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The Oncologist: Volume 26, Issue 5
353-e724, 364-e748, 366-374, e749-e755, 375-382, e756-e779, 383-388, e780-e793, 389-405, e794-e826, 406-426, e827-e837, 427-432, e838-e862, 433-438, e863-e906, 439-441, e907May 2021
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Commentary
Global Precision Oncology: A Call to Action on Expanding Access to Targeted Cancer Therapies
- Pages: 353-355
- First Published: 04 February 2021
At the health systems level, lack of diagnostic ability, inadequate access to trained providers, and limited drug availability provide significant barriers to cancer care delivery. This article outlines an urgent call to action to improve access to precision oncology therapies in lower- and middle-income countries, drawing upon lessons from international efforts in oncology and infectious disease.
Precision Medicine Clinic: Molecular Tumor Board
A Novel Malignant Peritoneal Mesothelioma with STRN Exon 2 and ALK Exon 20: A Case Report and Literature Review
- Pages: 356-361
- First Published: 08 February 2021
This article reports a case of malignant peritoneal mesothelioma (MPM) with STRN-ALK fusion in a 17-year-old female, the first known case with fusion of exon 2 of STRN and exon 20 of ALK.
Clinical Trial Results
Activity of Sorafenib Plus Capecitabine in Previously Treated Metastatic Colorectal Cancer
- Pages: 362-e724
- First Published: 29 January 2021
Melatonin and Metformin Failed to Modify the Effect of Dacarbazine in Melanoma
- Pages: 364-e734
- First Published: 21 March 2021
Administration Method of Adjuvant Tegafur-Uracil and Leucovorin Calcium in Patients with Resected Colorectal Cancer: A Phase III Study
- Pages: e735-e741
- First Published: 18 February 2021
A Phase II Study of Fulvestrant 500 mg as Maintenance Therapy in Hormone Receptor-Positive, Human Epidermal Growth Factor Receptor 2-Negative Patients with Advanced Breast Cancer After First-Line Chemotherapy
- Pages: e742-e748
- First Published: 27 November 2020
Breast Cancer
Weekly Paclitaxel-Induced Neurotoxicity in Breast Cancer: Outcomes and Dose Response
- Pages: 366-374
- First Published: 01 February 2021
This article evaluates the development of peripheral neuropathy related to paclitaxel treatment and the effect of dose reduction on post-treatment neuropathy outcomes.
Long-Term Pooled Safety Analysis of Palbociclib in Combination with Endocrine Therapy for Hormone Receptor-Positive/Human Epidermal Growth Factor Receptor 2-Negative Advanced Breast Cancer: Updated Analysis with up to 5 Years of Follow-Up
- Pages: e749-e755
- First Published: 23 January 2021
This updated analysis based on data pooled from the three PALOMA studies is the largest long-term analysis, to date, of the safety of a CDK4/6 inhibitor in combination with endocrine therapy for the treatment of advanced breast cancer.
Cancer Diagnostics and Molecular Pathology
Clinicopathologic and Genomic Characterization of PD-L1 Positive Urothelial Carcinomas
- Pages: 375-382
- First Published: 09 March 2021
This study evaluated 528 patients with urothelial carcinoma and provides insight into the genetics and clinical features that distinguish PD-L1 positive and PD-L1 negative tumors.
Deep Targeted Sequencing and Its Potential Implication for Cancer Therapy in Chinese Patients with Gastric Adenocarcinoma
- Pages: e756-e768
- First Published: 29 January 2021
Novel molecular targeted therapies for gastric cancer are urgently needed. This article explores the mutational landscape covering somatic, germline, and microorganisms among a cohort of Chinese patients with gastric cancer. Findings provide insight on patient stratification and potential molecular targets, and for developing new treatment strategies for patients in China and worldwide.
A Challenging Task: Identifying Patients with Cancer of Unknown Primary (CUP) According to ESMO Guidelines: The CUPISCO Trial Experience
- Pages: e769-e779
- First Published: 09 March 2021
Effective therapeutic regimens are lacking for patients with cancers of unknown primary (CUP). This article reports the clinic-pathological challenges associated with diagnosis of unfavorable CUP in the CUPSICO trial and suggests refinements for diagnostic algorithms.
Gastrointestinal Cancer
Treatment Outcomes of Well-Differentiated High-Grade Neuroendocrine Tumors
- Pages: 383-388
- First Published: 26 January 2021
This article evaluates the clinical outcomes of patients with well-differentiated high-grade neuroendocrine tumors treated with different cytotoxic regimens at Mayo Clinic.
College of American Pathologists Tumor Regression Grading System for Long-Term Outcome in Patients with Locally Advanced Rectal Cancer
- Pages: e780-e793
- First Published: 04 February 2021
The aim of this large cohort study was to define the clinical significance of the AJCC/CAP tumor regression grading system for locally advanced rectal cancer, which could potentially be used to select the patients who would benefit from more intensive adjuvant chemotherapy as well as to protect patients from excessive treatment.
Genitourinary Cancer
The Effect of Concomitant Proton Pump Inhibitor and Cabozantinib on the Outcomes of Patients with Metastatic Renal Cell Carcinoma
- Pages: 389-396
- First Published: 08 February 2021
This article reports on the effect of proton pump inhibitors on the pharmacology, efficacy and safety outcomes of patients with metastatic renal cell carcinoma treated with cabozantinib.
Baseline Modified Glasgow Prognostic Score Associated with Survival in Metastatic Urothelial Carcinoma Treated with Immune Checkpoint Inhibitors
- Pages: 397-405
- First Published: 25 February 2021
Several immune checkpoint inhibitors have been approved for the treatment of metastatic urothelial cell carcinoma, but a prognostic biomarker is needed. This article reports on the effect of the Glasgow prognostic score on survival outcomes in patients with metastatic urothelial cell carcinoma receiving immune checkpoint inhibitor therapy.
Global Health and Cancer
Health-Related Quality of Life in Patients with Breast Cancer in Latin America and the Caribbean: A Systematic Review and Meta-Analysis
- Pages: e794-e806
- First Published: 08 February 2021
This review reports the health-related quality of life for patients with breast cancer living in Latin American countries and explores relationships with disease stage and treatment in real-world settings.
Cervical Cancer in Sub-Saharan Africa: A Multinational Population-Based Cohort Study of Care and Guideline Adherence
- Pages: e807-e816
- First Published: 10 February 2021
With a multinational collection of registry data and multimodal evaluation of degree of therapy guideline adherence, this study adds population-based evidence on the status of cervical cancer care and outcomes in the setting of sub-Saharan Africa.
Health Outcomes and Economics of Cancer Care
Real-World Characteristics, Treatment Patterns, Health Care Resource Use, and Costs of Patients with Diffuse Large B-Cell Lymphoma in the U.S
- Pages: e817-e826
- First Published: 22 February 2021
This article describes the real-world demographic and clinical characteristics, as well as current treatment patterns, among patients diagnosed with diffuse large B-cell lymphoma (DLBCL) and treated in the United States. Health care resource use and associated costs are assessed.
Hematologic Malignancies
Contemporary Risk Stratification and Treatment of Chronic Myelomonocytic Leukemia
- Pages: 406-421
- First Published: 31 March 2021
This review describes the current pathologic understanding of chronic myelomonocytic leukemia (CMML), appraises risk factors and stratification models, details treatment options, and proposes a contemporary treatment algorithm for patients with CMML.
Hepatobiliary
An Underdiagnosed Hypothyroidism and Its Clinical Significance in Patients with Advanced Hepatocellular Carcinoma
- Pages: 422-426
- First Published: 09 March 2021
Systemic therapies for advanced hepatocellular carcinoma (HCC) can cause hypothyroidism. This study examined the prevalence and prognostic impact of hypothyroidism in patients with HCC before receiving any systemic therapy.
Immuno-Oncology
Safety of Immune Checkpoint Inhibitors in Patients with Cancer and Hepatitis C Virus Infection
- Pages: e827-e830
- First Published: 03 March 2021
The absence of immune checkpoint inhibitor (ICI) safety data in cancer patients with hepatitis C virus infection (HCV) makes it challenging to assess the risk-benefit ratio of the therapy and to advise patients on the likelihood of adverse events to help them make informed decisions. This article reports a retrospective study of cancer patients with HCV untreated and resolved who received ICI therapy.
Medical Ethics
“Often Relatives are the Key […]” –Family Involvement in Treatment Decision Making in Patients with Advanced Cancer Near the End of Life
- Pages: e831-e837
- First Published: 10 October 2020
The role of family communication is recognized as an important factor in decision making for cancer patients near the end of life. This article discusses the value and role of family in end-of-life discussions and the challenges encountered by oncologist and oncology nurses when involving family in decision making.
Neuro-Oncology
Safety of Direct Oral Anticoagulants in Central Nervous System Malignancies
- Pages: 427-432
- First Published: 01 February 2021
Direct oral anticoagulants (DOACs) are a less burdensome treatment for cancer-associated thrombosis and have comparable safety and efficacy to low molecular weight heparin; however, there are little data to support the use of DOACs in patients with brain tumors. This article reports on the safety profile of anticoagulants in patients with primary and metastatic brain tumors, focusing on the safety and efficacy of DOACs.
Radiotherapy Plus Procarbazine, Lomustine, and Vincristine Versus Radiotherapy Plus Temozolomide for IDH-Mutant Anaplastic Astrocytoma: A Retrospective Multicenter Analysis of the French POLA Cohort
- Pages: e838-e846
- First Published: 01 February 2021
Different subgroups of anaplastic gliomas have been established. This study compared two chemotherapies in combination with radiotherapy to determine best management of IDH-mutant anaplastic astrocytomas.
New Drug Development and Clinical Pharmacology
Randomized, Double-Blind, Placebo-Controlled Phase II Study of Yeast-Brachyury Vaccine (GI-6301) in Combination with Standard-of-Care Radiotherapy in Locally Advanced, Unresectable Chordoma
- Pages: e847-e858
- First Published: 17 February 2021
The use of a therapeutic cancer vaccine that stimulates the immune system to fight brachyury-expressing cancer cells is a promising alternative to targeted molecular therapies. This article evaluates the concurrent use of a yeast-brachyury vaccine in combination with radiation therapy in patients with advanced or metastatic chordoma.
Regulatory Issues: EMA
Implementing Historical Controls in Oncology Trials
- Pages: e859-e862
- First Published: 01 February 2021
Drug development in oncology has broadened from mainly considering randomized clinical trials to also including single-arm trials tailored for very specific subtypes of cancer. They often use historical controls, and this article discusses benefits and risks of this paradigm and provide regulatory and statistical considerations.
Regulatory Issues: FDA
FDA Approval Summary: Atezolizumab and Durvalumab in Combination with Platinum-Based Chemotherapy in Extensive Stage Small Cell Lung Cancer
- Pages: 433-438
- First Published: 09 March 2021
This review summarizes the FDA perspective and data supporting the approval of atezolizumab and durvalumab for use in combination with chemotherapy for first-line treatment of patients with extensive stage small cell lung cancer.
Sarcomas
Pexidartinib Long-Term Hepatic Safety Profile in Patients with Tenosynovial Giant Cell Tumors
- Pages: e863-e873
- First Published: 08 December 2020
Pexidartinib is approved in the U.S. for treatment of tenosynovial giant cell tumors (TGCT). This article assesses the hepatic safety profile of pexidartinib in TGCT cases and describes risk mitigation procedures designed to identify any instances of serious liver injury as early as possible to better inform prescribers and patients about this drug.
Symptom Management and Supportive Care
Impact of Obesity on Quality of Life, Psychological Distress, and Coping on Patients with Colon Cancer
- Pages: e874-e882
- First Published: 25 January 2021
Obesity is associated with an increased risk of cancer. This study sought to examine the differences in clinical-pathological and psychosocial variables between individuals with and without obesity who had stage II to III colon cancer and received adjuvant chemotherapy.
High-Flow Oxygen and High-Flow Air for Dyspnea in Hospitalized Patients with Cancer: A Pilot Crossover Randomized Clinical Trial
- Pages: e883-e892
- First Published: 01 December 2020
This randomized trial assessed the effect of high-flow oxygen, high-flow air, low-flow oxygen, and low-flow air on dyspnea in hospitalized cancer patients without hypoxemia.
Brief Communications
Intracranial Foreign Body Granuloma Mimicking Brain Tumor Recurrence: A Case Series
- Pages: e893-e897
- First Published: 29 March 2021
Cancer treatment-related effects remain a challenge in neuro-oncology. This brief communication presents a case series of patients diagnosed with intracranial foreign body granuloma.
Risk of COVID-19 in Patients with Cancer Receiving Immune Checkpoint Inhibitors
- Pages: e898-e901
- First Published: 29 March 2021
Immunomodulation by immune checkpoint inhibitors (ICIs), which are used to treat advanced cancers, has an uncertain effect on COVID-19 susceptibility. This brief communication compares infection risk between cancer patients with and without a history of ICI treatment.
Letters to the Editor
In Regard to “A Phase Ib Study of NUC-1031 in Combination with Cisplatin for the First-Line Treatment of Patients with Advanced Biliary Tract Cancer (ABC-08)”
- Pages: e902
- First Published: 04 February 2021
This letter to the editor remarks on a recently published article on the use of NUC-1031 and cisplatin for patients with biliary tract cancer and compares results of the landmark ABC-02 trial.
Temporal Trends and Predictors in the Use of Stereotactic Body Radiotherapy for Treatment of Metastatic Renal Cell Carcinoma in the U.S
- Pages: e905-e906
- First Published: 01 March 2021
This letter to the editor outlines the use of stereotactic body radiotherapy for metastatic renal cell carcinoma in the U.S., identifying clinical predictors of utilization using the National Cancer Database.
Narratives in Oncology
It Can Wait
- Pages: 439-440
- First Published: 03 April 2021
Prioritizing self-care over the ever-present to-do list is important, especially during the COVID-19 pandemic, as this narrative describes.
In Memoriam
Remembering José
- Pages: 441
- First Published: 30 March 2021
In memory of José Baselga
Erratum
Adjuvant Treatment with 5-Fluorouracil and Oxaliplatin Does Not Influence Cardiac Function, Neurovascular Control, and Physical Capacity in Patients with Colon Cancer
- Pages: e907
- First Published: 05 May 2021