Disease-Free Survival: Period after successful treatment in which there is no appearance of the symptoms or effects of the disease.Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Neoplasm Staging: Methods which attempt to express in replicable terms the extent of the neoplasm in the patient.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Survival Analysis: A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Neoplasm Recurrence, Local: The local recurrence of a neoplasm following treatment. It arises from microscopic cells of the original neoplasm that have escaped therapeutic intervention and later become clinically visible at the original site.Combined Modality Therapy: The treatment of a disease or condition by several different means simultaneously or sequentially. Chemoimmunotherapy, RADIOIMMUNOTHERAPY, chemoradiotherapy, cryochemotherapy, and SALVAGE THERAPY are seen most frequently, but their combinations with each other and surgery are also used.Breast Neoplasms: Tumors or cancer of the human BREAST.Kaplan-Meier Estimate: A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Antineoplastic Combined Chemotherapy Protocols: The use of two or more chemicals simultaneously or sequentially in the drug therapy of neoplasms. The drugs need not be in the same dosage form.Tumor Markers, Biological: Molecular products metabolized and secreted by neoplastic tissue and characterized biochemically in cells or body fluids. They are indicators of tumor stage and grade as well as useful for monitoring responses to treatment and predicting recurrence. Many chemical groups are represented including hormones, antigens, amino and nucleic acids, enzymes, polyamines, and specific cell membrane proteins and lipids.Chemotherapy, Adjuvant: Drug therapy given to augment or stimulate some other form of treatment such as surgery or radiation therapy. Adjuvant chemotherapy is commonly used in the therapy of cancer and can be administered before or after the primary treatment.Lymphatic Metastasis: Transfer of a neoplasm from its primary site to lymph nodes or to distant parts of the body by way of the lymphatic system.Radiotherapy, Adjuvant: Radiotherapy given to augment some other form of treatment such as surgery or chemotherapy. Adjuvant radiotherapy is commonly used in the therapy of cancer and can be administered before or after the primary treatment.Immunohistochemistry: Histochemical localization of immunoreactive substances using labeled antibodies as reagents.Cell Survival: The span of viability of a cell characterized by the capacity to perform certain functions such as metabolism, growth, reproduction, some form of responsiveness, and adaptability.Proportional Hazards Models: Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.Radiotherapy Dosage: The total amount of radiation absorbed by tissues as a result of radiotherapy.Fluorouracil: A pyrimidine analog that is an antineoplastic antimetabolite. It interferes with DNA synthesis by blocking the THYMIDYLATE SYNTHETASE conversion of deoxyuridylic acid to thymidylic acid.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Carcinoma, Squamous Cell: A carcinoma derived from stratified SQUAMOUS EPITHELIAL CELLS. It may also occur in sites where glandular or columnar epithelium is normally present. (From Stedman, 25th ed)Neoplasm Invasiveness: Ability of neoplasms to infiltrate and actively destroy surrounding tissue.Cyclophosphamide: Precursor of an alkylating nitrogen mustard antineoplastic and immunosuppressive agent that must be activated in the LIVER to form the active aldophosphamide. It has been used in the treatment of LYMPHOMA and LEUKEMIA. Its side effect, ALOPECIA, has been used for defleecing sheep. Cyclophosphamide may also cause sterility, birth defects, mutations, and cancer.Colorectal Neoplasms: Tumors or cancer of the COLON or the RECTUM or both. Risk factors for colorectal cancer include chronic ULCERATIVE COLITIS; FAMILIAL POLYPOSIS COLI; exposure to ASBESTOS; and irradiation of the CERVIX UTERI.Carcinoma, Ductal, Breast: An invasive (infiltrating) CARCINOMA of the mammary ductal system (MAMMARY GLANDS) in the human BREAST.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Carcinoma: A malignant neoplasm made up of epithelial cells tending to infiltrate the surrounding tissues and give rise to metastases. It is a histological type of neoplasm but is often wrongly used as a synonym for "cancer." (From Dorland, 27th ed)Recurrence: The return of a sign, symptom, or disease after a remission.Liver Neoplasms: Tumors or cancer of the LIVER.Adenocarcinoma: A malignant epithelial tumor with a glandular organization.Immunoenzyme Techniques: Immunologic techniques based on the use of: (1) enzyme-antibody conjugates; (2) enzyme-antigen conjugates; (3) antienzyme antibody followed by its homologous enzyme; or (4) enzyme-antienzyme complexes. These are used histologically for visualizing or labeling tissue specimens.Receptors, Estrogen: Cytoplasmic proteins that bind estrogens and migrate to the nucleus where they regulate DNA transcription. Evaluation of the state of estrogen receptors in breast cancer patients has become clinically important.Receptor, erbB-2: A cell surface protein-tyrosine kinase receptor that is overexpressed in a variety of ADENOCARCINOMAS. It has extensive homology to and heterodimerizes with the EGF RECEPTOR, the ERBB-3 RECEPTOR, and the ERBB-4 RECEPTOR. Activation of the erbB-2 receptor occurs through heterodimer formation with a ligand-bound erbB receptor family member.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Gene Expression Regulation, Neoplastic: Any of the processes by which nuclear, cytoplasmic, or intercellular factors influence the differential control of gene action in neoplastic tissue.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Survival: Continuance of life or existence especially under adverse conditions; includes methods and philosophy of survival.Neoplasm Metastasis: The transfer of a neoplasm from one organ or part of the body to another remote from the primary site.Cisplatin: An inorganic and water-soluble platinum complex. After undergoing hydrolysis, it reacts with DNA to produce both intra and interstrand crosslinks. These crosslinks appear to impair replication and transcription of DNA. The cytotoxicity of cisplatin correlates with cellular arrest in the G2 phase of the cell cycle.Lung Neoplasms: Tumors or cancer of the LUNG.Antineoplastic Agents: Substances that inhibit or prevent the proliferation of NEOPLASMS.Graft Survival: The survival of a graft in a host, the factors responsible for the survival and the changes occurring within the graft during growth in the host.Neoplasm Grading: Methods which attempt to express in replicable terms the level of CELL DIFFERENTIATION in neoplasms as increasing ANAPLASIA correlates with the aggressiveness of the neoplasm.Vincristine: An antitumor alkaloid isolated from VINCA ROSEA. (Merck, 11th ed.)Doxorubicin: Antineoplastic antibiotic obtained from Streptomyces peucetius. It is a hydroxy derivative of DAUNORUBICIN.Neoadjuvant Therapy: Preliminary cancer therapy (chemotherapy, radiation therapy, hormone/endocrine therapy, immunotherapy, hyperthermia, etc.) that precedes a necessary second modality of treatment.Bone Neoplasms: Tumors or cancer located in bone tissue or specific BONES.Remission Induction: Therapeutic act or process that initiates a response to a complete or partial remission level.Disease Progression: The worsening of a disease over time. This concept is most often used for chronic and incurable diseases where the stage of the disease is an important determinant of therapy and prognosis.Etoposide: A semisynthetic derivative of PODOPHYLLOTOXIN that exhibits antitumor activity. Etoposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent entry into the mitotic phase of cell division, and lead to cell death. Etoposide acts primarily in the G2 and S phases of the cell cycle.Chemoradiotherapy: Treatment that combines chemotherapy with radiotherapy.Drug Administration Schedule: Time schedule for administration of a drug in order to achieve optimum effectiveness and convenience.Carcinoma, Non-Small-Cell Lung: A heterogeneous aggregate of at least three distinct histological types of lung cancer, including SQUAMOUS CELL CARCINOMA; ADENOCARCINOMA; and LARGE CELL CARCINOMA. They are dealt with collectively because of their shared treatment strategy.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Ovarian Neoplasms: Tumors or cancer of the OVARY. These neoplasms can be benign or malignant. They are classified according to the tissue of origin, such as the surface EPITHELIUM, the stromal endocrine cells, and the totipotent GERM CELLS.Salvage Therapy: A therapeutic approach, involving chemotherapy, radiation therapy, or surgery, after initial regimens have failed to lead to improvement in a patient's condition. Salvage therapy is most often used for neoplastic diseases.Receptors, Progesterone: Specific proteins found in or on cells of progesterone target tissues that specifically combine with progesterone. The cytosol progesterone-receptor complex then associates with the nucleic acids to initiate protein synthesis. There are two kinds of progesterone receptors, A and B. Both are induced by estrogen and have short half-lives.Methotrexate: An antineoplastic antimetabolite with immunosuppressant properties. It is an inhibitor of TETRAHYDROFOLATE DEHYDROGENASE and prevents the formation of tetrahydrofolate, necessary for synthesis of thymidylate, an essential component of DNA.Sarcoma: A connective tissue neoplasm formed by proliferation of mesodermal cells; it is usually highly malignant.Radiotherapy: The use of IONIZING RADIATION to treat malignant NEOPLASMS and some benign conditions.Head and Neck Neoplasms: Soft tissue tumors or cancer arising from the mucosal surfaces of the LIP; oral cavity; PHARYNX; LARYNX; and cervical esophagus. Other sites included are the NOSE and PARANASAL SINUSES; SALIVARY GLANDS; THYROID GLAND and PARATHYROID GLANDS; and MELANOMA and non-melanoma skin cancers of the head and neck. (from Holland et al., Cancer Medicine, 4th ed, p1651)Free Radicals: Highly reactive molecules with an unsatisfied electron valence pair. Free radicals are produced in both normal and pathological processes. They are proven or suspected agents of tissue damage in a wide variety of circumstances including radiation, damage from environment chemicals, and aging. Natural and pharmacological prevention of free radical damage is being actively investigated.Lymphoma, Non-Hodgkin: Any of a group of malignant tumors of lymphoid tissue that differ from HODGKIN DISEASE, being more heterogeneous with respect to malignant cell lineage, clinical course, prognosis, and therapy. The only common feature among these tumors is the absence of giant REED-STERNBERG CELLS, a characteristic of Hodgkin's disease.Prednisone: A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver.Lymph Node Excision: Surgical excision of one or more lymph nodes. Its most common use is in cancer surgery. (From Dorland, 28th ed, p966)Brachytherapy: A collective term for interstitial, intracavity, and surface radiotherapy. It uses small sealed or partly-sealed sources that may be placed on or near the body surface or within a natural body cavity or implanted directly into the tissues.Actuarial Analysis: The application of probability and statistical methods to calculate the risk of occurrence of any event, such as onset of illness, recurrent disease, hospitalization, disability, or death. It may include calculation of the anticipated money costs of such events and of the premiums necessary to provide for payment of such costs.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Carboplatin: An organoplatinum compound that possesses antineoplastic activity.Hodgkin Disease: A malignant disease characterized by progressive enlargement of the lymph nodes, spleen, and general lymphoid tissue. In the classical variant, giant usually multinucleate Hodgkin's and REED-STERNBERG CELLS are present; in the nodular lymphocyte predominant variant, lymphocytic and histiocytic cells are seen.Carcinoma, Hepatocellular: A primary malignant neoplasm of epithelial liver cells. It ranges from a well-differentiated tumor with EPITHELIAL CELLS indistinguishable from normal HEPATOCYTES to a poorly differentiated neoplasm. The cells may be uniform or markedly pleomorphic, or form GIANT CELLS. Several classification schemes have been suggested.Lymph Nodes: They are oval or bean shaped bodies (1 - 30 mm in diameter) located along the lymphatic system.Neoplasms, Germ Cell and Embryonal: Neoplasms composed of primordial GERM CELLS of embryonic GONADS or of elements of the germ layers of the EMBRYO, MAMMALIAN. The concept does not refer to neoplasms located in the gonads or present in an embryo or FETUS.Neoplasm Proteins: Proteins whose abnormal expression (gain or loss) are associated with the development, growth, or progression of NEOPLASMS. Some neoplasm proteins are tumor antigens (ANTIGENS, NEOPLASM), i.e. they induce an immune reaction to their tumor. Many neoplasm proteins have been characterized and are used as tumor markers (BIOMARKERS, TUMOR) when they are detectable in cells and body fluids as monitors for the presence or growth of tumors. Abnormal expression of ONCOGENE PROTEINS is involved in neoplastic transformation, whereas the loss of expression of TUMOR SUPPRESSOR PROTEINS is involved with the loss of growth control and progression of the neoplasm.Hematopoietic Stem Cell Transplantation: Transfer of HEMATOPOIETIC STEM CELLS from BONE MARROW or BLOOD between individuals within the same species (TRANSPLANTATION, HOMOLOGOUS) or transfer within the same individual (TRANSPLANTATION, AUTOLOGOUS). Hematopoietic stem cell transplantation has been used as an alternative to BONE MARROW TRANSPLANTATION in the treatment of a variety of neoplasms.Pancreatic Neoplasms: Tumors or cancer of the PANCREAS. Depending on the types of ISLET CELLS present in the tumors, various hormones can be secreted: GLUCAGON from PANCREATIC ALPHA CELLS; INSULIN from PANCREATIC BETA CELLS; and SOMATOSTATIN from the SOMATOSTATIN-SECRETING CELLS. Most are malignant except the insulin-producing tumors (INSULINOMA).Transplantation, Autologous: Transplantation of an individual's own tissue from one site to another site.Osteosarcoma: A sarcoma originating in bone-forming cells, affecting the ends of long bones. It is the most common and most malignant of sarcomas of the bones, and occurs chiefly among 10- to 25-year-old youths. (From Stedman, 25th ed)Neoplasm, Residual: Remnant of a tumor or cancer after primary, potentially curative therapy. (Dr. Daniel Masys, written communication)Transplantation, Homologous: Transplantation between individuals of the same species. Usually refers to genetically disparate individuals in contradistinction to isogeneic transplantation for genetically identical individuals.Paclitaxel: A cyclodecane isolated from the bark of the Pacific yew tree, TAXUS BREVIFOLIA. It stabilizes MICROTUBULES in their polymerized form leading to cell death.Brain Neoplasms: Neoplasms of the intracranial components of the central nervous system, including the cerebral hemispheres, basal ganglia, hypothalamus, thalamus, brain stem, and cerebellum. Brain neoplasms are subdivided into primary (originating from brain tissue) and secondary (i.e., metastatic) forms. Primary neoplasms are subdivided into benign and malignant forms. In general, brain tumors may also be classified by age of onset, histologic type, or presenting location in the brain.Stomach Neoplasms: Tumors or cancer of the STOMACH.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Tamoxifen: One of the SELECTIVE ESTROGEN RECEPTOR MODULATORS with tissue-specific activities. Tamoxifen acts as an anti-estrogen (inhibiting agent) in the mammary tissue, but as an estrogen (stimulating agent) in cholesterol metabolism, bone density, and cell proliferation in the ENDOMETRIUM.Antineoplastic Agents, Hormonal: Antineoplastic agents that are used to treat hormone-sensitive tumors. Hormone-sensitive tumors may be hormone-dependent, hormone-responsive, or both. A hormone-dependent tumor regresses on removal of the hormonal stimulus, by surgery or pharmacological block. Hormone-responsive tumors may regress when pharmacologic amounts of hormones are administered regardless of whether previous signs of hormone sensitivity were observed. The major hormone-responsive cancers include carcinomas of the breast, prostate, and endometrium; lymphomas; and certain leukemias. (From AMA Drug Evaluations Annual 1994, p2079)Rectal Neoplasms: Tumors or cancer of the RECTUM.Antibodies, Monoclonal: Antibodies produced by a single clone of cells.Uterine Cervical Neoplasms: Tumors or cancer of the UTERINE CERVIX.Dose Fractionation: Administration of the total dose of radiation (RADIATION DOSAGE) in parts, at timed intervals.Cell Line, Tumor: A cell line derived from cultured tumor cells.Reverse Transcriptase Polymerase Chain Reaction: A variation of the PCR technique in which cDNA is made from RNA via reverse transcription. The resultant cDNA is then amplified using standard PCR protocols.Mediastinal Neoplasms: Tumors or cancer of the MEDIASTINUM.DeoxycytidineApoptosis: One of the mechanisms by which CELL DEATH occurs (compare with NECROSIS and AUTOPHAGOCYTOSIS). Apoptosis is the mechanism responsible for the physiological deletion of cells and appears to be intrinsically programmed. It is characterized by distinctive morphologic changes in the nucleus and cytoplasm, chromatin cleavage at regularly spaced sites, and the endonucleolytic cleavage of genomic DNA; (DNA FRAGMENTATION); at internucleosomal sites. This mode of cell death serves as a balance to mitosis in regulating the size of animal tissues and in mediating pathologic processes associated with tumor growth.Organoplatinum Compounds: Organic compounds which contain platinum as an integral part of the molecule.Melanoma: A malignant neoplasm derived from cells that are capable of forming melanin, which may occur in the skin of any part of the body, in the eye, or, rarely, in the mucous membranes of the genitalia, anus, oral cavity, or other sites. It occurs mostly in adults and may originate de novo or from a pigmented nevus or malignant lentigo. Melanomas frequently metastasize widely, and the regional lymph nodes, liver, lungs, and brain are likely to be involved. The incidence of malignant skin melanomas is rising rapidly in all parts of the world. (Stedman, 25th ed; from Rook et al., Textbook of Dermatology, 4th ed, p2445)Kidney Neoplasms: Tumors or cancers of the KIDNEY.Hepatectomy: Excision of all or part of the liver. (Dorland, 28th ed)Testicular Neoplasms: Tumors or cancer of the TESTIS. Germ cell tumors (GERMINOMA) of the testis constitute 95% of all testicular neoplasms.Leucovorin: The active metabolite of FOLIC ACID. Leucovorin is used principally as an antidote to FOLIC ACID ANTAGONISTS.Radiotherapy, Intensity-Modulated: CONFORMAL RADIOTHERAPY that combines several intensity-modulated beams to provide improved dose homogeneity and highly conformal dose distributions.Adenocarcinoma, Mucinous: An adenocarcinoma producing mucin in significant amounts. (From Dorland, 27th ed)Antineoplastic Agents, Alkylating: A class of drugs that differs from other alkylating agents used clinically in that they are monofunctional and thus unable to cross-link cellular macromolecules. Among their common properties are a requirement for metabolic activation to intermediates with antitumor efficacy and the presence in their chemical structures of N-methyl groups, that after metabolism, can covalently modify cellular DNA. The precise mechanisms by which each of these drugs acts to kill tumor cells are not completely understood. (From AMA, Drug Evaluations Annual, 1994, p2026)Antimetabolites, Antineoplastic: Antimetabolites that are useful in cancer chemotherapy.Cell Proliferation: All of the processes involved in increasing CELL NUMBER including CELL DIVISION.Antibodies, Monoclonal, Humanized: Antibodies from non-human species whose protein sequences have been modified to make them nearly identical with human antibodies. If the constant region and part of the variable region are replaced, they are called humanized. If only the constant region is modified they are called chimeric. INN names for humanized antibodies end in -zumab.Ki-67 Antigen: A CELL CYCLE and tumor growth marker which can be readily detected using IMMUNOCYTOCHEMISTRY methods. Ki-67 is a nuclear antigen present only in the nuclei of cycling cells.Bleomycin: A complex of related glycopeptide antibiotics from Streptomyces verticillus consisting of bleomycin A2 and B2. It inhibits DNA metabolism and is used as an antineoplastic, especially for solid tumors.Mastectomy: Surgical procedure to remove one or both breasts.Mutation: Any detectable and heritable change in the genetic material that causes a change in the GENOTYPE and which is transmitted to daughter cells and to succeeding generations.Prostatic Neoplasms: Tumors or cancer of the PROSTATE.Tumor Burden: The total amount (cell number, weight, size or volume) of tumor cells or tissue in the body.Soft Tissue Neoplasms: Neoplasms of whatever cell type or origin, occurring in the extraskeletal connective tissue framework of the body including the organs of locomotion and their various component structures, such as nerves, blood vessels, lymphatics, etc.Carcinoma, Renal Cell: A heterogeneous group of sporadic or hereditary carcinoma derived from cells of the KIDNEYS. There are several subtypes including the clear cells, the papillary, the chromophobe, the collecting duct, the spindle cells (sarcomatoid), or mixed cell-type carcinoma.Nasopharyngeal Neoplasms: Tumors or cancer of the NASOPHARYNX.Bone Marrow Transplantation: The transference of BONE MARROW from one human or animal to another for a variety of purposes including HEMATOPOIETIC STEM CELL TRANSPLANTATION or MESENCHYMAL STEM CELL TRANSPLANTATION.Neoplasms, Glandular and Epithelial: Neoplasms composed of glandular tissue, an aggregation of epithelial cells that elaborate secretions, and of any type of epithelium itself. The concept does not refer to neoplasms located in the various glands or in epithelial tissue.Glioblastoma: A malignant form of astrocytoma histologically characterized by pleomorphism of cells, nuclear atypia, microhemorrhage, and necrosis. They may arise in any region of the central nervous system, with a predilection for the cerebral hemispheres, basal ganglia, and commissural pathways. Clinical presentation most frequently occurs in the fifth or sixth decade of life with focal neurologic signs or seizures.Urinary Bladder Neoplasms: Tumors or cancer of the URINARY BLADDER.Gastrointestinal Neoplasms: Tumors or cancer of the GASTROINTESTINAL TRACT, from the MOUTH to the ANAL CANAL.Dose-Response Relationship, Drug: The relationship between the dose of an administered drug and the response of the organism to the drug.Tissue Array Analysis: The simultaneous analysis of multiple samples of TISSUES or CELLS from BIOPSY or in vitro culture that have been arranged in an array format on slides or microchips.Multiple Myeloma: A malignancy of mature PLASMA CELLS engaging in monoclonal immunoglobulin production. It is characterized by hyperglobulinemia, excess Bence-Jones proteins (free monoclonal IMMUNOGLOBULIN LIGHT CHAINS) in the urine, skeletal destruction, bone pain, and fractures. Other features include ANEMIA; HYPERCALCEMIA; and RENAL INSUFFICIENCY.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Radiotherapy, Conformal: Radiotherapy where there is improved dose homogeneity within the tumor and reduced dosage to uninvolved structures. The precise shaping of dose distribution is achieved via the use of computer-controlled multileaf collimators.Skin Neoplasms: Tumors or cancer of the SKIN.Precursor Cell Lymphoblastic Leukemia-Lymphoma: A neoplasm characterized by abnormalities of the lymphoid cell precursors leading to excessive lymphoblasts in the marrow and other organs. It is the most common cancer in children and accounts for the vast majority of all childhood leukemias.Endometrial Neoplasms: Tumors or cancer of ENDOMETRIUM, the mucous lining of the UTERUS. These neoplasms can be benign or malignant. Their classification and grading are based on the various cell types and the percent of undifferentiated cells.Clinical Trials as Topic: Works about pre-planned studies of the safety, efficacy, or optimum dosage schedule (if appropriate) of one or more diagnostic, therapeutic, or prophylactic drugs, devices, or techniques selected according to predetermined criteria of eligibility and observed for predefined evidence of favorable and unfavorable effects. This concept includes clinical trials conducted both in the U.S. and in other countries.Drug Resistance, Neoplasm: Resistance or diminished response of a neoplasm to an antineoplastic agent in humans, animals, or cell or tissue cultures.Signal Transduction: The intracellular transfer of information (biological activation/inhibition) through a signal pathway. In each signal transduction system, an activation/inhibition signal from a biologically active molecule (hormone, neurotransmitter) is mediated via the coupling of a receptor/enzyme to a second messenger system or to an ion channel. Signal transduction plays an important role in activating cellular functions, cell differentiation, and cell proliferation. Examples of signal transduction systems are the GAMMA-AMINOBUTYRIC ACID-postsynaptic receptor-calcium ion channel system, the receptor-mediated T-cell activation pathway, and the receptor-mediated activation of phospholipases. Those coupled to membrane depolarization or intracellular release of calcium include the receptor-mediated activation of cytotoxic functions in granulocytes and the synaptic potentiation of protein kinase activation. Some signal transduction pathways may be part of larger signal transduction pathways; for example, protein kinase activation is part of the platelet activation signal pathway.Egypt: A country in northern Africa, bordering the Mediterranean Sea, between Libya and the Gaza Strip, and the Red Sea north of Sudan, and includes the Asian Sinai Peninsula Its capital is Cairo.Ifosfamide: Positional isomer of CYCLOPHOSPHAMIDE which is active as an alkylating agent and an immunosuppressive agent.Antibodies, Monoclonal, Murine-Derived: Antibodies obtained from a single clone of cells grown in mice or rats.Peripheral Blood Stem Cell Transplantation: Transplantation of stem cells collected from the peripheral blood. It is a less invasive alternative to direct marrow harvesting of hematopoietic stem cells. Enrichment of stem cells in peripheral blood can be achieved by inducing mobilization of stem cells from the BONE MARROW.Tumor Suppressor Protein p53: Nuclear phosphoprotein encoded by the p53 gene (GENES, P53) whose normal function is to control CELL PROLIFERATION and APOPTOSIS. A mutant or absent p53 protein has been found in LEUKEMIA; OSTEOSARCOMA; LUNG CANCER; and COLORECTAL CANCER.Taxoids: A group of diterpenoid CYCLODECANES named for the taxanes that were discovered in the TAXUS tree. The action on MICROTUBULES has made some of them useful as ANTINEOPLASTIC AGENTS.Gene Expression Profiling: The determination of the pattern of genes expressed at the level of GENETIC TRANSCRIPTION, under specific circumstances or in a specific cell.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Colonic Neoplasms: Tumors or cancer of the COLON.Antineoplastic Agents, Phytogenic: Agents obtained from higher plants that have demonstrable cytostatic or antineoplastic activity.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.Receptor, Epidermal Growth Factor: A cell surface receptor involved in regulation of cell growth and differentiation. It is specific for EPIDERMAL GROWTH FACTOR and EGF-related peptides including TRANSFORMING GROWTH FACTOR ALPHA; AMPHIREGULIN; and HEPARIN-BINDING EGF-LIKE GROWTH FACTOR. The binding of ligand to the receptor causes activation of its intrinsic tyrosine kinase activity and rapid internalization of the receptor-ligand complex into the cell.Cytarabine: A pyrimidine nucleoside analog that is used mainly in the treatment of leukemia, especially acute non-lymphoblastic leukemia. Cytarabine is an antimetabolite antineoplastic agent that inhibits the synthesis of DNA. Its actions are specific for the S phase of the cell cycle. It also has antiviral and immunosuppressant properties. (From Martindale, The Extra Pharmacopoeia, 30th ed, p472)Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Protein Kinase Inhibitors: Agents that inhibit PROTEIN KINASES.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Cells, Cultured: Cells propagated in vitro in special media conducive to their growth. Cultured cells are used to study developmental, morphologic, metabolic, physiologic, and genetic processes, among others.RNA, Messenger: RNA sequences that serve as templates for protein synthesis. Bacterial mRNAs are generally primary transcripts in that they do not require post-transcriptional processing. Eukaryotic mRNA is synthesized in the nucleus and must be exported to the cytoplasm for translation. Most eukaryotic mRNAs have a sequence of polyadenylic acid at the 3' end, referred to as the poly(A) tail. The function of this tail is not known for certain, but it may play a role in the export of mature mRNA from the nucleus as well as in helping stabilize some mRNA molecules by retarding their degradation in the cytoplasm.Antigens, Neoplasm: Proteins, glycoprotein, or lipoprotein moieties on surfaces of tumor cells that are usually identified by monoclonal antibodies. Many of these are of either embryonic or viral origin.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Mice, Inbred C57BLRisk: The probability that an event will occur. It encompasses a variety of measures of the probability of a generally unfavorable outcome.Angiogenesis Inhibitors: Agents and endogenous substances that antagonize or inhibit the development of new blood vessels.Prostatectomy: Complete or partial surgical removal of the prostate. Three primary approaches are commonly employed: suprapubic - removal through an incision above the pubis and through the urinary bladder; retropubic - as for suprapubic but without entering the urinary bladder; and transurethral (TRANSURETHRAL RESECTION OF PROSTATE).Bone Marrow: The soft tissue filling the cavities of bones. Bone marrow exists in two types, yellow and red. Yellow marrow is found in the large cavities of large bones and consists mostly of fat cells and a few primitive blood cells. Red marrow is a hematopoietic tissue and is the site of production of erythrocytes and granular leukocytes. Bone marrow is made up of a framework of connective tissue containing branching fibers with the frame being filled with marrow cells.Free Radical Scavengers: Substances that influence the course of a chemical reaction by ready combination with free radicals. Among other effects, this combining activity protects pancreatic islets against damage by cytokines and prevents myocardial and pulmonary perfusion injuries.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Disease Models, Animal: Naturally occurring or experimentally induced animal diseases with pathological processes sufficiently similar to those of human diseases. They are used as study models for human diseases.Survival of Motor Neuron 1 Protein: A SMN complex protein that is essential for the function of the SMN protein complex. In humans the protein is encoded by a single gene found near the inversion telomere of a large inverted region of CHROMOSOME 5. Mutations in the gene coding for survival of motor neuron 1 protein may result in SPINAL MUSCULAR ATROPHIES OF CHILDHOOD.Mice, Knockout: Strains of mice in which certain GENES of their GENOMES have been disrupted, or "knocked-out". To produce knockouts, using RECOMBINANT DNA technology, the normal DNA sequence of the gene being studied is altered to prevent synthesis of a normal gene product. Cloned cells in which this DNA alteration is successful are then injected into mouse EMBRYOS to produce chimeric mice. The chimeric mice are then bred to yield a strain in which all the cells of the mouse contain the disrupted gene. Knockout mice are used as EXPERIMENTAL ANIMAL MODELS for diseases (DISEASE MODELS, ANIMAL) and to clarify the functions of the genes.Graft Rejection: An immune response with both cellular and humoral components, directed against an allogeneic transplant, whose tissue antigens are not compatible with those of the recipient.Cell Line: Established cell cultures that have the potential to propagate indefinitely.Models, Biological: Theoretical representations that simulate the behavior or activity of biological processes or diseases. For disease models in living animals, DISEASE MODELS, ANIMAL is available. Biological models include the use of mathematical equations, computers, and other electronic equipment.Mice, Inbred BALB CFree Tissue Flaps: A mass of tissue that has been cut away from its surrounding areas to be used in TISSUE TRANSPLANTATION.Microbial Viability: Ability of a microbe to survive under given conditions. This can also be related to a colony's ability to replicate.Cell Death: The termination of the cell's ability to carry out vital functions such as metabolism, growth, reproduction, responsiveness, and adaptability.Life Tables: Summarizing techniques used to describe the pattern of mortality and survival in populations. These methods can be applied to the study not only of death, but also of any defined endpoint such as the onset of disease or the occurrence of disease complications.Blotting, Western: Identification of proteins or peptides that have been electrophoretically separated by blot transferring from the electrophoresis gel to strips of nitrocellulose paper, followed by labeling with antibody probes.Kidney Transplantation: The transference of a kidney from one human or animal to another.Liver Transplantation: The transference of a part of or an entire liver from one human or animal to another.Proto-Oncogene Proteins: Products of proto-oncogenes. Normally they do not have oncogenic or transforming properties, but are involved in the regulation or differentiation of cell growth. They often have protein kinase activity.Tissue Survival: The span of viability of a tissue or an organ.Molecular Sequence Data: Descriptions of specific amino acid, carbohydrate, or nucleotide sequences which have appeared in the published literature and/or are deposited in and maintained by databanks such as GENBANK, European Molecular Biology Laboratory (EMBL), National Biomedical Research Foundation (NBRF), or other sequence repositories.Phosphorylation: The introduction of a phosphoryl group into a compound through the formation of an ester bond between the compound and a phosphorus moiety.Kinetics: The rate dynamics in chemical or physical systems.Mice, Transgenic: Laboratory mice that have been produced from a genetically manipulated EGG or EMBRYO, MAMMALIAN.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Calcium: A basic element found in nearly all organized tissues. It is a member of the alkaline earth family of metals with the atomic symbol Ca, atomic number 20, and atomic weight 40. Calcium is the most abundant mineral in the body and combines with phosphorus to form calcium phosphate in the bones and teeth. It is essential for the normal functioning of nerves and muscles and plays a role in blood coagulation (as factor IV) and in many enzymatic processes.SEER Program: A cancer registry mandated under the National Cancer Act of 1971 to operate and maintain a population-based cancer reporting system, reporting periodically estimates of cancer incidence and mortality in the United States. The Surveillance, Epidemiology, and End Results (SEER) Program is a continuing project of the National Cancer Institute of the National Institutes of Health. Among its goals, in addition to assembling and reporting cancer statistics, are the monitoring of annual cancer incident trends and the promoting of studies designed to identify factors amenable to cancer control interventions. (From National Cancer Institute, NIH Publication No. 91-3074, October 1990)Cell Differentiation: Progressive restriction of the developmental potential and increasing specialization of function that leads to the formation of specialized cells, tissues, and organs.Cell Division: The fission of a CELL. It includes CYTOKINESIS, when the CYTOPLASM of a cell is divided, and CELL NUCLEUS DIVISION.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Protein Binding: The process in which substances, either endogenous or exogenous, bind to proteins, peptides, enzymes, protein precursors, or allied compounds. Specific protein-binding measures are often used as assays in diagnostic assessments.Tumor Cells, Cultured: Cells grown in vitro from neoplastic tissue. If they can be established as a TUMOR CELL LINE, they can be propagated in cell culture indefinitely.Neurons: The basic cellular units of nervous tissue. Each neuron consists of a body, an axon, and dendrites. Their purpose is to receive, conduct, and transmit impulses in the NERVOUS SYSTEM.Phosphatidylinositol 3-Kinases: Phosphotransferases that catalyzes the conversion of 1-phosphatidylinositol to 1-phosphatidylinositol 3-phosphate. Many members of this enzyme class are involved in RECEPTOR MEDIATED SIGNAL TRANSDUCTION and regulation of vesicular transport with the cell. Phosphatidylinositol 3-Kinases have been classified both according to their substrate specificity and their mode of action within the cell.Immunosuppressive Agents: Agents that suppress immune function by one of several mechanisms of action. Classical cytotoxic immunosuppressants act by inhibiting DNA synthesis. Others may act through activation of T-CELLS or by inhibiting the activation of HELPER CELLS. While immunosuppression has been brought about in the past primarily to prevent rejection of transplanted organs, new applications involving mediation of the effects of INTERLEUKINS and other CYTOKINES are emerging.Tissue Donors: Individuals supplying living tissue, organs, cells, blood or blood components for transfer or transplantation to histocompatible recipients.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Heart Transplantation: The transference of a heart from one human or animal to another.United StatesRecombinant Proteins: Proteins prepared by recombinant DNA technology.RNA, Small Interfering: Small double-stranded, non-protein coding RNAs (21-31 nucleotides) involved in GENE SILENCING functions, especially RNA INTERFERENCE (RNAi). Endogenously, siRNAs are generated from dsRNAs (RNA, DOUBLE-STRANDED) by the same ribonuclease, Dicer, that generates miRNAs (MICRORNAS). The perfect match of the siRNAs' antisense strand to their target RNAs mediates RNAi by siRNA-guided RNA cleavage. siRNAs fall into different classes including trans-acting siRNA (tasiRNA), repeat-associated RNA (rasiRNA), small-scan RNA (scnRNA), and Piwi protein-interacting RNA (piRNA) and have different specific gene silencing functions.Probability: The study of chance processes or the relative frequency characterizing a chance process.
Permanent work incapacity, mortality and survival without work incapacity among occupations and social classes: a cohort study of ageing men in Geneva. (1/12094)BACKGROUND: The objective of this retrospective cohort study was to investigate the burden of disability and death in men, from middle age to age of retirement, among occupational groups and classes in Geneva. METHODS: Men were included if they resided in the Canton of Geneva, were 45 years of age in 1970-1972, and were not receiving a disability pension at the start of the follow-up. The cohort of 5137 men was followed up for 20 years and linked to national registers of disability pension allowance and of causes of death. RESULTS: There was a steep upward trend in incidence of permanent work incapacity with lower social class for all causes as well as for the seven causes of disability studied. Compared with professional occupations (social class I), the relative risk (RR) of permanent work incapacity was 11.4 for partly skilled and unskilled occupations (class IV+V) (95% confidence interval [CI]: 5.2-28.0). The social class gradient in mortality was in the same direction as that in work incapacity although much less steep (RR class IV+V to class I = 1.6, 95% CI : 1.1-2.2). Survival without work incapacity at the time of the 65th birthday ranged from only 57% in construction workers and labourers to 89% in science and related professionals. Unemployment in Geneva was below 1.5% during almost all the study period. CONCLUSIONS: Medically-ascertained permanent work incapacity and survival without work incapacity have shown considerably greater socioeconomic differentials than the mortality differentials. (+info)
Reirradiation combined with hyperthermia in recurrent breast cancer results in a worthwhile local palliation. (2/12094)Both experimental and clinical research have shown that hyperthermia (HT) gives valuable additional effects when applied in combination with radiotherapy (RT). The purpose of this study was evaluation of results in patients with recurrent breast cancer, treated at the Daniel den Hoed Cancer Center (DHCC) with reirradiation (re-RT; eight fractions of 4 Gy twice weekly) combined with HT. All 134 patients for whom such treatment was planned were included in the analysis. The complete response rate in 119 patients with macroscopic tumour was 71%. Including the 15 patients with microscopic disease, the local control rate was 73%. The median duration of local control was 32 months, and toxicity was acceptable. The complete response (CR) rate was higher, and the toxicity was less with the later developed 433-MHz HT technique compared with the 2450-MHz technique used initially. With this relatively well-tolerated treatment, palliation by local tumour control of a worthwhile duration is achieved in the majority of patients. The technique used for hyperthermia appeared to influence the achieved results. The value of HT in addition to this re-RT schedule has been confirmed by a prospective randomized trial in a similar patient group. In The Netherlands, this combined treatment is offered as standard to patients with breast cancer recurring in previously irradiated areas. (+info)
Immunologic proliferation marker Ki-S2 as prognostic indicator for lymph node-negative breast cancer. (3/12094)BACKGROUND: Proper treatment of lymph node-negative breast cancer depends on an accurate prognosis. To improve prognostic models for this disease, we evaluated whether an immunohistochemical marker for proliferating cells, Ki-S2 (a monoclonal antibody that binds to a 100-kd nuclear protein expressed in S, G2, and M phases of the cell cycle), is an accurate indicator of prognosis. METHODS: We studied 371 Swedish women with lymph node-negative breast cancer; the median follow-up time was 95 months. The fraction of tumor cells in S phase was assessed by flow cytometry, and tumor cell proliferation was measured immunohistochemically with the monoclonal antibodies Ki-S2 and Ki-S5 (directed against the nuclear antigen Ki-67). A combined prognostic index was calculated on the basis of the S-phase fraction, progesterone receptor content, and tumor size. RESULTS: In multivariate analyses that did or did not (263 and 332 observations, respectively) include the S-phase fraction and the combined prognostic index, the Ki-S2 labeling index (percentage of antibody-stained tumor cell nuclei) emerged as the most statistically significant predictor of overall survival, disease-specific survival, and disease-free survival (all two-sided P<.0001). In the risk group defined by a Ki-S2 labeling index of 10% or less, life expectancy was not statistically significantly different from that of age-matched women without breast cancer, whereas the group with a high Ki-S2 labeling index had an increased risk of mortality of up to 20-fold. CONCLUSIONS: Cellular proliferation is a major determinant of the biologic behavior of breast cancer. Prognosis is apparently best indicated by the percentage of cells in S through M phases of the cell cycle. Measurement of the Ki-S2 labeling index of a tumor sample may improve a clinician's ability to make an accurate prognosis and to identify patients with a low risk of recurrence who may not need adjuvant therapy. (+info)
T helper cell type 1-associated and cytotoxic T lymphocyte-mediated tumor immunity is impaired in interleukin 4-deficient mice. (4/12094)It is widely accepted that cellular immune responses are induced by CD4(+) T helper 1 (Th1) cells secreting interleukin (IL)-2 and interferon (IFN)-gamma. Tumor immunity is often mediated by cytotoxic T lymphocytes (CTLs) whose activation is supported by Th1 cytokines. Since IL-4 directs Th2 development and has been shown to inhibit Th1-dominated responses, we assumed that IL-4-deficient (IL-4(-/-)) mice would develop vigorous CTL-mediated tumor immunity compared with IL-4-competent (IL-4(+/+)) mice. Surprisingly, IL-4(-/-) mice were severely impaired to develop tumor immunity to both a mammary adenocarcinoma line and a colon carcinoma line. The lack of tumor immunity in IL-4(-/-) mice was associated with reduced IFN-gamma production, diminished levels of tumor-reactive serum IgG2a, and undetectable CTL activity, indicating a defective Th1 response in the absence of endogenous IL-4. Anti-IL-4 monoclonal antibody blocked tumor immunity in IL-4(+/+) mice when administered at the time of immunization but not at the time of challenge. Additionally, tumor immunity could be induced in IL-4(-/-) mice, if IL-4 was provided by gene-modified cells together with immunizing tumor cells. These results demonstrate that tumor immunity requires IL-4 in the priming phase for the generation of effector cells rather than for their maintenance and exclude secondary, developmental defects in the "knockout" strain. Together, our results demonstrate a novel and previously unanticipated role of IL-4 for the generation of Th1-associated, CTL-mediated tumor immunity. (+info)
Microvascular loops and networks as prognostic indicators in choroidal and ciliary body melanomas. (5/12094)BACKGROUND: Malignant melanoma of the ciliary body and choroid of the eye is a tumor that disseminates frequently, and 50% of the diagnosed patients die within 10 years. We investigated the hypothesis that, by histopathologic analysis of the arrangement of microvessels (i.e., small blood vessels) in loops and networks, we might be able to differentiate better those patients with a favorable prognosis from those with a poor prognosis. METHODS: We conducted a population-based, retrospective cohort study of melanoma-specific and all-cause mortality for 167 consecutive patients who had an eye surgically removed because of malignant choroidal or ciliary body melanoma during the period from 1972 through 1981. Microvascular loops and networks were evaluated independently by two pathologists who were unaware of patient outcome. RESULTS: Microvascular patterns could be assessed in 134 (80%) of 167 melanoma specimens. The 10-year probability of melanoma-specific survival was worse if microvascular loops (0.45 versus 0.83; two-sided P<.0001) and networks (0.41 versus 0.72, two-sided P<.0001) were present. In multivariate Cox regression analysis of melanoma-specific survival, the hazard ratios were 1.66 (95% confidence interval [CI] = 1.19-2.30) for the presence of loops and networks as a combined three-category variable, 2.36 (95% CI = 1.37-4.05) for the presence of epithelioid cells, 1.11 (95% CI = 1.03-1.19) for the largest basal tumor diameter (evaluated as a continuous variable), and 2.14 (95% CI = 1.25-3.67) for ciliary body involvement. CONCLUSIONS: Patients with malignant uveal melanoma who have a favorable prognosis can be distinguished from those with a poor prognosis by histopathologic analysis of microvascular patterns in uveal melanoma tumor specimens. (+info)
Trimodality therapy in stage III non-small cell lung cancer: prediction of recurrence by assessment of p185neu. (6/12094)In a trimodality treatment approach for stage III non-small cell lung cancer the prognostic impact of pretherapeutic p185neu assessment was evaluated. Fifty-four patients were admitted to chemotherapy followed by twice-daily radiation with concomittant low-dose chemotherapy and subsequent surgery. Immunohistochemical assessment of p185neu expression was performed in paraffin-embedded mediastinal lymph node metastases, by mediastinoscopy biopsy prior to therapy. Paraffin-embedded biopsies of mediastinal lymph node metastases were available in 33 cases. Seven out of eight patients with positive p185neu staining developed distant metastases, in contrast to seven out of 25 negative cases. Expression of p185neu in mediastinal lymph node metastases was a significant predictor for progression-free survival (p=0.047) and resulted mainly from significant differences in metastases-free survival (p185neu-positive versus p185neu-negative: median, 11 versus 19 months; 2- and 3-yr rates, 13% and 0% versus 40% and 32%; p=0.04). On the basis of these preliminary results it was concluded that further evaluation of p185neu expression in trials on neoadjuvant and adjuvant therapy is warranted. When the prognostic impact of p185neu in such trials with larger patient numbers is confirmed, this may contribute to the identification of stratification variables for future treatment approaches of non-small cell lung cancer. (+info)
Multimodality therapy for locally advanced and limited stage IV breast cancer: the impact of effective non-cross-resistance late-consolidation chemotherapy. (7/12094)To determine the effectiveness of non-cross-resistant late-consolidation chemotherapy in locally advanced breast cancer (LABC) and stage IV breast cancer, we review our experience with two regimens. Between 1985 and 1991, we enrolled 56 patients with LABC, who were treated with a doxorubicin-based adjuvant regimen, followed by a late-consolidation non-cross-resistant regimen containing methotrexate, 5-fluorouracil, cisplatin, and cyclophosphamide. Between 1985 and 1996, a total of 45 patients with limited stage IV breast cancer underwent surgical excision of all evaluable disease, making them metastatic (stage IV) with no evaluable disease. Surgery was followed by a doxorubicin-containing regimen and then a late-consolidation non-cross-resistant regimen, which was either methotrexate, 5-fluorouracil, cisplatinum, and cyclophosphamide or 5-fluorouracil, mitomycin, etoposide, and cisplatin. Twenty-four patients with limited bone metastases that were unresectable were treated with a doxorubicin-containing regimen, radiation therapy to all sites of disease, and then one of the two late non-cross-resistant regimens. With a median follow-up of 84 months, 78% of patients with LABC are alive, and 68% are free of disease. After a median follow-up of 44 months, 53% of patients with stage IV with no evaluable disease are alive and free of disease. The use of non-cross-resistant late-consolidation chemotherapy is an effective strategy in the treatment of patients with LABC and selected patients with limited stage IV breast cancer. (+info)
Combined modality therapy of lung cancer. (8/12094)Combined modality therapy for lung cancer was first demonstrated to be successful in limited-stage small cell lung cancer. Concurrent administration of chemotherapy with chest and elective brain irradiation appears to produce the best results, with cisplatin/etoposide as the core chemotherapy. Using such programs, 2-year survival in the 40% range and 5-year survivals in excess of 20% may be expected, based on the results of multiple studies. Attempts to improve on these results through the use of altered schemes of chest irradiation or the delivery of high-dose consolidation chemotherapy are ongoing but to date have not been shown to affect survival significantly. We remain at a plateau in the effectiveness of combined modality therapy for small cell lung cancer, with little evidence that it impacts survival at all in extensive-stage disease. The incorporation of new agents in combination chemotherapy regimens, more "specific" immunotherapy directed at tumor-associated antigens, and the potential adjunctive use of broad-spectrum neuropeptide antagonists offer promise for the future. In non-small cell lung cancer, the sequential use of platinum-based chemotherapy and chest irradiation appears superior in survival to standard, daily fractionated radiation therapy used alone, with long-term survival increased from 5-10% to 15-20%. Concurrent administration of chemotherapy with cisplatin/etoposide and chest irradiation produces 2-year survival in the range of 30%, about twice that would be expected for radiation therapy alone, but has not been compared to it in the setting of a randomized trial. Low-dose cisplatin on a daily basis has been combined as a "sensitizer" with chest irradiation, producing initial results that appeared encouraging. However, these have not been reproduced in subsequent, randomized trials. Another approach to combined modalities has been to give chemotherapy or chemotherapy/radiation therapy as induction, followed by surgical resection, with or without subsequent additional treatment. Most patients (80-85%) can be resected, with encouraging survival at 2 and 3 years in the Southwest Oncology Group experience (37 and 26%, respectively). However, toxicity is greater, and such an approach is associated with an overall mortality risk in the range of 10%. A current intergroup study attempts to define the role of surgery in this setting. The major recent development that is likely to influence the future of combined modality therapy for this disease is the advent of multiple new chemotherapeutic agents, such as the taxanes, gemcitabine, vinorelbine, and the topoisomerase-I inhibitors, which have activity in stage IV disease. The immediate challenge is how to combine these agents with platinum analogues, radiation, and surgery. Aiding this process may be the use of molecular biological "markers" that may predict the chance of success or failure with a given systemic agent. The next decade is likely to see substantial improvements in the outcome of treatment for patients with stages I-III non-small cell lung cancer, based on the systemic exploration of combined modalities. (+info)
In this Phase III trial, 243 high risk patients were randomised to receive adjuvant RT (n=116) alone vs combined concurrent chemoradiotherapy (n=127). High risk patients were defined as Stage 1A2, 1B or 2A cervical malignancy with any of the following: positive pelvic lymph node, positive parametrium or positive surgical margin. Patients were randomised to receive pelvic radiotherapy (RT) or pelvic RT with 4 cycles of chemotherapy (CRT). Patients receiving RT were prescribed a dose 49.3Gy in 29 fractions, and chemotherapy consisted of 4 cycles of cisplatin (70 mg/m2, day 1) and infusional 5FU (1000mg/m2/day, days 1-4), with the first two cycles given concurrent with RT. The primary end point was overall survival, and secondary end points included progression-free survival, recurrence rates and toxicity. Data was analysed after a median follow-up of 42 months.r. ...
Overall survival (OAS) and disease-free survival (DFS) for TNBC patients who received 100% guideline-adherent adjuvant treatment, as stratified by age (|50 n
Disease-free survival curve (A) and overall survival curve (B) according to CD44s protein expression. CD44s expression correlates with a negative prognosis (A),
Bone Metastasis-Free Survival. The median follow-up was 67.2 months in the denosumab group and 67.3 months in the placebo group. Median bone metastasis-free survival was not reached in either group (hazard ratio [HR] = 0.97, 95% confidence interval [CI] = 0.82-1.14, P = .70). Bone metastasis-free survival events occurred in 13% of the denosumab group vs 14% of the placebo group, including bone events in 7% vs 8%. Median disease-free survival was not reached in either group (HR = 1.04, P = .57). Disease-free survival events occurred in 20% vs 19% of patients.. Adverse Events. The most common grade ≥ 3 adverse events were neutropenia (15% vs 15%), febrile neutropenia (5% vs 6%), and leukopenia (3% vs 3%). Positively adjudicated osteonecrosis of the jaw occurred in 5% vs , 1% of patients. Atypical femur fracture occurred in nine patients (, 1%) vs no patients. Hypocalcemia of any grade occurred in 7% vs 4%.. The investigators concluded, "Despite preclinical evidence suggesting RANKL inhibition ...
TY - JOUR. T1 - Long-term efficiency and toxicity of adjuvant dose-dense sequential adriamycin-paclitaxel-cyclophosphamide chemotherapy in high-risk breast cancer. AU - Kelemen, Gyöngyi. AU - Uhercsák, Gabriella. AU - Ormándi, Katalin. AU - Eller, József. AU - Thurzó, László. AU - Kahán, Zsuzsanna. PY - 2010/6/1. Y1 - 2010/6/1. N2 - Objectives: To perform a protocol-specified analysis of the dose-dense adriamycin-paclitaxel-cyclophosphamide (ddATC) study. Methods: Survival and late toxicity were analyzed in 55 patients enrolled to receive 4 × adriamycin 60 mg/m2, 4 × paclitaxel 200 mg/m2, 4 × cyclophosphamide 800 mg/m2, every 2 weeks, with cardioxane and filgrastim support. Kaplan-Meier curves were used to analyze relapse-free survival (RFS), distant disease-free survival (DDFS), and overall survival (OS). Survival analyses were performed according to the presence of casting-type calcifications on the mammogram. Results: After a median follow-up time of 78.5 (64.3-100.0) months, 29 ...
response rate, stable disease rate evaluated by RECIST criteria, median overall and disease-free survival time, 1-year overall and disease-free survival rate, toxicity and time to disease ...
The major efficacy outcome was progression-free survival assessed by independent review committee. The median progression-free survival was not reached in either group. After median follow-up of 28 months, progression-free survival events occurred in 13% of the venetoclax group vs 37% of the control group, demonstrating a significant improvement in the venetoclax group (hazard ratio = 0.33, P , .0001). Overall response rates were 85% in the venetoclax group vs 71% in the control group (P = .0007). The venetoclax group also had improvements in the rates of minimal residual disease negativity (less than 1 CLL cell/104 leukocytes) in bone marrow (57% vs 17%) and peripheral blood (76% vs 35%). Overall survival data were not mature.. How It Works. Venetoclax is a selective small-molecule inhibitor of the antiapoptotic protein BCL2. BCL2 has been found to be overexpressed in CLL and acute myeloid leukemia cells, where it mediates tumor cell survival and has been associated with resistance to ...
Initially, patients in the trials were given a series of up to six inoculations of NeuVax dosed once a month. As the trials progressed, the physicians noticed that E75-specific immunity waned after this initial monthly Primary Vaccine Series (PVS) and translated to late recurrences of cancer in some patients. This declining immunity was identified by monitoring the level of CD8 T-cells in each of the patients. Through this evaluation, it became clear that immunological boosters would keep the level of circulating E75-specific CD8+ T cells elevated during the conduct of the trial. As a result of this finding, a voluntary booster program was added to the trials to maintain long-term immunity following the initial monthly PVS ...
SAN ANTONIO, Dec. 07, 2017 -- Cascadian Therapeutics, Inc. (NASDAQ:CASC), a clinical-stage biopharmaceutical company, today announced that tucatinib in combination with standard of care agents demonstrated prolonged progression-free survival (PFS) in a subgroup of patients participating in two ongoing Phase 1b studies. Results from a subgroup analysis from these tucatinib combination studies showed 22 percent…
Drs. H. Jack West, Matthew Gubens, and Jyoti Patel, gathered post ASCO 2017 to discuss new information regarding lung cancer. In this video, the doctors discuss Improved Progression-Free Survival with Iressa as Adjuvant Therapy for EGFR Mutation Positive Patients.
All analyses were performed based on the intention-to-treat principle, irrespective of process compliance, but five individuals in the intermediate-dosage group and four in the high-dosage group were excluded as ineligible . Cox regression analysis was used to investigate the effects of treatment group and covariates on event-free survival and general survival. These analyses were performed […]. ...
KEYTRUDA (pembrolizumab) in Combination w/Chemo Significantly Improved Progression-Free Survival Compared to Chemo Alone for Extensive Stage SCLC
Antigenics has announced top-line results from its Phase III study of Oncophage (vitespen) in kidney cancer patients who are at high risk of recurrence after surgery. The analysis was triggered based on the number of events (defined as recurrence of disease or death of a patient prior to recurrence) reported by study investigators. However, an independent review by the trials clinical events committee (CEC) revealed that a substantially smaller number of events had actually occurred. The analysis showed a trend in favor of Oncophage for recurrence-free survival (the studys primary endpoint), and a trend against Oncophage for overall survival (secondary endpoint); both findings were not statistically significant. The results of the CEC review revealed that the required number of events to conduct analysis of the recurrence-free survival endpoint was not met. The analysis of the overall survival endpoint is considered an interim assessment. At this time, it is unclear as to why opposing trends ...
The size, stage, rate of growth, and other characteristics of the tumor determine the kinds of treatment. Treatment may include surgery, drugs (hormonal therapy and chemotherapy), radiation and/or immunotherapy. Surgical removal of the tumor provides the single largest benefit, with surgery alone being capable of producing a cure in many cases. To somewhat increase the likelihood of long-term disease-free survival, several chemotherapy regimens are commonly given in addition to surgery. Most forms of chemotherapy kill cells that are dividing rapidly anywhere in the body, and as a result cause temporary hair loss and digestive disturbances. Radiation is indicated especially after breast conserving surgery and substantially improves local relapse rates and in many circumstances also overall survival. Some breast cancers are sensitive to hormones such as estrogen and/or progesterone, which makes it possible to treat them by blocking the effects of these hormones ...
An independent review of the Dalmatian Backcross Project conducted by Irvin B. Kruckenkamp MD, Dalmatian Club of America Foundation
566 pts were contemporaneously randomised: 189 SOC+DocP (the last of 592 SOC+DocP pts) & 377 SOC+AAP (the first of 960 SOC+AAP pts). Groups were well balanced with 342 (60%) M1; 429 (76%) Gleason 8-10; 449 (79%) WHO PS 0; median age 66yr & PSA 56ng/ml. At median follow up 4 yr, there were 149 deaths (45 SOC+Doc, 111 SOC+AAP): survival HR 1.16 (0.82-1.65); failure free survival HR = 0.51 (0.39-0.67); progression free survival HR 0.65 (0.48-0.88); metastases free survival HR 0.77 (0.57-1.03); & SRE HR 0.83 (0.55-1.25). There was no heterogeneity by baseline M0/M1. Grade 3, 4, 5 toxicity was 36%, 13%, 1% SOC+DocP, & 40%, 7%, 1% SOC+AAP. Subsequent treatments varied by arm, with much crossing after progression.. ...
New Data Evaluating the Safety and Preliminary Relapse-Free Survival of Adjuvant Yervoy (ipilimumab) 3 mg/kg and 10 mg/kg in Resected High-Risk Melano
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Disease-free survival and infection assessed monthly for 6 months, every 3 months for 2 years, every 6 months for 1 year, and then yearly for 5 years post ...
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ਓਸਮੀਅਮ (ਯੂਨਾਨੀ ਓਸਮੇ (ὀσμή) ਭਾਵ "ਗੰਧ" ਤੋਂ) ਇੱਕ ਰਸਾਇਣਕ ਤੱਤ ਹੈ ਜਿਹਦਾ ਨਿਸ਼ਾਨ Os ਅਤੇ ਐਟਮੀ ਸੰਖਿਆ 76 ਹੈ। ਇਹ ਪਲੈਟੀਨਮ ਪਰਵਾਰ ਦੀ ਇੱਕ ਸਖ਼ਤ, ਕੁੜਕਵੀਂ, ਨੀਲੀ-ਚਿੱਟੀ ਪਰਿਵਰਤਨ ਧਾਤ ਹੈ ਅਤੇ ਸਭ ਤੋਂ ਘਣਾ ਕੁਦਰਤੀ ਤੱਤ ਹੈ। ਇਹ ਕੁਦਰਤੀ ਤੌਰ ਉੱਤੇ ਜ਼ਿਆਦਾਤਰ ਧਾਤ-ਮਿਸ਼ਰਨ ਵਜੋਂ ਪਾਇਆ ਜਾਂ ਦਾ ਹੈ, ਖ਼ਾਸ ਕਰ ਕੇ ਪਲੈਟੀਨਮ ਦੀਆਂ ਕੱਚੀਆਂ ਧਾਤਾਂ ਵਿੱਚ। ...
ಜನವರಿ 2005ರಲ್ಲಿ, Lasco.A ಎಂದು ಹೆಸರಾದ ಸಂಚಾರಿ ದೂರವಾಣಿ ಜಾಹಿರಾತುರೂಪಿ ವರ್ಮ್ವೊಂದು Symbian OS (ಸೀರೀಸ್ 60 ವೇದಿಕೆ) ಬಳಸುವ ಸಂಚಾರಿ ದೂರವಾಣಿಗಳನ್ನು ಗುರಿಯಾಗಿಟ್ಟುಕೊಂಡು Bluetooth-ಸಶಕ್ತ ಸಾಧನಗಳನ್ನು ಬಳಸಿಕೊಂಡು ವೃದ್ಧಿಯಾಗತೊಡಗಿದುದಲ್ಲದೇ ಮತ್ತು ಇತರ ಸಾಧನಗಳಿಗೆ ಹರಡತೊಡಗಿತು. ಇದೊಂದು ಸ್ವಯಂ-ಸ್ಥಾಪಕ ವರ್ಮ್ ಆಗಿದ್ದು ಇನ್ನೊಂದು ಸಂಚಾರಿ ದೂರವಾಣಿ ಬಳಕೆದಾರರು ಇನ್ನೊಂದು ಸಾಧನದಿಂದ (ವೆಲಾಸ್ಕೊ.ಸಿಸ್) ಕಡತ ವರ್ಗಾವಣೆಗೆ ಒಪ್ಪಿಗೆ ಸೂಚಿಸಿದೊಡನೆ ...
In this prospectively identified cohort of parous women with IBC, we found that a positive breastfeeding history decreases the risks of LRR and DM and, accordingly, that women with a positive breastfeeding history have significantly improved DFS, even after well-defined predictive and prognostic variables are accounted for.. To date, there are no defined molecular alterations or signatures with adequate sensitivity and specificity to discriminate IBC from non-IBC. A potential explanation is that IBC is not a unique molecular entity but rather a manifestation of non-IBC that arises in a microenvironment primed to promote the IBC phenotype . Thus, studies aimed at understanding the IBC microenvironment, and even properties of the normal breast parenchyma that exist before a tumor-initiating event, may illuminate the pathobiology of IBC.. The mammary epithelium undergoes massive expansion during pregnancy, and studies in mice have demonstrated that the abundance of mammary stem cells also ...
In the first study, the primary endpoint was response rate, and secondary endpoints were time to disease progression, progression-free survival, overall survival and safety. This was met with patients receiving amrubicin demonstrating an overall response rate of 34 percent, compared to 3.8 percent of patients receiving topotecan and the median progression-free survival time for amrubicin patients is 138 days compared to 106 days for topotecan. In the second multi-center international study, patients with SCLC who were refractory to first-line platinum based chemotherapy were treated with IV amrubicin . The primary endpoint was response rate, and secondary endpoints were time to disease progression, progression-free survival, overall survival and safety. The overall response rate for the study was 17.4 percent with one complete response, which compares favorably with those seen historically with topotecan. Additionally, median progression-free survival is 97 days. Amrubicin is generally well ...
The treatment of Ph-positive acute lymphoblastic leukemia (Ph+ ALL) has entranced tyrosine kinase inhibitors (TKIs) era. Currently both imatinib and dasatinib are registered as the front-line treatment for Ph+ ALL, and the other 2nd-generation TKIs are suggested as an alternative for those who failed the first-line treatment. However, it remains unclear who could benefit from the 2nd-generation TKIs as the first-line treatment for Ph+ ALL. In this study we compared the efficacy and safety of the 1st and 2nd-generation TKIs in the front-line treatment of Ph+ ALL and found a trend toward better disease-free survival (DFS) in the 2nd-generation TKIs group, though no significant difference in early response and long-term survival between the two groups ...
Several imaging studies have demonstrated strong correlations between infarct size and adverse outcomes in patients with acute MI.29-32 Wu et al31 reported significant associations of the extent of MI and microvascular obstruction by CMR to subsequent cardiac events. Hombach et al32 described similar findings and also reported an association with adverse LV remodeling. Patients without a history of MI who present with cardiac symptoms represent a challenging population that can benefit from accurate risk assessment. Although we observed strong prognostic associations of the presence of LGE with MACE and cardiac mortality, the observed "threshold effect," in which patients in the lowest LGE% tertile (,2% of the LV mass involved) experienced a ,7-fold hazard increase to MACE, has important clinical implications. This low threshold effect of LGE% on outcome is the anatomic representation of similar prior observations involving biomarkers of MI and risk of future cardiac events. Large-scale clinical ...
The team found that the transplantation rate was comparable between the Milan and down-staging groups, at 68% versus 67%, respectively. The researchers noted that the 1 and 3 years disease-free survival rates were comparable.. The 1 and 3 years disease-free survival rates were 80% and 71% in the Milan group versus 78% and 71% in the down-staging group. The actuarial intention-to-treat survival was 56% in the down-staging and 63% in the Milan group. Dr Ravaioli s team concluded, The proposed down-staging criteria provide a comparable outcome to the conventional criteria. ...
The researchers examined the relationships between the inflammation biomarkers and both overall survival and disease-free survival. Overall survival was defined as the amount of time from the follow-up appointment until the patient died (from any cause) or the study period ended. Disease-free survival was defined as the amount of time from the follow-up appointment until the patients breast cancer returned, another, new cancer was diagnosed, the patient died, or the study period ended. The researchers found that elevated levels of both SAA and CRP were associated (statistically significant) with reduced overall survival. Women with high levels of SAA were three times as likely to die sooner, and women with high levels of CRP were two times as likely to die sooner. They found similar, but weaker, associations with disease-free survival, in that women with high levels of SAA were two times as likely to die of have their cancer return, and women with high levels of CRP were more than 1.5 times as ...
Purpose: The G1-S checkpoint of the cell cycle is frequently dysregulated in breast cancer. Palbociclib (PD0332991) is an oral inhibitor of CDK4/6. Based upon preclinical/phase I activity, we performed a phase II, single-arm trial of palbociclib in advanced breast cancer.. Experimental Design: Eligible patients had histologically confirmed, metastatic breast cancer positive for retinoblastoma (Rb) protein and measureable disease. Palbociclib was given at 125 mg orally on days 1 to 21 of a 28-day cycle. Primary objectives were tumor response and tolerability. Secondary objectives included progression-free survival (PFS) and assessment of Rb expression/localization, KI-67, p16 loss, and CCND1 amplification.. Results: Thirty-seven patients were enrolled; 84% hormone-receptor (HR)+/Her2−, 5% HR+/Her2+, and 11% HR−/Her2−, with a median of 2 prior cytotoxic regimens. Two patients had partial response (PR) and 5 had stable disease ≥ 6 months for a clinical benefit rate (CBR = PR + 6moSD) of 19% ...
Two agents blocking HER2 led to an additional six months of progression-free survival. Side effects were minimal with the addition of pertuzumab. Results published in the New England Journal of Medicine. SAN ANTONIO - Adding pertuzumab to a combination of trastuzumab and docetaxel chemotherapy extended progression-free survival by a median of 6.1 months in patients…
There was no statistical difference in the 8 year local recurrence free survival in patients with VNPI scores of 3 or 4, regardless of whether or not radiation therapy was used (100% vs. 97%; P = not significant). Patients with VNPI scores of 5, 6, or 7 received a statistically significant 17% local recurrence free survival benefit when treated with radiation therapy (85% vs. 68%; P = 0.017). Patients with scores of 8 or 9, although showing the greatest relative benefit from radiation therapy, experienced local recurrence rates in excess of 60% at 8 years. Conclusions: ...
Provide an updated and comprehensive evaluation of the prognostic value of the albumin-fibrinogen ratio (AFR) and the fibrinogen-prealbumin ratio (FPR) for patients with cancer. Four databases (PubMed, Web of Science, Cochrane Library, and WanFang) were searched. The primary endpoints were overall survival (OS), disease-free survival (DFS), and progression-free survival (PFS). Pooled data were synthesized using StataMP 14 and expressed as hazard ratios (HRs) and 95% confidence intervals (CIs). This update examined 19 studies (7282 cases) that assessed the correlation of AFR with cancer prognosis. Pooled univariate and multivariate analyses indicated significant correlations of low AFR with poor OS (HR 2.18, 95%CI 1.87-2.55 and HR 1.75, 95%CI 1.54-2.00, respectively), poor DFS (HR 1.89, 95%CI 1.54-2.32 and HR 1.51, 95%CI 1.29-1.76, respectively), and poor PFS (HR 1.68, 95%CI 1.42-1.99 and HR 1.48, 95%CI 1.16-1.88, respectively). Pooled univariate and multivariate analyses of 6 studies (2232 cases)
After matching at a 1:2 ratio, 150 patients were treated with CCRT and 75 with CCRT plus C were selected. The 3-year PFS rates (83.7% vs 72.0%, P = 0.036) and 3-year LRFS rates (98.6% vs 90.2%, P = 0.034) were higher for patients in the CCRT plus C arm than with CCRT alone. Furthermore, a marginal trend of increasing risk of 3-year DMFS rates (83.9% vs 78.4%, P = 0.301) and 3-year OS rates (91.2% vs 85.8%, P = 0.123) was found. The results indicated that CCRT plus C treatment was a significant and independent protective predictor for 3-year PFS (P = 0.015) and LRFS rates(P = 0.047). When focusing on stage T4 and/or N3 in the subgroup, the CCRT plus C arm achieved significantly prolonged 3-year PFS (79.9% vs 62.6%, P = 0.022) and a marginally increased OS (88.0% vs 77.9%, P = 0.086) compared with that of CCRT alone. Additionally, the 3-year LRFS (97.0% vs 90.9%, P = 0.246) and DMFS (79.9% vs 67.8%, P = 0.161) were enhanced in patients with CCRT plus C compared to CCRT alone. When concentrating on ...
TORONTO, June 2, 2014- Ibrutinib RESONATE(TM) Data Show Significant Improvements in Progression-Free Survival and Overall Survival in Patients with Chronic Lymphocytic Leukemia or Small Lymphocytic Lymphoma.
/CNW/ - New study results show that superior progression-free survival occurred in previously untreated patients with advanced melanoma when treated with a new...
Prolonging Progression-Free Survival With Obinutuzumab-Based Induction in Patients With Previously Untreated Follicular Lymphoma - ASH Annual Meeting, On Location - ASH Clinical News
Background: In HCC, hypoxia and MET can promote tumor progression and induce resistance to radiation, chemo or targeted therapies. The aim of this study was to correlate MET and hypoxia marker carbonic anhydrase 9 (CA9) expression levels by immunohistochemistry with clinicopathological characteristics and disease-free survival (DFS) in patients with HCC.. Material and methods: One-hundred HCC resection specimens were evaluated by immunohistochemistry for MET (clone sp44, Ventana) and CA9 (rabbit polyclonal) expression. For automated evaluation, we elaborated our own macro using ImageJ software, and compared it with H- and MetMab validated scores. METhigh and CA9high expression were defined as moderate to strong staining. Staining results were correlated with clinicopathological characteristics. Univariate analyses were performed using Fishers exact or chi square tests, and multivariate analyses using Cox regression model. Median DFS (mDFS) were calculated by Kaplan-Meier method. MET ...
Novartis says late-stage clinical data show that its cancer drug Afinitor extended progression-free survival in patients with advanced nonfunctional neuroendocrine tumours (NET) of gastrointestinal or lung origin. - News - PharmaTimes
An important problem in oncology is comparing chemotherapy (chemo) agents in terms of their effects on survival or progression-free survival time. When the goal is to evaluate individual agents, a difficulty commonly encountered with observational data is that many patients receive a chemo combination including two or more agents. Because agents given in combination may interact, quantifying the contribution of each individual agent to the combinations overall effect is problematic. Still, if on average combinations including a particular agent confer longer survival, then that agent may be considered superior to agents whose combinations confer shorter survival. Motivated by this idea, we propose a definition of individual agent effects based on observational survival data from patients treated with many different chemo combinations. We define an individual agent effect as the average of the effects of the chemo combinations that include the agent. Similarly, we define the effect of each pair ...
In the control group patients experienced inhibition of myelopoiesis, toxic damage to the kidneys, myocardium, and liver, and signs of immunodeficiency. Under the influence of EIFT there was marked decrease in the degree of endotoxic syndrome. In the control group the most common grade 3-4 toxicity was neutropenia (32.6%) and the metabolic disorders (27.3%). After the EIFT grade 3-4 toxicities are no longer met, with the exception of alopecia. Median progression-free survival (PFS) in the group with EIFT was 7.2 months (95% CI 6.5-7.9), in the group with EIFT and plasmapheresis - 7.7 months (95% CI 7.2-8.2), and in the control group - 5.7 months, (95% CI 4.8-6.6), (p = 0.0031). Median overall survival (OS) in the group with EIFT was 13.5 months (95% CI 11.3-15.7), in the group with EIFT and plasmapheresis - 14.2 months (95% CI 12.1-16.3), and in the control group - 12.4 months (95% CI 10.8-13.9; p = 0.0027). Observable risk ratio (hazard ratio, HR) of progression in the group with EIFT (HR ...
The size, stage, rate of growth, and other characteristics of the tumor determine the kinds of treatment. Treatment may include surgery, drugs (hormonal therapy and chemotherapy), radiation and/or immunotherapy. Surgical removal of the tumor provides the single largest benefit, with surgery alone being capable of producing a cure in many cases. To somewhat increase the likelihood of long-term disease-free survival, several chemotherapy regimens are commonly given in addition to surgery. Most forms of chemotherapy kill cells that are dividing rapidly anywhere in the body, and as a result cause temporary hair loss and digestive disturbances. Radiation may be added to kill any cancer cells in the breast that were missed by the surgery, which usually extends survival somewhat, although radiation exposure to the heart may cause heart failure in the future. Some breast cancers are sensitive to hormones such as estrogen and/or progesterone, which makes it possible to treat them by blocking the effects ...
Purpose Adjuvant therapy for intermediate-risk and high-risk localized prostate cancer decreases the number of deaths from this disease. Surrogates for overall survival (OS) could expedite the evaluation of new adjuvant therapies. Methods By June 2013, 102 completed or ongoing randomized trials were …
Researchers reviewed the results of 18 studies that included 1638 patients with HPV-tested vulvar cancers, of which 541 were HPV-positive.
Bayer HealthCare Pharmaceuticals and Onyx Pharmaceuticals, Inc. (NASDAQ ONXX) today announced the full results from their first collaborative group-sponsored ra
Results. Significant skin and lung function improvement of the mRSS was achieved in 78.3% of patients at Month 6. The overall response rate was 91%, as some patients improved even after Month 6. Three patients died between mobilization and conditioning treatment, 2 due to severe disease progression and 1 whose death was considered treatment-related (i.e., GCSF or CYC toxicity). Depending on definitions, transplant-related mortality was 4% and treatment-related mortality 11%. Seven patients experienced a relapse during the 4.4 years of followup. The progression-free survival was 74%. Four patients died during followup and the most frequent causes of death were pulmonary and cardiac complications of SSc. ...
Breast, Breast Cancer, Cancer, Cyclooxygenase, Cyclooxygenase-2, Developed Countries, Disease, Disease-free Survival, Estrogen, Human, Matrix Metalloproteinase-2, Membrane, Metastasis, Mt1-mmp, Multivariate Analysis, Neoplasm, Patients, Progesterone, Progesterone Receptor, Prognosis
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No significant difference in progression-free survival between patients who received maintenance therapy after bendamustine-rituximab induction.
Read independent reviews on Harvest Plate, White 96-Well Microplate with 1.2 µm poresize GF/C filter from PerkinElmer, Inc. on SelectScience
When combined with low p27 and high p53, DFS (Disease-Free Survival) decreases. ... "Journal of Thoracic Disease. 8 (9): 2580-2591. doi:10.21037/jtd.2016.08.82. PMC 5059354. PMID 27747012.. ... Marone M, Bonanno G, Rutella S, Leone G, Scambia G, Pierelli L (2002). "Survival and cell cycle control in early hematopoiesis ... news from an old disease". Vet. Pathol. 48 (1): 98-116. doi:10.1177/0300985810390826. PMID 21149845.. ...
Prognosis is usually given for the probability of progression-free survival (PFS) or disease-free survival (DFS). These ... has improved the 5-year disease free survival of stage 1-3 HER2-positive breast cancers to about 87% (overall survival 95%).[ ... Outcomes for breast cancer vary depending on the cancer type, extent of disease, and person's age. Survival rates in the ... the entire breast will still be stage zero and consequently an excellent prognosis with a 10-year disease free survival of ...
which has been published with significant disease free survival rates. One of the largest studies in 1400 patients. has proven ... Randomized controlled studies in different cancers with significant increase in survival and disease free period have been ... May 1995). "Prolonged disease-free period in patients with advanced epithelial ovarian cancer after adoptive transfer of tumor- ... Auto-Immune diseases like the Auto-Immune Hemolytic Anemia (AIHA) have been known to be associated with malignancies. In ...
... chemotherapy is given after remission in order to prolong the overall disease-free time and improve overall survival. The drug ... Median progression free survival (PFS) and overall survival (OS) both improved by six months in the dose adjusted group. ... A disease resulting from aggressive chemotherapy". Diseases of the Colon and Rectum. 32 (3): 206-9. PMID 2920627. doi:10.1007/ ... interstitial lung disease (e.g., bleomycin) and occasionally secondary neoplasm (e.g., MOPP therapy for Hodgkin's disease). ...
People with chronic renal disease or acute renal failure are usually affected by uremia. ... Anemia due to erythropoietin deficiency and shortened red-cell survival. This short article about biology can be made longer. ...
This study found no improvement in survival or disease-free survival with the addition of cetuximab to the conventional ... The presence of acid reflux disease (GERD - gastroesphogeal reflux disease) or larynx reflux disease can also be a major factor ... HPV-positive oropharyngeal cancer generally has a better outcomes than HPV-negative disease with a 54% better survival, but ... This study found that concurrent cetuximab and radiotherapy improves survival and locoregional disease control compared to ...
... progression-free survival. The 10-year disease-free survival is 40-50%. Younger ages showed lower 5 and 10-year survival rates ... The 5-year disease-free survival for age >5 years is 50-60%. Another report found a similar 5-year survival at about 65% with ... progression-free and overall survival. Some evidence suggests chromosome 6q25.3 deletion may provide additional survival ... The protein nucleolin and expression of MMP2 and MMP14 have been found to inversely correlate with progression free survival in ...
If the tumor is completely resected, individuals will have a disease-free survival. If the tumor is incomplete it will continue ...
... the median disease-free survival in the BiovaxID arm was 44.2 months compared with 30.6 months in the control arm, which is a ... BiovaxID demonstrated that it can induce powerful anti-tumor immune responses while providing a median disease-free survival ... Vaccine Isotype Determines Improvement in Disease-Free Survival Following Vaccine Therapy". BusinessWire. Retrieved 1 Dec 2011. ...
More severe skin toxicities were associated with improved progression free survival and overall survival. Pulmonary fibrosis ... Panitumumab was initially approved on September 27, 2006 for EGFR-expressing, metastatic CRC with disease progression on or ... "the treatment of EGFR-expressing metastatic colorectal cancer with disease progression" despite prior treatment. Panitumumab ... and interstitial lung disease were observed in clinical trials. Panitumumab does not work in patients who have KRAS or NRAS ...
They can survive without free water almost indefinitely, because they get moisture from their food and dew that condenses on ... 1993). "Species survival plan contributions to research and reintroduction of the addax Addax nasomaculatus". International Zoo ... Journal of wildlife diseases. 29 (3): 516-7. doi:10.7589/0090-3558-29.3.516. PMID 8355363. Spevak, E.M.; et al. ( ... Craig, T.M. (1993). "Longistrongylus curvispiculum (Nematoda: Trichostrongyloidea) in free-ranging exotic antelope in Texas". ...
Radiation and/or chemotherapy had no significant effect in improving patients' disease-free survival. With developments in our ... In 1998 the largest study on the disease was a retrospective review with fifty-one patients. Of these fifty-one patients, no ... Using a chemotherapy regimen designed for another cancer is an archaic "guess-and-check" way of treating a disease. In 2008 the ... An important hallmark of cancer, Akt is part of the cell survival pathways by inhibiting apoptosis. There is also evidence that ...
The disease cycle "starts" in the early spring as the oospores begin to germinate. Oospores are thick walled survival ... This spread can be limited by using proper sanitation before moving from an infected field to a disease free field. All of ... A cool environment also favors disease transmission. An integrated disease management program incorporating host resistance ... it requires free water to infect another plant. This disease is most prevalent in newly seeded fields that experience flooding ...
"Profile of Immune Cells in Axillary Lymph Nodes Predicts Disease-Free Survival in Breast Cancer". PLOS Medicine. 2 (9): e284. ...
In complex diseases, such as cancer, researchers rely on statistical comparisons of disease-free survival (DFS) of patients ... is determined by comparing disease-free survival of treated people against a matched control group that never had the disease.[ ... The earliest point in time that the curve goes flat is the point at which all remaining disease-free survivors are declared to ... the survival curves are adjusted for the effects of normal aging on mortality, especially when diseases of older people are ...
The disease rarely occurs in females, but when it does the tumors can be mistaken for ovarian cancer. In dogs, mast cell tumors ... The Stehlin Foundation currently offers DSRCT patients the opportunity to send samples of their tumors free of charge for ... and stem cell rescue improves survival for some patients. Reports have indicated that patients will initially respond to first ... Because the disease can be misdiagnosed or remain undetected, tumors frequently grow large within the abdomen and metastasize ...
Numerous studies show a decreased overall survival and disease-free survival in those tumors overexpressing VEGF. The ... although the cause of disease and the typical source of neovascularization differs between the two diseases. VEGF-D serum ... VEGF-A plays a role in the disease pathology of the wet form age-related macular degeneration (AMD), which is the leading cause ... Overexpression of VEGF can cause vascular disease in the retina of the eye and other parts of the body. Drugs such as ...
The median progression-free survival (PFS) was 1.6 months and the stable disease rate was 48%. Patients with an ECOG score of 0 ... n=57) had a median PFS of 2.9 months and a stable disease rate of 59%. The median overall survival of all patients was 22 weeks ... BIBW 2992 inhibits survival of cancer cell lines and induces tumour regression in xenograft and transgenic lung cancer models, ... A placebo-controlled phase III study, examining overall survival in patients with advanced NSCLC treated with AMG 706 in ...
... a combination of docetaxel and prednisone improves survival rates and lengthens the disease-free period. Mitoxantrone is also ... It improves the survival rate of children suffering from acute lymphoblastic leukemia relapse. The combination of mitoxantrone ... used to treat multiple sclerosis (MS), most notably the subset of the disease known as secondary-progressive MS. Absent a cure ...
The treatment, Oncophage, increased recurrence-free survival by a little more than a year according to the results of a phase ... Disease stage too advanced: bulky tumor deposits actively suppress the immune system using mechanisms such as secretion of ... The approval is for a subset of kidney cancer patients who are at intermediate risk for disease recurrence. It awaits approval ... Target settings with a low disease burden.. *Conduct randomized Phase II trials so that the Phase III program is sufficiently ...
PELP1 expression is an independent prognostic predictor of shorter breast cancer-specific survival and disease free interval. ... PELP1 is a proto-oncogene that provides cancer cells with a distinct growth and survival advantage. PELP1 interacts with ... PELP1 is a proto-oncogene that provides cancer cells with a distinct growth and survival advantage. PELP1 overexpression has ... activation of the AKT pathway and cytoplasmic PELP1 induces signaling pathways that converge on ERRγ to promote cell survival ...
Women with a low risk result can safely forego chemotherapy without decreasing likelihood of disease free survival. MammaPrint ... to interrogate all 25,000 genes in untreated tumor samples from women where follow-up categorized them as being disease free or ... MammaPrint can be considered as a part of standard of care disease management for early stage breast cancer and has significant ... The NKI hypothesized that breast cancer is a genetic, heterogeneous disease, where gene expression would be different in ...
... expression is significantly correlated with the survival time and disease-free period in gastric cancer patients. XB130 ... XB130 has been demonstrated to play a role in cell proliferation and survival through the regulation of the PI3K/Akt signaling ... XB130 regulates cell proliferation, cell survival, cell motility and gene expression. XB130 is highly similar to AFAP and is ... This interaction leads to the subsequent activation of Akt, cell proliferation, and cell survival. Activated Akt promotes cell ...
CXCL12 expression is positively correlated with disease free (metastasis free) survival. CXCL12 (over-)expressing cancers might ... "CXCL12/SDF1 expression by breast cancers is an independent prognostic marker of disease-free and overall survival". European ...
The 2-year probability of disease-free survival (DFS) was significantly higher in the G-PBSC group than in the control group ( ... The 6-year leukemia-free survival (LFS) and overall survival (OS) rates were 84.4% and 89.5%, respectively, in the low-risk ... Microtransplantation(MST) is an advanced technology to treat malignant hematological diseases and tumors by infusing patients ... Practices of microtransplantation has shown none graft-versus-host disease (GVHD) till present, thus immunosuppressive drugs ...
"The Survival of Cambodia's Ethnic Minorities". Cultural Survival. Retrieved 15 February 2018.. ... there he was diagnosed with Hodgkin's disease. In mid-1984, Office 131 was moved to a new base further into Cambodia, near ... he believed in the ideal of an entirely self-sufficient and agrarian socialist society that would be entirely free from all ... in that it was seen as helping to build a socialist society free from private property, and pragmatic, in that it allowed the ...
To compare the overall survival (OS) and disease-free survival (DFS) for laparoscopic surgery versus laparotomy in women with ... To compare the overall survival (OS) and disease-free survival (DFS) for laparoscopic surgery versus laparotomy in women with ... To compare the overall survival (OS) and disease-free survival (DFS) for laparoscopic surgery versus laparotomy in women with ... To compare the overall survival (OS) and disease-free survival (DFS) for laparoscopic surgery versus laparotomy in women with ...
Pharmacists in the breast cancer field discuss the role for disease-free survival as an end point and the implications of the ... Pharmacists in the breast cancer field discuss the role for disease-free survival as an end point and the implications of the ... Jacob Kettle, PharmD, BCOP: What are your thoughts on invasive disease-free survival as an end point and its limitations? Its ... This is an impromptu question, but how does that end point compare with more common end points like disease-free survival, just ...
22 %, p , 0.001). Five-year disease-free survival was 89.6 % for BRAFV600E positive and 96.3 % for negative tumours, p , 0.001 ... The primary outcome measure was disease-free survival. Secondary outcome measures were tumour size, nodal positivity and ... BRAFV600E Mutation is Associated with Decreased Disease-Free Survival in Papillary Thyroid Cancer. ... extra-thyroidal extension and reduced disease-free survival. It is an additional useful prognostic biomarker. ...
Adding denosumab to adjuvant aromatase inhibitor therapy improved disease-free survival for postmenopausal patients with early- ... Denosumab improves disease-free survival for postmenopausal patients w HR+ breast cancer Previous results from ABCSG-18 showed ... Denosumab improves disease-free survival for postmenopausal patients w HR+ breast cancer. American Association for Cancer ... Title: The Impact of Adjuvant Denosumab on Disease-Free Survival: Results from 3,425 Postmenopausal Patients of the ABCSG-18 ...
Vaccine Increases Disease-Free Survival for Follicular Lymphoma Patients. MD Anderson News Release 05/31/2011 ... A lymphoma vaccine uniquely tailored for each patient extends disease-free survival by 14 months, with signs of an even better ... extending disease-free survival time from 28.7 months to 52.9 months. While those results need to be confirmed in randomized ... "Survival of follicular lymphoma patients has improved with newer types of chemotherapy, but advanced-stage disease still is ...
... progression-free survival was 2.2 months versus 6 percent and 1.6 months. ... All of the patients in the melanoma vaccine trial had advanced disease that had spread to other organs. ... Secondary endpoints included toxic effects of the treatment and survival without progression of melanoma. ...
... drug zoledronic acid plus hormonal therapy with the aromatase inhibitor letrozole significantly increases disease-free survival ... Zoledronic acid increases disease-free survival in premenopausal women with HR+ early breast cancer. *Download PDF Copy ... Disease-free survival was significantly improved in patients randomized to zoledronic acid plus letrozole compared to those ... giving a 5-year disease-free survival (DFS) probability of 0.93. There were 58 events in patients treated with tamoxifen and 44 ...
The researchers examined overall survival, disease-free survival, disease-specific survival and progression-free survival.. The ... In addition, disease-free, disease-specific and progression-free survival pointed toward more favorable outcomes among women ... HPV Status Linked to Overall and Disease-Free Survival in Vulvar Cancer. Women with vulvar cancer who test positive for human ... publications/cure/2018/womens-cancers-2018/hpv-status-linked-to-overall-and-diseasefree-survival-in-vulvar-cancer ...
From each of the three groups, 80% of the cases (342, 283 and 238 cases of 1-, 3- and 5-year disease-free survival, ... Data for 427, 354 and 297 HCC patients with histories of 1-, 3- and 5-year disease-free survival after hepatic resection, ... This study demonstrated the feasibility of using ANNs in medical decision support systems for predicting disease-free survival ... and 5-year disease-free survival based on a set of clinical parameters for this patient group. Methods The three prediction ...
... statin use may be beneficial for preventing physical disability and CVD but not beneficial for prolonging disability-free ... survival or avoiding death or dementia. Future clinical trials are needed to confirm these findings. ... dementia-free and disability-free survival, and cardiovascular disease (CVD) among healthy older adults using data from the ... Association of Statin Use With Disability-Free Survival and Cardiovascular Disease Among Healthy Older Adults J Am Coll Cardiol ...
Samson, Kurt The tyrosine kinase inhibitor sunitinib appears to offer a small improvement in progression-free survival in ... SCLC: Evidence that Maintenance Sunitinib Can Extend Progression-Free Survival in Patients with Extensive Disease ...
Personalized Vaccine for Lymphoma Patients Extends Disease-Free Survival by Nearly Two Years. February 12, 2017. by Gady ... The 76 patients treated with the vaccine had a median disease-free survival of 44.2 months, compared to 30.6 months for the 41 ... Home » Cancers » Personalized Vaccine for Lymphoma Patients Extends Disease-Free Survival by Nearly Two Years ... disease-free survival is improved by nearly two years, compared with patients who receive a placebo. Based on the new analysis ...
Disease-Free Survival Dose Fractionation Female Hodgkin Disease - radiotherapy Humans Incidence Kaplan-Meier Estimate ... Acute Disease Adolescent Adult Disease-Free Survival Estonia - epidemiology Female Hematopoietic Stem Cell Transplantation ... Disease-Free Survival Female Finland Graft Rejection Graft Survival Hematopoietic Stem Cell Transplantation - adverse effects ... Acute Disease Age Distribution Child Child, Preschool Disease-Free Survival Down Syndrome - complications - epidemiology - ...
A Phase II Randomized Trial Evaluating the Effect of Trastuzumab on Disease Free Survival in Early Stage HER2-Negative Breast ... Effect of Trastuzumab on Disease Free Survival in Early Stage HER2-Negative Breast Cancer Patients With ERBB2 Expressing ... to these patients may result in the elimination of HER2 expressing disseminated tumor cells and improved disease free survival. ... Breast Diseases. Skin Diseases. Paclitaxel. Docetaxel. Liposomal doxorubicin. Albumin-Bound Paclitaxel. Cyclophosphamide. ...
S. G. Holtan, T. E. DeFor, A. Lazaryan et al., "Composite end point of graft-versus-host disease-free, relapse-free survival ... Prognostic Factors on the Graft-versus-Host Disease-Free and Relapse-Free Survival after Adult Allogeneic Hematopoietic Stem ... A. Jalali, K. Alimoghaddam, M. Mahmoudi et al., "The EBMT risk score in the presence of graft versus host disease in allogeneic ... P. Ljungman, M. Hakki, and M. Boeckh, "Cytomegalovirus in hematopoietic stem cell transplant recipients," Infectious Disease ...
The 1- and 2-year GRFS were 40.8% and 36.5%, respectively, significantly worse than overall survival and disease-free survival ... Prognostic Factors on the Graft-versus-Host Disease-Free and Relapse-Free Survival after Adult Allogeneic Hematopoietic Stem ... including graft-versus-host disease (GVHD), relapse, and death. A novel composite endpoint of GVHD-free/relapse-free survival ( ... or death is censored to completely characterize the survival without mortality or ongoing morbidity. In this regard, studies ...
... as well as to disease-free survival, 5-year rates of local failure and distant disease after preoperative radiochemotherapy and ... High survivin expression is associated with reduced apoptosis in rectal cancer and may predict disease-free survival after ... Survivin expression may provide a novel predictive indicator for disease-free survival after preoperative radiochemotherapy and ... Low survivin expression was significantly related to an increased disease-free survival rate (77% vs 18% at 5 years in tumors ...
Survival and disease-free survival by breast density and phenotype in interval breast cancers. Maria Sala, Laia Domingo, Javier ... Survival and disease-free survival by breast density and phenotype in interval breast cancers ... Background:We aimed to evaluate survival and disease-free survival in different subtypes of interval cancers by breast density ... Survival and disease-free survival by breast density and phenotype in interval breast cancers ...
We evaluated whether circulating angiopoietin-2 (Ang-2) is a predictor for the probability of disease-free survival ( … ... Angiopoietin-2 predicts disease-free survival after allogeneic stem cell transplantation in patients with high-risk myeloid ... We evaluated whether circulating angiopoietin-2 (Ang-2) is a predictor for the probability of disease-free survival (DFS) in ...
Disease-free, Overall Survival Inferior for Black Women with HR-positive Breast Cancer. ... SAN ANTONIO - Black women with hormone receptor (HR)-positive breast cancer had worse disease-free and overall survival, ... "Black women had a higher risk for disease recurrence and inferior survival compared with women of other races," said Joseph A. ... likely explained by their higher incidence of more advanced-stage disease, more aggressive triple-negative disease, disparities ...
... distant metastasis-free survival was 100 and 95% by risk-group, and disease-specific survival was 100%. Acute and late grade 2 ... CONCLUSION: Virtual HDR prostate SBRT creates a very low PSA nadir, a high rate of 5-year disease-free survival and an ... Virtual HDR CyberKnife SBRT for localized prostatic carcinoma: 5-Year disease-free survival and toxicity observations - ... biochemical-relapse-free survival was 100 and 92% for low-risk and intermediate-risk patients, respectively, by ASTRO ...
Progression-Free,Survival,and,Disease,Control,in,Metastatic,Colorectal,Cancer,Patients,medicine,advanced medical technology, ... The improvement in progression-free survival and response rateexpand...As previously reported the studys primary endpoint of ... Randomized Phase III Trial Showed Erbitux Significantly Improved,Secondary Endpoints of Progression-Free Survival and Disease, ... Patients who received irinotecan alone experienced median overall survival of 9.99 months and median progression-free survival ...
Colorectal cancer is common and survival is strongly related to the stage of the disease at diagnosis.(Early detection of ... Chicago style: The Free Library. S.v. Colorectal cancer is common and survival is strongly related to the stage of the disease ... MLA style: "Colorectal cancer is common and survival is strongly related to the stage of the disease at diagnosis.." The Free ... 2) Survival is strongly related to the stage of the disease at diagnosis. Where the cancer is locally confined, survival of ...
DNA copy number alterations, gene expression changes and disease-free survival in patients with colorectal cancer: a 10 year ... Colorectal cancer DNA copy number alterations Comparative genomic hybridization (CGH) Gene expression alterations Disease-free ... histopathological parameters were assessed with the aim to identify molecular signatures associated with disease-free survival ... Association of survival and disease progression with chromosomal instability: a genomic exploration of colorectal cancer. Proc ...
Median progression-free survival has not been reached in either arm, but the data suggest that progression-free survival will ... Obinutuzumab Prolongs Disease-Free Survival vs Rituximab in Follicular Lymphoma. By Alice Goodman. December 25, 2016. ... 1. Marcus RE, Davies AJ, Ando K, et al: Obinutuzumab-based induction and maintenance prolongs progression-free survival in ... The study met the primary endpoint of investigator-assessed progression-free survival by computed tomography scan criteria, ...
Recurrence-freeStatisticallyOverall and disease-free survivalEndpointsAllogeneic hematopoietic stem cGraft-versus-MetastasisRelapseIncreases Disease-Free SurvivalPredictorCancerPrognostic FactorsSquamous Cell CarcPredict disease-free survivalProlonged disease-free survival comparedPlaceboRegression analysisBreastProgression-free survival and resFollicular lymphomaStatistically significantOutcomeConclusionsPredictsTumor cellsLong-term disease-free survivalMultivariateAnalysesResearchersCardiovascular diseaseRisk of recurrenceTreatmentHepatic
- Hazard ratios (HRs) were used for OS and recurrence-free survival (RFS), risk ratios (RR) for severe adverse events and the mean difference (MD) method was used for continuous outcomes in women who received laparoscopy or laparotomy and these were then pooled in random-effects meta-analyses. (elsevier.com)
- Three trials assessing 359 participants with early stage endometrial cancer, found no statistically significant difference in the risk of death and disease or recurrence between women who underwent laparoscopy and those who underwent laparotomy (HR = 1.14, 95% confidence interval (CI): 0.62 to 2.10) and HR = 1.13, 95% CI: 0.90 to 1.42 for OS and RFS respectively). (elsevier.com)
- Secondary endpoints included toxic effects of the treatment and survival without progression of melanoma. (emaxhealth.com)
- Although previous studies , have examined disease-free survival rates at various endpoints, none have evaluated the accuracy of models for predicting disease-free survival after hepatic resection in HCC patients at different endpoints (i.e., 1, 3, and 5 years after resection). (plos.org)
- Extensive post-trial use of ERBITUX may explain the lack of difference in overall survival between the two arms despite substantial improvement in secondary endpoints. (bio-medicine.org)
- The primary endpoint was disease-free survival, and secondary endpoints were overall survival and safety. (mhmedical.com)
- PFS may be considered as an endpoint in itself (the FDA and EMEA consider it such) in situations where overall survival endpoints may be not feasible, and where progression is likely or very likely to be related to symptomatology. (wikipedia.org)
- Nonablative versus reduced-intensity conditioning regimens in the treatment of acute myeloid leukemia and high-risk myelodysplastic syndrome: dose is relevant for long-term disease control after allogeneic hematopoietic stem cell transplantation," Blood , vol. 104, no. 3, pp. 865-872, 2004. (hindawi.com)
- The cure of hematologic disorders by allogeneic hematopoietic stem cell transplantation (HSCT) is often associated with major complications resulting in poor outcome, including graft-versus-host disease (GVHD), relapse, and death. (hindawi.com)
- We evaluated whether circulating angiopoietin-2 (Ang-2) is a predictor for the probability of disease-free survival (DFS) in allogeneic hematopoietic stem cell transplantation (allo-HSCT) for high-risk acute myeloid leukemia or myelodysplastic syndrome. (nih.gov)
- A study was designed to investigate the safety of imatinib and its efficacy in preventing hematological relapse and improving disease-free survival (DFS) when administered after allogeneic hematopoietic stem cell transplantation (allo-HCT). (biomedcentral.com)
- J. Bolanos-Meade, J. Koreth, and R. Reshef, "A multicenter phase II trial randomizing novel approaches for graft-versus-host disease prevention compared to contemporary controls (BMT CTN 1203)," 2015, https://clinicaltrials.gov/ct2/show/NCT02208037 . (hindawi.com)
- We previously reported that bone marrow grafts from matched sibling donors resulted in best graft- versus -host disease-free, relapse-free survival at 1-year post allogeneic hematopoietic cell transplantation. (haematologica.org)
- Graft- versus -host disease-free, relapse-free survival was defined as the absence of grade III-IV acute graft- versus -host disease, chronic graft- versus -host disease (requiring systemic therapy or extensive stage), relapse and death. (haematologica.org)
- In adults, bone marrow from matched sibling donors (n=123) had best graft- versus -host disease-free, relapse-free survival at 1- and 2-years, compared with peripheral blood stem cell from matched sibling donors (n=540) or other graft/donor types. (haematologica.org)
- In multivariate analysis, peripheral blood stem cells from matched sibling donors resulted in a 50% increased risk of events contributing to graft- versus -host disease-free, relapse-free survival at 1- and 2-years than bone marrow from matched sibling donors. (haematologica.org)
- With limited numbers of peripheral blood stem cell grafts in pediatric patients (n=12), graft- versus -host disease-free, relapse-free survival did not differ between bone marrow and peripheral blood stem cell graft from any donor. (haematologica.org)
- While not all patients have a matched sibling donor, graft- versus -host disease-free, relapse-free survival may be improved by the preferential use of bone marrow for adults with malignant diseases. (haematologica.org)
- Alternatively, novel graft- versus -host disease prophylaxis regimens are needed to substantially impact graft- versus -host disease-free, relapse-free survival with the use of peripheral blood stem cell. (haematologica.org)
- Disease relapse and graft- versus -host disease (GVHD) impact the length and quality of life after allogeneic hematopoietic cell transplantation (HCT). (haematologica.org)
- This study aimed to assess the outcome of stem cell transplantation (SCT), including overall survival (OS), failure-free survival (FFS) and graft-versus-host disease (GvHD)-free/failure-free survival (GFFS), and to analyze prognostic factors in children with aplastic anemia (AA). (bvsalud.org)
- Results from a phase 2 clinical trial, presented by Seattle Children's Research Institute at the 59th American Society of Hematology (ASH) Annual Meeting, show that the drug Abatacept (Orencia) nearly eliminated life-threatening severe acute graft-versus-host disease (GvHD) in patients receiving hematopoietic stem cell transplants. (med-chemist.com)
- Graft-versus-host disease occurs when the donated T cells, white blood cells in the immune system that fight infection, launch a vigorous attack on a patient's organs, including the skin, liver, kidneys, lung, and the gastrointestinal tract. (med-chemist.com)
- Given the serious threat of graft-versus-host disease, new approaches to make stem cell transplants safer for patients remain a critical unmet need," said Dr. Leslie Kean, the trial's principal investigator and associate director of the Ben Towne Center for Childhood Cancer Research at Seattle Children's. (med-chemist.com)
- Preventing graft-versus-host disease and relapse after transplant requires a difficult balance of eliminating the bad, overactive effector T cells, without suppressing the good, regulatory T cells," said Kean, who is also an associate professor of pediatrics at the University of Washington School of Medicine and a member of the Fred Hutchinson Cancer Research Center. (med-chemist.com)
- As a transplant physician, it's beyond heartbreaking to witness a patient develop severe acute graft-versus-host disease after having their leukemia cured through bone marrow transplant," said Kean. (med-chemist.com)
- To have a therapy at our disposal that safely targets just the T cells causing graft-versus-host disease would represent a major step forward in stem cell transplantation. (med-chemist.com)
- BRAF V600E in PTC predicts an increased risk of lymph node metastasis, extra-thyroidal extension and reduced disease-free survival. (springer.com)
- We investigated breastfeeding history as a modifier of locoregional recurrence (LRR), distant metastasis (DM), disease-free survival (DFS), and overall survival (OS) in parous women with inflammatory breast cancer. (jcancer.org)
- Tumor size is an independent predictor of lymph node metastasis and survival in early stage endometrioid endometrial cancer. (koreascience.or.kr)
- Angiogenesis in early stage breast cancer has been suggested to be an independent prognostic factor for metastasis and overall survival. (elsevier.com)
- These include the disease-free survival (DFS) (the period after curative treatment [disease eliminated] when no disease can be detected), the progression-free survival (PFS) (the period after treatment when disease [which could not be eliminated] remains stable, that is, does not progress), and the metastasis-free survival (MFS) or distant metastasis-free survival (DMFS) (the period until metastasis is detected). (wikipedia.org)
- A novel composite endpoint of GVHD-free/relapse-free survival (GRFS) in which events include grades 3-4 acute GVHD, chronic GVHD requiring systemic therapy, relapse, or death is censored to completely characterize the survival without mortality or ongoing morbidity. (hindawi.com)
- At least one PSA bounce was seen in 55 patients (70%) but only 3 of them subsequently relapsed, biochemical-relapse-free survival was 100 and 92% for low-risk and intermediate-risk patients, respectively, by ASTRO definition (98 and 92% by Phoenix definition). (urotoday.com)
- At the time of data cutoff, the median relapse-free survival for the 22 patients was 17.4 months after transplant. (fredhutch.org)
- Therefore, a DNA marker that could be used to identify high-risk patients or to predict a relapse in a presymptomatic phase could have a great impact on the management of patients and probably on survival. (aacrjournals.org)
- Compared with surgery alone, postoperative adjuvant radiotherapy (RT) improves relapse-free survival of patients with early-stage breast cancer. (biomedcentral.com)
- Individuals with locoregional disease (stage 3) have high rates of relapse after nephrectomy. (mhmedical.com)
- Risk stratification treatment of t(8;21) acute myeloid leukemia may decrease relapse and improve long-term survival. (bloodjournal.org)
- We therefore wished to know whether CXCL12 expression correlates with relapse-free and overall survival in human breast cancer patients. (elsevier.com)
- Of the patients that undergo allo-HCT beyond CR 1 , or for those with refractory disease, the relapse rate is even higher. (biomedcentral.com)
- Patients receiving abatacept had intact immune reconstitution, significant improvement in transplantation-related mortality, no major uncontrolled infection and no increase in disease relapse. (med-chemist.com)
- However, there was no significant difference in disease-free survival when nodal volume was used as a predictor ( P = .599). (ajnr.org)
- 10 These studies imply that tumor vascularity may be an important predictor of local treatment response and disease control in HNSCC because elevated blood flow may permit improved delivery of therapeutic agents to the tumor. (ajnr.org)
- Pharmacists in the breast cancer field discuss the role for disease-free survival as an end point and the implications of the KATHERINE trial. (pharmacytimes.com)
- SAN ANTONIO -- Adding denosumab to adjuvant aromatase inhibitor therapy improved disease-free survival for postmenopausal patients with early-stage, hormone receptor (HR)-positive breast cancer, according to results from the phase III ABCSG-18 clinical trial presented at the 2015 San Antonio Breast Cancer Symposium, held Dec. 8-12. (eurekalert.org)
- A lymphoma vaccine uniquely tailored for each patient extends disease-free survival by 14 months, with signs of an even better response for patients with a specific biological marker, a team led by scientists at The University of Texas MD Anderson Cancer Center reported today in the online version of Journal of Clinical Oncology. (mdanderson.org)
- That's significant because most cancer drugs are approved on the basis of extending survival only a few months," said Larry Kwak, M.D., Ph.D., corresponding author of the study. (mdanderson.org)
- Results reported at ESMO 2018 showed there were 32 breast cancer recurrences or second breast or non-breast cancers or deaths in patients treated with ZL, giving a 5-year disease-free survival (DFS) probability of 0.93. (news-medical.net)
- Women with vulvar cancer who test positive for human papillomavirus (HPV) may have improved survival compared with HPV-negative patients, according to the results of a new study. (curetoday.com)
- The new findings show that when these patients - whose tumors are marked by a specific protein that may be present in up to half of people with this type of cancer - receive a vaccine made from their own tumor cells, disease-free survival is improved by nearly two years, compared with patients who receive a placebo. (healthcanal.com)
- Fourth European Conference on Infections in Leukaemia (ECIL-4): guidelines for diagnosis, prevention, and treatment of invasive fungal diseases in paediatric patients with cancer or allogeneic haemopoietic stem-cell transplantation," The Lancet Oncology , vol. 15, no. 8, pp. e327-e340, 2014. (hindawi.com)
- High survivin expression is associated with reduced apoptosis in rectal cancer and may predict disease-free survival after preoperative radiochemot. (nih.gov)
- Survivin expression may provide a novel predictive indicator for disease-free survival after preoperative radiochemotherapy and surgical resection in rectal cancer. (nih.gov)
- SAN ANTONIO - Black women with hormone receptor (HR)-positive breast cancer had worse disease-free and overall survival, according to data presented at the CTRC-AACR San Antonio Breast Cancer Symposium , held Dec. 9-13, 2009. (healthcanal.com)
- This indicates that black women with HR-positive breast cancer are more prone to have disease recurrence despite state-of-the-art medical care," said Sparano. (healthcanal.com)
- Half of these patients have metastatic disease, or cancer that has spread to other organs, at the time of diagnosis. (bio-medicine.org)
- Colorectal cancer is common and survival is strongly related to the stage of the disease at diagnosis. (thefreelibrary.com)
- Where the cancer is locally confined, survival of over 90% has been reported. (thefreelibrary.com)
- The Fred Hutchinson Cancer Research Center is an independent, non-profit research institution dedicated to the development and advancement of biomedical technology to eliminate cancer and other potentially fatal diseases. (fredhutch.org)
- Patients with early-stage HER2-positive breast cancer who received neratinib as extended adjuvant therapy demonstrated improved invasive disease-free survival, with an absolute benefit of 2.3% at 2 years. (ascopost.com)
- According to secondary data introduced at the 2015 Breast Cancer Symposium, certain subsets derived even greater benefits, 2 including those with hormone receptor-positive disease and those pretreated with trastuzumab (Herceptin) sequentially. (ascopost.com)
- ExteNET is the first study to show a statistically significant improvement in invasive disease-free survival in the intent-to-treat population," said Arlene Chan, MD , of the Breast Cancer Research Centre, Western Australia, and Curtin University in Perth. (ascopost.com)
- 1 The association between smoking and reduced disease-free survival was most marked in patients with BRAF wild-type or KRAS mutant colon cancer. (ascopost.com)
- The study involved 1,968 patients with stage III disease from the North Central Cancer Treatment Group phase III trial N0147 examining FOLFOX (infusional fluorouracil, leucovorin, and oxaliplatin) vs FOLFOX plus cetuximab (Erbitux) as adjuvant therapy. (ascopost.com)
- The use of opioids and halogenated agents in cancer patients during the perioperative period may be related to higher rates of cancer recurrence and reduced disease-free survival. (flutrackers.com)
- Inflammatory breast cancer (IBC) is a unique clinical manifestation of malignant breast disease and accounts for 2%-4% of invasive breast cancers diagnosed in the United States. (jcancer.org)
- In breast cancer, high levels of the inflammatory cytokine interleukin-6 (IL-6) have been associated with disease-free survival and treatment resistance. (biomedcentral.com)
- Determination of CYP2D6 *3, *4, and *10 frequency in women with breast cancer in São Luís, Brazil, and its association with prognostic factors and disease-free survival. (nih.gov)
- The aim of this study was to determine the frequencies of the CYP2D6 *3, *4, and *10 alleles in women with breast cancer who were treated with tamoxifen and analyze the association of enzyme activity with prognostic factors and disease-free survival. (nih.gov)
- Disease-free survival rates were 89.7% and 88.9% in total laparoscopy and laparotomy groups (P = 0.39), respectively, and overall survival rates were 90.2% in total laparoscopy group and 91.3% in laparotomy group (P = 0.40).Total laparoscopic procedure is a surgically and oncologically safe and reliable alternative to laparotomic procedure in the treatment for cervical cancer. (nih.gov)
- One patient died from intercurrent disease and 1 from fatal cerebral hemorrhage in laparotomy group and others from cervical cancer. (nih.gov)
- We evaluated the long-term overall and disease-free survival rates of neoadjuvant (presurgical) versus adjuvant RT in early-stage breast cancer patients. (biomedcentral.com)
- We designed a study to assess overall and cancer-free survival rates of patients with early-stage breast cancer who received either adjuvant or neoadjuvant RT. (biomedcentral.com)
- We used the Surveillance, Epidemiology, and End Results (SEER) database (November 2013 submission), a National Cancer Institute (NCI)-initiated registry of cancer incidence and survival rates in the United States from 1972 to 2012, to derive a dataset of women with primary breast cancer treated with surgery and local breast RT. (biomedcentral.com)
- The database was accessed by using the SEER*Stat software provided by the NCI, as well as sets of ASCII files to restructure the data to calculate cancer-free survival of patients with a first primary breast tumor. (biomedcentral.com)
- Cancer-free survival, defined as time to diagnosis of a second primary tumor at any location, was calculated as the difference between the first and second diagnosis dates. (biomedcentral.com)
- Cancer-free survival was censored and set to overall survival for patients without any record of a second tumor diagnosis. (biomedcentral.com)
- Aims: To analyse the predictors of recurrence, disease free survival and overall survival in cases with endometrial cancer. (koreascience.or.kr)
- PURPOSE: Psychological responses to cancer are widely believed to affect survival. (isharonline.org)
- SAN ANTONIO - Zoledronic acid did not improve disease free survival among women with stage II/III breast cancer according to results of the Adjuvant Treatment with Zoledronic Acid in Stage II/III Breast Cancer (AZURE) trial, which was presented at the 33rd Annual CTRC-AACR San Antonio Breast Cancer Symposium. (wordpress.com)
- As reported by Mamounas et al in The Lancet Oncology, the phase III NRG Oncology/NSABP B-42 trial has shown no disease-free survival benefit with 5 years of letrozole (Femara) vs placebo after 5 years of aromatase inhibitor-based therapy in women with hormone receptor-positive postmenopausal breast cancer. (gratisblog.biz)
- The primary endpoint was disease-free survival, defined as time from randomization to breast cancer recurrence, second primary malignancy, or death. (gratisblog.biz)
- The largest differences in disease-free survival events for the letrozole vs placebo groups were in distant recurrence (61 vs 87 events) and contralateral breast cancer (30 vs 59 events). (gratisblog.biz)
- Random effects meta-analyses were used to calculate pooled HRs [95% confidence intervals (CI)] for the association between PTGS2 expression and tumor recurrence, colorectal cancer-specific survival, and overall survival. (aacrjournals.org)
- However, there was funnel plot asymmetry, possibly due to publication bias, for the association with cancer-specific survival but less so for recurrence. (aacrjournals.org)
- PTGS2 expression was associated with an increased risk of tumor recurrence and poorer colorectal cancer-specific survival but not overall survival among patients with colorectal cancer. (aacrjournals.org)
- According to results of a study presented at the San Antonio Breast Cancer Symposium (SABCS), held December 4-8, 2018 in San Antonio, TX, survivors of early-stage breast cancer who participated in a lifestyle intervention on healthy habits lost weight and experienced higher rates of disease-free survival if they completed the program. (oncozine.com)
- Evidence has shown that obesity and low physical activity are associated with higher risks of developing breast cancer, as well as an increased risk of recurrence and reduced survival," said the study's lead author, Wolfgang Janni, MD, chair of the Department of Obstetrics and Gynecology, University of Ulm, Germany. (oncozine.com)
- This study was the first European trial to evaluate the effect of an intensive lifestyle intervention program on disease-free survival in women with early breast cancer and to examine the predictive value of selected biomarker candidates. (oncozine.com)
- Eleven studies assessed the 5-year overall survival (OS) of patients with vulvar cancer according to HPV status. (cancertherapyadvisor.com)
- Does HPV status influence survival after vulvar cancer? (cancertherapyadvisor.com)
- Puma Biotechnology Inc. said its investigational breast-cancer treatment showed a 33% improvement in disease-free survival over a placebo in a phase III study. (wsj.com)
- Reverse phase protein microarrays which capture disease progression show activation of pro-survival pathways at the cancer invasion front. (nih.gov)
- Using this novel protein microarray we have longitudinally analysed the state of pro-survival checkpoint proteins at the microscopic transition stage from patient matched histologically normal prostate epithelium to prostate intraepithelial neoplasia (PIN) and then to invasive prostate cancer. (nih.gov)
- Cancer is a disease that causes cells to divide without stopping, leading to tumor growth and reduced function in the immune system. (medicalnewstoday.com)
- In addition, despite considerable advances in prostate cancer research, high-risk, localized prostate cancer remains an extremely refractory disease. (medscape.com)
- Your doctor will also consider survival statistics for your type of cancer. (cancer.ca)
- Doctors often look at studies that measure survival for a particular type of cancer, stage or risk group. (cancer.ca)
- Keep in mind that cancer survival statistics are only very general estimates based on large numbers of people with cancer. (cancer.ca)
- Survival will be very different depending on the type and stage of the cancer. (cancer.ca)
- There are many different ways to measure and report cancer survival statistics. (cancer.ca)
- Net survival represents how likely it is to survive cancer in the absence of other causes of death. (cancer.ca)
- For example, a 5-year net survival of 50% means that, on average, about 50% of people will survive their cancer for at least 5 years. (cancer.ca)
- Observed survival is the percentage of people with a particular cancer who are alive at a certain point in time after their diagnosis. (cancer.ca)
- Observed survival does not consider the cause of death, so the people who are not alive 5 years after their diagnosis could have died from cancer or from another cause. (cancer.ca)
- Relative survival compares the survival for a group of people with cancer to the survival expected for a group of people in the general population who share the same characteristics as the people with cancer (such as age, sex or where they live). (cancer.ca)
- Unlike observed survival, which considers all causes of death, relative survival measures survival from cancer only. (cancer.ca)
- For example, a 5-year relative survival of 63% means that, on average, people diagnosed with cancer are 63% as likely to live for at least 5 years after their diagnosis compared to people in the general population. (cancer.ca)
- Some studies have suggested a link between low vitamin D levels and breast cancer growth and worse survival, while others have found no link between vitamin D levels and breast cancer risk or survival after being diagnosed. (breastcancer.org)
- Now a large study suggests that there is no link between vitamin D and overall survival or disease-free survival in women diagnosed with breast cancer with a high risk of recurrence (the cancer coming back). (breastcancer.org)
- Overall survival is how long women live, with or without breast cancer coming back. (breastcancer.org)
- Disease-free survival is how long women live without breast cancer coming back. (breastcancer.org)
- Widowed patients with bladder urothelial carcinoma have the worst 5-year cancer-specific survival rates among unmarried patients. (renalandurologynews.com)
- Cancer is a group of almost 200 diseases that involve variety of changes in cell structure, morphology, and physiology. (xonl.de)
- Objective To determine the availability of data on overall survival and quality of life benefits of cancer drugs approved in Europe. (bmj.com)
- Of the 68 cancer indications with EMA approval, and with a median of 5.4 years' follow-up (minimum 3.3 years, maximum 8.1 years), only 35 (51%) had shown a significant improvement in survival or quality of life, while 33 (49%) remained uncertain. (bmj.com)
- But progression may also be due to the appearance of a new lesion originating from the same tumor or to the appearance of new cancer in the same organ or in a different organ, or due to unequivocal progression in 'non-target' lesions-such as pleural effusions, ascites, leptomeningeal disease etc. (wikipedia.org)
- Patients with a certain disease (for example, colorectal cancer) can die directly from that disease or from an unrelated cause (for example, a car accident). (wikipedia.org)
- For example, prostate cancer has a much higher one-year overall survival rate than pancreatic cancer, and thus has a better prognosis. (wikipedia.org)
- In cancer research, various types of survival rate can be relevant, depending on the cancer type and stage. (wikipedia.org)
- In multivariate analysis adjusting for the significant prognostic factors of age, pathologic node status, previous tamoxifen use, and type of surgery, the HR for disease-free survival was 0.86 (P = .0501). (gratisblog.biz)
- Retrospective analysis of progression free survival, time to treatment failure and overall survival in a national cohort of patients with metastatic renal cell carcinoma treated in Denmark from 2006-2010 Safety, prognostic factors, predictive factors and co-morbidity assessed by Charlson Comorbidity Index. (clinicaltrials.gov)
- In conclusion, MET ectodomain shedding occurs in transmembranous C-terminal MET positive oral squamous cell carcinoma and is independently associated with disease-free survival. (eur.nl)
- Six-year disease-free survival of a patient with metastatic eyelid squamous cell carcinoma and colon adenocarcinoma after repeated postoperative adoptive immunotherapy. (semanticscholar.org)
- Local control and disease-free survival after treatment of a squamous cell carcinoma by corynebacterium parvum and local irradiation. (jax.org)
- The researchers found that after a median follow-up of four years, patients assigned denosumab had an 18 percent reduced risk of disease recurring compared with those assigned placebo. (eurekalert.org)
- When researchers analyzed the patients who received at least one dose of personalized vaccine, they saw a 14-month improvement in disease-free survival, compared to those who received the placebo. (healthcanal.com)
- The 76 patients treated with the vaccine had a median disease-free survival of 44.2 months, compared to 30.6 months for the 41 patients treated with the placebo. (healthcanal.com)
- He found that patients whose tumors had an IgM-idiotype protein had a robust response to the vaccine, with an increase in median disease-free survival from 28.7 months in placebo-treated patients to 52.9 months in vaccine-treated patients. (healthcanal.com)
- The researchers found that the median duration of disease-free survival was 6.8 and 5.6 years in the sunitinib and placebo groups, respectively (hazard ratio, 0.76). (physiciansweekly.com)
- Follow-up information was available for 3,903 patients for the analysis of disease-free survival, including 1,950 in the letrozole group and 1,953 in the placebo group. (gratisblog.biz)
- Disease-free survival events were observed in 292 patients in the letrozole group vs 339 patients in the placebo group (hazard ratio [HR] = 0.85, P = .048, which did not meet the prespecified significance level). (gratisblog.biz)
- Estimated disease-free survival at 7 years was 84.7% in the letrozole group vs 81.3% in the placebo group. (gratisblog.biz)
- No significant difference in overall survival was observed for letrozole vs placebo (HR = 1.15, P = .22). (gratisblog.biz)
- When there were survival gains over existing treatment options or placebo, they were often marginal. (bmj.com)
- Moreover, multivariate stepwise logistic regression analysis identified an absence of satellite lesions and an uneventful postoperative course as the two main independently significant predictors of HCC patients undergoing hepatectomy with long-term disease-free survival. (springer.com)
- In multivariate regression analysis, CMV disease, asymptomatic CMV infection, CAD and donor age remained independent predictors of CAV-free survival at 10 years post-transplant. (biomedcentral.com)
- The prognostic value of ectodomain shedding was examined using Cox regression analysis for disease-free survival and overall survival. (eur.nl)
- NEW YORK April 16 2007 /PRNewswire-FirstCall/ -- ImCloneSystems Inc... The improvement in progression-free survival and response rateexpand. (bio-medicine.org)
- The improvement in progression-free survival and response rate expands our understanding of the significant activity of ERBITUX," said Eric Rowinsky, M.D., Chief Medical Officer and Senior Vice President of ImClone Systems. (bio-medicine.org)
- For patients with centrally confirmed HER2-positive disease, a sustained, statistically significant benefit (hazard ratio = 0.51) was observed in those receiving neratinib. (ascopost.com)
- We conclude that patients with reduced CYP2D6 activity did not present worse tumor characteristics or decreased disease-free survival than women with normal enzyme activity, as the difference was not statistically significant. (nih.gov)
- However, no randomized or nonrandomized study using 3 months of NADT has shown any statistically significant benefit in terms of overall and disease-free survival. (medscape.com)
- The primary outcome measure was disease-free survival. (springer.com)
- The primary outcome, referred to as "disability-free survival," was a composite of all-cause mortality, dementia, or persistent physical disability. (nih.gov)
- Donor cytomegalovirus status influences the outcome of allogeneic stem cell transplant: a study by the European group for blood and marrow transplantation," Clinical Infectious Diseases , vol. 59, no. 4, pp. 473-481, 2014. (hindawi.com)
- When we controlled for these other factors to the extent possible, black race was still associated with a worse outcome, but only in HR-positive disease - this was a new and surprising finding," said Sparano. (healthcanal.com)
- To see a survival advantage like this is quite remarkable, and the difference in outcome between this group and the younger population is unlikely to be a chance finding. (wordpress.com)
- We aimed to improve the outcome of t(8;21) acute myeloid leukemia (AML) in the first complete remission (CR1) by applying risk-directed therapy based on minimal residual disease (MRD) determined by RUNX1/RUNX1T1 transcript levels. (bloodjournal.org)
- Shioya A, Guo X, Motono N, Mizuguchi S, Kurose N, Nakada S, Aikawa A, Ikeda Y, Uramoto H, Yamada S. The Combination Of Weak Expression Of PRDX4 And Very High MIB-1 Labelling Index Independently Predicts Shorter Disease-free Survival In Stage I Lung Adenocarcinoma. (medsci.org)
- Since fT3 in patients with end-stage renal diseases (ESRD) is frequently reduced and is associated with inflammation and cardiovascular damage, we prospectively tested the hypothesis that it predicts death in a cohort of 200 hemodialysis patients. (mendeley.com)
- Analyses stratified by patient and clinical characteristics, and adjusted for the same factors noted above, showed a significant interaction between smoking and BRAF mutation status in relation to disease-free survival (overall P = .03). (ascopost.com)
- Risk factors for CAV were included in an analyses of CAV-free survival within 10 years post-transplant. (biomedcentral.com)
- The two-sided statistical significance level for disease-free survival was set at .0418 to adjust for previous interim analyses. (gratisblog.biz)
- The researchers examined overall survival, disease-free survival, disease-specific survival and progression-free survival. (curetoday.com)
- The researchers found no difference in disease free survival in the overall population. (wordpress.com)
- For the study, researchers followed 847 people with Alzheimer's disease for an average of five years. (alzinfo.org)
- The aim of this study was to examine the association among statins, dementia-free and disability-free survival, and cardiovascular disease (CVD) among healthy older adults using data from the ASPREE (Aspirin in Reducing Events in the Elderly) trial. (nih.gov)
- OBJECTIVE: To determine the effect of intercessory prayer, a widely practiced complementary therapy, on cardiovascular disease progression after hospital discharge. (isharonline.org)
- Estimation of cardiovascular disease risk is increasingly used to inform decisions on interventions, such as the use of antihypertensives and statins, or to communicate the risks of smoking. (biomedcentral.com)
- Crude 10-year cardiovascular disease risk risks may not give a realistic view of the likely impact of an intervention over a lifetime and will underestimate of the risks of smoking. (biomedcentral.com)
- This study aims to describe the development of such a model for use with people free of cardiovascular disease and evaluates its accuracy against data from a United Kingdom cohort. (biomedcentral.com)
- A Markov cycle tree evaluated using cohort simulation was developed utilizing Framingham estimates of cardiovascular risk, 1998 United Kingdom mortality data, the relative risk for smoking related non-cardiovascular disease risk and changes in systolic blood pressure and serum total cholesterol total cholesterol with age. (biomedcentral.com)
- The average gain in life expectancy from the elimination of cardiovascular disease risk as a cause of death was 4.0 years for all the 35 year-old men in the sample (n = 24), and 1.8 years for all the 35 year-old women in the sample (n = 32). (biomedcentral.com)
- The evaluation of the risk of developing coronary heart disease (CHD) is increasingly used as a basis for making treatment decisions to prevent cardiovascular disease (CVD). (biomedcentral.com)
- Although we usually can get the disease into remission, it comes back in almost all patients without further treatment. (mdanderson.org)
- Hepatic resection is the most common treatment modality for HCC and is among the most effective interventions - for achieving long-term survival. (plos.org)
- Upon disease progression, study treatment was stopped and further treatment was at the discretion of the physician. (bio-medicine.org)
- in this treatment group, overall response rate was achieved in 16.4% of patients and 61.4% of patients experienced disease control. (bio-medicine.org)
- There was no survival benefit for either treatment. (ascopost.com)
- This study shows us that we can offer our high-risk patients tolerable treatment that may prolong their chances of survival. (fredhutch.org)
- TUESDAY, Oct. 11, 2016 (HealthDay News) - The duration of disease-free survival is increased with sunitinib treatment for patients with locoregional, high-risk clear-cell renal-cell carcinoma, according to a study published online Oct. 10 in the New England Journal of Medicine . (physiciansweekly.com)
- Without treatment, the median survival rate is less than 6 months in metastatic settings, and 10 months in locally advanced settings [ 2 ]. (alliedacademies.org)
- These results do not impact on the current useage of zoledronic acid for the treatment of metastatic bone disease across a broad range of cancers. (wordpress.com)
- Knowing which patients will develop milder forms of disease could spare them unnecessary treatment and potential medication side effects but currently doctors have no way of predicting disease course or severity. (news-medical.net)
- Genentech, a member of the Roche Group, announced today that the U.S. Food and Drug Administration has approved an update to the Rituxan® (rituximab) label to include information on follow up treatment of adult patients with Granulomatosis with Polyangiitis and Microscopic Polyangiitis who have achieved disease control with induction treatment. (news-medical.net)
- [ 3 ] Non-responders to treatment with UDCA and/or OCA are at risk for progression to biliary cirrhosis, end-stage liver disease and death or liver transplantation. (medscape.com)
- Local control and disease-free survival after treatment of a squamous " by H D. Suit, R Sedlacek et al. (jax.org)
- The relationship between PFS and OS is altered in any case in which a successive treatment may influence survival. (wikipedia.org)
- Disease-specific survival rate refers to "the percentage of people in a study or treatment group who have not died from a specific disease in a defined period of time. (wikipedia.org)
- A database for hepatocellular carcinoma (HCC) patients who had received hepatic resection was used to develop prediction models for 1-, 3- and 5-year disease-free survival based on a set of clinical parameters for this patient group. (plos.org)
- Data for 427, 354 and 297 HCC patients with histories of 1-, 3- and 5-year disease-free survival after hepatic resection, respectively, were extracted from the HCC patient database. (plos.org)
- This study demonstrated the feasibility of using ANNs in medical decision support systems for predicting disease-free survival based on clinical databases in HCC patients who have received hepatic resection. (plos.org)
- Ho W-H, Lee K-T, Chen H-Y, Ho T-W, Chiu H-C (2012) Disease-Free Survival after Hepatic Resection in Hepatocellular Carcinoma Patients: A Prediction Approach Using Artificial Neural Network. (plos.org)
- However, even after undergoing hepatic resection, patients with HCC may still have very poor prognoses because of the low survival and high recurrence rates associated with this procedure . (plos.org)
- Therefore, the aim of this study was to construct an accurate and effective model for predicting disease-free survival in HCC patients who have received hepatic resection. (plos.org)