Pathological Response in Resectable Non-small Cell Lung Cancer: A Systematic Literature Review and Meta-Analysis

BACKGROUND: Surrogate endpoints for overall survival in patients with resectable non-small cell lung cancer receiving neoadjuvant therapy are needed to provide earlier treatment outcome indicators and accelerate drug approval. This study\u27s main objectives were to investigate the association among pathological complete response, major pathological response, event-free survival and overall survival and to determine whether treatment effects on pathological complete response and event-free survival correlate with treatment effects on overall survival. METHODS: A comprehensive systematic literature review was conducted to identify neoadjuvant studies in resectable non-small cell lung cancer. Analysis at the patient level using frequentist and Bayesian random effects (hazard ratio [HR] for overall survival or event-free survival by pathological complete response or major pathological response status, yes vs no) and at the trial level using weighted least squares regressions (hazard ratio for overall survival or event-free survival vs pathological complete response, by treatment arm) were performed. RESULTS: In both meta-analyses, pathological complete response yielded favorable overall survival compared with no pathological complete response (frequentist, 20 studies and 6530 patients: HR = 0.49, 95% confidence interval = 0.42 to 0.57; Bayesian, 19 studies and 5988 patients: HR = 0.48, 95% probability interval = 0.43 to 0.55) and similarly for major pathological response (frequentist, 12 studies and 1193 patients: HR = 0.36, 95% confidence interval = 0.29 to 0.44; Bayesian, 11 studies and 1018 patients: HR = 0.33, 95% probability interval = 0.26 to 0.42). Across subgroups, estimates consistently showed better overall survival or event-free survival in pathological complete response or major pathological response compared with no pathological complete response or no major pathological response. Trial-level analyses showed a moderate to strong correlation between event-free survival and overall survival hazard ratios (R2 = 0.7159) but did not show a correlation between treatment effects on pathological complete response and overall survival or event-free survival. CONCLUSION: There was a strong and consistent association between pathological response and survival and a moderate to strong correlation between event-free survival and overall survival following neoadjuvant therapy for patients with resectable non-small cell lung cancer

New Trends in Beverage Packaging Systems: A Review

New trends in beverage packaging are focusing on the structure modification of packaging materials and the development of new active and/or intelligent systems, which can interact with the product or its environment, improving the conservation of beverages, such as wine, juice or beer, customer acceptability, and food security. In this paper, the main nutritional and organoleptic degradation processes of beverages, such as oxidative degradation or changes in the aromatic profiles, which influence their color and volatile composition are summarized. Finally, the description of the current situation of beverage packaging materials and new possible, emerging strategies to overcome some of the pending issues are discussed

Cosmogenic ³²P and ³³P in the atmosphere and aligotrophic ocean and applications to the study of phosphorus cycling

Submitted in partial fulfillment of the requirements for the degree of Doctor of Philosophy at the Massachusetts Institute of Technology and the Woods Hole Oceanographic Institution November 1992Cosmogeruc P-32 (14.28 days) and P-33 (25.3 days) are powerful tracers of upper ocean P cycling, when coupled with time-series of the atmospheric sources. A method was developed to determine the low-level beta activities in rainwater and plankton. The wet deposition rates of P-32 and P-33 were determined during 12 months at a marine site, at Bermuda, coinciding with measurements of the activities and activity ratio P-33/P-32 in suspended particles and plankton tows at BATS station. The in situ production rates of radiophosphorus in the upper ocean were estimated by measuring the activities induced in Cl, K and S targets by cosmic rays. Knowledge of all the sources of radiophosphorus to the Sargasso Sea allowed the cycling of P-32 and P-33 in suspended particles and macrozooplankton to be studied. The study was based on the determination of the activity ratio P-33/P-32 in different particulate pools. The activity ratio was higher in particle collections dominated by higher levels in the food web. The increase in the ratio in plankton relative to rain allowed the determination of the turnover times of P in plankton and in situ grazing rates.Funding for this research was provided by NSF (grants OCE-8800957. OCE- 8817836 and OCE-902284), DOE (grant DE-FG02-88ER60681), Woods Hole Oceanographic Institution, Ocean Venture Funding of Woods Hole Oceanographic Institution and Scurlock Funds of Mr Arch Scurlock to MIT/WHOI Joint Program