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  1. Article: BRAF V600-Mutated Metastatic Melanoma and Targeted Therapy Resistance: An Update of the Current Knowledge.

    Florent, Laetitia / Saby, Charles / Slimano, Florian / Morjani, Hamid

    Cancers

    2023  Volume 15, Issue 9

    Abstract: Melanoma is the most common cause of death in skin cancer due to its high metastatic potential. While targeted therapies have improved the care of patients with metastatic melanoma harboring the BRAFV600E mutation, these treatments are associated with a ... ...

    Abstract Melanoma is the most common cause of death in skin cancer due to its high metastatic potential. While targeted therapies have improved the care of patients with metastatic melanoma harboring the BRAFV600E mutation, these treatments are associated with a high frequency of resistance. Resistance factors are related to cellular adaptation as well as to changes in the tumor microenvironment. At the cellular level, resistance involves mutations, overexpression, activation, or inhibition of effectors involved in cell signaling pathways such as MAPK, PI3K/AKT, MITF, and epigenetic factors (miRNAs). In addition, several components of the melanoma microenvironment, such as soluble factors, collagen, and stromal cells also play a crucial role in this resistance. In fact, extracellular matrix remodeling impacts the physical and chemical properties with changes in the stiffness and acidity, respectively of the microenvironment. The cellular and immune components of the stroma are also affected, including immune cells and CAF. The aim of this manuscript is to review the mechanisms responsible for resistance to targeted therapies in BRAFV600E-mutated metastatic melanoma.
    Language English
    Publishing date 2023-05-04
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers15092607
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Impact of Pharmacists-Led Interventions in Primary Care for Adults with Type 2 Diabetes on HbA1c Levels: A Systematic Review and Meta-Analysis.

    Coutureau, Claire / Slimano, Florian / Mongaret, Céline / Kanagaratnam, Lukshe

    International journal of environmental research and public health

    2022  Volume 19, Issue 6

    Abstract: Type 2 diabetes mellitus (T2D) is responsible for an important premature mortality. Pharmacists involved in community-based pharmaceutical care services could help patients with diabetes through education and management as they participate in their ... ...

    Abstract Type 2 diabetes mellitus (T2D) is responsible for an important premature mortality. Pharmacists involved in community-based pharmaceutical care services could help patients with diabetes through education and management as they participate in their regular and long-term care. This meta-analysis aimed to evaluate the association between interventions led by pharmacists in the primary care setting and mean change in HbA1c levels. Randomized controlled trials and quasi-experimental studies with a control group were included. Standardized mean differences (SMD) and their 95% confidence intervals (95% CI) were calculated to compare the mean change in HbA1c values between baseline and end of the intervention in each group. Subgroup analyses were performed to explore heterogeneity. Twelve articles were included. The results showed that pharmacist’s interventions significantly reduced HbA1c compared to usual care with an overall SMD of −0.67 (95% CI = [−0.87; −0.48], p < 0.0001). Even if no significant difference between subgroups were found, the reduction of HbA1c seemed more important when baseline HbA1c was ≥8.5%, the intervention occurred monthly, in a primary care center and in countries with a lower human development index. Our results suggest that pharmacists-led interventions in the primary care setting can improve glycemic control for adults with T2D.
    MeSH term(s) Adult ; Community Pharmacy Services ; Diabetes Mellitus, Type 2/drug therapy ; Glycated Hemoglobin ; Humans ; Pharmacists ; Primary Health Care
    Chemical Substances Glycated Hemoglobin A
    Language English
    Publishing date 2022-03-08
    Publishing country Switzerland
    Document type Journal Article ; Meta-Analysis ; Review ; Systematic Review
    ZDB-ID 2175195-X
    ISSN 1660-4601 ; 1661-7827
    ISSN (online) 1660-4601
    ISSN 1661-7827
    DOI 10.3390/ijerph19063156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Deep learning for the prediction of the chemotherapy response of metastatic colorectal cancer: comparing and combining H&E staining histopathology and infrared spectral histopathology.

    Brunel, Benjamin / Prada, Pierre / Slimano, Florian / Boulagnon-Rombi, Camille / Bouché, Olivier / Piot, Olivier

    The Analyst

    2023  Volume 148, Issue 16, Page(s) 3909–3917

    Abstract: Colorectal cancer is a global public health problem with one of the highest death rates. It is the second most deadly type of cancer and the third most frequently diagnosed in the world. The present study focused on metastatic colorectal cancer (mCRC) ... ...

    Abstract Colorectal cancer is a global public health problem with one of the highest death rates. It is the second most deadly type of cancer and the third most frequently diagnosed in the world. The present study focused on metastatic colorectal cancer (mCRC) patients who had been treated with chemotherapy-based regimen for which it remains uncertainty about the efficacy for all eligible patients. This is a major problem, as it is not yet possible to test different therapies in view of the consequences on the health of the patients and the risk of progression. Here, we propose a method to predict the efficacy of an anticancer treatment in an individualized way, using a deep learning model constructed on the retrospective analysis of the primary tumor of several patients. Histological sections from tumors were imaged by standard hematoxylin and eosin (HE) staining and infrared spectroscopy (IR). Images obtained were then processed by a convolutional neural network (CNN) to extract features and correlate them with the subsequent progression-free survival (PFS) of each patient. Separately, HE and IR imaging resulted in a PFS prediction with an error of 6.6 and 6.3 months respectively (28% and 26% of the average PFS). Combining both modalities allowed to decrease the error to 5.0 months (21%). The inflammatory state of the stroma seemed to be one of the main features detected by the CNN. Our pilot study suggests that multimodal imaging analyzed with deep learning methods allow to give an indication of the effectiveness of a treatment when choosing.
    MeSH term(s) Humans ; Colonic Neoplasms ; Colorectal Neoplasms/drug therapy ; Colorectal Neoplasms/diagnosis ; Deep Learning ; Pilot Projects ; Rectal Neoplasms ; Retrospective Studies ; Staining and Labeling
    Language English
    Publishing date 2023-08-07
    Publishing country England
    Document type Comparative Study ; Journal Article
    ZDB-ID 210747-8
    ISSN 1364-5528 ; 0003-2654
    ISSN (online) 1364-5528
    ISSN 0003-2654
    DOI 10.1039/d3an00627a
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Impact of Pharmacists-Led Interventions in Primary Care for Adults with Type 2 Diabetes on HbA1c Levels

    Claire Coutureau / Florian Slimano / Céline Mongaret / Lukshe Kanagaratnam

    International Journal of Environmental Research and Public Health, Vol 19, Iss 3156, p

    A Systematic Review and Meta-Analysis

    2022  Volume 3156

    Abstract: Type 2 diabetes mellitus (T2D) is responsible for an important premature mortality. Pharmacists involved in community-based pharmaceutical care services could help patients with diabetes through education and management as they participate in their ... ...

    Abstract Type 2 diabetes mellitus (T2D) is responsible for an important premature mortality. Pharmacists involved in community-based pharmaceutical care services could help patients with diabetes through education and management as they participate in their regular and long-term care. This meta-analysis aimed to evaluate the association between interventions led by pharmacists in the primary care setting and mean change in HbA1c levels. Randomized controlled trials and quasi-experimental studies with a control group were included. Standardized mean differences (SMD) and their 95% confidence intervals (95% CI) were calculated to compare the mean change in HbA1c values between baseline and end of the intervention in each group. Subgroup analyses were performed to explore heterogeneity. Twelve articles were included. The results showed that pharmacist’s interventions significantly reduced HbA1c compared to usual care with an overall SMD of −0.67 (95% CI = [−0.87; −0.48], p < 0.0001). Even if no significant difference between subgroups were found, the reduction of HbA1c seemed more important when baseline HbA1c was ≥8.5%, the intervention occurred monthly, in a primary care center and in countries with a lower human development index. Our results suggest that pharmacists-led interventions in the primary care setting can improve glycemic control for adults with T2D.
    Keywords diabetes mellitus ; pharmacists ; primary health care ; meta-analysis ; Medicine ; R
    Language English
    Publishing date 2022-03-01T00:00:00Z
    Publisher MDPI AG
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Nausées et vomissements chimio-induits en oncohématologie pédiatrique : actualisation 2023 des recommandations du comité soins de support de la SFCE.

    Renaux Torres, Marie Charlotte / Bouttefroy, Séverine / Letort-Bertrand, Maïna / Maurel, Véronique / Mouffak, Samia / Scotté, Florian / Slimano, Florian / Treguier, Pauline / Dupuis, L Lee / Poirée, Marilyne / Thouvenin-Doulet, Sandrine

    Bulletin du cancer

    2024  

    Abstract: Chemotherapy-induced nausea and vomiting (CINV) are frequent and dreaded side effects in cancer treatments. CINV has a major impact on patient's condition and quality of life. Prophylaxis is tailored to patient's profile and the emetogenic level of their ...

    Title translation Chemotherapy-induced nausea and vomiting in pediatric oncology patients: 2023 recommendations from the Supportive Care Committee of the French Society of Cancer in Children and Adolescents.
    Abstract Chemotherapy-induced nausea and vomiting (CINV) are frequent and dreaded side effects in cancer treatments. CINV has a major impact on patient's condition and quality of life. Prophylaxis is tailored to patient's profile and the emetogenic level of their chemotherapy. The aim of this study is to update the recommendations for CINV prevention and management in pediatric onco-hematology for use in France, by adapting the guidelines of the Pediatric Oncology Group of Ontario (POGO). Clinical practice guideline adaptation is a recognized method for tailoring existing clinical practice guidelines to local context. A multidisciplinary French-speaking panel was formed to discuss about POGO guideline recommendations for the acute and delayed phases, breakthrough, refractory and anticipatory CINV and the evidence supporting them. Panel members were asked whether they wanted to adopt, modify or reject each of the POGO guideline recommendations. Panel members translated each recommendation and adapted recommendations for an implementation in France. Their acceptance required agreement at least 80 % of panel members. Algorithms and tables were created, listing all the recommendations and providing a better overview for decision-making process adapted to the patient's profile. These recommendations should be reviewed for implementation at French institutions caring for pediatric cancer patients and once implemented, the rates of adherence to recommendations and CINV control should be reported.
    Language French
    Publishing date 2024-04-25
    Publishing country France
    Document type English Abstract ; Practice Guideline
    ZDB-ID 213270-9
    ISSN 1769-6917 ; 0007-4551
    ISSN (online) 1769-6917
    ISSN 0007-4551
    DOI 10.1016/j.bulcan.2024.02.017
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Garantir l’accès et la sécurité d’utilisation de la dexaméthasone pour les patients atteints de myélome multiple.

    Slimano, Florian / Tournamille, Jean-François / Bardin, Christophe / Madelaine, Isabelle / Hulin, Cyrille / Moreau, Philippe / Rioufol, Catherine

    Bulletin du cancer

    2023  Volume 110, Issue 6, Page(s) 731–733

    Title translation Access and safety of dexamethasone in multiple myeloma patients.
    MeSH term(s) Humans ; Multiple Myeloma/drug therapy ; Lenalidomide/therapeutic use ; Thalidomide/therapeutic use ; Dexamethasone/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Bortezomib/therapeutic use
    Chemical Substances Lenalidomide (F0P408N6V4) ; Thalidomide (4Z8R6ORS6L) ; Dexamethasone (7S5I7G3JQL) ; Bortezomib (69G8BD63PP)
    Language French
    Publishing date 2023-05-22
    Publishing country France
    Document type Letter
    ZDB-ID 213270-9
    ISSN 1769-6917 ; 0007-4551
    ISSN (online) 1769-6917
    ISSN 0007-4551
    DOI 10.1016/j.bulcan.2023.05.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Economical simulations for the optimal use of anti-programmed cell death-1 in advanced melanoma patients: Report of a budget impact analysis.

    Clarenne, Justine / Boulanger, Coralie / Maréchal, Antonin / Visseaux, Laëtitia / Slimano, Florian

    Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners

    2020  Volume 26, Issue 5, Page(s) 1216–1219

    Language English
    Publishing date 2020-04-20
    Publishing country England
    Document type Journal Article
    ZDB-ID 1330764-2
    ISSN 1477-092X ; 1078-1552
    ISSN (online) 1477-092X
    ISSN 1078-1552
    DOI 10.1177/1078155220918019
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Safety and Survival Outcomes in Lung Cancer Patients Receiving Carboplatin: Impact of Uncapped Dosage.

    Le Bozec, Antoine / Boulanger, Coralie / Mongaret, Céline / Maréchal, Antonin / Dewolf, Maxime / Slimano, Florian

    Chemotherapy

    2021  Volume 66, Issue 3, Page(s) 72–77

    Abstract: The prescription of carboplatin is commonly based on the Calvert formula, and low serum creatinine values can lead to an overestimation of the glomerular filtration rate and of the carboplatin dose. Limited data recommend to cap carboplatin dose at 800 ... ...

    Abstract The prescription of carboplatin is commonly based on the Calvert formula, and low serum creatinine values can lead to an overestimation of the glomerular filtration rate and of the carboplatin dose. Limited data recommend to cap carboplatin dose at 800 mg, but the risk of suboptimal carboplatin dose is concerning. This study compared hematologic toxicity occurrence and survival outcomes in lung cancer patients receiving carboplatin > or <800 mg based on the Calvert formula (target area under the curve = 5 mg/mL min). Our results show more severe cytopenia in patients receiving carboplatin >800 mg with significant difference for all grades of thrombocytopenia in the uncapped group (37% patients vs. 3%, p = 0.02). For metastatic non-small-cell lung cancer patients, we also observed hematologic toxicity in the uncapped group with more severe anemia (30% of patients vs. 0%, p = 0.03) and all grades of thrombocytopenia (39 vs. 0%, p = 0.02) than the capped group. Concerning the secondary endpoint, we obtained a trend of lower progression-free survival and overall survival in patients receiving carboplatin >800 mg, but no significant difference appears for the both survival criteria. This study aims to improve the determination of carboplatin dosage to know the real impact of carboplatin capping and to find the optimum balance between excessive toxicity and substandard therapeutics outcomes.
    MeSH term(s) Adult ; Aged ; Antineoplastic Agents/adverse effects ; Antineoplastic Agents/therapeutic use ; Carboplatin/adverse effects ; Carboplatin/therapeutic use ; Dose-Response Relationship, Drug ; Female ; Humans ; Lung Neoplasms/drug therapy ; Lung Neoplasms/mortality ; Male ; Middle Aged ; Progression-Free Survival ; Survival Rate ; Thrombocytopenia/etiology ; Treatment Outcome
    Chemical Substances Antineoplastic Agents ; Carboplatin (BG3F62OND5)
    Language English
    Publishing date 2021-07-19
    Publishing country Switzerland
    Document type News
    ZDB-ID 6708-8
    ISSN 1421-9794 ; 0009-3157
    ISSN (online) 1421-9794
    ISSN 0009-3157
    DOI 10.1159/000516170
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Beta-blocker exposure and survival outcomes in patients with advanced pancreatic ductal adenocarcinoma: a retrospective cohort study (BETAPANC).

    Le Bozec, Antoine / Brugel, Mathias / Djerada, Zoubir / Ayad, Marya / Perrier, Marine / Carlier, Claire / Botsen, Damien / Nazeyrollas, Pierre / Bouché, Olivier / Slimano, Florian

    Frontiers in pharmacology

    2023  Volume 14, Page(s) 1137791

    Abstract: Introduction: ...

    Abstract Introduction:
    Language English
    Publishing date 2023-05-19
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2587355-6
    ISSN 1663-9812
    ISSN 1663-9812
    DOI 10.3389/fphar.2023.1137791
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Association of Low Handgrip Strength with Chemotherapy Toxicity in Digestive Cancer Patients: A Comprehensive Observational Cohort Study (FIGHTDIGOTOX).

    Martin, Pierre / Botsen, Damien / Brugel, Mathias / Bertin, Eric / Carlier, Claire / Mahmoudi, Rachid / Slimano, Florian / Perrier, Marine / Bouché, Olivier

    Nutrients

    2022  Volume 14, Issue 21

    Abstract: In the FIGHTDIGO study, digestive cancer patients with dynapenia experienced more chemotherapy-induced neurotoxicities. FIGHTDIGOTOX aimed to evaluate the relationship between pre-therapeutic handgrip strength (HGS) and chemotherapy-induced dose-limiting ...

    Abstract In the FIGHTDIGO study, digestive cancer patients with dynapenia experienced more chemotherapy-induced neurotoxicities. FIGHTDIGOTOX aimed to evaluate the relationship between pre-therapeutic handgrip strength (HGS) and chemotherapy-induced dose-limiting toxicity (DLT) or all-grade toxicity in digestive cancer patients. HGS measurement was performed with a Jamar dynamometer. Dynapenia was defined according to EWGSOP2 criteria (<27 kg (men); <16 kg (women)). DLT was defined as any toxicity leading to dose reduction, treatment delay, or permanent discontinuation. We also performed an exploratory analysis in patients below the included population’s median HGS. A total of 244 patients were included. According to EWGSOP2 criteria, 23 patients had pre-therapeutic dynapenia (9.4%). With our exploratory median-based threshold (34 kg for men; 22 kg for women), 107 patients were dynapenic (43.8%). For each threshold, dynapenia was not an independent predictive factor of overall DLT and neurotoxicity. Dynapenic patients according to EWGSOP2 definition experienced more hand-foot syndrome (p = 0.007). Low HGS according to our exploratory threshold was associated with more all-grade asthenia (p = 0.014), anemia (p = 0.006), and asthenia with DLT (p = 0.029). Pre-therapeutic dynapenia was not a predictive factor for overall DLT and neurotoxicity in digestive cancer patients but could be a predictive factor of chemotherapy-induced anemia and asthenia. There is a need to better define the threshold of dynapenia in cancer patients.
    MeSH term(s) Male ; Humans ; Female ; Hand Strength ; Asthenia/complications ; Asthenia/drug therapy ; Gastrointestinal Neoplasms/drug therapy ; Gastrointestinal Neoplasms/complications ; Cohort Studies ; Antineoplastic Agents/adverse effects ; Sarcopenia/complications ; Muscle Strength
    Chemical Substances Antineoplastic Agents
    Language English
    Publishing date 2022-10-22
    Publishing country Switzerland
    Document type Observational Study ; Journal Article
    ZDB-ID 2518386-2
    ISSN 2072-6643 ; 2072-6643
    ISSN (online) 2072-6643
    ISSN 2072-6643
    DOI 10.3390/nu14214448
    Database MEDical Literature Analysis and Retrieval System OnLINE

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