Lisa Astor

Lisa Astor is the Associate Editorial Director for Targeted Oncology. Astor received her Bachelor of Arts in English Literature from New York University.

Articles by Lisa Astor

Combining the PD-1 checkpoint inhibitor nivolumab with the CTLA-4 checkpoint inhibitor ipilimumab led to superior survival rates compared to treatment with nivolumab alone in patients with persistent or recurrent ovarian cancer, according to findings from the phase II NRG-GY003 trial.

The landscape for treatment of gynecologic cancer has changed since 2014, however, better therapeutic strategies and better biomarkers are needed in the realm of gynecologic cancers, Bradley J. Monk, MD, said during a recent webinar about meeting unmet clinical needs in cervical cancer.

Mesothelin-targeted chimeric antigen receptor T-cell therapy has shown early evidence of efficacy in a phase I trial of patients with malignant pleural disease and mesothelioma, non–small cell lung cancer, or breast cancer. Additionally, significant responses were seen in patients who went on to receive subsequent PD-1 checkpoint inhibition treatment.

Compared with sorafenib (Nexavar) alone, sorafenib in combination with selective internal radiation therapy did not provide a significant survival improvement for patients with advanced hepatocellular carcinoma, according to results from the palliative cohort of the SORAMIC trial presented at the 2018 World Congress on Gastrointestinal Cancer in Barcelona, Spain. However, overall survival improvements were seen with the combination in select subgroup analyses.

According to Tony S. Mok, MD, first-line treatment with tyrosine kinase inhibitors for patients with non&ndash;small cell lung cancers harboring uncommon driver mutations can be controversial. Instead, there is more evidence supporting the use of TKIs in the second-line for mutations such as <em>ROS1 </em>and <em>BRAF</em>, he explained during a presentation at the <em>19th Annual </em>International Lung Cancer Congress.<br /> &nbsp;

According to preliminary findings from the phase III PREOPANC-1 trial, preoperative treatment with chemotherapy and radiation improved overall survival for patients with resectable or borderline resectable pancreatic cancer compared to immediate surgery. These data, presented at the 2018 ASCO Annual Meeting, demonstrated the potential role for neoadjuvant treatment in the pancreatic cancer treatment paradigm.

Adjuvant endocrine therapy alone is sufficient for patients with&nbsp;hormone receptor&ndash;positive, HER2-negative, node-negative early-stage breast cancer who have an intermediate risk of distant recurrence compared with endocrine therapy in combination with chemotherapy. Results of the phase III TAILORx trial presented during the 2018 ASCO Annual Meeting showed that adjuvant endocrine therapy achieved noninferiority to chemoendocrine therapy.

A&nbsp;herpes zoster subunit vaccine effectively prevented episodes of HZ and other related complications among patients who had recently underwent autologous hematopoietic stem cell transplant, according to the results of the phase III ZOE-HSCT trial presented at the 2018 BMT Tandem Meetings.

To help reduce the chance of drug-induced toxicities and improve patient outcomes, NantOmics has developed a test that utilizes pharmacogenomic screening of patients to identify potential genomic variants that could impact treatment decisions. In results from the NantOmics pharmacogenomics test, more than 7% of patients were determined to have a variant that could potentially alter the course of their treatment.

Although immuno-oncology&nbsp;is increasingly gaining strength within the community setting, familiarity with ever-changing indications, and patient and nonspecialist education are persistent issues for community oncology providers. These are a few of the many barriers currently standing in the way, based on interviews, focus groups, and surveys from 2017.

Following in the footsteps of pazopanib and olaratumab, many targeted therapies are being studied in patients with soft tissue sarcomas to capitalize on the benefits of targeted therapies in&nbsp;sarcomas. Although chemotherapy-driven approaches remain the standard for treatment of sarcomas, many sensitivities to chemotherapies have appeared in patients with sarcoma subtypes. These patients&nbsp;may benefit from targeted therapy approaches.

A novel circulating tumor cell assay has demonstrated a high accuracy of up to 88% for detecting early-stage colorectal cancer, according to the results of a prospective study from Taiwan released ahead of a presentation at the 2018 Gastrointestinal Cancers Symposium in San Francisco, California. The study marks the first to show a high sensitivity for detecting precancerous lesions, as prior studies tended to identify later-stage CRCs.

According to the results of the randomized phase III&nbsp;AXEPT clinical trial, a chemotherapy doublet has proved noninferior to treatment with standard FOLFIRI (folinic acid [leucovorin], fluorouracil [5-FU], and irinotecan) for patients with previously treated metastatic colorectal cancer (mCRC).<sup>1</sup>