• Issue

    The Oncologist: Volume 25, Issue 11

    907-915, e1589-e1592, 916-924, e1593-e1597, 925-e1670, 927-953, e1671-e1680, 954-962, e1681-e1724, 963-980, e1725-e1742, 981-992, e1743-e1815, 993-1000, e1816-e1819
    November 2020

Editorial

Free Access

The Corruption of Science

  • Pages: 907-908
  • First Published: 02 October 2020

This editorial focuses on the current state of science and public health in the U.S. during the 2020 presidential election season.

Commentaries

Free Access

ASCO 2020: The Geriatric Assessment Comes of Age

  • Pages: 909-912
  • First Published: 04 September 2020

This commentary provides an overview of four randomized clinical trials on the use of geriatric assessment to guide decisions and interventions for cancer care. These studies show the effect of geriatric interventions on oncological outcomes, including toxicity, quality of life, and survival.

Free Access

The Impact of Palliative Care Dose Intensity on Outcomes for Patients with Cancer

  • Pages: 913-915
  • First Published: 19 August 2020

This commentary discusses evidence supporting the importance of full palliative care dose intensity in outcomes for patients with cancer.

Open Access

A Multidisciplinary Approach for Patients with Preexisting Lung Diseases and Immune Checkpoint Inhibitor Toxicities

  • Pages: e1589-e1592
  • First Published: 23 July 2020

This commentary outlines the strategy employed by a multidisciplinary immune-related toxicity team to evaluate patients who may be at high risk for the development of immune-related toxicity, in particular, those with preexisting lung conditions and subsequent immune-related pneumonitis.

Precision Medicine Clinic: Molecular Tumor Board

Free Access

Tepotinib Efficacy in a Patient with Non-Small Cell Lung Cancer with Brain Metastasis Harboring an HLA-DRB1-MET Gene Fusion

  • Pages: 916-920
  • First Published: 27 July 2020

This article provides a promising report of tepotinib efficacy in a patient with non-small cell lung cancer harboring an HLA-DRB1-MET gene fusion.

Free Access

Cases from the Immune-Related Adverse Event Tumor Board: Diagnosis and Management of Immune Checkpoint Blockade-Induced Diabetes

  • Pages: 921-924
  • First Published: 21 June 2020

This article presents a case-based discussion and review of the literature pertaining to immune-mediated diabetes associated with immune checkpoint blockade.

Open Access

Long-Term Response to Intermittent Binimetinib in Patients with NRAS-Mutant Melanoma

  • Pages: e1593-e1597
  • First Published: 04 September 2020

Case reports for two patients with NRAS-mutant metastatic melanoma are presented, highlighting toxicities associated with binimetinib, as well as the efficacy of an intermittent dosing schedule and possible mechanisms preventing resistance in targeted therapy.

Clinical Trial Results

Breast Cancer

Free Access

The Predictive Value of Early Changes in 18F-Fluoroestradiol Positron Emission Tomography/Computed Tomography During Fulvestrant 500 mg Therapy in Patients with Estrogen Receptor-Positive Metastatic Breast Cancer

  • Pages: 927-936
  • First Published: 09 April 2020

This study investigated whether changes in 18F-FES positron emission tomography uptake could be used for the early prediction of treatment response in patients with metastatic breast cancer who received a fulvestrant 500 mg regimen.

Free Access

Real-World Patterns of Everolimus Use in Patients with Metastatic Breast Cancer

  • Pages: 937-942
  • First Published: 31 May 2020

Everolimus has been incorporated into clinical practice, and its use is supported by current treatment guidelines; however, the literature on patterns of everolimus use and associated adverse events is limited. This article describes patterns of everolimus use in a large cohort of patients with metastatic breast cancer and the rates of hospitalizations and emergency room visits that patients experienced while receiving this therapy.

Cancer Diagnostics and Molecular Pathology

Free Access

Biomarkers in Breast Cancer: An Integrated Analysis of Comprehensive Genomic Profiling and PD-L1 Immunohistochemistry Biomarkers in 312 Patients with Breast Cancer

  • Pages: 943-953
  • First Published: 01 September 2020

This article reports the current landscape of biomarkers in breast cancer, focusing on patients using comprehensive genomic profiling and PD-L1 immunohistochemistry in addition to the previous standard of care diagnostics for hormone receptor and human epidermal receptor 2 identification. The relationship between different immunotherapy biomarkers in patients with triple-negative breast cancer is examined.

Open Access

Genomic Alterations of NTRK, POLE, ERBB2, and Microsatellite Instability Status in Chinese Patients with Colorectal Cancer

  • Pages: e1671-e1680
  • First Published: 06 July 2020

The emergence of precision medicine has identified genomic variants, such as NTRK gene fusion, microsatellite instability (MSI), HER2 amplification, and POLE pathogenic mutation, as potential agonistic biomarkers for immune or targeted therapies. This article examines NTRK, HER2, and POLE in a cohort of Chinese patients with colorectal cancer.

Gastrointestinal Cancer

Free Access

Role of Surgery and Perioperative Therapy in Older Patients with Resectable Pancreatic Ductal Adenocarcinoma

  • Pages: e1681-e1690
  • First Published: 14 July 2020

Most studies that support the benefit of perioperative therapy for resectable pancreatic ductal adenocarcinoma (PDAC) are based on younger patients. This study evaluated the role of surgery, neoadjuvant therapy, and adjuvant therapy in older patients with anatomically resectable PDAC to test the hypothesis that older patients with resectable PDAC who received surgery, neoadjuvant therapy, or adjuvant therapy could have improved survival outcomes compared with those who did not receive such treatments.

Free Access

Revisiting MET: Clinical Characteristics and Treatment Outcomes of Patients with Locally Advanced or Metastatic, MET-Amplified Esophagogastric Cancers

  • Pages: e1691-e1700
  • First Published: 20 August 2020

New treatment approaches are needed for esophagogastric cancer. c-MET gene-amplified tumors are a potential new target. This article compares patients with and without MET-amplified esophagogastric cancer to identify possible treatment approaches.

Free Access

FOLFIRINOX De-Escalation in Advanced Pancreatic Cancer: A Multicenter Real-Life Study

  • Pages: e1701-e1710
  • First Published: 04 September 2020

This article provides a descriptive overview of the feasibility and efficacy results of therapeutic de-escalation of FOLFIRINOX in patients with metastatic pancreatic cancer.

Genitourinary Cancer

Open Access

Fibroblast Growth Factor Receptor (FGFR) Inhibitors in Urothelial Cancer

  • Pages: e1711-e1719
  • First Published: 13 August 2020

Focusing on urothelial malignancies, this review summarizes the oncogenic signaling of FGFR alterations, clinical trials of FGFR inhibitors, and resistance patterns.

Gynecologic Oncology

Free Access

Successful Treatment of Patients with Refractory High-Grade Serous Ovarian Cancer with GOPC-ROS1 Fusion Using Crizotinib: A Case Report

  • Pages: e1720-e1724
  • First Published: 11 July 2020

This case report describes the first known case of a patient with ovarian cancer with ROS1 rearrangement who experienced radiographic partial response after treatment with crizotinib.

Hematologic Malignancies

Free Access

A Novel Predictive Model for Idiopathic Multicentric Castleman Disease: The International Castleman Disease Consortium Study

  • Pages: 963-973
  • First Published: 27 August 2020

This cooperative study analyzed the clinical, laboratory, and pathologic variables of patients with idiopathic multicentric Castleman disease (iMCD), resulting in a proposal for an iMCD international prognostic index that can help physicians agree on a treatment algorithm for iMCD.

Free Access

Disease Flare During Temporary Interruption of Ibrutinib Therapy in Patients with Chronic Lymphocytic Leukemia

  • Pages: 974-980
  • First Published: 04 September 2020

This study evaluated patients treated with ibrutinib for chronic lymphocytic leukemia and whether disease flares occur in the setting of temporary interruption of ibrutinib therapy.

Open Access

Pegaspargase Combined with Concurrent Radiotherapy for Early-Stage Extranodal Natural Killer/T-Cell Lymphoma, Nasal Type: A Two-Center Phase II Study

  • Pages: e1725-e1731
  • First Published: 06 July 2020

This phase II clinical study evaluated the efficacy and toxicity of concurrent chemoradiotherapy using single-drug pegaspargase for patients with nasal-type extranodal NK/T-cell lymphoma.

Immuno-Oncology

Free Access

Pretreatment Blood Parameters Predict Efficacy from Immunotherapy Agents in Early Phase Clinical Trials

  • Pages: e1732-e1742
  • First Published: 12 August 2020

This article evaluates the effect of routine baseline blood parameters on outcomes of patients with advanced cancers treated in phase I trials testing immunotherapy agents as monotherapy or in combination.

Lung Cancer

Free Access

Prolonging Survival: The Role of Immune Checkpoint Inhibitors in the Treatment of Extensive-Stage Small Cell Lung Cancer

  • Pages: 981-992
  • First Published: 29 August 2020

Immune checkpoint inhibitors have recently been investigated in small cell lung cancer. This review provides guidance on the use of these agents in extensive-stage small cell lung cancer based on phase III evidence.

Open Access

Value of Precision Medicine in Advanced Non-Small Cell Lung Cancer: Real-World Outcomes Associated with the Use of Companion Diagnostics

  • Pages: e1743-e1752
  • First Published: 06 July 2020

Improved diagnostic and treatment approaches are needed for patients with non-small cell lung cancer. This article evaluates the testing patterns and outcomes associated with overall companion diagnostic testing in real-world clinical practice.

Melanoma and Cutaneous Malignancies

Open Access

Organ Dysfunction in Patients with Advanced Melanoma Treated with Immune Checkpoint Inhibitors

  • Pages: e1753-e1762
  • First Published: 28 July 2020

Evidence shows improved survival for patients with advanced melanoma treated with the CTLA-4 inhibitor, ipilimumab, and PD-1 inhibitors. This article examines characteristics and outcomes of patients with advanced melanoma and organ dysfunction treated with immune checkpoint inhibitors, for patients with both baseline dysfunction and treatment-emergent toxicity, using a dataset of real world patients.

Neuro-Oncology

Free Access

Leptomeningeal Spread in Glioblastoma: Diagnostic and Therapeutic Challenges

  • Pages: e1763-e1776
  • First Published: 23 July 2020

This article reviews diagnostic tools and applied treatments for leptomeningeal spread, a severe complication of glioblastoma raising diagnostic and therapeutic challenges in clinical routine. The importance of molecular testing and its importance in the setting of molecular targeted therapies is also reviewed.

Sarcomas

Free Access

The Activity of Chemotherapy in Inflammatory Myofibroblastic Tumors: A Multicenter, European Retrospective Case Series Analysis

  • Pages: e1777-e1784
  • First Published: 25 June 2020

This article reports on the activity of cytotoxic chemotherapy in patients with inflammatory myofibroblastic tumors, focusing on anthracycline-based regimens, the front-line standard treatment in sarcomas, and methotrexate and/or vinorelbine or vinblastine. Data available on other cytotoxic regimens are also reported.

Free Access

Systemic Steroid Treatment for Imatinib-Associated Severe Skin Rash in Patients with Gastrointestinal Stromal Tumor: A Phase II Study

  • Pages: e1785-e1793
  • First Published: 26 June 2020

Skin rash is a common imatinib-associated adverse event and may affect compliance. This phase II study was conducted to evaluate whether imatinib-associated severe skin rash can be managed with systemic steroids without dose reduction or interruption of imatinib.

Symptom Management and Supportive Care

Free Access

A Mindfulness-Based Intervention as a Supportive Care Strategy for Patients with Metastatic Non-Small Cell Lung Cancer and Their Spouses: Results of a Three-Arm Pilot Randomized Controlled Trial

  • Pages: e1794-e1802
  • First Published: 04 July 2020

The feasibility and efficacy of mindfulness-based interventions for patients with advanced cancer have not been widely examined. This article describes a couple-based Meditation intervention compared with a supportive expressive intervention and a usual care control group, targeting psychospiritual distress in patients with metastatic lung cancer and their spousal caregivers.

Brief Communications

Open Access

Attrition of Patients on a Precision Oncology Trial: Analysis of the I-PREDICT Experience

  • Pages: e1803-e1806
  • First Published: 19 September 2020

Few studies have focused on patient attrition in the context of personalized oncology studies. This article examines factors contributing to the loss of patients enrolled in a precision medicine trials.

Open Access

Defining a Distinct Immunotherapy Eligible Subset of Patients with Cancer of Unknown Primary Using Gene Expression Profiling with the 92-Gene Assay

  • Pages: e1807-e1811
  • First Published: 07 September 2020

Regulatory approval of immune checkpoint inhibitors (ICI) is restricted to anatomically defined cancers with a known primary. This article reports cases submitted for 92-gene assay testing with an unknown or uncertain diagnosis for which the subsequent post-test report included a tumor type linked to an FDA-approved ICI therapy, with the goal of identifying characteristics of cancers of unknown primary tumors that might benefit from immunotherapy.

Open Access

Professional Medical Writer Assistance in Oncology Clinical Trials

  • Pages: e1812-e1815
  • First Published: 04 September 2020

Considering the increase in industry-sponsored cancer clinical trials, the use of professional medical writers for publication of trial results has become an increasingly important topic. This brief communication reports the current rate of involvement of medical writers in publications of cancer clinical trials.

Narratives in Oncology

Free Access

Do I Know You?

  • Pages: 993-994
  • First Published: 30 April 2020

This narrative describes an interaction between an oncologist and a patient who had experienced such deterioration, in the intervening period since last visit, that she was unrecognizable. The author reflects on the enormity of patients’ lives outside of their brief clinic visits.

Free Access

Navigating Roadblocks as an Early Career Attending … Literally

  • Pages: 995-996
  • First Published: 18 May 2020

The search for research funding is challenging. This narrative describes how passions for research and bicycling led to a successful fundraising event.

Letters to the Editor

Free Access

Supportive Strategies for Breaking Bad News via Telemedicine

  • Pages: e1816
  • First Published: 26 August 2020

This letter to the editor proposes techniques for use in telemedicine, especially as related to delivering difficult news by video.

Free Access

In Reply

  • Pages: e1817
  • First Published: 19 August 2020

This letter to the editor responds to recent advice related to delivering difficult news via telemedicine, further encouraging productive discussions on this challenging topic.

Free Access

In Reply

  • Pages: e1819
  • First Published: 24 September 2020

This letter to the editor responds to remarks on the authors' recently published article on the role of HER2 as a negative prognostic factor in completely resected biliary tract cancer.