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Correction to Lancet Oncol 2026; 27: 461-69. Lancet Oncol 2026修正;27日:461 - 69。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00186-5
{"title":"Correction to Lancet Oncol 2026; 27: 461-69.","authors":"","doi":"10.1016/S1470-2045(26)00186-5","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00186-5","url":null,"abstract":"","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"e236"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816674","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
How flaws in study design and lead-time bias could affect the interpretation of data. 研究设计中的缺陷和前置时间偏差如何影响数据的解释。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00126-9
André Vis, Kim de Vries
{"title":"How flaws in study design and lead-time bias could affect the interpretation of data.","authors":"André Vis, Kim de Vries","doi":"10.1016/S1470-2045(26)00126-9","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00126-9","url":null,"abstract":"","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"e234"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816728","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
International multisociety Delphi consensus for liver tumour thermal ablation: margin assessment. 国际多学会德尔菲共识肝肿瘤热消融:边缘评估。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00143-9
Iwan Paolucci, Christiaan G Overduin, Edward W Johnston, Gregor Laimer, Muneeb Ahmed, Ronald S Arellano, Marie Beerman, Lukas P Beyer, David J Breen, Mark C Burgmans, Marco Calandri, Ming-Chih Chern, Laura Crocetti, Ronald M van Dam, Alban Denys, Bjørn Edwin, Dimitrios Filippiadis, Yuman Fong, Nicos Fotiadis, Jacob Freedman, Åsmund A Fretland, Mariano Gimenez, Rodrigo G Garcia, Rosario F Grasso, Thomas K Helmberger, Pim Hendriks, Roberto Iezzi, Sjoerd Fm Jenniskens, Alexander Kupferthaler, Anja Lachenmayer, Fred T Lee, Jeong M Lee, Susan van der Lei, Christiaan van der Leij, Ping Liang, Charles C-W Lin, Lukas Luerken, Manuel Maglione, Andreas Mahnken, Justin P McWilliams, Marcos Menezes, Govindarajan Narayanan, Franco Orsi, Philippe L Pereira, Uei Pua, Robbert S Puijk, Hyunchul Rhim, William S Rilling, Simeon J S Ruiter, Anthony G Ryan, Peter Schullian, Paul B Shyn, Ajith K Siriwardena, Maarten L J Smits, Constantinos T Sofocleous, Luigi Solbiati, Vlasios Sotirchos, Stefan Stättner, Marco van Strijen, Trygve Syversveen, Pascale Tinguely, Lambros Tselikas, Jean-Nicolas Vauthey, Thomas J Vogl, Tze M Wah, Sarah B White, Philipp Wiggermann, Bradford J Wood, Jan van der Meulen, S Nahum Goldberg, Martijn R Meijerink, Reto Bale, Bruno C Odisio
{"title":"International multisociety Delphi consensus for liver tumour thermal ablation: margin assessment.","authors":"Iwan Paolucci, Christiaan G Overduin, Edward W Johnston, Gregor Laimer, Muneeb Ahmed, Ronald S Arellano, Marie Beerman, Lukas P Beyer, David J Breen, Mark C Burgmans, Marco Calandri, Ming-Chih Chern, Laura Crocetti, Ronald M van Dam, Alban Denys, Bjørn Edwin, Dimitrios Filippiadis, Yuman Fong, Nicos Fotiadis, Jacob Freedman, Åsmund A Fretland, Mariano Gimenez, Rodrigo G Garcia, Rosario F Grasso, Thomas K Helmberger, Pim Hendriks, Roberto Iezzi, Sjoerd Fm Jenniskens, Alexander Kupferthaler, Anja Lachenmayer, Fred T Lee, Jeong M Lee, Susan van der Lei, Christiaan van der Leij, Ping Liang, Charles C-W Lin, Lukas Luerken, Manuel Maglione, Andreas Mahnken, Justin P McWilliams, Marcos Menezes, Govindarajan Narayanan, Franco Orsi, Philippe L Pereira, Uei Pua, Robbert S Puijk, Hyunchul Rhim, William S Rilling, Simeon J S Ruiter, Anthony G Ryan, Peter Schullian, Paul B Shyn, Ajith K Siriwardena, Maarten L J Smits, Constantinos T Sofocleous, Luigi Solbiati, Vlasios Sotirchos, Stefan Stättner, Marco van Strijen, Trygve Syversveen, Pascale Tinguely, Lambros Tselikas, Jean-Nicolas Vauthey, Thomas J Vogl, Tze M Wah, Sarah B White, Philipp Wiggermann, Bradford J Wood, Jan van der Meulen, S Nahum Goldberg, Martijn R Meijerink, Reto Bale, Bruno C Odisio","doi":"10.1016/S1470-2045(26)00143-9","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00143-9","url":null,"abstract":"<p><p>This multisociety, multidisciplinary consensus-formally endorsed by the European Society of Surgical Oncology, the Cardiovascular and Interventional Radiological Society of Europe, and the Society of Interventional Oncology-was developed to standardise the assessment of ablation margins in liver tumour thermal ablation. A modified Delphi process, consisting of two online surveys and a hybrid (online and in-person meeting in Innsbruk) consensus meeting of 72 experts from North America, South America, Europe, and Asia. Formal consensus was reached for 150 (75%) of 199 statements. Strong agreement was observed between interventional and surgical oncologists, with only 12 (6%) of 199 statements showing significantly different ratings. Participants agreed that ablation margins should be assessed and documented for every treated tumour. Margins should be assessed quantitatively in three dimensions, with contrast-enhanced CT or MRI, preferably intraprocedurally with ablation confirmation software. Ablation margins should be categorised as A0 (tumour completely covered with sufficient margin), A1 (tumour completely covered but insufficient margin), or A2 (portion of tumour remains unablated). This effort is, to our knowledge, the first international consensus initiative to define best-practice recommendations for margin assessment in liver tumour thermal ablation to standardise practices, aiming to improve and promote uniform outcomes.</p>","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"e248-e258"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816740","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
On-treatment serum prostate-specific antigen and overall survival in prostate cancer (STAMPEDE platform protocol): a post-hoc analysis of data from five phase 3 trials. 前列腺癌治疗期间血清前列腺特异性抗原和总生存率(STAMPEDE平台方案):对5项3期试验数据的事后分析
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00066-5
Mahaz Kayani, Laura Murphy, Peter Dutey-Magni, Sarah Howlett, Ashwin Sachdeva, Minal Padden-Modi, Hoda Abdel-Aty, Louise C Brown, Claire L Amos, Kitty Chan, Duncan C Gilbert, Ruth E Langley, Michael Brown, Matthew R Sydes, Christopher C Parker, William Cross, Zafar Malik, Mohini Varughese, Fabio Turco, Robin Millman, David Matheson, Silke Gillessen, Noel W Clarke, Mahesh K B Parmar, Nicholas D James, Gerhardt Attard
{"title":"On-treatment serum prostate-specific antigen and overall survival in prostate cancer (STAMPEDE platform protocol): a post-hoc analysis of data from five phase 3 trials.","authors":"Mahaz Kayani, Laura Murphy, Peter Dutey-Magni, Sarah Howlett, Ashwin Sachdeva, Minal Padden-Modi, Hoda Abdel-Aty, Louise C Brown, Claire L Amos, Kitty Chan, Duncan C Gilbert, Ruth E Langley, Michael Brown, Matthew R Sydes, Christopher C Parker, William Cross, Zafar Malik, Mohini Varughese, Fabio Turco, Robin Millman, David Matheson, Silke Gillessen, Noel W Clarke, Mahesh K B Parmar, Nicholas D James, Gerhardt Attard","doi":"10.1016/S1470-2045(26)00066-5","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00066-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Serum prostate-specific antigen (PSA) concentrations decrease after hormone therapy for prostate cancer, with the nadir serving as a potentially useful prognostic biomarker. To support clinical use, we evaluated the association between PSA nadir values and survival outcomes, stratified by pre-treatment metastatic volume or, in patients with non-metastatic cancer, stratified by lymph node status.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;As part of the STAMPEDE platform trial, patients with metastatic or very high-risk non-metastatic prostate adenocarcinoma were recruited to five randomised, controlled, phase 3 trials conducted at 126 hospitals or oncology centres in Switzerland and the UK. Patients were randomly assigned to either standard of care (androgren deprivation therapy [ADT] alone or ADT plus docetaxel) or to one of five experimental treatment groups: ADT plus docetaxel with or without zoledronic acid, ADT plus abiraterone acetate with or without enzalutamide, or ADT plus prostate radiotherapy (only patients with metastatic disease). We used trial data from these participants to perform landmark analyses to test associations of PSA at 6, 12, and 24 weeks after randomisation with overall survival. Only patients with a PSA value were included in each landmark analysis. The Kaplan-Meier method was used to estimate 96-month overall survival rates and the corresponding 95% CIs for patients categorised by either metastatic volume or lymph node status. The STAMPEDE protocol platform is registered with ClinicalTrials.gov (NCT00268476), EUDRACT (2004-000193-31), and ISRCTN (ISRCTN78818544).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;This study included 7129 patients from the STAMPEDE platform, who were recruited between Oct 5, 2005, and Sept 2, 2016; 4438 had metastases and 2691 had very high-risk non-metastatic disease. Among patients with metastasis and volumetric assessment, 2211 (55·9%) of 3956 had high-volume metastases, and among those with non-metastatic disease, 1033 (38·4%) were lymph node positive. A PSA concentration of 0·2 ng/mL or less was less frequent at 6 weeks or 12 weeks, but was associated with equivalent survival rates, compared with a PSA of 0·2 ng/mL or less at 24 weeks. Survival rates of PSA subcategories (≤0·2 ng/mL, &gt;0·2 to 1·0 ng/mL, &gt;1·0 to 3·0 ng/mL, and &gt;3·0 ng/mL) differed by metastatic volume or, in patients with non-metastatic disease, by nodal status. Survival was longest for patients allocated to abiraterone with or without enzalutamide. Among patients with metastatic disease in the abiraterone with or without enzalutamide group who had a PSA of 0·2 ng/mL or less at 24 weeks, 96-month overall survival in patients with low-volume metastatic disease (64·1% [95% CI 57·8-69·8]) was higher than in patients with high-volume metastatic disease (44·6% [37·1-51·9]), but lower than in patients with non-metastatic, node-positive disease (79·4% [73·8-83·9]). 96-month overall survival was highest for patients with","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"625-636"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816859","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
Safety and antitumour activity of ipatasertib combined with endocrine therapy and a CDK4/6 inhibitor in HR+/HER2- metastatic breast cancer (TAKTIC): a single-centre, open-label, phase 1b trial. ipatasertib联合内分泌治疗和CDK4/6抑制剂治疗HR+/HER2转移性乳腺癌(TAKTIC)的安全性和抗肿瘤活性:一项单中心、开放标签、1b期试验
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00059-8
Seth A Wander, Maxwell R Lloyd, Jennifer C Keenan, Elizabeth C Scott, Andrzej Niemierko, Laura M Spring, Geoffrey G Fell, Jennifer Shin, Steven J Isakoff, Beverly Moy, Lianne Ryan, Sarah Padden, Elizabeth Fisher, Amber Newton, Karleen R Habin, Elene T Viscosi-Spieler, Lauren Scarpetti, Andreas Varkaris, Leif W Ellisen, Taronish Dubash, Dante Che, Parasvi S Patel, Ferran Fece de la Cruz, Dhruvitkumar S Sutaria, Rucha S Sane, Douglas S Micalizzi, Shyamala Maheswaran, Daniel A Haber, Dejan Juric, Aditya Bardia
{"title":"Safety and antitumour activity of ipatasertib combined with endocrine therapy and a CDK4/6 inhibitor in HR+/HER2- metastatic breast cancer (TAKTIC): a single-centre, open-label, phase 1b trial.","authors":"Seth A Wander, Maxwell R Lloyd, Jennifer C Keenan, Elizabeth C Scott, Andrzej Niemierko, Laura M Spring, Geoffrey G Fell, Jennifer Shin, Steven J Isakoff, Beverly Moy, Lianne Ryan, Sarah Padden, Elizabeth Fisher, Amber Newton, Karleen R Habin, Elene T Viscosi-Spieler, Lauren Scarpetti, Andreas Varkaris, Leif W Ellisen, Taronish Dubash, Dante Che, Parasvi S Patel, Ferran Fece de la Cruz, Dhruvitkumar S Sutaria, Rucha S Sane, Douglas S Micalizzi, Shyamala Maheswaran, Daniel A Haber, Dejan Juric, Aditya Bardia","doi":"10.1016/S1470-2045(26)00059-8","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00059-8","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;PI3K/AKT pathway activation is implicated in CDK4/6 inhibitor resistance. The use of AKT inhibition with continued CDK4/6 blockade after CDK4/6 inhibitor resistance remains unexplored. We evaluated the safety of ipatasertib and an antioestrogen with or without palbociclib in patients with treatment refractory HR+/HER2- metastatic breast cancer.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This single-centre, open-label, phase 1b trial was conducted at the Massachusetts General Hospital (Boston, MA, USA). Eligible patients were women older than 18 years with biopsy proven HR+/HER2- locally advanced, unresectable, or metastatic breast cancer; an Eastern Cooperative Oncology Group performance status of 0-2; disease progression on at least one previous therapy for metastatic disease; and measurable disease or bone lesions. Patients received 400 mg oral ipatasertib with standard 500 mg intramuscular fulvestrant dosing (ipatasertib and fulvestrant group) or with an aromatase inhibitor (oral anastrozole 1 mg per day, exemestane 25 mg per day, or letrozole 2·5 mg per day; ipatasertib and aromatase inhibitor group) on days 1-28 of each cycle. The ipatasertib and fulvestrant plus palbociclib group included a dose-escalation phase with patients assigned sequentially to escalating doses of ipatasertib and palbociclib using a standard 3 + 3 design starting at the recommended dose of palbociclib (125 mg on days 1-21) and the lowest dose of ipatasertib (200 mg on days 1-21). The primary endpoint was safety and progression-free survival was a key secondary endpoint. Safety was analysed in all patients who received at least one dose of ipatasertib and progression-free survival was assessed in all enrolled participants. This study is registered with ClinicalTrials.gov, NCT03959891 (active, not recruiting).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;Between June 5, 2019, and Feb 16, 2022, 77 patients were enrolled (19 assigned to ipatasertib and fulvestrant, 16 to ipatasertib and aromatase inhibitor, and 42 to ipatasertib and fulvestrant plus palbociclib). All patients were female (77 [100%]); 75 were White (97%) and two (3%) were Asian. The median age was 62 years (range 32-88) and 66 (86%) of 77 patients received previous CDK4/6 inhibitor (median number of previous lines was 3 [range 1-13]). The median follow-up was 12·5 months (IQR 7·6-19·7). The recommended phase 2 dose was established at 400 mg ipatasertib on days 1-21 with 100 mg palbociclib on days 8-28 and standard fulvestrant 500 mg. Median progression-free survival was 5·5 months (95% CI 3·8-7·4). Serious adverse events related to study treatment occurred in seven (17%) patients in the ipatasertib and fulvestrant plus palbociclib group and one (5%) in the ipatasertib and fulvestrant group, which were related to neutropenia, leukopenia, thrombocytopenia, and hyperglycaemia. Common grade 3-4 adverse events related to study treatment (occurring in &gt;5% of patients) were neutropenia (30 [39%] of 77), ","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"580-591"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816889","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
CAR T-cell therapy at first relapse in myeloma - Authors' reply. CAR - t细胞治疗首次复发的骨髓瘤——作者的答复。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00181-6
Hermann Einsele, Rakesh Popat
{"title":"CAR T-cell therapy at first relapse in myeloma - Authors' reply.","authors":"Hermann Einsele, Rakesh Popat","doi":"10.1016/S1470-2045(26)00181-6","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00181-6","url":null,"abstract":"","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"e233"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816572","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
CAR T-cell therapy at first relapse in myeloma. CAR - t细胞治疗首次复发的骨髓瘤。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00176-2
Jowon Laura Kim, S Vincent Rajkumar
{"title":"CAR T-cell therapy at first relapse in myeloma.","authors":"Jowon Laura Kim, S Vincent Rajkumar","doi":"10.1016/S1470-2045(26)00176-2","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00176-2","url":null,"abstract":"","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"e232"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816591","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
Bayesian sequential learning for prognostication in extremity soft tissue sarcoma (BayeSarc): a retrospective, multicentre cohort study. 肢体软组织肉瘤的贝叶斯顺序学习预测(BayeSarc):一项回顾性、多中心队列研究。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00067-7
Dario Callegaro, Gabriele Tinè, Sandro Pasquali, Silvia Stacchiotti, Paolo G Casali, Jay S Wunder, Peter C Ferguson, Anthony Griffin, Dirk C Strauss, Andrew J Hayes, Sylvie Bonvalot, Dimitri Tzanis, Toufik Bouhadiba, Mark A Eckardt, Julia H Song, Chandrajit P Raut, Alessandro Gronchi, Rosalba Miceli
{"title":"Bayesian sequential learning for prognostication in extremity soft tissue sarcoma (BayeSarc): a retrospective, multicentre cohort study.","authors":"Dario Callegaro, Gabriele Tinè, Sandro Pasquali, Silvia Stacchiotti, Paolo G Casali, Jay S Wunder, Peter C Ferguson, Anthony Griffin, Dirk C Strauss, Andrew J Hayes, Sylvie Bonvalot, Dimitri Tzanis, Toufik Bouhadiba, Mark A Eckardt, Julia H Song, Chandrajit P Raut, Alessandro Gronchi, Rosalba Miceli","doi":"10.1016/S1470-2045(26)00067-7","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00067-7","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Sarculator is a widely validated prognostic tool that estimates overall survival and crude cumulative incidence (CCI) of distant metastasis in patients with resected soft tissue sarcomas in the extremities. Sarculator relied on external cohorts only for performance testing and could not incorporate new information or adapt to temporal changes. We aimed to develop BayeSarc, a prognostic model based on Bayesian sequential learning (BSL), which enables continuous updating by incorporating new clinical cohorts and provides more accurate estimates.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In this retrospective, multicentre cohort study, eligible patients were adults (aged ≥18 years) with primary, localised, surgically treated soft tissue sarcomas in the extremities (excluding desmoid tumours, undifferentiated small round cell sarcoma of soft tissue, alveolar or embryonal rhabdomyosarcoma, dermatofibrosarcoma protuberans, and well differentiated liposarcoma). Data were retrieved from institutional databases at each participating hospital. BayeSarc used the same clinicopathological variables as Sarculator (age, size, grade, and histology) and was developed with a historical cohort of consecutive patients treated surgically at the Istituto Nazionale dei Tumori (Milan, Italy) and sequentially updated with five independent cohorts from Canada, France, the UK, USA, and Italy. Bayesian Cox (overall survival) and Fine-Gray (CCI distant metastasis) models were reformulated within a BSL framework combining Bayesian updating with prior-information adaptive borrowing. The primary objective was to compare the discrimination and calibration of BayeSarc versus Sarculator for predicting overall survival and CCI-distant metastasis. We evaluated the performance of BayeSarc at each update using prequential estimates, reflecting model transport to a new cohort without local recalibration, and post-update estimates, reflecting performance after sequential updating.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Findings: &lt;/strong&gt;We included a total of 4916 patients (2204 [44·8%] female, 2694 [54·8%] male, and 18 [0·4%] with sex not recorded) drawn from six cohorts: Istituto Nazionale dei Tumori, Milan, Italy (Jan 1, 1994-Dec 31, 2013; median follow-up 86 months [IQR 81-90]); Mount Sinai Hospital, Toronto, Canada (Jan 1, 1994-Dec 31, 2013; 85 months [81-90]); Institut Gustave Roussy, Villejuif, France (Jan 1, 1996-May 15, 2012; 75 months [68-82]); Royal Marsden Hospital, London, UK (Jan 1, 2006-Dec 31, 2013; 54 months [48-59]); Brigham and Women's Hospital, Boston, USA (Jan 1, 2014-Dec 31, 2021; 72 months [66-84]); and Istituto Nazionale dei Tumori, Milan, Italy (Jan 1, 2014-Dec 31, 2021; 61 months [57-64]). 12 patients from the UK were missing follow-up data and were excluded from survival analyses. At the final step of the BSL update, BayeSarc achieved higher discrimination than Sarculator for both overall survival (prequential mean C index: 0·784 [95% credible interval 0·759-0·7","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"637-648"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816593","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
Clinical trial endpoints for metastases-directed therapy in oligometastatic cancer: a review and Delphi consensus on behalf of the EORTC-ESTRO OligoCare consortium. 低转移性癌症转移导向治疗的临床试验终点:代表EORTC-ESTRO OligoCare联盟的回顾和德尔福共识。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00075-6
Joachim Widder, Guus M Bol, Inga-Malin Simek, Felix Ehret, Hoda Abdel-Aty, Selma Basic, David Chuter, Jacqueline Daly, Patricia Fairbrother, Donjeta Zeqa, Frank Aboubakar Nana, Verane Achard, Stefanie Corradini, Dora Correia, Dirk De Ruysscher, Anne-Marie C Dingemans, Corinne Faivre-Finn, Silke Gillessen, Marianne G Guren, Lizza Hendriks, Wolfgang G Kunz, Frederic E Lecouvet, Antonin Levy, Yolande Lievens, Fiona McDonald, Icro Meattini, Felix Oppong, Daniela Oprea-Lager, David Palma, Gitte Fredberg Persson, Jordi Remon, Miet Vandemaele, Hanneke W M van Laarhoven, Helena M Verkooijen, Luca Visani, Thomas Zilli, Piet Ost, Matthias Guckenberger
{"title":"Clinical trial endpoints for metastases-directed therapy in oligometastatic cancer: a review and Delphi consensus on behalf of the EORTC-ESTRO OligoCare consortium.","authors":"Joachim Widder, Guus M Bol, Inga-Malin Simek, Felix Ehret, Hoda Abdel-Aty, Selma Basic, David Chuter, Jacqueline Daly, Patricia Fairbrother, Donjeta Zeqa, Frank Aboubakar Nana, Verane Achard, Stefanie Corradini, Dora Correia, Dirk De Ruysscher, Anne-Marie C Dingemans, Corinne Faivre-Finn, Silke Gillessen, Marianne G Guren, Lizza Hendriks, Wolfgang G Kunz, Frederic E Lecouvet, Antonin Levy, Yolande Lievens, Fiona McDonald, Icro Meattini, Felix Oppong, Daniela Oprea-Lager, David Palma, Gitte Fredberg Persson, Jordi Remon, Miet Vandemaele, Hanneke W M van Laarhoven, Helena M Verkooijen, Luca Visani, Thomas Zilli, Piet Ost, Matthias Guckenberger","doi":"10.1016/S1470-2045(26)00075-6","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00075-6","url":null,"abstract":"<p><p>Oligometastatic cancer is characterised by a low volume of metastases to a small number of anatomical sites. However, evaluating the impact of metastases-directed therapies (MDTs) on overall survival or quality of life is often challenging. Current clinical trials use a wide range of primary endpoints that might not be validated or suited to MDT. To address this issue, we did a systematic review of international trial registries, alongside a Delphi consensus process involving 30 experts and five patient representatives. The aim was to identify preferred primary endpoints for MDT trials in oligometastatic disease, regardless of tumour type. Overall survival and progression-free survival were the most frequently used endpoints across the 121 comparative trials reviewed. Over four Delphi consensus rounds, overall survival had the highest level of agreement, although its limitations as a sole endpoint were emphasised. In addition to the widely used progression-free survival endpoint, polymetastatic progression-free survival and start-or-switch of systemic therapy-free survival also reached consensus, particularly for trials integrating systemic therapies. Both polymetastatic progression-free survival and systemic therapy-free survival permit repeat MDT without classifying it as treatment failure. Patient representatives highlighted the importance of time-to-deterioration of quality of life. This consensus supports overall survival as a primary endpoint and, in addition to progression-free survival, recommends polymetastatic progression-free survival and systemic therapy-free survival, especially in combination with systemic therapies. Adopting these endpoints will make MDT trials more relevant, comparable, and patient-centred, thereby empowering future clinical and policy decisions.</p>","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"e238-e247"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816695","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
Refined outcome prediction in patients with extremity soft tissue sarcoma. 肢体软组织肉瘤患者预后的精细预测。
IF 35.9 1区 医学
Lancet Oncology Pub Date : 2026-05-01 DOI: 10.1016/S1470-2045(26)00080-X
Maria Anna Smolle, Florian A Wenzl, Andreas Leithner
{"title":"Refined outcome prediction in patients with extremity soft tissue sarcoma.","authors":"Maria Anna Smolle, Florian A Wenzl, Andreas Leithner","doi":"10.1016/S1470-2045(26)00080-X","DOIUrl":"https://doi.org/10.1016/S1470-2045(26)00080-X","url":null,"abstract":"","PeriodicalId":17942,"journal":{"name":"Lancet Oncology","volume":"27 5","pages":"533-534"},"PeriodicalIF":35.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147816898","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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