ESMO OpenPub Date : 2024-10-01DOI: 10.1016/j.esmoop.2024.103728
S. Lu , J. Wang , Y. Yu , X. Yu , Y. Hu , Z. Ma , X. Li , W. He , Y. Bao , M. Wang
{"title":"Tislelizumab plus chemotherapy as first-line treatment of locally advanced or metastatic nonsquamous non-small-cell lung cancer (final analysis of RATIONALE-304: a randomized phase III trial)","authors":"S. Lu , J. Wang , Y. Yu , X. Yu , Y. Hu , Z. Ma , X. Li , W. He , Y. Bao , M. Wang","doi":"10.1016/j.esmoop.2024.103728","DOIUrl":"10.1016/j.esmoop.2024.103728","url":null,"abstract":"<div><h3>Background</h3><div>The purpose of this study was to report an updated, final analysis with longer follow-up for the open-label phase III RATIONALE-304 study of first-line tislelizumab plus chemotherapy versus chemotherapy alone for advanced nonsquamous non-small-cell lung cancer (nsq-NSCLC).</div></div><div><h3>Materials and methods</h3><div>Patients with histologically confirmed stage IIIB/IV nsq-NSCLC were randomized (2 : 1) to 4-6 cycles of tislelizumab plus platinum-based chemotherapy and pemetrexed every 3 weeks, followed by maintenance tislelizumab and pemetrexed, or platinum-based chemotherapy and pemetrexed alone every 3 weeks followed by maintenance pemetrexed. The primary endpoint was independent review committee (IRC)-assessed progression-free survival (PFS<sub>IRC</sub>). Overall survival (OS), safety, and tolerability were secondary endpoints.</div></div><div><h3>Results</h3><div>Overall, 334 patients were randomized (tislelizumab plus chemotherapy: <em>n</em> = 223; chemotherapy: <em>n</em> = 111). At final analysis (median follow-up 16.1 months), safety/tolerability profiles in both arms were consistent with the interim analysis. Tislelizumab plus chemotherapy continued to demonstrate prolongation of PFS<sub>IRC</sub> versus chemotherapy alone {stratified hazard ratio (HR) 0.63 [95% confidence interval (CI) 0.47-0.86]; median PFS<sub>IRC</sub> 9.8 months (95% CI 8.9-11.7 months) versus 7.6 months (95% CI 5.6-8.0 months), respectively}. OS stratified HR for tislelizumab plus chemotherapy versus chemotherapy was 0.90 (95% CI 0.63-1.28), with median OS of 21.4 months (95% CI 17.7 months-not estimable) versus 21.3 months (95% CI 15.6 months-not estimable), respectively. At a subsequent <em>ad hoc</em> analysis (median follow-up 19.3 months), OS HR between arms was 0.85 (95% CI 0.63-1.14); when adjusted for crossover using the two-stage method, the OS HR was 0.68 (95% CI 0.48-0.96).</div></div><div><h3>Conclusions</h3><div>After longer follow-up, first-line tislelizumab plus chemotherapy continued to demonstrate a manageable safety profile and a favorable PFS benefit over chemotherapy alone in patients with advanced/metastatic nsq-NSCLC.</div></div>","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 10","pages":"Article 103728"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ESMO OpenPub Date : 2024-10-01DOI: 10.1016/j.esmoop.2024.103664
J. Hadoux , A. Lamarca , E. Grande , D. Deandreis , G. Kaltsas , E.T. Janson , B. Tombal , M. Pavel , J. Thariat , M.F. van Velthuysen , P. Herman , C. Dromain , E. Baudin , A. Berruti , ESMO Guidelines Committee
{"title":"Neuroendocrine neoplasms of head and neck, genitourinary and gynaecological systems, unknown primaries, parathyroid carcinomas and intrathyroid thymic neoplasms: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up☆","authors":"J. Hadoux , A. Lamarca , E. Grande , D. Deandreis , G. Kaltsas , E.T. Janson , B. Tombal , M. Pavel , J. Thariat , M.F. van Velthuysen , P. Herman , C. Dromain , E. Baudin , A. Berruti , ESMO Guidelines Committee","doi":"10.1016/j.esmoop.2024.103664","DOIUrl":"10.1016/j.esmoop.2024.103664","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 10","pages":"Article 103664"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142497405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ESMO OpenPub Date : 2024-10-01DOI: 10.1016/j.esmoop.2024.103776
A.K. Al-Bahri , A. Al Kharusi , F. Al Zadjali
{"title":"30P Role of suppressor of cytokine signalling 6 (SOCS6) in colorectal cancer pathogenesis: Integrating clinical and molecular perspectives","authors":"A.K. Al-Bahri , A. Al Kharusi , F. Al Zadjali","doi":"10.1016/j.esmoop.2024.103776","DOIUrl":"10.1016/j.esmoop.2024.103776","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103776"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142526640","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ESMO OpenPub Date : 2024-10-01DOI: 10.1016/j.esmoop.2024.103769
A.R. de Abreu , L. van Kempen , M. Peeters , G. van Camp , K. Op de Beeck
{"title":"23P Unraveling predictive transcriptomic signatures of anti-EGFR therapy response in RAS/BRAF wild-type metastatic colorectal cancer","authors":"A.R. de Abreu , L. van Kempen , M. Peeters , G. van Camp , K. Op de Beeck","doi":"10.1016/j.esmoop.2024.103769","DOIUrl":"10.1016/j.esmoop.2024.103769","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103769"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142525910","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ESMO OpenPub Date : 2024-10-01DOI: 10.1016/j.esmoop.2024.103789
J. Dvorak, M. Krausová, N. Hajkova, J. Hojný
{"title":"43P Assessment of methylation-specific genetic markers for reliable colorectal cancer detection and their potential in liquid biopsy applications","authors":"J. Dvorak, M. Krausová, N. Hajkova, J. Hojný","doi":"10.1016/j.esmoop.2024.103789","DOIUrl":"10.1016/j.esmoop.2024.103789","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103789"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
ESMO OpenPub Date : 2024-10-01DOI: 10.1016/j.esmoop.2024.103754
S.D. Merajver , A. Udager , A. Qin , L. Bao , X. Cheng , H. Madhi , L. Goo , V. Kathawate , P. Ulintz , A. Liu , H. Serhan , V. Navani , J. Jefferies , M.S. Ali , M. Monument , J. Kratz , A. Smith , M. Soellner , N. Merrill
{"title":"8P Precision medicine drug testing platform to guide the treatment of EML4-ALK fusion lung cancers","authors":"S.D. Merajver , A. Udager , A. Qin , L. Bao , X. Cheng , H. Madhi , L. Goo , V. Kathawate , P. Ulintz , A. Liu , H. Serhan , V. Navani , J. Jefferies , M.S. Ali , M. Monument , J. Kratz , A. Smith , M. Soellner , N. Merrill","doi":"10.1016/j.esmoop.2024.103754","DOIUrl":"10.1016/j.esmoop.2024.103754","url":null,"abstract":"","PeriodicalId":11877,"journal":{"name":"ESMO Open","volume":"9 ","pages":"Article 103754"},"PeriodicalIF":7.1,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142531577","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}