- |||||||||| Retevmo (selpercatinib) / Eli Lilly, Gavreto (pralsetinib) / Blueprint Medicines, Roche, Nexavar (sorafenib) / Bayer, Amgen
Journal: Treatment strategy by radioiodine refractory differentiated thyroid cancer (Pubmed Central) - Apr 26, 2022 For this reason, two selective RET inhibitors (selpercatinib, pralsetinib) for differentiated thyroid carcinomas were approved by the FDA in 2020. A new perspective for the future would be the variable re-differentiation strategies, which aim to increase the sensitivity of tumor cells to radioiodine.
- |||||||||| Nexavar (sorafenib) / Bayer, Amgen
Review, Journal: Changing Paradigm in Treatment of Differentiated Thyroid Cancer. (Pubmed Central) - Apr 26, 2022 The introduction of THYROPET (124-I PET scan) is gaining momentum as an alternative to 123/131-I scans due to high-resolution images on PET scan increasing the detection sensitivity. All the above factors have resulted in paradigm shift in the management of differentiated thyroid cancer patients.
- |||||||||| Baize'an (tislelizumab) / BeiGene, Novartis, Truseltiq (infigratinib) / BridgeBio, Pfizer, Helsinn, Xediton Pharma, Tibsovo (ivosidenib) / Servier
Journal, PD(L)-1 Biomarker, IO biomarker: Lactate promotes the growth of patient-derived organoids from hepatopancreatobiliary cancers via ENO1/HIF1α pathway and does not affect their drug sensitivities. (Pubmed Central) - Apr 22, 2022 Peripheral blood mononuclear cells (PBMCs) were isolated and co-cultured with PDOs to test the sensitivity of PDOs to tislelizumab...Furthermore, the addition of lactate did not significantly change the dose-response curves of the PDOs to chemotherapeutic drugs, targeted drugs, and immune checkpoint inhibitor, especially for the drugs to which the cells were sensitive. Thus, lactate can be added to the culture medium of PDOs to promote their growth without altering their genetic profiles and drug sensitivities.
- |||||||||| Nexavar (sorafenib) / Bayer, Amgen
Retrospective data, Journal, Real-world evidence: Lenvatinib compared with sorafenib as a first-line treatment for radioactive iodine‒refractory, progressive, differentiated thyroid carcinoma: Real-world outcomes in a multicenter retrospective cohort study. (Pubmed Central) - Apr 22, 2022 In our study of Asian patients, first-line lenvatanib treatment of metastatic or locally advanced, progressive, RAI-refractory DTC was associated with a longer PFS compared to sorafenib. However, severe hypertension and proteinuria were observed more frequently after lenvatinib treatment than after sorafenib treatment.
- |||||||||| Avastin (bevacizumab) / Roche, Nexavar (sorafenib) / Bayer, Amgen, Tecentriq (atezolizumab) / Roche
Retrospective data, Journal, HEOR, Real-world evidence: Real-world Treatment Patterns and Reasons for Therapy Selection in Patients with Advanced Hepatocellular Carcinoma in US Oncology Practices. (Pubmed Central) - Apr 21, 2022 In the community-oncology practice setting, nearly all aHCC patients received sorafenib or lenvatinib in the 1L setting, while the majority of patients received an ICI in the 2L setting. With recent ICI approvals in aHCC, this marks the beginning of an increased use of ICIs in the 1L setting.
- |||||||||| Stivarga (regorafenib) / Bayer, Cabometyx (cabozantinib tablet) / Takeda, Exelixis, Ipsen, Nexavar (sorafenib) / Bayer, Amgen
Journal: Decoding the mechanism of drugs of heterocyclic nature against hepatocellular carcinoma. (Pubmed Central) - Apr 21, 2022 Conclusion Heterocyclic compounds represent almost two-thirds of the novel drugs approved by FDA between 2010 and 2020 against Cancer. This review summarizes the clinical relevance, mechanism of action, structural activity relationship, and challenges of the seven available anticancer drugs with heterocyclic ring systems against HCC.
- |||||||||| oxaliplatin / Generic mfg., lenvatinib / Generic mfg., gemcitabine / Generic mfg.
SUSTAINED RESPONSE FOR STAGE 4 NEUROENDOCRINE TUMOR WITH GEMCITABINE-OXALIPLATIN-LENVATINIB () - Apr 20, 2022 - Abstract #ASPHO2022ASPHO_420; The patient was initially switched from this combination to conventional treatment of capecitabine and temozolomide upon correct diagnosis, but was later switched back due to subsequent clinical decline.With this new combination, the patient gained 30 pounds within 2 months, had a volume reduction of the most prominent masses ranging from -35% to -80% and AFP reduction by 64% to 86 ng/mL at 9 weeks. Other than neuropathy warranting replacement of oxaliplatin with carboplatin, this new regimen has been tolerated well and indicates a promising avenue for treatment of recalcitrant and incurable disease.
- |||||||||| Avastin (bevacizumab) / Roche, Nexavar (sorafenib) / Bayer, Amgen, Tecentriq (atezolizumab) / Roche
Review, Journal: Immunotherapies for hepatocellular carcinoma. (Pubmed Central) - Apr 19, 2022 Furthermore, other cancer immunotherapies, including chimeric antigen receptor T-cells, dendritic cell vaccines and oncolytic viruses are also in early stage clinical trials, for the treatment of advanced HCC. This review will summarise the major approaches that have been and are currently in development for the systemic treatment of advanced HCC, their advantages, drawbacks, and predictions of where this revolutionary treatment field will continue to travel for the foreseeable future.
- |||||||||| Journal: Predictive molecular pathology in metastatic thyroid cancer: the role of RET fusions. (Pubmed Central) - Apr 19, 2022
Management of advanced thyroid carcinoma has significantly evolved over the last decade thanks to the approval of three multikinase inhibitors, i.e. sorafenib, lenvatinib, cabozantinib, and of two selective RET-tyrosine inhibitors, i.e. selpercatinib and pralsetinib. In this setting, the detection of RET-fusions in advanced thyroid cancer specimens through the use of next-generation sequencing has become a commonly used strategy in clinical practice to select the best treatment options.
- |||||||||| Nexavar (sorafenib) / Bayer, Amgen
Review, Journal: State of the Art in the Current Management and Future Directions of Targeted Therapy for Differentiated Thyroid Cancer. (Pubmed Central) - Apr 19, 2022 The present review will summarize the conventional management of DTC, the first-line and alternative TKIs in RAIR-DTC, and the approaches that seek to overcome the resistance to MAPK and PI3K pathways' inhibitors. We also aim to emphasize the latest achievements in the research of redifferentiation therapy, immunotherapy, and agents targeting gene rearrangements in advanced DTC.
- |||||||||| Review, Journal, PD(L)-1 Biomarker, IO biomarker: Frontline therapy for advanced hepatocellular carcinoma: an update. (Pubmed Central) - Apr 19, 2022
Currently approved frontline systemic therapy options include sorafenib, lenvatinib, and atezolizumab/bevacizumab...Based on positive results of randomized phase III HIMALAYA trial, durvalumab and tremelimumab combination could become another frontline option...Frontline systemic therapy is poorly defined in certain subgroups of HCC such as Child-Pugh B and post-transplant recurrent HCC. The landscape of frontline HCC treatment is rapidly changing, and this article reviews the most recent treatment approaches to frontline therapy for advanced HCC.
- |||||||||| Nexavar (sorafenib) / Bayer, Amgen
Journal, Real-world evidence: Effectiveness of TKI Inhibitors Combined With PD-1 in Patients With Postoperative Early Recurrence of HCC: A Real-World Study. (Pubmed Central) - Apr 19, 2022 In the first-line treatment of patients with early recurrence after radical resection of HCC, patients treated with TKIs combined with PD-1 therapy has a survival advantage over those treated with TKIs alone. Ascites, HBV DNA positivity, and high levels of AFP often indicate poor efficacy of systemic drug therapy, suggesting that such patients should be closely monitored after surgery and that comprehensive systemic treatment should be administrated in time to improve the prognosis.
- |||||||||| Keytruda (pembrolizumab) / Merck (MSD), Welireg (belzutifan) / Merck (MSD), Lenvima (lenvatinib) / Eisai, Merck (MSD)
Trial completion date, Trial primary completion date, Monotherapy, Metastases: LITESPARK-010: A Study of Belzutifan (MK-6482) as Monotherapy and in Combination With Lenvatinib (E7080/MK-7902) With or Without Pembrolizumab (MK-3475) in China Participants With Advanced Renal Cell Carcinoma (MK-6482-010) (clinicaltrials.gov) - Apr 19, 2022 P1, N=45, Recruiting, Ascites, HBV DNA positivity, and high levels of AFP often indicate poor efficacy of systemic drug therapy, suggesting that such patients should be closely monitored after surgery and that comprehensive systemic treatment should be administrated in time to improve the prognosis. Trial completion date: Apr 2025 --> Aug 2023 | Trial primary completion date: Apr 2025 --> Aug 2023
- |||||||||| adavosertib (AZD1775) / AstraZeneca
Clinical, Journal: Efficacy of adavosertib therapy against anaplastic thyroid cancer. (Pubmed Central) - Apr 15, 2022 No appreciable toxicity appeared in mice treated with either single agent or combination treatment. Our findings suggest adavosertib holds the promise for the treatment of patients with anaplastic thyroid cancer.
- |||||||||| Lorbrena (lorlatinib) / Pfizer, Xalkori (crizotinib) / Pfizer, Zykadia (ceritinib) / Novartis
Journal: Targeting EML4-ALK gene fusion variant 3 in thyroid cancer. (Pubmed Central) - Apr 15, 2022 He received, after first-line lenvatinib, crizotinib (Drug Rediscovery Protocol (DRUP) trial), and lorlatinib (compassionate use)...To our best knowledge, this is the first reported case describing a patient-specific targeted treatment with lorlatinib based on an EML-ALK gene fusion v3 in a thyroid cancer patient, and own cancer cell line. Tumor-agnostic targeted therapy may provide valuable treatment options in personalized medicine.
- |||||||||| Journal: Systemic therapies for hepatocellular carcinoma: the present and the future. (Pubmed Central) - Apr 14, 2022
After several randomized controlled trials (RCTs) that have attempted to find an effective second-line therapy, regorafenib, cabozantinib, ramucirumab, nivolumab and pembrolizumab represent approved treatments for patients who failed first-line treatment...Moreover, the coexistence of cirrhosis and the competing risk of liver decompensation increase the complexity of the assessment of the net health benefit of the available therapeutic approaches. The aim of this review is to summarize the evidence on systemic treatments for unresectable HCC and to explore the future perspectives on this topic.
- |||||||||| lenvatinib / Generic mfg.
Journal: Lenvatinib dose, efficacy, and safety in the treatment of multiple malignancies. (Pubmed Central) - Apr 13, 2022 Collectively, the data provide the rationale to start lenvatinib at the recommended doses and then interrupt or dose reduce as necessary to achieve required dose intensity for maximized patient benefit. The adverse-event profile of lenvatinib is consistent with that of other tyrosine kinase inhibitors, and clinicians are encouraged to review and adopt relevant symptom-management strategies.
- |||||||||| Keytruda (pembrolizumab) / Merck (MSD), Sutent (sunitinib) / Pfizer
Journal, PD(L)-1 Biomarker, IO biomarker: Therapeutic options in thymomas and thymic carcinomas. (Pubmed Central) - Apr 13, 2022 Although the genomic characteristics of thymic malignancies have been analyzed, few actionable mutations have been detected in general. The development of a treatment strategy using combination pharmacotherapy is anticipated.
- |||||||||| Keytruda (pembrolizumab) / Merck (MSD), Lenvima (lenvatinib) / Eisai, Merck (MSD)
Enrollment closed, Enrollment change: Lenvatinib, Pembrolizumab, and Paclitaxel for Treatment of Recurrent Endometrial, Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer (clinicaltrials.gov) - Apr 12, 2022 P2, N=6, Active, not recruiting, Further studies with a larger sample size and longer follow-up are needed to validate these results. Not yet recruiting --> Active, not recruiting | N=47 --> 6
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