974 research outputs found
Inflammatory breast cancer: dynamic contrast-enhanced MR in patients receiving bevacizumab. Initial experience
To retrospectively compare three dynamic contrast material-enhanced
magnetic resonance (MR) imaging (dynamic MR imaging) analytic methods to
determine the parameter or combination of parameters most strongly associated
with changes in tumor microvasculature during treatment with bevacizumab alone
and bevacizumab plus chemotherapy in patients with inflammatory or locally
advanced breast cancer. MATERIALS AND METHODS: This study was conducted in
accordance with the institutional review board of the National Cancer Institute
and was compliant with the Privacy Act of 1974. Informed consent was obtained
from all patients. Patients with inflammatory or locally advanced breast cancer
were treated with one cycle of bevacizumab alone (cycle 1) followed by six cycles
of combination bevacizumab and chemotherapy (cycles 2-7). Serial dynamic MR
images were obtained, and the kinetic parameters measured by using three dynamic
analytic MR methods (heuristic, Brix, and general kinetic models) and two
region-of-interest strategies were compared by using two-sided statistical tests.
A P value of .01 was required for significance. RESULTS: In 19 patients, with use
of a whole-tumor region of interest, the authors observed a significant decrease
in the median values of three parameters measured from baseline to cycle 1:
forward transfer rate constant (Ktrans) (-34% relative change, P=.003), backflow
compartmental rate constant extravascular and extracellular to plasma (Kep) (-15%
relative change, P<.001), and integrated area under the gadolinium concentration
curve (IAUGC) at 180 seconds (-23% relative change, P=.009). A trend toward
differences in the heuristic slope of the washout curve between responders and
nonresponders to therapy was observed after cycle 1 (bevacizumab alone, P=.02).
The median relative change in slope of the wash-in curve from baseline to cycle 4
was significantly different between responders and nonresponders (P=.009).
CONCLUSION: The dynamic contrast-enhanced MR parameters Ktrans, Kep, and IAUGC at
180 seconds appear to have the strongest association with early physiologic
response to bevacizumab. Clinical trial registration no. NCT0001654
Pertuzumab, trastuzumab, and standard anthracycline- and taxane-based chemotherapy for the neoadjuvant treatment of patients with HER2-positive localized breast cancer (BERENICE) : a phase II, open-label, multicenter, multinational cardiac safety study
Background:
Anti-HER2 therapies are associated with a risk of increased cardiac toxicity, particularly when part of anthracycline-containing regimens. We report cardiac safety of pertuzumab, trastuzumab, and chemotherapy in the neoadjuvant treatment of HER2-positive early breast cancer.
Patients and methods:
BERENICE (NCT02132949) is a nonrandomized, phase II, open-label, multicenter, multinational study in patients with normal cardiac function. In the neoadjuvant period, cohort A patients received four cycles of dose-dense doxorubicin and cyclophosphamide, then 12 doses of standard paclitaxel plus four standard trastuzumab and pertuzumab cycles. Cohort B patients received four standard fluorouracil/epirubicin/cyclophosphamide cycles, then four docetaxel cycles with four standard trastuzumab and pertuzumab cycles. The primary end point was cardiac safety during neoadjuvant treatment, assessed by the incidence of New York Heart Association class III/IV heart failure and of left ventricular ejection fraction declines ( 6510 percentage-points from baseline and to a value of\u2009<50%). The main efficacy end point was pathologic complete response (pCR, ypT0/is ypN0). Results are descriptive.
Results:
Safety populations were 199 and 198 patients in cohorts A and B, respectively. Three patients [1.5%; 95% confidence interval (CI) 0.31% to 4.34%] in cohort A experienced four New York Heart Association class III/IV heart failure events. Thirteen patients (6.5%; 95% CI 3.5% to 10.9%) in cohort A and four (2.0%; 95% CI 0.6% to 5.1%) in cohort B experienced at least one left ventricular ejection fraction decline. No new safety signals were identified. pCR rates were 61.8% and 60.7% in cohorts A and B, respectively. The highest pCR rates were in the HER2-enriched PAM50 subtype (75.0% and 73.7%, respectively).
Conclusion:
Treatment with pertuzumab, trastuzumab, and common anthracycline-containing regimens for the neoadjuvant treatment of early breast cancer resulted in cardiac and general safety profiles, and pCR rates, consistent with prior studies with pertuzumab.
Clinical Trial Information: NCT02132949
Search for Charmless Two-body Baryonic Decays of B Mesons
We report the results of a search for the rare baryonic decays , , and . The analysis
is based on a data set of events collected by the
Belle detector at the KEKB collider. No statistically significant
signals are found, and we set branching fraction upper limits , , and at the 90% confidence level.Comment: 6 pages, 4 figures and 1 table. Submitted to Phys. Rev. D Rapid
Communication
Measurement of W Polarisation at LEP
The three different helicity states of W bosons produced in the reaction e+
e- -> W+ W- -> l nu q q~ at LEP are studied using leptonic and hadronic W
decays. Data at centre-of-mass energies \sqrt s = 183-209 GeV are used to
measure the polarisation of W bosons, and its dependence on the W boson
production angle. The fraction of longitudinally polarised W bosons is measured
to be 0.218 \pm 0.027 \pm 0.016 where the first uncertainty is statistical and
the second systematic, in agreement with the Standard Model expectation
Search for Anomalous Couplings in the Higgs Sector at LEP
Anomalous couplings of the Higgs boson are searched for through the processes
e^+ e^- -> H gamma, e^+ e^- -> e^+ e^- H and e^+ e^- -> HZ. The mass range 70
GeV < m_H < 190 GeV is explored using 602 pb^-1 of integrated luminosity
collected with the L3 detector at LEP at centre-of-mass energies
sqrt(s)=189-209 GeV. The Higgs decay channels H -> ffbar, H -> gamma gamma, H
-> Z\gamma and H -> WW^(*) are considered and no evidence is found for
anomalous Higgs production or decay. Limits on the anomalous couplings d, db,
Delta(g1z), Delta(kappa_gamma) and xi^2 are derived as well as limits on the H
-> gamma gamma and H -> Z gamma decay rates
Measurement of W Polarisation at LEP
The three different helicity states of W bosons produced in the reaction e+
e- -> W+ W- -> l nu q q~ at LEP are studied using leptonic and hadronic W
decays. Data at centre-of-mass energies \sqrt s = 183-209 GeV are used to
measure the polarisation of W bosons, and its dependence on the W boson
production angle. The fraction of longitudinally polarised W bosons is measured
to be 0.218 \pm 0.027 \pm 0.016 where the first uncertainty is statistical and
the second systematic, in agreement with the Standard Model expectation
Bose-Einstein Correlations of Neutral and Charged Pions in Hadronic Z Decays
Bose-Einstein correlations of both neutral and like-sign charged pion pairs
are measured in a sample of 2 million hadronic Z decays collected with the L3
detector at LEP. The analysis is performed in the four-momentum difference
range 300 MeV < Q < 2 GeV. The radius of the neutral pion source is found to be
smaller than that of charged pions. This result is in qualitative agreement
with the string fragmentation model
Z Boson Pair-Production at LEP
Events stemming from the pair-production of Z bosons in e^+e^- collisions are
studied using 217.4 pb^-1 of data collected with the L3 detector at
centre-of-mass energies from 200 GeV up to 209 GeV. The special case of events
with b quarks is also investigated.
Combining these events with those collected at lower centre-of-mass energies,
the Standard Model predictions for the production mechanism are verified. In
addition, limits are set on anomalous couplings of neutral gauge bosons and on
effects of extra space dimensions
Neutral-Current Four-Fermion Production in e+e- Interactions at LEP
Neutral-current four-fermion production, e+e- -> ffff is studied in 0.7/fb of
data collected with the L3 detector at LEP at centre-of-mass energies
root(s)=183-209GeV. Four final states are considered: qqvv, qqll, llll and
llvv, where l denotes either an electron or a muon. Their cross sections are
measured and found to agree with the Standard Model predictions. In addition,
the e+e- -> Zgamma* -> ffff process is studied and its total cross section at
the average centre-of-mass energy 196.6GeV is found to be 0.29 +/- 0.05 +/-
0.03 pb, where the first uncertainty is statistical and the second systematic,
in agreement with the Standard Model prediction of 0.22 pb. Finally, the mass
spectra of the qqll final states are analysed to search for the possible
production of a new neutral heavy particle, for which no evidence is found
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