72 research outputs found
Dynamics in treatment response and disease progression of metastatic colorectal cancer (mCRC) patients with focus on BRAF status and primary tumor location: analysis of untreated RAS-wild-type mCRC patients receiving FOLFOXIRI either with or without panitumumab in the VOLFI trial (AIO KRK0109)
Purpose: In mCRC, disease dynamics may play a critical role in the understanding of long-term outcome. We evaluated depth of response (DpR), time to DpR, and post-DpR survival as relevant endpoints.
Methods: We analyzed DpR by central review of computer tomography images (change from baseline to smallest tumor diameter), early tumor shrinkage (â„â20% reduction in tumor diameter at first reassessment), time to DpR (study randomization to DpR-image), post-DpR progression-free survival (pPFSâ=âDpR-image to tumor progression or death), and post-DpR overall survival (pOSâ=âDpR-image to death) with special focus on BRAF status in 66 patients and primary tumor site in 86 patients treated within the VOLFI-trial, respectively.
Results: BRAF wild-type (BRAF-WT) compared to BRAF mutant (BRAF-MT) patients had greater DpR (â 57.6% vs. â 40.8%, pâ=â0.013) with a comparable time to DpR [4.0 (95% CI 3.1â4.4) vs. 3.9 (95% CI 2.5â5.5) months; pâ=â0.8852]. pPFS was 6.5 (95% CI 4.9â8.0) versus 2.6 (95% CI 1.2â4.0) months in favor of BRAF-WT patients (HR 0.24 (95% CI 0.11â0.53); pâ<â0.001). This transferred into a significant difference in pOS [33.6 (95% CI 26.0â41.3) vs. 5.4 (95% CI 5.0â5.9) months; HR 0.27 (95% CI 0.13â0.55); pâ<â0.001]. Similar observations were made for patients stratified for primary tumor site.
Conclusions: BRAF-MT patients derive a less profound treatment response compared to BRAF-WT patients. The difference in outcome according to BRAF status is evident after achievement of DpR with BRAF-MT patients hardly deriving any further disease control beyond DpR. Our observations hint towards an aggressive tumor evolution in BRAF-MT tumors, which may already be molecularly detectable at the time of DpR
Musgos pleurocĂĄrpicos dos fragmentos de Mata AtlĂąntica da Reserva EcolĂłgica da Michelin, municĂpio de IgrapiĂșna, BA, Brasil: II - Hypnales (Bryophyta: Bryopsida)
Landscape dynamics and fire activity since 6740 cal yr BP in the Cantabrian region (La Molina peat bog, Puente Viesgo, Spain)
A lack of paleobotanic studies with adequate resolution and multiproxy approaches has limited proper discussion of vegetation dynamics in Cantabria and of the role of fires in the configuration of the plant landscape during the Holocene in the northwest part of the Iberian peninsula. The pollen diagram of La Molina peat bog in Puente Viesgo (43 âč15 Ć38 N.3 âč58 Ć37 W; ETRS89), located at 484 m.a.s.l., and the study of its sedimentary charcoals allowed the acquisition of a continuous and thorough fire sequence for the last 6 700 cal yr BP and an understanding of its relationship to the forest. The results show the importance of human influence on the incidence and characteristics of fire activity during the different phases studied: the Neolithic, Bronze Age, Iron Age, Roman period, and Middle Ages. A synergy seems to exist between dry climate periods (especially during Bond events 3 and 4) and a greater presence of biomass. As the Holocene advances, vegetation coverage clearly tends to decrease. This study provides key elements for understanding the role of fire activity in the forest dynamics of deciduous and evergreen Quercus, Corylus, Pinus, Fagus, and Alnus and demonstrates the strongly artificialized character of the present landscape
Bryophyte flora in upland forests at different successional stages and in the various strata of host trees in northeastern ParĂĄ, Brazil
BriĂłfitas corticĂcolas de mata ciliar ao longo do Rio Uruguai, antes do alagamento da ĂĄrea pela Barragem de ItĂĄ, entre Santa Catarina e Rio Grande do Sul, Brasil
Musgos do Pico da CaledĂŽnea, municĂpio de Nova Friburgo, estado do Rio de Janeiro, Brasil
Vertical distribution of epiphytic bryophytes in Atlantic Forest fragments in northeastern Brazil
Herbertus Gray 1821, Herbertia Sweet 1827 und Herberta Gray mut. Lindb. 1875
Conservation of Herberta Gray mut. Lindb. 1875 was rejected by the âGeneral Committeeâ because of the existence of Herbertia Sweet 1827, a legitimate name in common usage for an Iridaceae genus. Therefore the illegitimate Herberta Gray mut. Lindb. 1875 must be abandoned. The simplest solution seems to be the return to Herbertus Gray 1821, the original legitimate name fully in accordance with the ICBN. This is possible without any further action and avoids any new combination
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