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Andres R, Hernandez A, Fernandez A, Comin A, Nuño A, Aguirre E, Arevalo E, Millastre E, Alvarez I, Verdun J, Lao J, Murillo L, Galan N, Bueso P, Puertolas T, Hagen C, Inglada-Perez L, Anton A. P158 PONDx Aragon: First spanish prospective study evaluating the impact of the 21-gene test on real praxis for N1 patients after RxPONDER results. Breast 2023. [DOI: 10.1016/s0960-9776(23)00275-8] [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: 03/15/2023] Open
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González-Cao M, Arance A, Piulats JM, Marquez-Rodas I, Manzano JL, Berrocal A, Crespo G, Rodriguez D, Perez-Ruiz E, Berciano M, Soria A, Castano AG, Espinosa E, Montagut C, Alonso L, Puertolas T, Aguado C, Royo MA, Blanco R, Rodríguez JF, Muñoz E, Mut P, Barron F, Martin-Algarra S. Pembrolizumab for advanced melanoma: experience from the Spanish Expanded Access Program. Clin Transl Oncol 2017; 19:761-768. [DOI: 10.1007/s12094-016-1602-1] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/06/2016] [Accepted: 12/16/2016] [Indexed: 11/28/2022]
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Gonzalez-Cao M, Soriano V, Rodriguez D, Puertolas T, Muñoz E, Soria A, Mayo de Las Casas C, Molina M, Perez E, Magem M, Garcia A, Manzano J, Cortes J, Rosell R. Braf Mutation Analysis in Cell Free Tumoral Dna (Cfdna) of Melanoma Patients: Preliminary Results from the Spanish Melanoma Group Prospective Study Gem1304. Ann Oncol 2014. [DOI: 10.1093/annonc/mdu344.24] [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: 11/15/2022] Open
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Algarra SM, Alonso L, Valdivia J, Castaño AG, Escrig V, Mut P, Ballesteros A, Puertolas T, Ortega E, Berrocal A. Spanish Melanoma Multidisciplinary Group (GEM) Experience with Ipilimumab (IPI) in the Expanded Access Programme (EAP). Ann Oncol 2012. [DOI: 10.1016/s0923-7534(20)33706-6] [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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Dominguez I, Boni V, Garcia-Velloso MJ, Lopez-Vega JM, Martinez P, Plazaola A, Llombart A, Anton A, Galve E, Alvarez IM, Hernando B, Sanchez-Gomez R, Illarramendi JJ, Morales S, De JA, Richter JA, Lahuerta A, Garcia-Gonzalez M, Lao RJ, Puertolas T, Scherer S, Sabariz L, Garcia-Foncillas J. P2-09-02: Predicting Response to Bevacizumab in Primary Breast Cancer Using 18F-Fluorothymidina (FLT) and 18F-Misonidazole (MISO) Positron Emission/Computed Tomography (PET/CT) as Imaging Biomarkers. Cancer Res 2011. [DOI: 10.1158/0008-5472.sabcs11-p2-09-02] [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: To investigate the hypothesis that early changes in tumor proliferation and hypoxic status induced by bevacizumab and assessed by imaging biomarkers might predict response to bevacizumab therapy.
Methods: 73 chemotherapy naïve, stage II-III breast cancer (BC) patients (pts) were enrolled in the training set of this phase II, single-arm, multicenter and prospective clinical trial from October 2009 until November 2010. Pts received single infusion of bevacizumab (15 mg/kg) (C1) 3 weeks prior to the beginning of neoadjuvant chemotherapy (NAC) consisting in 4 cycles of docetaxel (60 mg/mq), doxorubicin (50 mg/mq) and bevacizumab (15 mg/kg) every 21 days (C2-C5) following by surgery. Tumor proliferation and hypoxic status were evaluated using FLT and MISO PET/CT at baseline and 14–21 days after bevacizumab (C1). Standardized uptake values (SUV) for FLT and MISO and ratios to reference tissues, mediastinum (T/Me) or muscle (T/Mu), for MISO were calculated. Pathological response on surgical specimens was assessed according to Miller/Payne grading system. Pts with reduction in tumor cells >30% (G3-G4-G5) or <30% (G1-G2) were respectively considered as responders and no-responders. Association between pathological response, baseline and changes induced by bevacizumab (C1) in imaging biomarkers was analyzed using Mann-Whitney test. Receiver operating characteristic (ROC) curve was performed to test sensitivity and specificity of the biomarker found associated to response. Its value as independent predictor was tested in multivariate analysis using logistic regression. Results: Median baseline MISO and FLT SUV values in tumors were 1.2 (range 0.69−2.39) and 2.89 (range 0.97−7.18). Significant change after C1 was observed in FLT (2.7 vs 1.8, p<0.001) but no in MISO uptake. Fifty-two (74%) pts achieved response (G3-G4-G5) whether 18 (24%) were considered as no responder (G1-G2); for 3 (4%) patients Miller/Payne tumor evaluation was not available. Response showed a trend toward an association with negative estrogen receptors (ER) expression (p=0.08) and triple negative tumors (11/73) (p=0.05). FLT SUV baseline and changes after C1 in MISO SUV, T/Mu and T/Me were all significantly associated with pathological response (p=0.057, 0.03, 0.016, 0.010). ER expression and T/Mu change remained significantly associated with response in multivariate analysis (OR=24.8, IC95% 1.8-334, p=0.01 and OR=0.95, IC 95% 0.92−0.99, p value=0.02). Decrease in MISO T/Mu uptake >20% yielded a ROC curve area of 0.7 (95% CI: 0.56 - 0.85) with 94% sensitivity and 87% specificity. Conclusion: Bevacizumab determined a marked decrease in tumor proliferation. Interestingly, a decrease greater than 20% in tumor hypoxic status after C1 and assessed by MISO was found significantly associated with pathological response suggesting a potential value of early decrease in hypoxic tumor status as predictive biomarker of response. Bevacizumab, causing normalization of the tumor microvasculature, seems to potentiate the effect of cytotoxic agents on primary BC. A validation set is warranted to confirm these findings.
Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P2-09-02.
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Affiliation(s)
- I Dominguez
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - V Boni
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - MJ Garcia-Velloso
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - JM Lopez-Vega
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - P Martinez
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Plazaola
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Llombart
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Anton
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - E Galve
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - IM Alvarez
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - B Hernando
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - R Sanchez-Gomez
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - JJ Illarramendi
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - S Morales
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - Juan A De
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - JA Richter
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Lahuerta
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - M Garcia-Gonzalez
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - Romera J Lao
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - T Puertolas
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - S Scherer
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - Luis Sabariz
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
| | - J Garcia-Foncillas
- 1Clinic University of Navarra; Hospital Marques de Valdecilla; Hospital de Basurto; Onkologikoa; Hospital Arnau de Villanova de Lleida; Hospital Miguel Servet; Hospital Civil de Basurto; Hospital Donostia; Hospital General Yagues de Burgos; Hospital de San Millan; Hospital de Navarra; Roche Basel; Roche Madrid
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Boni V, Pina LJ, Hernando B, Lopez-Vega JM, Calvo EG, Plazaola A, Morales S, Anton A, Sanchez-Gomez RM, Alvarez I, Illarramendi JJ, De JA, Martinez P, Llombart A, La HA, Dominguez I, Garcia-Velloso MJ, Garcia-Gonzalez M, Lao RJ, Puertolas T, Scherer S, Sabariz L, Garcia-Foncillas J. P2-08-05: Use of Dynamic Contrast-Enhanced MR Imaging To Predict Pathological Response in Primary Breast Cancer. Cancer Res 2011. [DOI: 10.1158/0008-5472.sabcs11-p2-08-05] [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
Purpose: To investigate the effect of bevacizumab infusion on vascular parameters assessed by dynamic contrast-enhanced magnetic resonance (DCE-MR) imaging and to test their association with pathological response in primary breast cancer.
Materials and Methods: 73 patients (median age, 47 ys; age range, 29–70 ys) with biopsy-proven, previously untreated, primary breast cancer were recruited from October 2009 to November 2010 in this phase II, multicenter and non-randomized clinical trial. Patients (pts) received single infusion of bevacizumab (15 mg/kg) (C1) 3 weeks prior to the beginning of neoadjuvant chemotherapy consisting in 4 cycles of docetaxel (60 mg/mq), doxorubicin (50 mg/mq) and bevacizumab (15 mg/kg) every 21 days (C2-C5) following by surgery. All pts underwent DCE-MR imaging before and 14–21 days after C1. Quantitative and semiquantitative kinetic parameters were calculated at baseline and after C1, including the volume transfer constant (K(trans)), which primarily reflects the wash-in of the contrast agent, the backflow rate contrant (K(ep)), extracellular volume fraction (V(e)) and the initial area under the gadolinium concentration-time curve over 60 seconds (IAUGC(60)). Changes in the DCE-MRI kinetic parameters K(trans), K(ep), V(e) and IAUGC(60) were calculated and Wilcoxon test was used to assess significant effects induced by bevacizumab on kinetic parameters. Pathological response on surgical specimens after C5 was assessed according to Miller and Payne classification. Pts with tumor reduction >30% were considered as responders (G3-G4-G5) whether tumor reduction <30% were considered as no responders (G1-G2). DCE-MR imaging parameters and clinical-pathological characteristics were correlated with pathological response using Mann-Whitney test in univariate and logistic regression in multivariate analyses. Receiver operating curves (ROC) was used to define the best cut-off of the parameter found associated with pathological response.
Results: DCE-MRI was performed before (n=72) and after (n=71) C1. K(trans), K(ep), V(e) and IAUCG(60) values were significantly different at the baseline and after C1 (p<0.01). Median changes were, respectively, −51, −101, −52.5 and −4.8. Fifty-two (74%) pts achieved response (G3-G4-G5) after C5 whether 18 (24%) were considered as no responder (G1-G2); for 3 (4%) patients Miller/Payne tumor evaluation was not available. At univariate analysis, negative estrogen receptor (ER) status and higher post-C1 K(ep) (p=.057) showed a trend toward an association with response. At multivariate analysis, only ER status remains a significant predictor of response (p= .04). Area under ROC curve for K(ep) was 0.65 (IC95% 0.05−0.8, p=.057)
Conclusion: Bevacizumab affects tumor vasculature, perfusion and permeability as showed by the significantly reduction in all kinetic vasculature parameters obtained in DCE-MR imaging after C1. However, in our population these changes were not associated with pathological response. On the other hand, backflow rate constant, K(ep), a perfusion-related parameter derived from DCE-MRI yielded after C1 major than 80, may be associated with higher pathological response with a specificity of 88% and sensitivity of 90%. Future studies are warranted to confirm these findings.
Citation Information: Cancer Res 2011;71(24 Suppl):Abstract nr P2-08-05.
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Affiliation(s)
- V Boni
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - LJ Pina
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - B Hernando
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - JM Lopez-Vega
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - EG Calvo
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Plazaola
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - S Morales
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Anton
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - RM Sanchez-Gomez
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - I Alvarez
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - JJ Illarramendi
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - Juan A De
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - P Martinez
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - A Llombart
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - Huerta A La
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - I Dominguez
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - MJ Garcia-Velloso
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - M Garcia-Gonzalez
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - Romera J Lao
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - T Puertolas
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - S Scherer
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - L Sabariz
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
| | - J Garcia-Foncillas
- 1Clinic University of Navarra, Pamplona, Navarra, Spain; Hospital Marques de Valdecilla; Hospital Civil de Basurto; Onkologikoa; Hospital General Yagues de Burgos; Hospital Arnau de Vilanova de Lleida; Hospital Miguel Servet; Hospital de San Millan, Logroño; Hospital Donostia; Hospital de Navarra; Roche Basel; Roche Madrid
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Boni V, Dominguez I, Garcia Velloso MJ, Lopez-Vega JM, Martinez P, Plazaola A, Hernando B, Llombart Cussac A, Lao J, Gomez RMS, Alvarez I, Illarramendi JJ, Calvo EG, Morales Murillo S, Puertolas T, Pina LJ, Bernedo E, Palacios G, Scherer SJ, Garcia-Foncillas J. Bevacizumab changes in patients with naïve, stage II-III breast cancer assessed by 18F-fluoromisonidazole and 18F-fluorotymidine PET-CT. J Clin Oncol 2011. [DOI: 10.1200/jco.2011.29.15_suppl.2529] [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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Pazo Cid RA, Esquerdo G, Puertolas T, Calderero V, Gil I, Lao J, Millastre E, Alvarez-Alejandro M, Madani J, Anton A. Bevacizumab (BVZ) as second-line treatment after sorafenib (SFB) progression in patients (pts) with advanced hepatocellular carcinoma (HCC). J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e14619] [Citation(s) in RCA: 2] [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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Lanzuela M, Pazo Cid RA, Lao J, Fuentes J, Sarria L, Horndler C, Ubieto MA, Puertolas T, Calderero V, Anton A. Early response evaluation of sorafenib (SFB) therapy: Use of computed fluorodeoxiglucose positron emission tomography (PET-CT) in advanced hepatocellular carcinoma (HCC). J Clin Oncol 2010. [DOI: 10.1200/jco.2010.28.15_suppl.e14567] [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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10
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Herrero A, Alonso V, Lao J, Ruiz de Lobera A, Pazo R, Martinez-Trufero J, Puertolas T, Calderero V, Artal A, Anton A. Cetuximab and irinotecan in patients with EGFR+ colorectal cancer refactory to oxaliplatin and irinotecan: A single institution experience. J Clin Oncol 2005. [DOI: 10.1200/jco.2005.23.16_suppl.3726] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | - J. Lao
- Hosp Miguel Servet, Zaragoza, Spain
| | | | - R. Pazo
- Hosp Miguel Servet, Zaragoza, Spain
| | | | | | | | - A. Artal
- Hosp Miguel Servet, Zaragoza, Spain
| | - A. Anton
- Hosp Miguel Servet, Zaragoza, Spain
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11
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Puertolas T, Grandez R, Ruiz de Lobera A, Lao J, Herrero A, Martinez Trufero J, Pazo R, Alonso Orduña V, Artal Cortes A, Anton Torres A. Phase II trial of docetaxel plus doxorubicin and cyclophosphamide in locally advanced breast cancer (LABC). J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.855] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- T. Puertolas
- Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - R. Grandez
- Hospital Universitario Miguel Servet, Zaragoza, Spain
| | | | - J. Lao
- Hospital Universitario Miguel Servet, Zaragoza, Spain
| | - A. Herrero
- Hospital Universitario Miguel Servet, Zaragoza, Spain
| | | | - R. Pazo
- Hospital Universitario Miguel Servet, Zaragoza, Spain
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12
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Herrero A, Grandez R, Puertolas T, Alonso Orduña V, Martinez Trufero J, Pazo Cid R, Artal A, Lao J, Ruiz de Lobera A, Anton Torres A. High incidence of brain metastases at the time of death in women with metastatic breast cancer treated with trastuzumab. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.765] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
| | | | | | | | | | | | - A. Artal
- Hospital Miguel Servet, Zaragoza, Spain
| | - J. Lao
- Hospital Miguel Servet, Zaragoza, Spain
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13
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Anton A, Puertolas T, Ramos M, Barnadas A, Florian J, Grande R, Ribelles N, Lomas M. Phase II study of vinorelbine (NVB) and UFT in patients with metastatic breast cancer (MBC) previously treated with anthracyclines and taxanes. J Clin Oncol 2004. [DOI: 10.1200/jco.2004.22.90140.751] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Affiliation(s)
- A. Anton
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - T. Puertolas
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - M. Ramos
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - A. Barnadas
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - J. Florian
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - R. Grande
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - N. Ribelles
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
| | - M. Lomas
- Hospital Miguel Servet, Zaragoza, Spain; Centro Oncologico Coruña, Coruña, Spain; Hospital Germans Trias i Pujol, Badalona, Spain; Hospital Barbastro, Huesca, Spain; Hospital Virgen de la Victoria, Malaga, Spain; Hospital Infanta Cristina, Badajoz, Spain
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14
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Maurel J, Zorrilla M, Puertolas T, Antón A, Herrero A, Artal A, Alonso V, Martinez-Trufero J, Puertas MM. Phase I trial of weekly gemcitabine at 3-h infusion in refractory, heavily pretreated advanced solid tumors. Anticancer Drugs 2001; 12:713-7. [PMID: 11593051 DOI: 10.1097/00001813-200110000-00001] [Citation(s) in RCA: 20] [Impact Index Per Article: 0.9] [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: 10/27/2022]
Abstract
Gemcitabine (2',2'-difluorodeoxycytidine) is a nucleoside analog with antitumor activity against a variety of malignancies. The critical enzyme cytidine kinase is saturated at plasma concentrations achieved after a 30-min infusion at conventional doses. Prolonged infusion time may yield higher intracellular dFdCTP concentrations. A phase I study was designed to determine the maximum tolerated dose (MTD) of gemcitabine, given by infusion for 3 h, in heavily pretreated patients. Twenty-seven patients (13 head and neck cancer, seven sarcoma, three esophageal cancer, three non-small-cell lung cancer and one ovarian cancer) were enrolled. Twenty patients were defined as refractory at first- or second-line chemotherapy. Four different entry dose levels (300, 400, 450 and 500 mg/m(2)) were evaluated for gemcitabine administered on days 1, 8 and 15 of a 28-day cycle. The MTD was defined as 450 mg/m(2), with granulocytopenia, thrombocytopenia and asthenia being dose limiting. The maximum grade III/IV patient toxicities for hemoglobin, leukocytes, neutrophils and platelets for all doses were 7, 19, 19 and 11%, respectively. Non-hematological toxicities included asthenia, nausea/vomiting and diarrhea. Thus, gemcitabine administered at a fixed 3-h infusion was well tolerated up to 450 mg/m(2) in heavily pretreated patients. Myelosupression and asthenia were dose-limiting toxicities.
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Affiliation(s)
- J Maurel
- Medical Oncology Service, Miguel Servet University Hospital, Av Isabel La Catolica 1-3, Zaragoza, Spain.
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Maurel J, Martinez-Trufero J, Artal A, Martin C, Puertolas T, Zorrrilla M, Herrero A, Antón A, Rosell R. Prognostic impact of bulky mediastinal lymph nodes (N2>2.5 cm) in patients with locally advanced non-small-cell lung cancer (LA-NSCLC) treated with platinum-based induction chemotherapy. Lung Cancer 2000; 30:107-16. [PMID: 11086204 DOI: 10.1016/s0169-5002(00)00128-8] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.3] [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: 11/21/2022]
Abstract
A group of 70 patients with locally advanced non-small-cell lung cancer (LA-NSCLC), treated in different phase II-III trials with platinum-based chemotherapy in two institutions, have been evaluated to identify potential baseline prognostic factors predicting their survival. The eligibility criteria were patients with stage IIIA (N2)-IIIB, Eastern Cooperative Oncology Group performance status 0.1 and less than 5% weight loss. All 37 patients with stage IIIA(N2) were treated with platinum-based induction chemotherapy followed by surgery plus radiotherapy if no progression was observed. The other 33 patients with stage IIIB were treated with platinum-based induction chemotherapy followed by conventional fractionation radiotherapy if no progression was observed. The overall response rate to induction chemotherapy was 40%. Median survival of the 70 patients was 13 months, with a 4-year survival of 15%. At univariate analysis, two prognostic factors correlated with survival: partial or complete response to induction chemotherapy (P<0.00001) and bulky mediastinal lymph nodes (N2>2.5 cm) (P=0.03). At multivariate analysis, only the response to induction chemotherapy retained statistical significance (P=0.00001). Randomized well-balanced prospective trials considering initially mediastinal N2 node size are needed to clearly establish the role of chemotherapy, surgery and radiotherapy in LA-NSCLC.
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Affiliation(s)
- J Maurel
- Medical Oncology Service, University Hospital Miguel Servet, Av. Isabel La Catolica 1-3, Zaragoza, Spain
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