K. Jayawickreme, S. Subasinghe, Rochana De Silva, P. Dissanayake, L. Perera
{"title":"A Patient Presenting with Severe Hypoglycaemia and Autonomic Instability Found to Have Multiple Myeloma Complicated with Amyloidosis","authors":"K. Jayawickreme, S. Subasinghe, Rochana De Silva, P. Dissanayake, L. Perera","doi":"10.17925/eoh.2019.15.2.106","DOIUrl":"https://doi.org/10.17925/eoh.2019.15.2.106","url":null,"abstract":"<p />","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"67593164","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Cappellini, E. Cassinerio, I. Motta, W. Morello, J. Villarubia
{"title":"Finding and treating gaucher disease type 1 - The role of the haematologist","authors":"M. Cappellini, E. Cassinerio, I. Motta, W. Morello, J. Villarubia","doi":"10.17925/EOH.2018.14.1.50","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.1.50","url":null,"abstract":"Gaucher disease (GD) type 1 is the most common lysosomal storage disease and the most common genetic disorder among Ashkenazi Jews. The majority of patients with GD present with unexplained splenomegaly and/or thrombocytopenia, and the disorder often affects children; consequently, haematologists and paediatricians are ideally placed to diagnose this condition. Prompt management of GD type 1 using enzyme-replacement therapy or substrate reduction therapy can reduce the risk of developing long-term GD complications and reverse many of the initial signs/symptoms, thereby improving both quality and duration of life. Treatment is most effective when initiated early; consequently, a prompt diagnosis is essential. Despite this, the average time to diagnosis following the onset of clinical symptoms is 4 years. Reasons for the delay include the heterogeneous nature of the disease, together with a lack of awareness of rare haematological disorders and the benefits of early treatment. Indeed, studies show that only 20% of haematologists consider GD type 1 in their differential diagnosis for patients presenting with splenomegaly and/or thrombocytopenia. To help raise awareness of GD, reduce the diagnostic delay and prevent unnecessary tissue biopsies, simple diagnostic algorithms and screening tools have been developed and validated, both in adults and in children.","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"1 1","pages":"50-56"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89103225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
O. P. Matylevich, V. Akinfeev, T. Randall, K. Schmeler, O. Sukonko
{"title":"The Belarus Experience of Pelvic Artery Embolisation in Patients with Advanced and Recurrent Cervical Cancer Presenting with Haemorrhage","authors":"O. P. Matylevich, V. Akinfeev, T. Randall, K. Schmeler, O. Sukonko","doi":"10.17925/EOH.2018.14.1.45","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.1.45","url":null,"abstract":"1. Gynecologic Oncology Department, NN Alexandrov National Cancer Centre of Belarus, Minsk, Belarus; 2. Intervention Radiology Department, NN Alexandrov National Cancer Centre of Belarus, Minsk, Belarus; 3. Gynecologic Oncology Department, The Massachusetts General Hospital, Boston, MA, USA; 4. Department of Gynecologic Oncology & Reproductive Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX, USA; 5. The NN Alexandrov National Cancer Centre of Belarus, Minsk, Belarus","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"4 1","pages":"45-49"},"PeriodicalIF":0.0,"publicationDate":"2018-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83852543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Biosimilars in Supportive Care in Cancer","authors":"P. Cornes, M. Aapro","doi":"10.17925/EOH.2018.14.1.20","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.1.20","url":null,"abstract":"Biosimilars offer significant benefits for cancer care, primarily in increasing patient access to effective treatment through lower-cost equivalent treatments, and have been used to treat patients for many years. This review documents the real-world experience of biosimilars bearing filgrastim and epoetin in Europe since 2008. Studies that confirm the comparability of safety and efficacy of biosimilars with reference drugs are summarised. Studies of switching between reference and biosimilar drugs are reviewed, which to date show no evidence of increased safety signals. Evidence that patient access to treatment can be improved significantly through biosimilar use is documented. These data indicate that use of biosimilars approved by registration authorities is safe and can lead to substantial savings in healthcare systems.","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"26 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74739044","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"BRAF-mutant Melanoma – The COLUMBUS Trial","authors":"R. Dummer","doi":"10.17925/EOH.2018.14.2.78","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.2.78","url":null,"abstract":"Support: No funding was received in the publication of this article. Melanoma represents a significant and increasing public health burden, and is the largest cause of skin cancer-related deaths. Approximately half of advanced (unresectable or metastatic) melanomas have a mutation in the BRAF gene, with V600E being the most common mutation, leading to the therapeutic use of BRAF inhibitors. However, the response rates with single-agent BRAF inhibitors are low, and therefore combined BRAF and mitogen-activated extracellular signal-regulated kinase (MEK) inhibition has been investigated. Targeted therapy with BRAF and MEK inhibitors is associated with significant long-term treatment benefit in patients with BRAF V600-mutated melanoma but has an increased incidence of adverse events. The encorafenib plus binimetinib versus vemurafenib or encorafenib in patients with BRAF-mutant melanoma (COLUMBUS) trial was a two-part, randomised, open-label phase III study conducted at 162 hospitals in 28 countries, and investigated the efficacy and safety of encorafenib, a BRAF inhibitor, alone or in combination with binimetinib, a MEK inhibitor, versus vemurafenib in patients with advanced BRAF V600-mutant melanoma.","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"11 1","pages":"78"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75176940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Shaping Macrophage Plasticity with Iron – Towards a New Therapeutic Approach","authors":"F. Vinchi","doi":"10.17925/EOH.2018.14.2.76","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.2.76","url":null,"abstract":"","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"36 1","pages":"76"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91240881","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Proton Beam Therapy","authors":"Jason Lester","doi":"10.17925/EOH.2018.14.2.82","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.2.82","url":null,"abstract":"POLICY Group 1: Proton Beam Therapy (PBT) is considered medically necessary for the curative treatment of any of the following: Chordomas and chondrosarcomas of the base of the skull, localized and in the postoperative setting Uveal melanoma, when PBT is considered preferential compared to brachytherapy Select cases of localized unresectable hepatocellular carcinoma (HCC) and intrahepatic cholangiocarcinoma (see discussion in Key Clinical Points) Stage IIA seminoma Malignancies requiring Craniospinal Irradiation (CSI)","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"42 1","pages":"82"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82066578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"New Approaches to Multiple Myeloma","authors":"I. Ghobrial","doi":"10.17925/EOH.2018.14.1.18","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.1.18","url":null,"abstract":"Support: No funding was received in the publication of this article. Over recent years, there have been significant advances in the treatment of multiple myeloma, including the introduction of novel drugs, which have changed the entire treatment paradigm. The rapid pace of developments in this field have led to the initiation of the annual International Congress on Controversies in Multiple Myeloma (COMy) which began in 2014. The 4th congress was held in Paris on 3–5 May 2018. A highlight of the congress is the Multiple Myeloma Excellence Award, in recognition of innovative research and clinical work that has contributed significantly to progress in the field of multiple myeloma and plasma cell dyscrasias. This year, Irene Ghobrial of the Michele & Stephen Kirsch Laboratory, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, US, was a recipient of the award. In addition to her established research portfolio in the field of multiple myeloma, it has recently been announced that Dr Ghobrial is to lead a Stand Up To Cancer Multiple Myeloma Dream Team project, which is the first large-scale population survey in the USA for precursor conditions of multiple myeloma. In an expert interview, Dr Ghobrial discusses the award, the latest advances in multiple myeloma research and the Stand Up To Cancer project.","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"1 1","pages":"18"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91124463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Marcao, Hertfordshire Uk Vice President Oncology at Eisai Emea
{"title":"Lenvatinib in Hepatocellular Carcinoma","authors":"M. Marcao, Hertfordshire Uk Vice President Oncology at Eisai Emea","doi":"10.17925/EOH.2018.14.2.80","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.2.80","url":null,"abstract":"Support: No funding was received in the publication of this article. L iver cancer is the second leading cause of cancer-related death, and has limited treatment options and a poor prognosis. Mortality owing to liver cancer has increased in the past 20 years, with a reported incidence of 841,080 cases per year. Hepatocellular carcinoma (HCC) represents about 90% of primary liver cancer cases. Multiple single agent and combination therapies have been investigated for the treatment of HCC but failed to show clinical benefit. Recently, the European Commission granted marketing authorisation to the oral receptor tyrosine kinase inhibitor lenvatinib mesylate (Lenvima; Eisai, Tokyo, Japan), for the first-line treatment of adult patients with advanced or unresectable HCC who have not received prior systemic therapy. This is the first new first-line treatment option for advanced or unresectable HCC to be approved in Europe in 10 years. Approval was based on the results of the REFLECT study. In an expert interview, Miguel Marcao discusses the findings of this study and the next steps in the clinical development of lenvatinib for the treatment of HCC.","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"54 1","pages":"80"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76277293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Janssens, S. Wakelin, Zaventum Belgium Terumo Bct Europe Nv, Goring-on-Thames Uk Touch Medical Media
{"title":"Centrifugal and Membrane Therapeutic Plasma Exchange – A Mini-review","authors":"M. Janssens, S. Wakelin, Zaventum Belgium Terumo Bct Europe Nv, Goring-on-Thames Uk Touch Medical Media","doi":"10.17925/EOH.2018.14.2.105","DOIUrl":"https://doi.org/10.17925/EOH.2018.14.2.105","url":null,"abstract":"During therapeutic plasma exchange (TPE), a large volume of a patient’s plasma is separated from the cellular components of the blood and replaced with appropriate fluids to remove circulating plasma components and disease mediators such as antibodies, cholesterol, toxins and drugs. Automated TPE systems can be categorised into two distinct groups based on the method of plasma separation: centrifugal TPE (cTPE) and membrane filtration TPE (mTPE). While technical and performance parameters for various TPE systems have been reported previously, the recent publication of several head-to-head studies directly comparing the Spectra Optia cTPE system (Terumo BCT, Lakewood, CO, US) with mTPE systems has increased the understanding of their performance. This review summarises the comparative information between the systems. Although both device types are well tolerated, the majority of technical variables favour the cTPE system over mTPE systems, with a low risk of clotting events and benefits in plasma removal efficiency and hence procedure time. Platelet loss with the cTPE system was also shown to be similar or reduced compared with mTPE systems. Finally, flow rate requirements limit the use of peripheral venous access with mTPE devices, but not cTPE devices. Conclusively, several important differences exist between cTPE and mTPE systems that may influence treatment decisions.","PeriodicalId":38554,"journal":{"name":"European Oncology and Haematology","volume":"7 1","pages":"105"},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75186141","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}