Journal of Thoracic Oncology最新文献

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Risk-Based Lung Cancer Screening in Clinical Practice. 临床实践中基于风险的肺癌筛查
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-14 DOI: 10.1016/j.jtho.2025.05.009
Matthew M Rode, Anne-Marie G Sykes, Mark S Allen, Lori A Ingalls, Hamid Rehman, Daniel C Deetz, Susanne C Degen, Janel N Glantz, Adel Zurob, Jamil Taji, Karen L Swanson, Eric A Jensen, Laura C Pappagallo, Margaret M Johnson, Barbara L McComb, Lynn M Loosbrock, Andrew C Hanson, Ping Yang, David E Midthun
{"title":"Risk-Based Lung Cancer Screening in Clinical Practice.","authors":"Matthew M Rode, Anne-Marie G Sykes, Mark S Allen, Lori A Ingalls, Hamid Rehman, Daniel C Deetz, Susanne C Degen, Janel N Glantz, Adel Zurob, Jamil Taji, Karen L Swanson, Eric A Jensen, Laura C Pappagallo, Margaret M Johnson, Barbara L McComb, Lynn M Loosbrock, Andrew C Hanson, Ping Yang, David E Midthun","doi":"10.1016/j.jtho.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.05.009","url":null,"abstract":"<p><strong>Introduction: </strong>Current US lung cancer screening guidelines use only age and smoking history; however, individual risk calculators may better stratify risk.</p><p><strong>Methods: </strong>In a referred cohort design, we implemented a multisite lung cancer screening program across 4 states. We screened patients who qualified by either the USPSTF<sub>2013</sub> criteria or a PLCO<sub>m2012</sub> risk of >1.34%. Invasive procedures were abstracted retrospectively. We compared the incidence and prevalence of lung cancer among patients who qualified by only USPSTF<sub>2013</sub> or PLCO<sub>m2012</sub> as well as along the continuum of prospective lung cancer risk using PLCO<sub>m2012</sub>.</p><p><strong>Results: </strong>Of 2471 screened patients, 114 had lung cancer. Eighty-four percent of all patients and 91% of patients who were diagnosed with cancer qualified by both criteria. Prevalence lung cancers were over 7 times higher in the 10% of the cohort with the highest prospective risk than the lowest risk 10%. Incidence cancers were higher among patients who qualified only by PLCO<sub>m2012</sub> (3.6 per 1000 person-years) compared to patients who qualified only by USPSTF<sub>2013</sub> (0 per 1000 person-years). Seventy-four percent of screen-detected NSCLC were stage I or II. Three (4.5%) surgical resections were performed for screen-identified nodules which proved to be benign. Overall, 106 patients (4.3%) underwent an invasive intervention due to screening.</p><p><strong>Conclusions: </strong>Most patients qualified for lung cancer screening by both UPSTSF<sub>2013</sub> and PLCO<sub>m2012</sub> criteria. Incidence cancers were higher among patients who qualified by PLCO<sub>m2012</sub> but not USPSTF<sub>2013</sub> criteria. Prevalence and incidence cancer identification increased with prospective risk. Invasive procedures and resections for benign disease were relatively low.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144086433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Erratum to 'Diabetic Ketoacidosis During Lorlatinib Treatment: Case Report' [Journal of Thoracic Oncology Volume 20, Issue 5 (2025) 676-679]. 对“Lorlatinib治疗期间糖尿病酮症酸中毒:病例报告”的勘误[Journal of Thoracic Oncology vol . 20, Issue 5(2025) 676-679]。
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-13 DOI: 10.1016/j.jtho.2025.04.015
Atsushi Yanagisawa, Takayuki Shiroyama, Kotaro Miyake, Yoshito Takeda, Atsushi Kumanogoh
{"title":"Erratum to 'Diabetic Ketoacidosis During Lorlatinib Treatment: Case Report' [Journal of Thoracic Oncology Volume 20, Issue 5 (2025) 676-679].","authors":"Atsushi Yanagisawa, Takayuki Shiroyama, Kotaro Miyake, Yoshito Takeda, Atsushi Kumanogoh","doi":"10.1016/j.jtho.2025.04.015","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.04.015","url":null,"abstract":"","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Emerging Role of Targeted Therapies Combined with Radiotherapy in Inoperable Stage I-III, Non-Small Cell Lung Cancer (NSCLC): A Review from the International Association for the Study of Lung Cancer (IASLC) Advanced Radiation Technology (ART) Subcommittee. 靶向治疗联合放疗在无法手术的I-III期非小细胞肺癌(NSCLC)中的新作用:来自国际肺癌研究协会(IASLC)先进放射技术(ART)小组委员会的综述。
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-09 DOI: 10.1016/j.jtho.2025.05.004
Sarah Bowen Jones, Clara Chan, Andrea R Filippi, Ken Harada, Alexander V Louie, Colin R Lindsay, Ernest Nadal, Pablo Munoz Schuffenegger, David Woolf, Corinne Faivre-Finn
{"title":"Emerging Role of Targeted Therapies Combined with Radiotherapy in Inoperable Stage I-III, Non-Small Cell Lung Cancer (NSCLC): A Review from the International Association for the Study of Lung Cancer (IASLC) Advanced Radiation Technology (ART) Subcommittee.","authors":"Sarah Bowen Jones, Clara Chan, Andrea R Filippi, Ken Harada, Alexander V Louie, Colin R Lindsay, Ernest Nadal, Pablo Munoz Schuffenegger, David Woolf, Corinne Faivre-Finn","doi":"10.1016/j.jtho.2025.05.004","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.05.004","url":null,"abstract":"<p><strong>Background: </strong>Precision oncology has transformed the management of non-small cell lung cancer (NSCLC) by tailoring treatment to the specific genetic alterations driving oncogenesis. Targeted therapies, such as tyrosine kinase inhibitors (TKIs), have been shown to dramatically improve survival in patients with advanced-stage NSCLC. However, treatment options remain limited for patients with early or locally advanced stage (I-III) NSCLC harboring driver mutations, when the disease is not resectable, or the patient is unsuitable for surgery due to poor fitness or comorbidities. There is growing interest in combining targeted therapies with radiotherapy to optimise treatment outcomes for this patient group. Notably, a progression-free survival (PFS) benefit has recently been reported with the third-generation TKI osimertinib in patients with inoperable, epidermal growth factor receptor (EGFR) mutated, stage III NSCLC following chemoradiotherapy.</p><p><strong>Procedures: </strong>A narrative review of the literature was performed using PubMed, OVID(EMBASE) and ClinicalTrials.gov to identify studies evaluating the combination of targeted therapies and radiotherapy in inoperable stage I-III NSCLC.</p><p><strong>Main findings: </strong>This review provides a comprehensive overview of the incidence of actionable driver alterations and emerging clinical evidence on combining targeted therapies with thoracic radiotherapy in patients with inoperable, stage I-III NSCLC. The toxicity profile of combination treatments, optimal sequencing strategies, ongoing clinical trials and future perspectives in this field are highlighted.</p><p><strong>Conclusion: </strong>A clear biological rationale supports the synergistic effects of combining targeted therapies with radiotherapy in the neo-adjuvant, concurrent, and adjuvant settings. Advanced clinical trial methodologies may facilitate further research in this area, particularly for rare genetic alterations, to improve outcomes for these patients.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144016666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lazertinib for patients with NSCLC harboring uncommon EGFR mutations: A phase II multi-center trial. 拉泽替尼治疗具有罕见EGFR突变的NSCLC患者:一项II期多中心试验
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-09 DOI: 10.1016/j.jtho.2025.05.006
Sehhoon Park, Hee Kyung Ahn, Seoyoung Lee, Young Joo Min, Jinyong Kim, Hyun Ae Jung, Jong-Mu Sun, Se-Hoon Lee, Jin Seok Ahn, Myung-Ju Ahn, Jii Bum Lee, Sun Min Lim, Hye Ryun Kim, Byoung Chul Cho, Min Hee Hong
{"title":"Lazertinib for patients with NSCLC harboring uncommon EGFR mutations: A phase II multi-center trial.","authors":"Sehhoon Park, Hee Kyung Ahn, Seoyoung Lee, Young Joo Min, Jinyong Kim, Hyun Ae Jung, Jong-Mu Sun, Se-Hoon Lee, Jin Seok Ahn, Myung-Ju Ahn, Jii Bum Lee, Sun Min Lim, Hye Ryun Kim, Byoung Chul Cho, Min Hee Hong","doi":"10.1016/j.jtho.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.05.006","url":null,"abstract":"<p><strong>Introduction: </strong>Uncommon EGFR mutations comprise 10-20% of all EGFR mutations in non-small cell lung cancer (NSCLC) and generally show reduced responsiveness to EGFR tyrosine kinase inhibitors (TKIs). Lazertinib, a third-generation EGFR-TKI, has demonstrated efficacy in common EGFR mutations, but its potential in uncommon mutations remains unexplored. This study investigated the efficacy and safety of lazertinib in NSCLC patients with uncommon EGFR mutations.</p><p><strong>Method: </strong>This single-arm, multicenter phase II trial enrolled patients with advanced NSCLC harboring uncommon EGFR mutations excluding exon 20 insertions. Patients received lazertinib 240 mg daily until disease progression or unacceptable toxicity. The primary endpoint was objective response rate (ORR) per RECIST v1.1. Secondary endpoints included progression-free survival (PFS), overall survival (OS), duration of response (DoR), and safety.</p><p><strong>Results: </strong>Among 36 enrolled patients, the ORR was 50.0% (95% CI: 34.5-65.5%), with 18 partial responses, meeting the primary endpoint. Disease control rate was 88.9% (95% CI: 74.1-96.2%). Patients with major uncommon mutations (G719X, L861Q, S768I) showed an ORR of 54.8% (17/31). Median PFS was 10.8 months (95% CI: 4.4-19.2) and median DoR was 15.1 months. G719X mutations showed the highest response (ORR 61%, median PFS 20.3 months), followed by S768I (ORR 60%) and L861Q (ORR 58%, median PFS 9.5 months). Treatment-emergent adverse events occurred in all patients, with grade ≥3 events in 33.3%; most common were rash (47.2%), pruritus (36.1%), and muscle spasms (33.3%).</p><p><strong>Conclusions: </strong>Lazertinib demonstrated promising efficacy and a manageable safety profile in NSCLC patients with uncommon EGFR mutations, particularly for G719X, S768I, and L861Q subtypes. These results suggest lazertinib could be an effective treatment option for this heterogeneous patient population with limited therapeutic alternatives.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Treatment sequences in BRAF-V600-mutated non-small cell lung cancer: First-line targeted therapy versus first-line (chemo-) immunotherapy. braf - v600突变的非小细胞肺癌的治疗顺序:一线靶向治疗与一线(化疗)免疫治疗
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-07 DOI: 10.1016/j.jtho.2025.04.016
Marcel Wiesweg, Ali Alaffas, Anna Rasokat, Felix Carl Saalfeld, Maximilian Rost, Christin Assmann, Franziska Herster, Moritz Hilbrandt, Frank Griesinger, Anna Kron, Julia Roeper, Franziska Glanemann, Cornelia Kropf-Sanchen, Martin Reck, Jonas Kulhavy, Albrecht Stenzinger, Jürgen Wolf, Martin Sebastian, Martin Schuler, Martin Wermke, Nikolaj Frost, Hans-Georg Kopp, Petros Christopoulos, Matthias Scheffler
{"title":"Treatment sequences in BRAF-V600-mutated non-small cell lung cancer: First-line targeted therapy versus first-line (chemo-) immunotherapy.","authors":"Marcel Wiesweg, Ali Alaffas, Anna Rasokat, Felix Carl Saalfeld, Maximilian Rost, Christin Assmann, Franziska Herster, Moritz Hilbrandt, Frank Griesinger, Anna Kron, Julia Roeper, Franziska Glanemann, Cornelia Kropf-Sanchen, Martin Reck, Jonas Kulhavy, Albrecht Stenzinger, Jürgen Wolf, Martin Sebastian, Martin Schuler, Martin Wermke, Nikolaj Frost, Hans-Georg Kopp, Petros Christopoulos, Matthias Scheffler","doi":"10.1016/j.jtho.2025.04.016","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.04.016","url":null,"abstract":"<p><strong>Background: </strong>Targeted treatment of patients with metastatic BRAF-V600-mutated non-small-cell lung cancer (NSCLC) using BRAF/MEK-inhibitors is effective but limited by acquired resistance. Patients with BRAF-mutant NSCLC may derive long-lasting benefit from immune checkpoint inhibition with PD-1/-L1 antibodies (IO). While IO is the preferred first-line therapy in BRAF-mutated melanoma, the optimal treatment sequence in BRAF-mutated NSCLC is not defined.</p><p><strong>Methods: </strong>Retrospective study of the clinical outcome of patients with metastatic BRAF-V600-mutated NSCLC diagnosed in the German national Network Genomic Medicine Lung Cancer (nNGM).</p><p><strong>Results: </strong>We identified 205 patients with BRAF-V600-mutated NSCLC. 175 patients received first-line therapy with dabrafenib/trametinib (DAB/TRM, 65.1%), IO alone (19.4%), or chemo-IO (15.4%). Overall survival (OS) and time-to-treatment failure of first-line therapy (TTF) was identical for patients receiving first-line DAB/TRM (median OS 28.0 months) or chemo/IO (27.8 months, HR 1.1, p=0.68). Female patients had superior OS (HR 0.65, p=0.049, confirmed in multivariate model), which was mainly driven by superior OS of female versus male patients receiving first-line DAB/TRM (OS HR 0.53, p=0.015). There was no gender difference in survival of patients receiving IO-based first-line treatment (OS HR 1.02). Surprisingly, high PD-L1 status (TPS ≥50%) associated with shortened time-to-treatment failure in first-line (HR 1.83, p=0.002, confirmed in multivariate models adjusting for gender; OS with non-significant trend, HR 1.4), regardless of whether the first-line regimen was IO-based or targeted therapy.</p><p><strong>Conclusions: </strong>Targeted or IO-based first-line treatment of BRAF-V600-mutated NSCLC have similar survival outcomes. Gender and PD-L1 status may support decision making at the individual patient level.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144027278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Original Article in J Thoracic Oncology Characterization, prognosis, and treatment of patients with locally advanced or metastatic thymic neuroendocrine tumor (Thy-NET): a retrospective study of the French GTE, ENDOCAN RENATEN and RYTHMIC networks. 局部晚期或转移性胸腺神经内分泌肿瘤(Thy-NET)患者的特征、预后和治疗:法国GTE、ENDOCAN RENATEN和RYTHMIC网络的回顾性研究
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-04 DOI: 10.1016/j.jtho.2025.04.013
Sarah Fodil-Cherif, Julien Hadoux, Olaf Mercier, Jose Carlos Benitez, Alice Durand, Helene Lasolle, Marine Perrier, Arnaud Jannin, Sandrine Laboureau, Maelle Lebras, Olivier Chabre, Sébastien Gaujoux, Lionel Groussin Rouiller, Olivia Hentic, Hélène Du Boullay, Magalie Haissaguerre, Hervé Kinn, Thierry Lecomte, Pierre Goudet, Nicolas Girard, Jean-Yves Scoazec, Benjamin Besse, Matthieu Faron, Eric Baudin
{"title":"Original Article in J Thoracic Oncology Characterization, prognosis, and treatment of patients with locally advanced or metastatic thymic neuroendocrine tumor (Thy-NET): a retrospective study of the French GTE, ENDOCAN RENATEN and RYTHMIC networks.","authors":"Sarah Fodil-Cherif, Julien Hadoux, Olaf Mercier, Jose Carlos Benitez, Alice Durand, Helene Lasolle, Marine Perrier, Arnaud Jannin, Sandrine Laboureau, Maelle Lebras, Olivier Chabre, Sébastien Gaujoux, Lionel Groussin Rouiller, Olivia Hentic, Hélène Du Boullay, Magalie Haissaguerre, Hervé Kinn, Thierry Lecomte, Pierre Goudet, Nicolas Girard, Jean-Yves Scoazec, Benjamin Besse, Matthieu Faron, Eric Baudin","doi":"10.1016/j.jtho.2025.04.013","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.04.013","url":null,"abstract":"<p><strong>Introduction: </strong>Thymic neuroendocrine tumors (Thy-NET) constitute a poorly characterized ultra-rare subgroup of NET.</p><p><strong>Objective: </strong>To characterize locally advanced or metastatic Thy-NET, to evaluate prognostic factors for survival, and to provide an overview of their current therapeutic management in two dedicated French national networks.</p><p><strong>Methods: </strong>Retrospective multicenter study of two French ENDOCAN-RENATEN and RYTHMIC networks.</p><p><strong>Results: </strong>Seventy-four patients (median age, 46-years) followed in 20 French centers between 1988 and 2020 were included. Main characteristics were: male over female ratio: 2.7, MEN-1 inherited syndrome in 25 patients (34%), NET G2 atypical carcinoids in 31 (48%) patients, and 20 patients (31%) with NET G3 highly proliferative atypical carcinoids, 11 (15%) patients with ectopic Cushing syndrome. Metastatic sites were: lymph nodes (54 patients, 73%), bone (42 patients, 65%), lung (31 patients, 42%) and pleura (31 patients, 42%). Sixty-four (87%) patients had locally advanced Thy-NET and 8 (11%) had synchronous metastases, at diagnosis. Pleural metastases were almost exclusively metachronous. Positive 18F-FDG or 68Ga-DOTATOC-PET was found in 88% or 100% of cases, respectively. The 5-years overall survival was 85%. Univariate analysis on overall survival reveals a trend toward worse prognosis in case of female gender and bone metastases, and better prognosis for MEN1 patients. Partial responses were more frequently observed in patients treated with cytotoxic chemotherapy.</p><p><strong>Conclusion: </strong>This large series identifies specific characteristics of advanced Thy-NET patients. Prognosis was better than previously reported. Perioperative pleural dissemination is suspected. Partial responses were mainly observed with chemotherapy.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002223","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Overall Survival in EGFR-mutant Advanced Non-Small Cell Lung Cancer Treated with First-line Osimertinib: A Cohort Study Integrating Clinical and Biomarker Data in the United States. 一线奥西替尼治疗egfr突变晚期非小细胞肺癌的总生存率:美国一项整合临床和生物标志物数据的队列研究
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-02 DOI: 10.1016/j.jtho.2025.04.010
Joshua K Sabari, Helena A Yu, Parthiv J Mahadevia, Yanfang Liu, Levon Demirdjian, Yen Hua Chen, Xiayi Wang, Antonio Passaro
{"title":"Overall Survival in EGFR-mutant Advanced Non-Small Cell Lung Cancer Treated with First-line Osimertinib: A Cohort Study Integrating Clinical and Biomarker Data in the United States.","authors":"Joshua K Sabari, Helena A Yu, Parthiv J Mahadevia, Yanfang Liu, Levon Demirdjian, Yen Hua Chen, Xiayi Wang, Antonio Passaro","doi":"10.1016/j.jtho.2025.04.010","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.04.010","url":null,"abstract":"<p><strong>Introduction: </strong>Patients with non-small cell lung cancer (NSCLC) harboring EGFR mutations (EGFRm) have high mortality. The third-generation tyrosine kinase inhibitor (TKI) osimertinib is approved for first-line EGFRm-NSCLC. We used longitudinal US medical oncology databases to evaluate real-world overall survival (rwOS) prognostic risk factor groups in advanced EGFRm-NSCLC treated with first-line osimertinib.</p><p><strong>Methods: </strong>This retrospective, new-user cohort study used electronic records from ConcertAI, Flatiron Clinical-Genomics, and COTA databases. Patients with advanced/metastatic EGFRm-NSCLC initiating osimertinib monotherapy in first-line between April 1, 2018 and October 30, 2022 were included. Follow-up was until death or October 31, 2023. rwOS was estimated using the Kaplan-Meier method. Risk factors were evaluated using multivariate analysis.</p><p><strong>Results: </strong>1323 patients were included with median follow-up of 20 months. Median age was 70 years (range 35-89). Median rwOS was 28.6 months (95% CI 26.8-30.9). In high-risk subgroups, median rwOS (months) was 18.1 in patients with ECOG score ≥2, 24.3 with brain metastases, 19.3 with liver metastases, and 25.7 with TP53 co-mutation. 95% of patients had ≥1 high risk factor. Prevalence of ECOG ≥2 was 17%, brain metastases 36%, liver metastases 15%, TP53 co-mutation 63%. Risk of death was significantly higher in patients with high-risk factors (p≤0.011 for all). In total, 58% of patients survived to 2 years, 18% to 5 years, and 33% did not receive second-line therapy.</p><p><strong>Conclusion: </strong>Despite advances in TKI treatments, long-term survival of patients with advanced EGFRm-NSCLC remains poor. Nearly all patients had risk factors for mortality and one-third did not receive second-line therapy.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Perioperative Safety and Efficacy of Efgartigimod for Thymoma associated Myasthenia Gravis: A Prospective, Multicenter, Phase II Clinical Trial. 依加替莫德治疗胸腺瘤相关性重症肌无力的围手术期安全性和有效性:一项前瞻性、多中心、II期临床试验
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-02 DOI: 10.1016/j.jtho.2025.04.014
Shuai Wang, Min Zhu, Jihong Dong, Yong Zhang, Sushan Luo, Jiahao Jiang, Zhaozhao Cheng, Zhijun Li, Wenping Yang, Yue Yu, Zhengcheng Liu, Jiang Fan, Xiangnan Xu, Peipei Liu, Zhouao Zhang, Fang Can, Fei Liang, Xifei Jiang, Lijie Tan, Jianyong Ding
{"title":"Perioperative Safety and Efficacy of Efgartigimod for Thymoma associated Myasthenia Gravis: A Prospective, Multicenter, Phase II Clinical Trial.","authors":"Shuai Wang, Min Zhu, Jihong Dong, Yong Zhang, Sushan Luo, Jiahao Jiang, Zhaozhao Cheng, Zhijun Li, Wenping Yang, Yue Yu, Zhengcheng Liu, Jiang Fan, Xiangnan Xu, Peipei Liu, Zhouao Zhang, Fang Can, Fei Liang, Xifei Jiang, Lijie Tan, Jianyong Ding","doi":"10.1016/j.jtho.2025.04.014","DOIUrl":"https://doi.org/10.1016/j.jtho.2025.04.014","url":null,"abstract":"<p><strong>Introduction: </strong>This study reports the primary perioperative outcomes of efgartigimod in patients with thymoma-associated myasthenia gravis (TAMG).</p><p><strong>Methods: </strong>We conducted a prospective, single-arm clinical trial to evaluate the perioperative use of efgartigimod in acetylcholine receptor antibody-positive (AChR-Ab+) generalized TAMG. Efgartigimod was administered intravenously at a dose of 10 mg/kg on Days 1, 8, 15, and 22, totaling four doses, with thymomectomy performed on Day 9.</p><p><strong>Results: </strong>Forty patients with TAMG were enrolled, with a median age of 46 years. The predominant thymomectomy approach was T2b minimally invasive thymectomy, performed in 21 of 40 patients (52.5%). All patients were classified as responders on the Myasthenia Gravis Activities of Daily Living (MG-ADL), Quantitative Myasthenia Gravis (QMG), and Myasthenia Gravis Composite (MGC) scale, showing improvement across ocular, bulbar, limb, and respiratory muscle strength. At visit 4, myasthenic symptoms were obvious relieved, with reductions of 4.6 on MG-ADL compared to baseline. Significant reductions were noted in both serum IgG and AChR-Ab levels, without affecting other immunoglobulin classes or complements levels, following efgartigimod administration. The mean total postoperative hospitalization stay was 7.1 days. The total incidence of all-grade treatment-emergent adverse events (TEAEs) was 62.5% and the most TEAEs were reported to be mild. Postoperative myasthenic crisis occurred in 4 patients (10.0%) who underwent extended thymectomy.</p><p><strong>Conclusion: </strong>The satisfactory outcomes and rapid neurological remission demonstrated efgartigimod had favorable safety and efficacy profiles during the perioperative period of thymomectomy for TAMG. These findings support the potential of efgartigimod as a novel perioperative treatment option for TAMG.</p>","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":" ","pages":""},"PeriodicalIF":21.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144010743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lung Cancer in Tanzania 坦桑尼亚的肺癌
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-01 DOI: 10.1016/j.jtho.2025.02.002
Alex Mremi MD , Jerry Ndumbalo MD , Harrison Chuwa MD , Oliver Henke MD , Maximilian Rost MD
{"title":"Lung Cancer in Tanzania","authors":"Alex Mremi MD ,&nbsp;Jerry Ndumbalo MD ,&nbsp;Harrison Chuwa MD ,&nbsp;Oliver Henke MD ,&nbsp;Maximilian Rost MD","doi":"10.1016/j.jtho.2025.02.002","DOIUrl":"10.1016/j.jtho.2025.02.002","url":null,"abstract":"","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":"20 5","pages":"Pages 560-564"},"PeriodicalIF":21.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Radical Surgery in Pleural Mesothelioma: Houston, We Have a Problem 胸膜间皮瘤的根治性手术:休斯顿,我们有一个问题
IF 21 1区 医学
Journal of Thoracic Oncology Pub Date : 2025-05-01 DOI: 10.1016/j.jtho.2025.01.022
Jo Raskin MD, Jan van Meerbeeck MD, PhD, Paul Van Schil MD, PhD
{"title":"Radical Surgery in Pleural Mesothelioma: Houston, We Have a Problem","authors":"Jo Raskin MD,&nbsp;Jan van Meerbeeck MD, PhD,&nbsp;Paul Van Schil MD, PhD","doi":"10.1016/j.jtho.2025.01.022","DOIUrl":"10.1016/j.jtho.2025.01.022","url":null,"abstract":"","PeriodicalId":17515,"journal":{"name":"Journal of Thoracic Oncology","volume":"20 5","pages":"Pages e59-e60"},"PeriodicalIF":21.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143916809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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