5、消化系统肿瘤消化系统肿瘤 (29).pdf

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1、 Journal of Clinical Oncology List of Issues Volume 39,Issue 15_suppl Meeting Abstract|2021 ASCO Annual Meeting IGASTROINTESTINAL CANCERGASTROESOPHAGEAL,PANCREATIC,ANDHEPATOBILIARYPemigatinib for previously treated locallyadvanced/metastatic cholangiocarcinoma(CCA):Update of FIGHT-202.Rights&Permiss

2、ionsOPTIONS&TOOLSExport CitationTrack CitationAdd To FavoritesCOMPANION ARTICLESADVERTISEMENTADADVERTISEMENTLog InSubmitE-AlertsCartOpenAthens/Shibboleth MENU Article ToolsGhassan K.Abou-Alfa,Vaibhav Sahai,Antoine Hollebecque,Gina M.Vaccaro,Davide Melisi,Raed Mohd Taiseer Al-Rajabi,.Show MoreAbstrac

3、t Disclosures4086Background:Pemigatinib(PEMI),a potent,selective,oral FGFR1-3 inhibitor,has shownefficacy and safety in patients(pts)with CCA andFGFR2 rearrangements/fusions in FIGHT-202(NCT02924376;objective response rate ORR,35.5%;duration of response DOR,7.2 monthsmo).Overall survival(OS:21.1 mo)

4、was notmature in the primary report(Abou-Alfa.LancetOncol 2020;cutoff:Mar 22,2019);herein we reportmatured efficacy and safety data from FIGHT-202(cutoff:Apr 7,2020).Methods:Pts(18 y)withknown FGF/FGFR alterations and progression after1 prior therapy had FGFR2No companion articlesARTICLE CITATIONDOI

5、:10.1200/JCO.2021.39.15_suppl.4086Journal of Clinical Oncology 39,no.15_suppl(May 20,2021)4086-4086.Published online May 28,2021.WE RECOMMENDADVERTISEMENTEmployer:Merritt HawkinsApply for this job Employer:Potomac Oncology&HematologyApply for this job Hematology-Oncology OpportunityJust Outside of C

6、hicagoRockford,Illinois N/AA reputable integrated health system seekinga board-certified or board-eligiblehematologist-oncologist to join its team.Oncology&Hematology AssociatePositionRockville,Maryland Competitive SalaryThis position offers a competitive base salary,a comprehensive benefits package

7、,exceptional productivity incentives,and apartnership track.Hematology/Oncology-at the Beach inLow Tax Delaware!Delaware(US);Family-oriented resort area inbeautiful south coastal DelawareAbstractFinal Phase II Data SupportInfigratinib in Chemotherapy-refractory CholangiocarcinomaHarboring FGFR2 Fusi

8、onsASCO Daily News,2021Lack of Targetable FGFR2 Fusions inEndemic Fluke-AssociatedCholangiocarcinomaSarinya Kongpetch et al.,JCO GlobalOncology,2020Cholangiocarcinoma With FGFRGenetic Aberrations:A UniqueClinical PhenotypeApurva Jain et al.,JCO PO,2018Phase II Study of BGJ398 in PatientsWith FGFR-Al

9、tered AdvancedCholangiocarcinomaMilind Javle et al.,J Clin Oncol,20172018 ASCO:KEYNOTE-427 TrialEvaluates Immunotherapy inAdvanced Clear Cell Renal CellCarcinomarearrangements/fusions(cohort A),otherFGF/FGFR alterations(B),or no FGF/FGFRalterations(C).Pts received PEMI 13.5 mg QD(21-d cycle;2 wks on

10、,1 wk off)until progression ortoxicity.Primary endpoint:independent,centrallyconfirmed ORR(cohort A);secondary endpoints:ORR(cohorts B,C;cohorts A and B combined);DOR,disease control rate(DCR),progression freesurvival(PFS),OS,and safety.A post-hoc analysisin cohort A evaluated mOS in responders(pts

11、withcomplete response CR or partial response PR)vs non-responders(pts with progressive diseasePD or stable disease(SD).Results:At cutoff,147pts were enrolled(cohort A,n=108;B,n=20;C,n=17;FGF/FGFR status undetermined,n=2);median follow-up was 30.4(range,4.938.7)moand median treatment duration was 5.9

12、(0.236.5)mo.In cohort A,9.3%of pts remained on therapyat cutoff;in cohorts B and C,all pts haddiscontinued.Pts discontinued mainly for PD(67.6%,75%,and 64.7%in cohorts A,B,and Crespectively).Independent,centrally confirmedORR was 37.0%;mOS was 17.5 mo(95%CI,14.4-ADVERTISEMENTBy The ASCO Post et al.,

13、KidneyCancer,2018Systemic therapy for advancedcholangiocarcinoma:new options onthe horizonSaleh A.Alqahtani et al.,HepatomaResearch-OAE Publishing,2020Durable ibrutinib responses inrelapsed/refractory marginal zonelymphoma:long-term follow-up andbiomarker analysisAriela Noy et al.,Blood Advances,202

14、0Zanubrutinib Monotherapy forRelapsed or Refractory Non-Germinal Center Diffuse Large B-CellLymphomaHaiyan Yang et al.,Blood AdvancesUncoupling fibroblast growth factorreceptor 2 ligand binding specificityleads to Apert syndrome-likephenotypes.K Yu et al.,Proc Natl Acad Sci U S A,2001Tislelizumab Pl

15、us Chemotherapy vsChemotherapy Alone as First-lineTreatment for Advanced SquamousNonSmall-Cell Lung Cancer:APhase 3 Randomized Clinical TrialJie Wang et al.,JAMA Oncology,2021Powered by22.9)in cohort A(Table 1).mOS for responders(n=40)vs non-responders(n=68)was 30.1(95%CI,21.5-NE)mo vs 13.7(9.6-16.1

16、)mo.Overall,mostcommon all-cause treatment-emergent adverseevents(TEAEs)were hyperphosphatemia(58.5%;grade 3,0%),alopecia(49.7%;0%),diarrhea(46.9%;3.4%),fatigue(43.5%;5.4%),nausea(41.5%;2%),and dysgeusia(40.8%;0%);10.2%,13.6%and 42.2%of pts discontinued,had dosereduction,and treatment interruption d

17、ue toTEAEs,respectively.Conclusions:These resultsreinforce the primary data,showing continued,durable responses and sustained tolerability in ptsreceiving PEMI for CCA harboring FGFR2rearrangements/fusions.Notably,the matured OSis longer than historical data;OS for responderswas more than twice as l

18、ong vs for non-responders.Clinical trial information:NCT02924376.Efficacy.Cohort A(n=108)B(n=20)C(n=17)Cohort A(n=108)B(n=20)C(n=17)Best ORR 37.0(27.946.9)0.0(0.016.8)0.0(0.019.5)CR 4(3.7)0 0 PR 36(33.3)0 0 SD 49(45.4)8(40.0)3(17.6)PD 16(14.8)7(35.0)11(64.7)NE 3(2.8)5(25.0)3(17.6)mDOR 8.1(5.713.1)NE

19、 NE DCR 82.4(73.989.1)40.0(19.163.9)17.6(3.843.4)mPFS 7.0(6.110.5)2.1(1.24.9)1.5(1.41.8)mOS 17.5(14.422.9)6.7(2.110.5)4.0(2.04.6)NE,not evaluable;Data are%(95%CI),n(%),ormonths(95%CI).2021 by American Society of Clinical OncologyResearch Sponsor:Incyte CorporationQUICK LINKSContentResourcesASCO FAMI

20、LY OF SITESJournalsEducationNewest Articles Archive Meeting AbstractsJournal InformationAbout Editorial Roster Contact Us PermissionsAuthors Reviewers Subscribers Institutions AdvertisersSubmit Your ManuscriptSubscribe to this JournalJournal of Clinical Oncology JCO Oncology Practice JCO Global Onco

21、logy JCO Clinical Cancer Informatics JCO Precision OncologyPublicationsASCO Educational Book ASCO Daily News ASCO Connection The ASCO Post ASCO eLearning ASCO Meetings Cancer.NetOther SitesASCO.org ASCO Author Services ASCO Career Center CancerLinQ Conquer Cancer Foundation TAPUR Study American Society of Clinical Oncology2318 Mill Road,Suite 800,Alexandria,VA 22314 2021 American Society of Clinical Oncology Terms of Use|Privacy Policy|Cookies

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