Volume 28, Issue 1, January 2023
Editorial
Back to the Future, II
This editorial reflects on the vision and focus of The Oncologist, both historically and with a look toward the future.
Breast Cancer
Palbociclib with Fulvestrant or Letrozole in Endocrine-Sensitive Patients with HR-Positive/HER2-Negative Advanced Breast Cancer: A Detailed Safety Analysis of the Randomized PARSIFAL Trial
This article provides a comprehensive summary of the safety and tolerability of the combination of endocrine therapy and palbociclib among patients included in the randomized phase II PARSIFAL study.
Cancer Diagnostics and Molecular Pathology
Concordance Between Genomic Alterations Detected by Tumor and Germline Sequencing: Results from a Tertiary Care Academic Center Molecular Tumor Board
This study sought to describe concordance between germline and tumor testing among patients at the investigators' institution and queried whether results from one test type could be used to inform the other. The authors also investigated the potential of a computational modeling algorithm to predict germline status based on tumor-only comprehensive genomic profiling results alone.
Gastrointestinal Cancer
Application of Value Framework to Phase III Trials of Immune Checkpoint Inhibitors in Esophageal and Gastric Cancer
Although survival has improved over the past several decades, esophageal and gastric cancers still have poor survival outcomes. This article reviews the risks and benefits of immunotherapy in different subgroups for treatment of esophageal and gastric cancers.
Neoadjuvant Versus Adjuvant Chemotherapy for Resectable Metastatic Colon Cancer in Non-academic and Academic Programs
For resectable colon cancer with synchronous liver or lung metastasis, resection is recommended, along with pre/perioperative chemotherapy before or adjuvant chemotherapy after surgical resection of all lesions. This study compared survival outcome from both options retrospectively.
SARS-CoV-2 Vaccine Immunogenicity in Patients with Gastrointestinal Cancer Receiving Systemic Anti-Cancer Therapy
Evidence shows that patients with cancer are at a high risk of severe complications and poor outcomes from SARS-CoV-2 infection. The CARDS study assessed SARS-CoV-2 immunity in patients with gastrointestinal cancer receiving anti-cancer therapy.
Genitourinary Cancer
Health-Related Quality of Life Outcomes With Two Different Starting Doses of Lenvatinib in Combination With Everolimus for Previously Treated Renal Cell Carcinoma
Preserving health-related quality of life is an important goal during renal cell carcinoma treatment. This article reports health-related quality of life outcomes from a phase II trial (NCT03173560).
Grade 3/4 Adverse Event Costs of Immuno-oncology Combination Therapies for Previously Untreated Advanced Renal Cell Carcinoma
The efficacy and safety of novel immunotherapy-based combinations have been evaluated, but there is currently a paucity of evidence on the economic benefits and risks associated with these therapies. This information can be valuable to healthcare decision-makers and payers. This article compares descriptive analyses of all-cause and treatment-related grade 3/4 adverse events costs of nivolumab plus ipilimumab, nivolumab plus cabozantinib, pembrolizumab plus axitinib, and pembrolizumab plus lenvatinib as first-line treatments for patients with advanced renal cell carcinoma.
Global Health and Cancer
A Systematic Review of Patient Education Strategies for Oncology Patients in Low- and Middle-Income Countries
This review summarizes the literature on oncology patient education strategies specific to low- and middle-income countries to identify gaps in order to set priorities for future research.
A Qualitative Exploration of Barriers to Treatment Among HPV-Positive Women in a Cervical Cancer Screening Study in Western Kenya
This article reports the results of a study that explored the perspectives of women who underwent self-collected HPV testing, received a positive result with the request to attend follow-up, and did not present within 60 days. In-depth interviews were used to develop an analytical framework to examine the barriers, beliefs, social norms, and logistical factors that contributed to women’s access to and decision-making about treatment.
Gynecologic Oncology
Can MRI Be Used as a Sole Diagnostic Modality in Determining Clinical Stage in Cervical Cancer?
This article compares MRI to examination under anesthesia for the assessment of local disease spread in patients with early stage cervical cancer.
Hematologic Malignancies
Genomic Profiling Reveals Differences in Primary Central Nervous System Lymphoma and Large B-Cell Lymphoma, With Subtyping Suggesting Sensitivity to BTK Inhibition
This article reports on the genomic landscape and prevalence of immunotherapy biomarkers, including tumor mutational burden, in a large cohort of patients with lymphoma. This is the second largest cohort of B-cell primary central nervous system lymphoma (PCL) cases to date and the largest to compare the molecular subtypes between PCL, secondary central nervous system lymphoma, and diffuse large B-cell lymphoma.
Immuno-Oncology
Safety and Clinical Activity of SHR7390 Monotherapy or Combined With Camrelizumab for Advanced Solid Tumor: Results From Two Phase I Trials
This report presents results from two phase I trials conducted to evaluate the tolerability, safety, and preliminary antitumor activity of SHR7390 monotherapy in patients with advanced solid tumors (SHR7390 monotherapy trial) or SHR7390 in combination with camrelizumab in patients with treatment-refractory advanced or metastatic CRC (SHR7390 combination trial).
Lung Cancer
Management of Lung Cancer in the Patient with Interstitial Lung Disease
This article summarizes the evidence regarding the risk of developing lung cancer in patients with interstitial lung disease (ILD) and considerations for diagnosis and treatment in this patient population. Practical considerations for monitoring ILD progression during lung cancer treatment are also discussed.
Neuro-Oncology
Radiotherapy Plus Temozolomide With or Without Nimotuzumab Against the Newly Diagnosed EGFR-Positive Glioblastoma: A Retrospective Cohort Study
Patients with glioblastoma with positive EGFR expression have an especially poor prognosis. This article presents the results of a study that evaluated the clinical efficacy and safety of nimotuzumab in patients with newly diagnosed glioblastoma with positive EGFR expression.
Precision Medicine Clinic: Molecular Tumor Board
Response to Capmatinib in a MET Fusion-positive Cholangiocarcinoma
The efficacy of specific MET inhibitors is poorly studied. This article presents the case of a patient with chemotherapy-refractory metastatic cholangiocarcinoma harboring a CAPZA-2-MET fusion along with MET amplification who dramatically responded to capmatinib, a specific MET tyrosine kinase inhibitor.
Symptom Management and Supportive Care
Perceptions of Death Among Patients with Advanced Cancer Receiving Early Palliative Care and Their Caregivers: Results from a Mixed-Method Analysis
A key aspect of early palliative care is honest prognostic communications, although such conversations can be difficult. This article describes perceptions of death for patients with advanced cancer receiving early palliative care and their caregivers.
Clinical Trial Results
Physical Activity Intervention in Patients with Metastatic Breast Cancer During Active Treatment: Quality of Life and Function
This article reports results of a study on potential quality of life and function benefits from a walking intervention in women during active treatment for metastatic breast cancer.
Nab-paclitaxel Followed by Dose-dense Epirubicin/Cyclophosphamide in Neoadjuvant Chemotherapy for Triple-negative Breast Cancer: A Phase II Study
This article reports the results of a trial that evaluated the efficacy and safety of nab-paclitaxel followed by dose-dense epirubicin/cyclophosphamide as neoadjuvant therapy in patients with triple-negative breast cancer.
Brief Communication
Adjuvant Abemaciclib Combined with Endocrine Therapy: Efficacy Results in monarchE Cohort 1
This article presents efficacy data in Cohort 1 of the monarchE study, a patient population that was enrolled based on high-risk clinicopathological features that can easily be identified during routine breast cancer evaluation, and highlights the evidence for the benefit of adding adjuvant abemaciclib to endocrine therapy for patients with node positive HR+, HER2- early breast cancer at a high risk of recurrence.
Narratives in Oncology
It’s What’s True
A cancer survivor describes the journey from healthy student through diagnosis and treatment for thyroid cancer and back again