response (BOR),while 9 patients showed SD or PD. Higher serum EGFR was associated to BOR both at baseline and over time.This result was confirmed by a similar analysis,which considered the whole EGFR profile,instead of the basal value only. Conclusions: Serum EGFR at baseline can be considered a significant predictor for the BOR.This observation is in line with data reported on lung cancer (Gregorc V, 2004).Although the EGFR trend over time seems to confirm the basal difference,this result should be taken with caution,due to the little number of cases reporting EGFR values besides the basal one. [Table: see text] No significant financial relationships to disclose.
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Affiliation(s)
- M. G. Zampino
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - E. Magni
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - L. Zorzino
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - L. Santoro
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - C. Massacesi
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - A. Zaniboni
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - F. Di Clemente
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - A. Martignetti
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - S. Boselli
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
| | - F. de Braud
- European Institute of Oncology, Milan, Italy; Ospedale Umberto I Torrette, Ancona, Italy; Casa di Cura Poliambulanza, Brescia, Italy; USL 7, Centro Direzionale, Brescia, Italy
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Vitale G, Fonderico F, Martignetti A, Caraglia M, Ciccarelli A, Nuzzo V, Abbruzzese A, Lupoli G. Pamidronate improves the quality of life and induces clinical remission of bone metastases in patients with thyroid cancer. Br J Cancer 2001; 84:1586-90. [PMID: 11401309 PMCID: PMC2363684 DOI: 10.1054/bjoc.2001.1832] [Citation(s) in RCA: 91] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
Skeletal metastases from thyroid cancer are poorly responsive to medical or radioiodine treatment. Bone destruction in skeletal metastases results from osteoclast-induced bone resorption. Therefore, a new approach in the therapy of bone metastases consists in using aminobisphosphonates, such as pamidronate, which are potent inhibitors of osteoclastic activity. In the present study, 10 thyroid cancer patients with painful osteolytic bone metastases were administered pamidronate (90 mg, as a 2 hour intravenous infusion) monthly for 12 consecutive cycles. Bone pain, quality of life, performance status, analgesic consumption and disease staging were evaluated before and during the trial. The patients who had been administered pamidronate showed a significant decrease in bone pain (P = 0.0052). Performance status improved nearly significantly (P = 0.051), while the quality of life showed a remarkable amelioration. However, no significant decrease in analgesic consumption was recorded. Partial radiographic response of bone lesions was observed in 2/10 patients. The side effects of pamidronate were mild and transient. In conclusion, monthly infusion of pamidronate is a well-tolerated treatment that induces significant relief from bone pain and improves the quality of life of thyroid cancer patients with symptomatic and osteolytic bone metastases.
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Affiliation(s)
- G Vitale
- Dipartimento di Endocrinologia ed Oncologia Molecolare e Clinica, Facoltà di Medicina e Chirurgia, Università degli Studi Federico II, Via Pansini 5, 80131, Napoli, Italy
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22
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Costantini M, Mencaglia E, Giulio PD, Cortesi E, Roila F, Ballatori E, Tamburini M, Casali P, Licitra L, Candis DD, Massidda B, Luzzani M, Campora E, Placido SD, Palmeri S, Angela PM, Baracco G, Gareri R, Martignetti A, Ragosa S, Zoda L, Ionta MT, Bulletti S, Pastore L. Cancer patients as 'experts' in defining quality of life domains. A multicentre survey by the Italian Group for the Evaluation of Outcomes in Oncology (IGEO). Qual Life Res 2000; 9:151-9. [PMID: 10983479 DOI: 10.1023/a:1008967104082] [Citation(s) in RCA: 31] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
Although the subjective nature of quality of life is generally accepted, less attention has been paid to the procedure of selecting domains to be explored with questionnaires. To explore what contributes to cancer patients' quality of life, a survey was conducted with the aim of identifying contents of quality of life using cancer patients as 'experts'. A questionnaire with open-ended items aimed at exploring the meaning of quality of life and at determining the contents of health and not health related quality of life, was submitted to a sample of cancer patients stratified by residence, cancer site and stage of disease. The 248 questionnaires received were transcribed and broken down into phrases to allow coding. A content analysis was performed, using as a conceptual framework, the domains identified by the Italian Society of Psycho-Oncology. Overall, 43 domains and a list of symptoms were identified. The two most frequently reported symptoms were pain (21.4% patients) and fatigue (14.1% patients). Social relationships and psychological domains were heavily represented. Twenty sub-domains related to the domain 'psychological well-being'. This study suggests that information on the content of quality of life questionnaires to be submitted to people affected by a specific disease, should be derived by studying people suffering the specific disease. These results reinforce the criticism that available quality of life instruments are more likely to reflect the perspective of health professionals than patients.
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Affiliation(s)
- M Costantini
- Unit of Clinical Epidemiology and Trials, National Cancer Institute, Genoa.
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23
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Palmieri G, Montella L, Martignetti A, Bianco AR. Interferon alpha-2b at low doses as long-term antiangiogenic treatment of a metastatic intracranial hemangioendothelioma: a case report. Oncol Rep 2000; 7:145-9. [PMID: 10601609] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
We describe a case of intracranial haemangioendothelioma in a 20-year old female patient who presented severe neurological symptoms and relapsed after two surgical interventions. The patient was treated with low doses of recombinant interferon alpha-2b (1 MUI three times a week) after surgical resection which led to recovery of daily function and work activity. To our knowledge, this is the ninth patient reported with intracranial hemangioendothelioma, but the only one having diffuse and painful bone metastases resolved by treatment with interferon. After 30 months the patient is free from symptoms and recurrence. The effectiveness shown by recombinant interferon alpha-2b against vascular neoplasms prompted us to look for the possible biological basis of such a property.
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Affiliation(s)
- G Palmieri
- Department of Molecular and Clinical Oncology and Endocrinology, University, 'Federico II', Naples, Italy
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24
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Masci AM, Palmieri G, Perna F, Montella L, Merkabaoui G, Sacerdoti G, Martignetti A, Racioppi L. Immunological findings in thymoma and thymoma-related syndromes. Ann Med 1999; 31 Suppl 2:86-9. [PMID: 10574162] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
Human thymoma is a neoplasm of thymic epithelial cells associated with several clinical syndromes ranging from autoimmune disease to immunodeficiency. The aim of our research was to investigate T cell-mediated immune response in patients with thymoma. Initially eight patients were enrolled in this study. Four patients underwent surgical removal of the thymus, while four were submitted to diagnostic procedures only. Inversion of the CD4:CD8 ratio was found in three patients. Only one subject displayed a normal CD19 count in peripheral blood. The mean value (+/-SD) of the CD19 percentage in the patient group was 2 +/- 2.2. Notably, the patients with thymoma had fewer mature B lymphocytes than the thymectomized patients. The T-cell receptor (TCR) repertoire was investigated in three individuals affected by thymoma: one underwent thymectomy, while the two others, one of which presented with lymphocytosis, were submitted to diagnostic biopsies only. The preliminary results showed a marked alteration in the CD8 repertoire of the thymectomized patient but not in that of the lymphocytotic patient. However, alterations in the TCR repertoire were also found in one patient with thymoma. Altogether, these preliminary findings reveal that loss of CD19+ lymphocytes in peripheral blood is a frequent phenomena in thymoma patients. In this article we discuss this aspect in the context of alterations of the TCR repertoire.
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Affiliation(s)
- A M Masci
- Department of Cellular and Molecular Biology and Pathology, University Federico II, Naples, Italy
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25
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Palmieri G, Lastoria S, Montella L, Martignetti A, Lombardi G, Salvatore M, Bianco AR. Role of somatostatin analogue-based therapy in unresponsive malignant thymomas. Ann Med 1999; 31 Suppl 2:80-5. [PMID: 10574161] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
Thymomas are rare neoplasms that are usually associated with parathymic syndromes, pure red cell aplasia, myasthenia gravis, hypogammaglobulinaemia and other mainly immunological disorders. Therefore, the management of thymoma patients is often complex and presents many diagnostic and therapeutic issues. Controversies concerning the definition of the histological subtypes and the role played by thymoma-associated syndromes are of primary importance in determining the oncological approach. Although low-stage thymomas have a high percentage of recovery, thymomas which are locally advanced, metastatic or previously treated with standard therapeutic options have no well-defined and effective treatment approaches. The data previously described by us on somatostatin receptor scintigraphy showing high uptake of indium-labelled octreotide by thymic masses and the successful treatment of a patient with thymoma and pure red cell aplasia with octreotide and prednisone has provided us the rationale for using such treatment in patients with advanced thymoma.
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Affiliation(s)
- G Palmieri
- Department of Molecular and Clinical Oncology and Endocrinology, University Federico II, Naples, Italy.
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26
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Persico G, Martignetti A, Imbriani A, Montella L, Aprea G, Coto M, Persico F, Palmieri G. Role of surgery in thymic disorders. Ann Med 1999; 31 Suppl 2:70-2. [PMID: 10574159] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/14/2023] Open
Abstract
Thymomas are relatively slow-growing neoplasms that should be considered malignant tumours. When treated in the early stages, however, they have an excellent prognosis for long-term survival. Surgery, radiation therapy and chemotherapy all play a role in the management of these neoplasms. Surgery is the treatment of choice in thymoma patients and has become an increasingly accepted procedure in the treatment of myasthenia gravis (MG) since 1936, when thymectomy was performed for this disease for the first time. Improvement in myasthenic symptoms is nearly always observed following thymectomy, but the rates of complete remission vary from 7% to 63%. We have studied the potential preoperative factors predicting the evolution of MG.
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Affiliation(s)
- G Persico
- Institute of General Surgery and Gastroenterology, and Department of Molecular and Clinical Endocrinology and Oncology, Faculty of Medicine and Surgery, University Federico II, Naples, Italy
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27
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De Placido S, Lauria R, Carlomagno C, Perrone F, De Laurentiis M, Gallo C, Martignetti A, Bellelli T, Limite G, Petrella G, Bianco AR. The impact of schedule on acute toxicity and dose-intensity of high-dose chemotherapy with epirubicin and cyclophosphamide plus colony stimulating factors in advanced breast cancer. Int J Oncol 1999; 15:339-46. [PMID: 10402245] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/13/2023] Open
Abstract
To increase the dose-intensity of two drugs in metastatic breast cancer, we tested the feasibility, in phase I studies, of two schedules of epirubicin (E) and cyclophosphamide (C) - sequential (E--> C) and alternating (E/C) - with respect to the standard combination (EC). Drugs were given at three planned-dose levels, plus either G-CSF or GM-CSF. Patients with metastatic (30), inoperable stage IIIb (2) or inflammatory (7) breast cancer were treated. The doses of EC, given every 21 days (4 cycles), were 75/1500, 82.5/2250, 90/3000 mg/m2. In the E/C schedule, epirubicin was given at cycles 1, 3 and 5, and cyclophosphamide at cycles 2, 4 and 6. In the E--> C schedule, three cycles of epirubicin then three cycles of cyclophosphamide were administered. In both experimental schedules, drugs were given every 14 days for 6 cycles at doses of 100, 110, 120 mg/m2 (E) and 2000, 3000, 4000 mg/m2 (C). The average relative dose-intensity was 1.2-fold and 2-fold greater with E/C and E--> C, respectively, than with EC. The third level dose was feasible with all schedules. Grade 4 leucopenia occurred in 77% of patients. Thrombocytopenia was absent in 6 cases and grade 4 in 12 (30.8%). Eighty-one percent of patients on experimental schedules required red blood cell support versus 44.4% of patients on EC. At the third level, platelet transfusions were more frequent among patients treated with EC (27. 8%). Non-haematological toxicity was mild: about 20% of patients experienced grade 3 vomiting, irrespective of schedule. Only 2 patients had grade 3 mucositis; no patient developed heart failure. Fever (61% of patients) and bone pain (55.5% of patients) were relevant in the GM-CSF treated groups and 12 patients shifted to G-CSF. The overall response rate was 84.6%: 5/39 (12.8%) complete response and 28/39 (71.8%) partial response. At 30/9/98, median survival was 29.5 months, with no difference between patients with metastatic and stage IIIb/inflammatory breast cancer. Median follow-up of surviving patients was 62 months (range 17-83). The 5-year estimated survival was 19% (95% confidence intervals = 7-31%). Rapidly alternating or sequential cycles of epirubicin and cyclophosphamide with CSF support is a feasible strategy that allows a higher increase of dose-intensity of the single drugs. Hospitalization and anemia were more frequent with the experimental schedules, and thrombocytopenia with the standard schedule. Overall, this intensified therapy was very active.
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Affiliation(s)
- S De Placido
- Divisione di Oncologia Medica, Universita Federico II, 80131 Napoli, Italy
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28
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De Placido S, Lauria R, Carlomagno C, Perrone F, De Laurentiis M, Gallo C, Martignetti A, Bellelli T, Limite G, Petrella G, Bianco AR. The impact of schedule on acute toxicity and dose-intensity of high-dose chemotherapy with epirubicin and cyclophosphamide plus colony stimulating factors in advanced breast cancer. Int J Oncol 1999. [DOI: 10.3892/ijo.15.2.339] [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: 11/05/2022] Open
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29
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Tagliaferri P, Barile C, Caraglia M, Guarrasi R, Morelli D, Ricciardi B, Martignetti A, Librera MT, Matano E, Della Vecchia A, Catalano G, Famiani M, Palmieri G, Correale P, Bianco AR. Daily low-dose subcutaneous recombinant interleukin-2 by alternate weekly administration: antitumor activity and immunomodulatory effects. Am J Clin Oncol 1998; 21:48-53. [PMID: 9499257 DOI: 10.1097/00000421-199802000-00011] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
A phase II clinical trial of subcutaneous recombinant Interleukin 2 (rIL-2) given by 5 days pulses followed by a 9 days rest has been performed in patients affected by renal cell carcinoma, malignant melanoma and colorectal cancer. A total of 25 patients entered the study, completed at least six courses of treatment, and were evaluable for toxicity and response to treatment. This schedule of subcutaneous rIL-2 was well tolerated and no World Health Organization grade 3 side effects were observed. A 33.3% response rate was recorded in patients affected by renal cell carcinoma, although no major responses were achieved in patients with malignant melanoma and colorectal cancer. A durable increase of natural killer activity retained by poeripheral blood mononuclear cells was demonstrated in these patients and was paralleled by increased serum levels of interferon gamma and tumor necrosis factor a without changes of circulating interleukin-1d. It is concluded that this schedule of pulse administration of subcutaneous rIL-2 has antitumor activity in renal cell carcinoma and produces durable biomodulatory effects.
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Affiliation(s)
- P Tagliaferri
- Cattedra di Oncologia Medica, Facoltà di Medicina, Università, Federico II di Napoli, Italy
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30
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Costantini M, Mencaglia E, Di Giulio P, Cortesi E, Roila F, Ballatori E, Tamburini M, Casali P, Licitra L, Massidda B, Luzzani M, Campora E, De Placido S, Palmeri S, Palladino MA, Baracco G, Gareri R, Martignetti A, Ragosa S, Zoda L, Ionta MT, Bulletti S, Pastore L. [Evaluation of quality of life in oncology. Rationale and objectives of the first phase of the Quality of Life in Oncology project]. Tumori 1997; 83:S25-7. [PMID: 9235726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Although the subjective nature of quality of life perception is generally accepted, less attention has been paid to the procedure of selecting domains to be explored with questionnaires. In most cases domains are selected by panel of experts. It is not known whether these domains are relevant for the patients. Moreover, questionnaires developed in 'foreign' countries may not be culturally sound or relevant for patients living in different cultural background. In order to explore what really contributes to quality of life of Italian patients, a survey was conducted with the aim of identifying any dimension of quality of life, positively or negatively impacted on from the illness and therapies. A sample of two hundred and eighty eight cancer patients with previously specified characteristics (primary tumor, stage of disease and place of residence) were identified. After consenting to partecipate to the study, a staff member (a physician, a nurse or a psychologist) asked the patient to complete an open-ended questionnaire in the out-patient clinic or at home. This questionnaire, partially derived from a study by Padilla et al. made up of 5 questions: 'What does the term quality of life mean to you?', 'What contributes to a good quality of life?', 'What contributes to a poor or bad quality of life?', 'Which either physical or psychological symptom interferes with your quality of life?', 'State any positive or negative change in your quality of life, due to illness or treatments'. The first question was asked to explore the meaning of quality of life for the patient; the second and third question were asked to determine the contents of quality of life not health related; the fourth question and the diary provided information about quality of life contents related to his own experience of disease. Two hundred and forty eight questionnaires (86.1%) were obtained from 7 Cancer Centres participating to the study (Genova, Milano, Roma, Perugia, Napoli, Cagliari, Palermo). All the questionnaires were transcribed and subsequently broken down in phrases on a form that allowed coding. Three raters (a research nurse, an oncologist and a clinical psychologist) made the content analysis using as conceptual framework the list of domains identified by the Italian Society of Psycho-Oncology. The present study shows the possibility to define the content domain of quality of life attributes for cancer patients, using patients as experts.
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Affiliation(s)
- M Costantini
- Servizio di Epidemiologia Clinica e Sperimentazioni Controllate, Istituto Nazionale per la Ricerca sul Cancro, Genova, Italy
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31
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Morabito A, Perrone F, Lauria R, Carlomagno C, Marinelli A, Delaurentiis M, Martignetti A, Pettinato G, Panico L, Petrella G, Gallo C, Bianco A, Deplacido S. Prognostic-significance of multifocality in primary breast-cancer. Oncol Rep 1994; 1:1045-8. [PMID: 21607488 DOI: 10.3892/or.1.6.1045] [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: 11/06/2022] Open
Abstract
The impact of multicentricity in primary breast cancer on relapse or death after radical or modified radical mastectomy was evaluated in 1336 consecutive patients. Multiple tumor foci were found in 11.7% of breast cancers: in 8.4% multicentricity was infiltrating, while in 3.3% of cases an in situ growth pattern was observed. There was a statistically significant association between multicentric primaries and lobular infiltrating carcinoma, age less than or equal to 50 years, large tumors and metastatic axillary nodes, while no relationship was observed with histological grade. Both 5-year disease-free survival and overall survival were shorter in patients with infiltrating multicentric primary tumors. Multivariate analysis confirmed the prognostic role of infiltrating multicentric tumors after adjusting for nodal status, tumor size, age and adjuvant therapy.
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Affiliation(s)
- A Morabito
- UNIV NAPLES FEDERICO II,FAC MED,CATTEDRA ONCOL MED,I-80131 NAPLES,ITALY. UNIV NAPLES FEDERICO II,FAC MED,IST PATOL,I-80131 NAPLES,ITALY. UNIV NAPLES 2,FAC MED,CATTEDRA STAT MED & BIOMETRIA,I-80131 NAPLES,ITALY. CNR,CTR ELABORAZ DATI CLIN ONCOL MEZZOGIORNO,NAPLES,ITALY
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