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  • 1
    In: JAMA Surgery, American Medical Association (AMA), Vol. 155, No. 6 ( 2020-06-17), p. e200397-
    Type of Medium: Online Resource
    ISSN: 2168-6254
    Language: English
    Publisher: American Medical Association (AMA)
    Publication Date: 2020
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  • 2
    In: Clinical Sarcoma Research, Springer Science and Business Media LLC, Vol. 2, No. 1 ( 2012-12)
    Abstract: Desmoplastic small round cell tumour is a rare malignant tumour with a male to female ratio of 4:1. It manifests mostly at serosal sites. Here we present a case of a 28-year-old male patient, who presented with a fast growing paratesticular mass. On biopsy nests and cords of small round cells, without a clear morphological lineage of differentiation were seen. Occasionally desmoplatic small round cell tumour shows different lines of differentiation. An unequivocal histological diagnosis might be difficult in such cases. Here we demonstrate by a combination of methods the characteristic immunohistochemical profile and - albeit unusual - molecular background and discuss the eventual link with Ewing sarcoma. Immunohistochemical studies showed a membranous staining of Keratine AE1/3 and a dot-like staining of Desmine, confirming its diagnosis. Using COBRA-FISH following a metaphase approach we demonstrated a balanced translocation, t(11;22)(p13;q12) and in RT-PCR formation of the EWSR1-WT1 fusion product, a specific translocation of desmoplastic round cell tumour. The fusion involves exon 9 of EWSR1 to exon 8 of WT1, an unusual fusion product, though earlier described in a case of a desmoplastic small round cell tumour of the hand. The EWSR1-WT1 chimera seems to function as an oncogenic transcription factor. Here the zinc finger domain of the WT1 acts with affinity with certain promoter domains influencing the expression of various downstream proteins such as: PDGFA, PAX2, insulin-like growth factor 1 receptor, epidermal growth factor receptor, IL2 receptor beta, BAIAP3, MLF1, TALLA-1, LRRC15 and ENT. We discuss their potential oncogenic roles and potential therapeutic consequences.
    Type of Medium: Online Resource
    ISSN: 2045-3329
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2012
    detail.hit.zdb_id: 2623217-0
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  • 3
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2000
    In:  Anti-Cancer Drugs Vol. 11, No. 9 ( 2000-10), p. 673-680
    In: Anti-Cancer Drugs, Ovid Technologies (Wolters Kluwer Health), Vol. 11, No. 9 ( 2000-10), p. 673-680
    Type of Medium: Online Resource
    ISSN: 0959-4973
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2000
    detail.hit.zdb_id: 2025803-3
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  • 4
    In: European Journal of Cancer, Elsevier BV, Vol. 86 ( 2017-11), p. 318-325
    Type of Medium: Online Resource
    ISSN: 0959-8049
    RVK:
    RVK:
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2017
    detail.hit.zdb_id: 1120460-6
    detail.hit.zdb_id: 1468190-0
    detail.hit.zdb_id: 82061-1
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  • 5
    In: Clinical Cancer Research, American Association for Cancer Research (AACR), Vol. 25, No. 8 ( 2019-04-15), p. 2664-2671
    Abstract: The role of surgery for first relapse locally recurrent retroperitoneal sarcoma (RPS-LR1) is uncertain. We report outcomes of the largest RPS-LR1 series and propose a new prognostic nomogram. Experimental Design: Patients with consecutive RPS-LR1 without distant metastases who underwent resection at 22 centers (2002–2011) were included. Endpoints were disease-free and overall survival (DFS, OS) and crude-cumulative-incidence (CCI) of local/distant recurrence from second surgery. Nomograms predicting DFS and OS from second surgery were developed and validated (calibration plots); discrimination was assessed (Harrell C index). Results: Of 684 patients identified, full prognostic variable data were available for 602. Initial surgery for primary RPS was performed at our institutions in 188 patients (31%) and elsewhere in 414 (69%). At a median follow-up of 119 months [Interquartile range (IQR), 80–169] from initial surgery and 75 months (IQR 50–105) from second surgery, 6-year DFS and OS were 19.2% [95% confidence interval (CI), 16.0–23.0%] and 54.1% (95% CI, 49.8–58.8%), respectively. Recurrence patterns and survival probability were histology-specific, with liposarcoma subtypes having the highest 6-year CCI of second local recurrence (LR, 60.2%–70.9%) and leiomyosarcoma (LMS) having higher 6-year CCI of distant metastasis (DM, 36.3%). Nomograms included age at second surgery, multifocality, grade, completeness of second surgery, histology, chemotherapy/radiotherapy at first surgery, and number of organs resected at first surgery. OS and DFS nomograms showed good calibration and discriminative ability (C index 0.70 and 0.67, respectively). Conclusions: We developed nomograms to predict DFS and OS for patients undergoing RPS-LR1 resection. Nomograms provide individualized, disease-relevant estimations of survival for RPS-LR1 patients and assist in clinical decisions.
    Type of Medium: Online Resource
    ISSN: 1078-0432 , 1557-3265
    RVK:
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2019
    detail.hit.zdb_id: 1225457-5
    detail.hit.zdb_id: 2036787-9
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  • 6
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 1999
    In:  Anti-Cancer Drugs Vol. 10, No. 8 ( 1999-09), p. 705-710
    In: Anti-Cancer Drugs, Ovid Technologies (Wolters Kluwer Health), Vol. 10, No. 8 ( 1999-09), p. 705-710
    Type of Medium: Online Resource
    ISSN: 0959-4973
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 1999
    detail.hit.zdb_id: 2025803-3
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  • 7
    In: Therapeutic Drug Monitoring, Ovid Technologies (Wolters Kluwer Health), Vol. 41, No. 5 ( 2019-10), p. 561-567
    Abstract: Oral anticancer drugs show a high interpatient variability in pharmacokinetics (PK), leading to large differences in drug exposure. For many of these drugs, exposure has been linked to efficacy and toxicity. Despite this knowledge, these drugs are still administered in a one-size-fits-all approach. Consequently, individual patients have a high probability to be either underdosed, which can lead to decreased antitumor efficacy, or overdosed, which could potentially result in increased toxicity. Therapeutic drug monitoring (TDM), personalized dosing based on measured drug levels, could be used to circumvent underdosing and overdosing and thereby optimize treatment outcomes. Methods: In this prospective clinical study (www.trialregister.nl; NL6695), the feasibility, tolerability, and efficacy of TDM of oral anticancer drugs will be evaluated. In total, at least 600 patients will be included for (at least) 23 different compounds. Patients starting regular treatment with one of these compounds at the approved standard dose can be included. PK sampling will be performed at 4, 8, and 12 weeks after the start of treatment and every 12 weeks thereafter. Drug concentrations will be measured, and trough concentrations (C min ) will be calculated. In cases where C min falls below the predefined target and acceptable toxicity, a PK-guided intervention will be recommended. This could include emphasizing compliance, adapting concomitant medication (due to drug–drug interactions), instructing to take the drug concomitant with food, splitting intake moments, or recommending a dose increase. Discussion: Despite a strong rationale for the use of TDM for oral anticancer drugs, this is currently not yet widely adopted in routine patient care. This prospective study will be a valuable contribution to demonstrate the additional value of dose optimization on treatment outcome for these drugs.
    Type of Medium: Online Resource
    ISSN: 0163-4356
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2019
    detail.hit.zdb_id: 2048919-5
    SSG: 15,3
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  • 8
    In: Clinical Sarcoma Research, Springer Science and Business Media LLC, Vol. 2, No. 1 ( 2012-12)
    Abstract: High grade primary bone sarcomas are rare cancers that affect mostly children and young adults. Osteosarcoma and Ewing sarcoma are the most common histological subtypes in this age group, with current multimodality treatment strategies achieving 55-70% overall survival. As there remains an urgent need to develop new therapeutic interventions, we have reviewed published phase I/II trials that have been reported for osteosarcoma and Ewing sarcoma in the last twenty years. Results We conducted a literature search for clinical trials between 1990 and 2010, either for trials enrolling bone sarcoma patients as part of a general sarcoma indication or trials specifically in osteosarcoma and Ewing sarcoma. We identified 42 clinical trials that fulfilled our search criteria for general sarcoma that enrolled these patient groups, and eight and twenty specific trials for Ewing and osteosarcoma patients, respectively. For the phase I trials which enrolled different tumour types our results were incomplete, because the sarcoma patients were not mentioned in the PubMed abstract. A total of 3,736 sarcoma patients were included in these trials over this period, 1,114 for osteosarcoma and 1,263 for Ewing sarcoma. As a proportion of the worldwide disease burden over this period, these numbers reflect a very small percentage of the potential patient recruitment, approximately 0.6% for Ewing sarcoma and 0.2% for osteosarcoma. However, these data show an increase in recent activity overall and suggest there is still much room for improvement in the current trial development structures. Conclusion Lack of resources and commercial investment will inevitably limit opportunity to develop sufficiently rapid improvements in clinical outcomes. International collaboration exists in many well founded co-operative groups for phase III trials, but progress may be more effective if there were also more investment of molecular and translational research into disease focused phase I/II clinical trials. Examples of new models for early translational and early phase trial collaboration include the European based EuroBoNeT network, the Sarcoma Alliance for Research through Collaboration network (SARC) and the new European collaborative translational trial network, EuroSarc.
    Type of Medium: Online Resource
    ISSN: 2045-3329
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2012
    detail.hit.zdb_id: 2623217-0
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  • 9
    Online Resource
    Online Resource
    American Association for Cancer Research (AACR) ; 2009
    In:  Molecular Cancer Therapeutics Vol. 8, No. 12_Supplement ( 2009-12-10), p. C3-C3
    In: Molecular Cancer Therapeutics, American Association for Cancer Research (AACR), Vol. 8, No. 12_Supplement ( 2009-12-10), p. C3-C3
    Abstract: Chondrosarcomas are malignant cartilage-forming tumors of the bone and are notorious for their resistance to chemo- and radiotherapy. Chondrosarcomas consist of slowly dividing cells and show overexpression of BCL2. A correlation between BCL2 expression and malignant transformation of osteochondromas to peripheral chondrosarcomas has been found as well as BCL2 positivity in 30–67% of central chondrosarcomas, increasing with grade. As BCL2 is an anti-apoptotic protein, inhibition could lead to resensitization of tumor cells to conventional therapy. This study aims at inducing apoptosis in chondrosarcomas insensitive to conventional treatment measures. ABT737 is a BH3 mimetic which inhibits anti-apoptotic proteins. BCL2 inhibition has been proven to work in leukemia cells. Expression of pro- and anti-apoptotic genes was studied using Illumina human expression bead chip v3 microarrays on 23 solitary chondrosarcomas and 6 normal cartilage tissues for comparison using R software. ABT737 was tested for its ability to induce apoptosis in 4 chondrosarcoma cell lines and 4 primary cultures (SW1353, OUMS27, CH2879, JJ012, and L835, L869, L1081, L1250, respectively). HL60, an ALL cell line, was used as a positive control. ABT737 was also tested in combination with Doxorubicin and Cisplatin. Cell viability was assessed using WST assay measuring mitochondrial activity; cell count was performed with the Casey® cell counter. Induction of apoptosis was determined using Life Cell Imaging where apoptotic cells were labeled with Cy5-labelled AnnexinV. During Life Cell Imaging ABT737 was also combined with Roscovitine, an MCL1 inhibitor. FACS analysis on cell cycle was performed with DAPI staining. After comparing solitary chondrosarcomas to normal cartilage tissue, the anti-apoptotic MCL1 (logFc 0.6, p=0.02) and BAD (logFc=0.5, p=0.007) were overexpressed in chondrosarcoma. P-values were False Discovery Rate adjusted. A loss in cell number (IC50: 2 M) and viability (IC50: 20 M) after 72 hours incubation with ABT737 was achieved. 25µMABT737 in combination with 10µM Doxorubicin led to 85% reduction in cell viability in L869 and 65% reduction in other cultures. Life Cell Imaging showed a strong induction of apoptosis in cells treated with ABT737 alone (650%) over 72 hours of treatment. For Doxorubicin 10 M 560% increase in apoptotic cells was observed and for Roscovitine 10 M the total increase in apoptotic cells was 400%. Combining ABT737 with Roscovitine or Doxorubicin showed a total increase in apoptotic cell number of 430%. Combining ABT737 with doxorubicin showed no additional onset of apoptosis during the last 24 hours. By adding the BH3 mimic ABT737 to Doxorubicin treatment in chondrosarcoma cultures, an additional 20% decrease in cell viability can be obtained. However, by counting apoptotic cells, no such decrease could be observed, suggesting that the additional 20% is a cytostatic effect rather than a cytotoxic. Accordingly, preliminary data obtained with FACS analysis on cell cycle show a 10% increase of cells in G1 phase after ABT737 and Doxorubicin treatment, compared to ABT737 treatment alone. In conclusion, BCL2 overexpression seems to play an important part in chemoresistance in chondrosarcoma, and co-treatment of ABT737 with Doxorubicin causes the vast majority of chondrosarcoma cells to enter apoptosis while the remaining cells enter cell cycle arrest. Citation Information: Mol Cancer Ther 2009;8(12 Suppl):C3.
    Type of Medium: Online Resource
    ISSN: 1535-7163 , 1538-8514
    Language: English
    Publisher: American Association for Cancer Research (AACR)
    Publication Date: 2009
    detail.hit.zdb_id: 2062135-8
    SSG: 12
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  • 10
    In: Circulation, Ovid Technologies (Wolters Kluwer Health), Vol. 144, No. Suppl_1 ( 2021-11-16)
    Abstract: Introduction: Osteosarcoma patients are at high risk of developing an anthracycline-induced cardiomyopathy (AC-CMP) due to their cancer treatment. The purpose of the study was to evaluate incidence of heart failure (HF) in this specific population and to identify predictors of HF. Methods: We conducted a retrospective cohort study at a tertiary sarcoma center (timeframe: 1982-2017) among 400 high grade osteosarcoma patients whom underwent surgery and received chemotherapy. Relevant data on demographics, cardiovascular risk profile, medications, osteosarcoma diagnosis and treatment was acquired from the electronic healthcare records and local oncology clinical registry. The primary endpoint was the composite of initiation of HF medication, hospitalization for HF and ICD implantation as primary prevention of sudden cardiac death in reduced left ventricular function. Results: The median age at sarcoma diagnosis in our cohort was 19 [p25-p75: 15-32] years with a median follow up time of 6 [2-14] years. At baseline, few patients used any medication or had cardiovascular risk factors: resp. 5 (1.3%) and 15 (3.8%). The endpoint occurred in 5.8% (23 patients). In 10 patients (2.5%) an admission for decompensated HF was the first presentation of AC-CMP, and ICD-implantation due to a reduced left ventricular ejection fraction occurred in 4 patients (1%). When sarcoma was diagnosed after 30 years of age, patients had near 5-fold increased risk of reaching the primary endpoint within 10 years after diagnosis (competing risk regression with competing risk of death due to malignancy: SHR 5.8 [2.0-16.9], p =0.001) and the time to a first HF event was shorter than younger patients: 3.4 [0.8-7.9] vs. 11.7 [5.2-16.0] years, p =0.027. Conclusions: The risk of developing HF in sarcoma patients is substantial, which warrants close monitoring during treatment and long term follow-up. Older age at diagnosis is associated with higher risk of developing HF and a shorter duration to events.
    Type of Medium: Online Resource
    ISSN: 0009-7322 , 1524-4539
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2021
    detail.hit.zdb_id: 1466401-X
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