يعرض 1 - 10 نتائج من 81 نتيجة بحث عن '"ElNaggar, Adam C."', وقت الاستعلام: 1.21s تنقيح النتائج
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    دورية أكاديمية
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    دورية أكاديمية

    المصدر: Gynecologic Oncology. 159(1)

    الوصف: ObjectiveSomatic HER2 mutations occur in ~5% of cervical cancers and are considered oncogenic and associated with poor prognosis. Neratinib, an irreversible pan-HER tyrosine kinase inhibitor, is active in multiple HER2-mutant cancers. SUMMIT is a phase II basket trial investigating the efficacy and safety of neratinib in solid tumors.MethodsPatients with HER2-mutant, persistent, metastatic/recurrent cervical cancer with disease progression after platinum-based treatment for advanced/recurrent disease received oral neratinib 240 mg/day with mandatory loperamide prophylaxis during cycle 1. The primary endpoint was confirmed objective response rate (ORR). Secondary endpoints included: response duration (DOR); clinical benefit rate (CBR); progression-free survival (PFS); overall survival (OS); safety.ResultsSixteen eligible patients were enrolled; 10 (62.5%) had endocervical adenocarcinoma. The most common HER2 mutation was S310F (63% of patients). Three of 12 RECIST-measurable patients had confirmed partial responses (ORR 25%; 95%CI 5.5-57.2%); 3 had stable disease ≥16 weeks (CBR 50%; 95%CI 21.1-78.9%). DOR for responders were 5.6, 5.9, and 12.3 months. Median PFS was 7.0 months (95%CI 0.7-18.3 months); median OS was 16.8 months (95%CI 4.1-NE months). Diarrhea (75%), nausea (44%), and decreased appetite (38%) were the most common adverse events. One patient (6%) reported grade 3 diarrhea. There were no grade 4 events, and no diarrhea-related treatment discontinuations.ConclusionsNeratinib monotherapy showed evidence of activity in heavily pretreated patients with HER2-mutant cervical cancer, with no new safety signals. Given the few effective options for cervical cancer after platinum-based therapy failure, neratinib warrants further investigation in this molecularly defined patient population.Trial registration numberNCT01953926 (ClinicalTrials.gov), 2013-002872-42 (EudraCT).

    وصف الملف: application/pdf

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    دورية أكاديمية

    المصدر: Lindskrog , S V , Birkenkamp-Demtröder , K , Nordentoft , I K , Laliotis , G , Lamy , P , Christensen , E , Renner , D , Andreasen , T G , Lange , N , Sharma , S , ElNaggar , A C , Liu , M C , Sethi , H , Aleshin , A , Agerbæk , M , Jensen , J B & Dyrskjøt , L 2023 , ' Circulating Tumor DNA Analysis in Advanced Urothelial Carcinoma: Insights from Biological Analysis and Extended Clinical Follow-up ' , Clinical Cancer Research , vol. ....

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    دورية أكاديمية

    المساهمون: AstraZeneca

    المصدر: Advances in Therapy ; volume 39, issue 6, page 2544-2561 ; ISSN 0741-238X 1865-8652

    مصطلحات موضوعية: Pharmacology (medical), General Medicine

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    دورية أكاديمية
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    مؤتمر

    المصدر: Lindskrog , S V , Laliotis , G , Birkenkamp-Demtröder , K , Nordentoft , I K , Lamy , P , Z. White , E , Pajak , N , Andreasen , T G , Dutta , P , Malhotra , M , Sharma , S , Calhoun , M , ElNaggar , A C , Liu , M C , Agerbæk , M O , Jensen , J B & Dyrskjøt , L 2023 , ' 5600 / 24 : Utility of circulating tumor DNA and transcriptomic profiling in predicting outcome in muscle invasive bladder cancer patients ....

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