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ONCOLOGY
ISSN 2054-619X Vol 4.1 • November 2016 • emjreviews.com
INSIDE
Review of
ESMO 2016
Copenhagen, Denmark
CONTENTS
EDITORIAL BOARD...................................................................................................................................... 7
CONGRESS REVIEW.................................................................................................................................... 14
• Review of the European Society of Medical Oncology (ESMO) Congress,
held in Copenhagen, Denmark, 7th–11th October 2016
INTERVIEWS.................................................................................................................................................. 34
SYMPOSIUM REVIEWS
• STATE-OF-THE-ART INTEGRATION OF MULTIPLE KINASE INHIBITORS IN THE
TREATMENT OF GASTROINT
ONCOLOGY ISSN 2054-619X
CONTENTS EDITORIAL BOARD.......................
ONCOLOGY • THE IMPORTANCE OF MUTATIONAL ANALY
Novartis Pharma AG CH-4002 Basel Switzerland
AML is swarming with challenges Strikingly heter
See how you can guide the path her cancer takes
Editorial Board Editor-in-Chief: Dr Ahmad Awada
ONCOLOGY 4.1 NOVEMBER 2016 Director Spencer Gor
Welcome Welcome to the latest edition of EMJ O
10 If you are interested in submitting a paper
Foreword
NOW APPROVED
✔✔✔ OS1 PFS1 ORR1 “CABOMETYX® is
14 ONCOLOGY • November 2016
ONCOLOGY • November 2016
16 ONCOLOGY • November 2016
Congress Highlights ESMO-MCBS: A Qua
ESMO-MCBS online to analyse what can be expected
patients suffering from metastatic or locally adv
Copenhagen “Toxicities of targeted
Clinical researchers must develop new solutions t
With melanoma rates in Europe at 1 in 100 people
Currently the side effects of radiation
Nonetheless, the strict inclusion criteri
with a germline BRCA mutation. Outside of the EU,
specific symptoms and overall health status, with
Pembrolizumab with First-Line Chemotherapy Signifi
an independent central review committee of r
Metastatic Renal Cell Carcinoma Patient Survival
In this 80% of patients who have a high-risk soft
completed the subsequent questionnaire and was as
ESMO Calls for Improved Participation in Cancer S
Squamous cell carcinoma of the head and neck (SCC
Paolo Bossi Head and Neck Unit, Fondazione IRCCS
which of the toxicities are more troublesome to t
that patients take correctly their pills … becaus
Exclusive Interviews from the European Societ
STATE-OF-THE-ART INTEGRATION OF MULTIPLE KINA
real-world experience since regorafenib received
Interestingly, the lower hazard ratios (HRs)
regorafenib is recommended so that therapy can be
was that the activity of regorafenib was similar
Likewise, regorafenib may offer a poten
patients with HCC who progressed following s
Cancer Subtyping Consortium (CRCSC) identification
double-blind, placebo-controlled trial. Lance
OPTIMISING SALVAGE THERAPY IN AGGRESSIVE
guidelines such as the European Society of Medica
Treatment Algorithm for Aggressive Non-Hodgkin Ly
Relapsed/Refractory Aggressive B Cell Non-Hodgkin
role of ibrutinib as a single agent, parti
Table 2: Response rates of relapsed or refractory
Prof Zinzani replied that there were no data so f
REFERENCES 1. European Medicines Agency. EPA
(PSHAP) in relapsed/refractory aggres
CABOZANTINIB AS FIRST-LINE THERAPY FOR PATIENTS
because, unlike previous studies, the trial
1.0 Progression-free survival (probability) 0.8
Additionally, cabozantinib treatment improves ORR
REGORAFENIB IN METASTATIC COLORECTAL CANCER
Introduction Regorafenib is an oral mult
<70 years and ≥70 years, median (95% CI) PFS was
Regorafenib Dose Optimisation Study in Refractory
In the final analysis, baseline characteristics we
5. Grothey A et al. Optimizing treatment outcomes
Abstract Reviews PROGRESSING G1-G2 WELL-DIFFE
ESMO 2016 progressive WDNET with acceptabl
Abstract Reviews correlated with a major disease
ESMO 2016 bone and/or lymph node metastases (n=2
Abstract Reviews pathological response. The r
ESMO 2016 alterations that would predict a lack
Abstract Reviews with a control. The RCTs involv
ESMO 2016 more likely to be Asian, Eastern
Abstract Reviews No trend to survival benefit was
ESMO 2016 Hermini Manzano,12 Carlos Horndler,13 M
Abstract Reviews (95% CI: 0.41–1.12). Adjusted h
Click here to view the AWARD WINNERS at the Eu
EDITOR’S PICK Paed
capacity deficits,4-8 and a markedly increased ris
and cell death. The disruption of the β-tub
significant insulin resistance, increased prot
Table 1: Childhood cancer treatments, mechanisms
Aerobic exercise to reverse mitochondrial dysfunc
factors in adult survivors of pediatric canc
children with leukemia. J Strength Cond Res. 2007
THE IMPORTANCE OF MUTATIONAL ANALYSIS IN CH
and spectacularly improve the disease burden
select for a compound mutant: the initial mutated
Table 1: Most common techniques for mutational an
Next-Generation Sequencing and Ultra-Deep Sequenc
B Frequency of patients (%) 50 45 40 35 30 25 2
relapse, or suboptimal response to first
available TKIs, with the exception of ponatinib.1
CONCLUSIONS BCR-ABL KD mutations may emerge at a
32. Zabriskie MS et al. BCR-ABL1 compou
MODERN INDICATIONS FOR ENDOSCOPIC
and bleeding. The complication rate naturall
decompression remains controversial in whethe
24–48 hours before surgery is recommended by most
endoscopic skull base surgery development. A
reached to treat cholesterol granuloma. Thos
36. Hadad G et al. A novel reconstructive techniq
microRNAS IN THERAPY RESISTANCE O
HER2-enriched patients depends on expression
A Chemotherapeutic drugs Targeted HER2 the
Combinations of anthracyclines, such as doxorubic
A Tr miR-375 L N A miR-630
In contrast, high levels of miR-144 enhance
The tumour-suppressive function of miR-200c n
are of particular interest in understanding
cancer resistance: A new molecular plot. Clin Pha
70. Czerwinska P, Kaminska B. Regulation 71. S
GASTROINTESTINAL STROMAL TUMOURS: A REVIE
kinase (KIT) or platelet-derived growth fact
tumours exclusively occurring in the stomach.21,2
24% of GISTs were locally advanced or metastatic,
INVESTIGATIONS Most GISTs are diagnosed either a
with an exception being exon 9 KIT mutations wher
Table 2: Key trials with tyrosine kinase inhibito
PROGNOSIS Recurrence rates and survival of
Pathol. 2007;31(11):1629-35. 32. Rossi S et
SOMATIC MUTATIONS IN MYELODYSPLASTIC SYNDROME P
Table 1: Most common somatic mutations in myelody
outcome after alloSCT.11 Due to the fact that MDS
the myeloid diseases.18,33 These genetic aberrati
high level of bone marrow blasts, donor type, and
genes involved in normal haematopoiesis.6
DNMT3A in MDS patients might be important p
29. Cho YU et al. Preferential occurrence of spli
PALLIATIVE RADIOTHERAPY AND HORMONAL DEPRIVATIO
Some concerns have been raised about channel TURP
Ethical Considerations All patients provided w
Acknowledgements All staff working at the unit ar
UPCOMING EVENTS European CanCer Organisation (ECC
ONCOLOGY IMPAKT 2017 Breast Cancer Conference 4th
EUROPEAN MEDICAL JOURNAL provides influential arti
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