Volume 26, Issue 7, July 2021
Commentary
Improving Goal Concordant Care Among 10 Leading Academic U.S. Cancer Hospitals: A Collaboration of the Alliance of Dedicated Cancer Centers
This commentary is a call to action: that all patients with cancer and their families should receive care that aligns with their values and unique priorities. This is the vision of the Improving Goal Concordant Care (IGCC) Initiative, convened by the Alliance of Dedicated Cancer Centers (ADCC).
Racism and Cancer Care
Prostate Cancer: Community Education and Disparities in Diagnosis and Treatment
Traditionally, Black men with prostate cancer have had higher incidence and lower rates of survival. This article addresses barriers in screening, diagnosis, treatment, and community education that contribute to the disparate burden of prostate cancer among multiple populations and highlights innovative ways that new developments and advances can be more broadly disseminated and used for all patients with prostate cancer.
Precision Medicine Clinic: Molecular Tumor Board
Metastatic Myxofibrosarcoma with Durable Response to Temozolomide Followed by Atezolizumab: A Case Report
This case report highlights the role of immunotherapy after administration of alkylating agents, reporting the first known case of a patient with myxofibrosarcoma who developed high tumor mutational burden after temozolomide monotherapy.
Neoadjuvant Everolimus for Adult Giant Mesenteric Cystic Lymphangioma with mTOR Pathway Activation
This article reports the case of an adult patient diagnosed with giant unresectable mesenteric cystic lymphangioma, highlighting the importance of molecular characterization of these rare tumors for mTOR pathway activation and the multidisciplinary therapeutic options that can lead to cure of this rare condition.
Clinical Trial Results
Pembrolizumab in Patients with Advanced Metastatic Germ Cell Tumors
Clinical Results and Biomarker Analyses of Axitinib and TRC105 versus Axitinib Alone in Patients with Advanced or Metastatic Renal Cell Carcinoma (TRAXAR)
Clinical Activity and Safety of Cediranib and Olaparib Combination in Patients with Metastatic Pancreatic Ductal Adenocarcinoma without BRCA Mutation
Safety and Feasibility of Radiotherapy Plus Camrelizumab for Locally Advanced Esophageal Squamous Cell Carcinoma
Hepatectomy Followed by Adjuvant Chemotherapy with 3-Month Capecitabine Plus Oxaliplatin for Colorectal Cancer Liver Metastases
Breast Cancer
Patient-Reported Outcomes Predict Progression-Free Survival of Patients with Advanced Breast Cancer Treated with Abemaciclib
Describing a cohort of patients with HR+/HER2− advanced breast cancer treated with abemaciclib, this article evaluates the prognostic association between pretreatment patient-reported outcomes and progression-free survival, the prediction performance of patient-reported outcomes compared with ECOG performance status, and the effect of patient-reported outcomes on the treatment benefit of abemaciclib versus comparator therapy.
Effectiveness of Alpelisib + Fulvestrant Compared with Real-World Standard Treatment Among Patients with HR+, HER2–, PIK3CA-Mutated Breast Cancer
This article reports the efficacy of treatment with alpelisib combined with fulvestrant in a cohort of patients with PIK3CA-mutated breast cancer compared with the effectiveness of real-world standard treatments in the post-CDK4/6i setting using data from a deidentified clinico-genomics database (CGDB).
Evaluation of the Association of Polymorphisms With Palbociclib-Induced Neutropenia: Pharmacogenetic Analysis of PALOMA-2/-3
The most frequently reported treatment-related adverse event in clinical trials with the cyclin-dependent kinase 4/6 (CDK4/6) inhibitor palbociclib is neutropenia. In this study, pharmacogenetic analyses were performed to uncover associations between single nucleotide polymorphisms in the ABCB1 and ERCC1 genes, patient baseline characteristics, and early occurrence of grade 3/4 neutropenia.
European Perspectives
COVID-19 Pandemic Effects on Breast Cancer Diagnosis in Croatia: A Population- and Registry-Based Study
This article assesses the effects of COVID-19 on the number of newly diagnosed breast cancer patients in the Republic of Croatia.
Gastrointestinal Cancer
Circulating Tumor DNA-Based Testing and Actionable Findings in Patients with Advanced and Metastatic Pancreatic Adenocarcinoma
This article characterizes the ctDNA genomic alteration landscape in patients with advanced pancreatic ductal adenocarcinoma, with a focus on actionable findings.
Relationship of HER2 Alteration and Microsatellite Instability Status in Colorectal Adenocarcinoma
The clinical significance of HER2 somatic mutations and its relationship with high microsatellite instability in colorectal cancer is not fully understood. This study investigated the relationship by analyzing data of patients with colorectal cancer who underwent next-generation sequencing.
Opportunities to Improve Symptom Control with Somatostatin Congeners in GEP-NETs: A Review of Key Issues
This review explores key challenges with depot-based treatment of gastroenteropancreatic neuroendocrine tumors with octreotide and the key differences between the LAR and IR formulations.
Genitourinary Cancer
Post Hoc Health-Related Quality of Life Analysis According to Response Among Patients with Prostate Cancer in the PROSELICA and FIRSTANA Studies
The phase III PROSELICA and FIRSTANA trials investigated taxane chemotherapy among men with post-docetaxel metastatic castration-resistant prostate cancer (mCRPC) or chemotherapy-naïve mCRPC, respectively. This article analyzes patient-reported health-related quality of life among patients with or without a clinical (pain, tumor, or prostate-specific antigen) response.
Global Health and Cancer
Moral Distress and Resilience Associated with Cancer Care Priority Setting in a Resource-Limited Context
Oncology providers in low- and middle-income countries face resource priority setting decisions on a routine basis. This article describes the moral experience and recommendations of oncology clinicians, advisors, and program leaders engaged in clinical priority setting at a cancer center in Rwanda.
Views from Multidisciplinary Oncology Clinicians on Strengthening Cancer Care Delivery Systems in Tanzania
Guidelines to improve and standardize oncology care in Tanzania were developed in 2020. This study utilized focus group discussions to assess the barriers and facilitators to guideline implementation at Ocean Road Cancer Institute.
Head and Neck Cancers
Adherence to Guideline-Concordant Care and Its Effect on Survival in Black Patients with Head and Neck Cancers: A SEER-Medicare Analysis
There is a paucity of data in the literature characterizing the patterns of care as pertains to race within the various disease subsites in head and neck cancer. This article examines the differences in adherence to guideline-concordant care and associations with the racial disparity in the survival of nonmetastatic cases of head and neck squamous cell carcinoma overall and across tumor sites and stages.
Health Outcomes and Economics of Cancer Care
Patient-Reported Out-of-Pocket Costs and Financial Toxicity During Early-Phase Oncology Clinical Trials
This article assesses the economic burden exhibited by patients with cancer enrolled in early-phase clinical trials by examining out-of-pocket medical and nonmedical costs and patient-reported financial toxicity.
The Impact of Adverse Events on Health Care Resource Utilization, Costs, and Mortality Among Patients Treated with Immune Checkpoint Inhibitors
This article reports on the association between immune-related adverse events and health care resource utilization, costs, and mortality among patients receiving PD-1/PD-L1 immune checkpoint inhibitor monotherapy for urothelial carcinoma, renal cell carcinoma, non-small cell lung cancer, or Merkel cell carcinoma.
Hematologic Malignancies
Identification of Very Low-Risk Subgroups of Patients with Primary Mediastinal Large B-Cell Lymphoma Treated with R-CHOP
This article presents data on a large number of patients with primary mediastinal (thymic) large B-cell lymphoma and reports a powerful prognostic factor analysis to identify high- or low-risk risk subgroups for risk-adapted therapy.
Hepatobiliary
Immune-Checkpoint Inhibitors for Advanced Hepatocellular Carcinoma: A Synopsis of Response Rates
This article focuses on the therapeutic potential of immune-checkpoint inhibitors for advanced hepatocellular carcinoma.
Immuno-Oncology
Analysis of Real-World Data to Investigate the Impact of Race and Ethnicity on Response to Programmed Cell Death-1 and Programmed Cell Death-Ligand 1 Inhibitors in Advanced Non-Small Cell Lung Cancers
Racial disparities in clinical trials affect whether trial results can be generalized for diverse patient populations. This article evaluates real-world data to assess the impact of race and ethnicity on treatment response in patients with advanced non-small cell lung cancer treated with PD-1 or PD-L1 inhibitors.
Melanoma and Cutaneous Malignancies
Vismodegib for Preservation of Visual Function in Patients with Advanced Periocular Basal Cell Carcinoma: The VISORB Trial
This article reports the results of a prospective clinical trial of vismodegib for patients with basal cell carcinoma occurring in the orbital and periocular regions to assess whether such treatment helps to preserve visual organs and function.
Regulatory Issues: PMDA
Designation Products: Boron Neutron Capture Therapy for Head and Neck Carcinoma
This article summarizes the regulatory review of data leading to the approval of borofalan in Japan.
Sarcomas
Anlotinib, Vincristine, and Irinotecan for Advanced Ewing Sarcoma After Failure of Standard Multimodal Therapy: A Two-Cohort, Phase Ib/II Trial
This article reports the results of a phase Ib/II trial to evaluate the safety and efficacy of anlotinib, vincristine, and irinotecan in patients with advanced Ewing sarcoma.
Histiocytic and Dendritic Cell Sarcomas of Hematopoietic Origin Share Targetable Genomic Alterations Distinct from Follicular Dendritic Cell Sarcoma
Histiocytic and dendritic cell neoplasms are a diverse group of tumors arising from the monocytic or dendritic cell lineage. This article presents the molecular characteristics of the four major subtypes of malignant histiocytic and dendritic cell neoplasms, focusing on genomic alterations that could represent therapeutic targets.
Symptom Management and Supportive Care
Preemptive Versus Reactive Topical Clobetasol for Regorafenib-Induced Hand-Foot Reactions: A Preplanned Analysis of the ReDOS Trial
Hand-foot skin reaction is a common regorafenib-induced adverse event. This article reports on the use of topical clobetasol and its role when administered preventively, before a skin reaction occurs.
Overview of Ocular Side Effects of Selinexor
XPO1 inhibitors are associated with distinct adverse events. This article focuses on ocular adverse events in patients with advanced malignancies treated with selinexor.
Good Quality Care for Cancer Patients Dying in Hospitals, but Information Needs Unmet: Bereaved Relatives’ Survey within Seven Countries
Disparities exist in the quality of end-of-life care. This article assesses the quality of care for dying cancer patients, as perceived by bereaved relatives, within hospitals in seven European and South American countries.
Letters to the Editor
Regarding the Article by Rugo et al.
This letter to the editor highlights additional analyses to add to the recently reported study by Rugo et al., regarding abemaciclib treatment for HR+/HER2− breast cancer.
In Reply
This letter to the editor responds to Badoui et al. regarding data on abemaciclib dosages and adverse events.
Trend in Stereotactic Radiation Therapy Use for Management of Bone and Brain Metastases in Patients with Renal Cell Carcinoma in Australia
Adding to the limited literature on the subject, this letter to the editor focuses on the trend in the use of stereotactic radiation therapy for metastatic renal cell carcinoma.