Patienten mit einer rezidivierten oder refraktären chronischen lymphatischen Leukämie (CLL) profitieren hinsichtlich des progressionsfreien Überlebens (PFS) anhaltend von einer Behandlung mit Zanubrutinib, wie die 3-Jahres-Daten der Phase-III-Studie ALPINE zeigen konnte.
Mehrere Studien bei Patienten mit indolenten B-Zell-Lymphomen hatten einen signifikanten Zusammenhang zwischen niedrigen Vitamin-D-Spiegeln und schlechterem Gesamtüberleben gezeigt, der stärker schien als herkömmliche Prognosefaktoren. Friedberg et al. untersuchten daher in einer Phase-III-Studie doppelblind den Einfluss einer Vitamin-D-Supplementierung auf das Gesamt überleben und das Ansprechen auf Rituximab.
Sowohl unter einer Kombination aus Acalabrutinib plus Obinutuzumab als auch mit einer Acalabrutinib-Monotherapie wurden in der ELEVATE-TN-Studie nach 6 Jahren anhaltende Remissionen und ein hohes Gesamtüberleben verzeichnet.
Die ELARA-Studie hat bei Patienten mit einem rezidivierten /refraktären follikulärem Lymphom den Einsatz von Tisagenlecleucel untersucht. Am ASH 2023 wurden Daten des Follow-ups nach 3 Jahren vorgestellt.
Upper GI Keynote-811 Since 2009, trastuzumab combined with chemotherapy has been the standard of care for HER2-positive metastatic gastric cancer (mG) and gastroesophageal junction cancer (GEJ), based on the results of the phase 3 ToGA trial (1). In recent years, integrating tumor-specific antibodies with PD-1 inhibitors, has demonstrated enhanced immune infiltration and T-cell response in preclinical studies, effectively countering tolerogenic dendritic cells (2).
The ESMO 2023 proffered papers session on supportive and palliative care featured three abstracts on weight management in patients with cancer as well as one abstract on electronic patient-reported outcomes which we will present herein.
In this concise summary, we highlight three of the key ESMO 2023 abstracts related to metastatic breast cancer, with a specific focus on antibody-drug conjugates.
Neoadjuvant chemotherapy (NACT) has become a mainstay of treatment for patients with triple-negative breast cancer (TNBC), and human epidermal growth factor 2 (HER2) positive BC. In these patients pathological complete response (pCR) is correlated with long term outcome and allows to adapt adjuvant treatment. Some patients with hormone receptor (HR) positive HER2-negative BC also require NACT, mainly because of locoregionally advanced disease or aggressive biology.
KRAS, part of the Ras superfamily, is an oncogene that is mutated in a significant portion of cancer cases. The protein functions as a GTPase, acting as a molecular switch that regulates cell proliferation, growth, and survival. Mutations in KRAS are associated with poor prognosis. Targeting the KRAS protein has been a substantial hurdle for many years. The clinical landscape of KRAS-targeted therapies has recently seen promising developments (1). Swissmedic’s approval of sotorasib, a drug specifically targeting the KRASG12C mutation, marks a significant milestone, as this has become a new 2nd-line treatment option in KRASG12C mutated metastatic non-small cell lung cancer (NSCLC). Here, we summarize a phase 1 study, presented at the ESMO annual meeting 2023, of a promising new panRAS inhibitor.
Dr. med. Thomas von Briel Onkozentrum Hirslanden Zürich