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¤W¯Z±Ú¤j!À³¸Ó¬O§A¹q¸£°ÝÃD¡A§Ú«¶K¦A¬Ý¨S°ÝÃD³á~ ¤º¤å¡G Cutting-edge UK trials for mesothelioma: double immuno, arginine depletion and molecular profiling Dean Fennell There is currently an array of exciting clinical trials for mesothelioma, investigating cutting-edge treatments in large patient groups. Here, Dean Fennell, PhD, FRCP, of University Hospitals of Leicester NHS Trust, Leicester, UK, discusses the key mesothelioma trials that the UK is running or taking part in. Prof. Fennell covers the Phase III CheckMate 743 trial (NCT02899299) of double immunotherapy (nivolumab and ipilimumab) in the frontline setting; the Phase II/III global ATOMIC trial (NCT02709512) of ADI-PEG 20 for patients with malignant pleural mesothelioma (MPM); and the international umbrella study of Mesothelioma Stratified Therapy (MiST) for MPM, which will be the first study to evaluate the activity and genetic basis of response to molecularly targeted approaches in parallel. This video was recorded at the British Thoracic Oncology Group (BTOG) Annual Conference 2018, held in Dublin, Ireland. |
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·PÁ¦Ѵ¤j«e½úªº¸ê°T¡A ´N¦p¦Ñ´¤j«e½ú©Ò»¡ªº¡A¥NÁªvÀø¡]ADI¡^¬O¥¼¨ÓÀù¯gªvÀø¤£¥i©Î¯Êªº¤@Àô¡A ¤p§Ì²`«HADIµ´¹ï¦³³s®³¼Æ¤Q±iÃÄÃÒªº¹ê¤O¡A¤£¹L³on¥æµ¹¤jÃļt°µ¤~°µ±o§Ö¡A §Æ±æ¼ÆÄCÀYªº¤é¤l¤£n¤Ó¦h¡A¥h¦~¤C¤ë¨ì²{¦b¤]¤w¸g¤EÓ¤ë¤F¡A¥[ªo§a¥_·¥¬P¡I |
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·|û¡G§d½n¶¯10142119 µoªí®É¶¡:2018/3/1 ¤W¤È 12:00:14²Ä 3010 ½g¦^À³
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·|û¡GMBE10145047 µoªí®É¶¡:2018/2/28 ¤U¤È 11:54:40²Ä 3009 ½g¦^À³
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¦Ñ´¤j, §Ú°h¥ð¤F,¦Ñ¤j¤µ¦~n©À°ê¤p,³oÀÉ«ùªÑ¬O¬°¤F«Ä¤l·Ç³Æ±Ð¨|°òª÷¥Îªº ¿³Âd¶q¤pÃø¶i¥X,´N¥u¯à¥Î¤Ö¶qªº«ùªÑ³¤j®a°í«ù¨ì©³¤F ¥h¦~©³©e½Ð¦b¸Ó®Õ¬ã¨sªº¤@¦ì¦Ñ§ÌÀ°¦£½T»{³o¶µ¸ÕÅç ¤µ«á±Ò°Ê,©Î³\°ê½Ã°|¦³¾÷·|°lÂܪº¨ì¶i«×,¦ý¥u¦³§d³Õ¯à¿Ë¦Û»¡©ú ¯¬ºÖ±z±d°· |
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·|û¡G»«¹£ô10144807 µoªí®É¶¡:2018/2/28 ¤U¤È 10:56:45²Ä 3008 ½g¦^À³
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¦Ñ´¤j¥¦w¡A¬P¤ÍÌ¥¦w ·PÁ¦Ѵ¤jªº°lÂÜ¡A¥h¦~12/11ªk»¡ªº¨Æ±¡n¶}©l¤@¤@¹ê½î¤F ´Á«Ý©ú¤Ñ¶}©lªº3¤ë¤Ñ¤Ñ¼Æ²¢ÄCÀY ¤]¯¬¬P¤Í̤j®a¨Åé°·±d¡A¦w¤ßªºµ¥¤j¨Æ¥ó¨ÓÁ{ »«¹£¤p§Ìªº58¼È®É¤£½Ð¤j®a³Ü¤F¡Anµ¥¤j¨Æ¥ó¨ÓÁ{®É¸ò¯u¡P¬P¤ÍÌ ¦n¦nªº³Ü¤@ªM¡A¤£¾K¤£Âk🍻 Go go Polaris! |
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·|û¡G¦Ñ´10141055 µoªí®É¶¡:2018/2/28 ¤U¤È 10:16:42²Ä 3007 ½g¦^À³
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¦Ñ´§Ö³ø ½Æ²ß¤@¤Uº¶ ¡´ADI+Gem+Docetexal - soft tissue sarcoma¡÷ Single arm, n=78, 2018 Q2¶}©l, 12~15monthsµ²§ô¡I PI=Dr. Brian Van Tine¡BSponsor=Washington University¡B¡´ Polaris¥XADI´N¦n¡´ èè¤~PO¤Wcinical trialºô¯¸ªº¡I²Ä¤@¤â¸ê®Æ¸ò¬P¤Í¤À¨É¡A쥻ªk»¡®É»¡2018 Q2¶}©lªº¡AªG¯u Anticipated Study Start Date ƒÊ : May 31, 2018 ¡I¶}©l¦¬®×¡I MBE¤j¡AÁÙ¬O¶Q®Õ¶W¦³®Ä²vªº¡IÆgÆgÆg¡I¡I¡I ADI-PEG 20 in Combination With Gemcitabine and Docetaxel for the Treatment of Soft Tissue Sarcoma Estimated Enrollment ƒÊ : 75 participants Recruitment Status ƒÊ : Not yet recruiting First Posted ƒÊ : February 28, 2018 Last Update Posted ƒÊ : February 28, 2018 Official Title: A Phase II Trial of ADI-PEG 20 in Combination With Gemcitabine and Docetaxel for the Treatment of Soft Tissue Sarcoma Brief Summary: The investigators have recently demonstrated that argininosuccinate synthase 1 (ASS1) expression is silenced in 88% of all sarcomas (n=708), and that this loss is associated with a decreased overall survival. Using the extracellular arginine depleting enzyme PEGylated arginine deiminase (ADI-PEG20), an extracellular arginine depleting enzyme, the investigators demonstrated ADI-PEG20 induces a prosurvival metabolic reprogramming in ASS1-deficient sarcomas that redirects glucose into the serine/folate pathway directing the carbons from glucose into pyrimidine biosynthesis , thus sensitizing cells to death by the pyrimidine antimetabolite gemcitabine by using metabolomics. The synthetic lethality was increased by the addition of docetaxel. Therefore a phase II clinical trial of ADI with gemcitabine and docetaxel, a standard second line therapy for soft tissue sarcoma will be conducted to determine if the clinical benefit rate of gemcitabine and docetaxel is improved by the metabolic changes induced by ADI-PEG20 Primary Outcome Measures ƒÊ : 1.Progression-free survival (PFS) [ Time Frame: Through 5 years after completion of treatment (up to 364 weeks) ] ◦PFS: defined as time on study to time patients progressed on the drug combination or death or latest follow-up if progression/death is not observed yet ◦Progressive disease: At least a 20% increase in the sum of the diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. (Note: the appearance of one or more new lesions is also considered progressions). Secondary Outcome Measures ƒÊ : 1.Overall survival (OS) [ Time Frame: Through 5 years after completion of treatment (up to 364 weeks) ] -OS: defined as time on study to time of death due to any reasons or latest follow-up (whichever is earlier) 2.Clinical benefit rate (CBR) [ Time Frame: Through completion of treatment (up to 104 weeks) ] ◦CBR = proportion of patients who have experienced complete response (CR)+ partial response (PR) + stable disease (SD) lasting 24 weeks or longer |
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·|û¡G¦Ñ´10141055 µoªí®É¶¡:2018/2/28 ¤U¤È 09:46:16²Ä 3006 ½g¦^À³
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Jack¤j,123¤j,¥Í§Þ007¤j,±j¥§258¤j¥H¤Î²³¬P¤Í¤j¤j±ß¦w ·PÁ¦U¦ìªºÃö¤ß,¦Ñ´¤w²¬Â¡ªº®t¤£¦h¤F,¦n¼F®`ªº¬y·P~~Åý¦Ñ´ÁȨì¦n´X¤½¤ç(½G¤F) Âå¾Çª¾ÃѦ¬¿ý½g¸Ì,¦Ñ´¦¬¿ý¤F§K¬ÌÀøªk°Æ§@¥Î³B¸m¤è¦¡ªºguideline ³o¹ï§K¬ÌÀøªk«áÄòªºµo®i«D±`«n,¦³ªÅªº¤j¤j¥i¥H¦n¦nŪ¤@Ū ¦Ñ´¤@¦A±j½Õ,¥NÁÂÀøªk(ADI)¥²±N¬OÀù¯gªvÀø¸Ì¤£¥i©Î¯Êªº¤@¨¤, ¦Ó¦b¦¹»â°ì¸Ì¨«¦b¥@¬É³Ì«eºÝªÌ---Polaris¬O¤]¡I §A»¡°ÝÃD¬O½æ¤£½æ±o±¼©O¡HÁÙ¬O½æ¦h¤Öªº°ÝÃD©O¡H ¦@«j~~ |
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·|û¡GµL¹Ð10141268 µoªí®É¶¡:2018/2/28 ¤U¤È 02:30:26²Ä 3005 ½g¦^À³
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Àù¯gªvÀøªº¤è¦¡¦³«Ü¦hºØ¡A°£¤F®É±`Å¥¨ìªº¤ÆÀø¥~¡A¥t¤@ºØ¦P¼Ë¨ã¦³®ÄªG«o¤ñ¸û¨S¦³°Æ§@¥ÎªºªvÀø¤è¦¡¡A³QºÙ¬°¼Ð¹vªvÀø¡A¦Óªñ¤é¬ì¾Ç®aµo²{·sªº¤pªâ¤lÃĪ«¡A¯à°÷ÅýÀù²ÓM³B©ó°§¾jª¬ºA¨Ã¶i¦Ó°±¤î¥Íªø¡A¦¹ºØ¯S©Ê¤]´£¨Ñ³\¦h¾÷·|¡AÅý¬ì¾Ç®a±o¥H¬ãµo·s¤@¥Nªº¼Ð¹vÃĪ«¡C ®Ú¾ÚÂå¾Ç¬ã¨sªº«½S´Á¥Z¡m¦ÛµMÂå¾Ç¡n¡]Nature Medicine¡^Åã¥Ü¡A¬ü°ê«n³¡S¼w¤ñ¤j¾ÇÂå¾Ç¤¤¤ß¡]Vanderbilt University Medical Center¡^ªñ¤éµo²{¯à°÷§í¨îÀù²ÓM§l¦¬¡u¾¢ñQÓi»Ä¡vªºÃĪ«¡A¥Ñ©ó¡u¾¢ñQÓi»Ä¡v¹ï©ó²ÓM¬O¤@ºØ¯à°÷´£¨Ñ¯à¶q¡A¥H§Y¦X¦¨³J¥Õ½è¡BDNA ©Ò»Ýªºì®Æ¡A¬O¹ï©ó²ÓM¨Ó»¡«Ü«nªºÓi°ò»Ä¡C ¦ÓÀù²ÓM¦]·|¤£Â_ªº²ÓM¤Àµõ¦¨ªø¡A¦]¦¹»Ýn¤j¶qªº¡u¾¢ñQÓi»Ä¡v¨Ó¦X¦¨³J¥Õ½è¤Î DNA¡A»â¾É³o¦¸¬ã¨sªº Charles Manning ±Ð±Âªí¥Ü¡G¡uÀù²ÓMªº·s³¯¥NÁ»P¥¿±`²ÓM®t§O«Ü¤j¡A¹B¥Î¥Íª«¤Æ¾Ç¤èªk¥i»´©ö¤À¿ë¦ó¬°°·±d²ÓM¡B¦ó¬°Àù²ÓM¡A¦]¦¹¯à§Q¥Î·sµo²{ªºÃĪ«¡A¨Ó°w¹ïÀù²ÓM¡AªýÂ_¨ä§l¦¬¡A¶i¦ÓÅý¥¦°±¤î¥Íªø¡C¡v S¼w¤ñ¤j¾Ç¬ã¨s¹Î¶¤³o¦¸ªº¬ð¯}¡A¦b©ó¶}µo¥X¯à°÷·¥¦³®Ä§í¨îACST2(Àù²ÓM¬°¤F§l¦¬¾¢ñQÓi»Ä©Ò»Ýnªº³J¥Õ½è) ¬¡©ÊªºÃĪ«¡A¦Ó¸ÓÃĪ«¦b²ÓM°ö¾i¹êÅç¤Î°Êª«¹êÅ礤¡A³£©úÅã¦a¯à°÷§í¨îÀù²ÓM¥H§Y¸~½Fªº¥Íªø¡A¨Ã¦b«áÄò¾ÉPÀù²ÓM¨«¦V¦º¤`¡A¸Óµ²ªGÅý¹Î¶¤²`«H¡AÂê©w¡uACST2 ¾¢ñQÓi»Ä¹B¿é³J¥Õ¡v¡A±N¬O·s¤@¥NÀù¯g¼Ð¹vÃĪ«ªº¤è¦V¡C ¦ý´N¦p¦P¨ä¥¦§ÜÀùÃĪ«¤@¼Ë¡A·sµo²{ªºÃĪ«¨Ã«D¹ï©Ò¦³Àù¯g³£¦³®Ä¡A¦Ó¬O¥u¦³°w¹ï¡uACST2 ¾¢ñQÓi»Ä¹B¿é³J¥Õ¡v¸û±jªºÀù²ÓM¤~¦³§@¥Î¡A¦]¦¹¡A¬ì¾Ç®a¤´»Ýn¦³®Ä¿z¿ï¥X¾A¦X¥H¦¹ÃĪ«ªvÀøªº¯f±w¡C |
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·|û¡G»«¹£ô10144807 µoªí®É¶¡:2018/2/28 ¤W¤È 09:02:58²Ä 3004 ½g¦^À³
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¯u¡P¬P¤ÍÌ °²¤é´r§Ö ¬Q¤Ñ³Ì¶}¤ßªº¨Æ±¡´N¬O¦¨¥\ô¦^ÀY¤F¡A¬Ý¨ì¦¨¥\ô¦^ÀY¡A¬P¬P¤£¦¨¥\³£Ãø°Ú¡C ¤é¤l¶V¨Ó¶Vªñ¡AªÅ¤âªº¤H¶}©l«æ¤F¡AÁÙ¨S¦Y¹¡ªº¤]«æ¤F¡A¤jÃļt¤]«æ¤F¡ã ©ú¤Ñ¶}©l´N¬O3¤ëÅo¡A2¤ëªºÄCÀY§Ñ¤F¥[¿}¡A3¤ë¨ÓӶ¿}¤f¨ýªº§a¡A²¢ÄCÀY¤ñ¸û¦n¦Y¤]¼Æ±o§Ö¡ã Go go Polaris! |
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·|û¡G³Á§JªL10142093 µoªí®É¶¡:2018/2/27 ¤U¤È 02:46:34²Ä 3003 ½g¦^À³
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