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  1. Article ; Online: Adjuvant pembrolizumab for melanoma: update from the EORTC 1325-MG/KEYNOTE-054 trial.

    Indini, Alice / Grossi, Francesco

    The Lancet. Oncology

    2021  Volume 22, Issue 5, Page(s) 573–575

    MeSH term(s) Antibodies, Monoclonal, Humanized/adverse effects ; Double-Blind Method ; Humans ; Melanoma/drug therapy ; Skin Neoplasms/drug therapy
    Chemical Substances Antibodies, Monoclonal, Humanized ; pembrolizumab (DPT0O3T46P)
    Language English
    Publishing date 2021-04-12
    Publishing country England
    Document type Journal Article ; Comment
    ZDB-ID 2049730-1
    ISSN 1474-5488 ; 1470-2045
    ISSN (online) 1474-5488
    ISSN 1470-2045
    DOI 10.1016/S1470-2045(21)00125-X
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Safety and efficacy evaluation of encorafenib plus binimetinib for the treatment of advanced BRAF-mutant melanoma patients.

    Indini, Alice / Mandalà, Mario

    Expert opinion on drug safety

    2020  Volume 19, Issue 10, Page(s) 1229–1236

    Abstract: Introduction: Approximately 40-50% of patients with cutaneous melanoma harbor point mutations in : Areas covered: Encorafenib, a highly selective BRAF inhibitor, was developed in combination with binimetinib, a potent, selective allosteric MEK1/2 ... ...

    Abstract Introduction: Approximately 40-50% of patients with cutaneous melanoma harbor point mutations in
    Areas covered: Encorafenib, a highly selective BRAF inhibitor, was developed in combination with binimetinib, a potent, selective allosteric MEK1/2 inhibitor, to improve efficacy and tolerability over other approved combo-targeted therapies. This novel combination shows peculiar pharmacodynamic properties which translate in a higher on-target potency and paradox index. Consistent survival improvements for encorafenib and binimetinib in
    Expert opinion: the favorable survival results and the attractive toxicity profile suggest that encorafenib and binimetinib combination is an intriguing standard option when targeted therapies are considered as first line treatment in BRAF mutated melanoma patients. In the near future, results from ongoing clinical trials will provide information on the use of this novel combination in specific situation, including as adjuvant treatment or as a combination strategy.
    MeSH term(s) Animals ; Antineoplastic Combined Chemotherapy Protocols/administration & dosage ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Benzimidazoles/administration & dosage ; Carbamates/administration & dosage ; Humans ; Melanoma/drug therapy ; Melanoma/genetics ; Melanoma/pathology ; Point Mutation ; Proto-Oncogene Proteins B-raf/genetics ; Skin Neoplasms/drug therapy ; Skin Neoplasms/genetics ; Skin Neoplasms/pathology ; Sulfonamides/administration & dosage ; Survival Rate
    Chemical Substances Benzimidazoles ; Carbamates ; Sulfonamides ; binimetinib (181R97MR71) ; encorafenib (8L7891MRB6) ; BRAF protein, human (EC 2.7.11.1) ; Proto-Oncogene Proteins B-raf (EC 2.7.11.1)
    Language English
    Publishing date 2020-09-14
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2088728-0
    ISSN 1744-764X ; 1474-0338
    ISSN (online) 1744-764X
    ISSN 1474-0338
    DOI 10.1080/14740338.2020.1817376
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Current Insights on the Treatment of Anaplastic Lymphoma Kinase-Positive Metastatic Non-Small Cell Lung Cancer: Focus on Brigatinib.

    Rijavec, Erika / Biello, Federica / Indini, Alice / Grossi, Francesco / Genova, Carlo

    Clinical pharmacology : advances and applications

    2022  Volume 14, Page(s) 1–9

    Abstract: Rearrangement of anaplastic lymphoma kinase ( ...

    Abstract Rearrangement of anaplastic lymphoma kinase (
    Language English
    Publishing date 2022-01-20
    Publishing country New Zealand
    Document type Journal Article ; Review
    ZDB-ID 2520726-X
    ISSN 1179-1438
    ISSN 1179-1438
    DOI 10.2147/CPAA.S284850
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Melanoma and sex hormones: Pathogenesis, progressive disease and response to treatments.

    Taglialatela, Ida / Indini, Alice / Santanelli, Giulia / Di Liberti, Giorgia / Di Guardo, Lorenza / De Braud, Filippo / Del Vecchio, Michele

    Tumori

    2024  , Page(s) 3008916241231687

    Abstract: Cutaneous melanoma represents the fifth tumor in terms of incidence in young adults, with a major involvement of males than females. Despite the significant changes in available effective treatments for cutaneous melanoma, there is still a proportion of ... ...

    Abstract Cutaneous melanoma represents the fifth tumor in terms of incidence in young adults, with a major involvement of males than females. Despite the significant changes in available effective treatments for cutaneous melanoma, there is still a proportion of patients that do not benefit long-term disease control with immune checkpoint inhibitors and/or
    Language English
    Publishing date 2024-02-19
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 280962-x
    ISSN 2038-2529 ; 0300-8916
    ISSN (online) 2038-2529
    ISSN 0300-8916
    DOI 10.1177/03008916241231687
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Circulating Biomarkers of Response and Toxicity of Immunotherapy in Advanced Non-Small Cell Lung Cancer (NSCLC): A Comprehensive Review.

    Indini, Alice / Rijavec, Erika / Grossi, Francesco

    Cancers

    2021  Volume 13, Issue 8

    Abstract: Immune checkpoint inhibitors (ICIs) targeting the programmed cell death (PD)-1 protein and its ligand, PD-L1, and cytotoxic T-lymphocyte-associated antigen (CTLA)-4, have revolutionized the management of patients with advanced non-small cell lung cancer ( ...

    Abstract Immune checkpoint inhibitors (ICIs) targeting the programmed cell death (PD)-1 protein and its ligand, PD-L1, and cytotoxic T-lymphocyte-associated antigen (CTLA)-4, have revolutionized the management of patients with advanced non-small cell lung cancer (NSCLC). Unfortunately, only a small portion of NSCLC patients respond to these agents. Furthermore, although immunotherapy is usually well tolerated, some patients experience severe immune-related adverse events (irAEs). Liquid biopsy is a non-invasive diagnostic procedure involving the isolation of circulating biomarkers, such as circulating tumor cells (CTC), cell-free DNA (cfDNA), and microRNAs (miRNAs). Thanks to recent advances in technologies, such as next-generation sequencing (NGS) and digital polymerase chain reaction (dPCR), liquid biopsy has become a useful tool to provide baseline information on the tumor, and to monitor response to treatments. This review highlights the potential role of liquid biomarkers in the selection of NSCLC patients who could respond to immunotherapy, and in the identification of patients who are most likely to experience irAEs, in order to guide improvements in care.
    Language English
    Publishing date 2021-04-09
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13081794
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: NAD/NAMPT and mTOR Pathways in Melanoma: Drivers of Drug Resistance and Prospective Therapeutic Targets.

    Indini, Alice / Fiorilla, Irene / Ponzone, Luca / Calautti, Enzo / Audrito, Valentina

    International journal of molecular sciences

    2022  Volume 23, Issue 17

    Abstract: Malignant melanoma represents the most fatal skin cancer due to its aggressive behavior and high metastatic potential. The introduction of BRAF/MEK inhibitors and immune-checkpoint inhibitors (ICIs) in the clinic has dramatically improved patient ... ...

    Abstract Malignant melanoma represents the most fatal skin cancer due to its aggressive behavior and high metastatic potential. The introduction of BRAF/MEK inhibitors and immune-checkpoint inhibitors (ICIs) in the clinic has dramatically improved patient survival over the last decade. However, many patients either display primary (i.e., innate) or develop secondary (i.e., acquired) resistance to systemic treatments. Therapeutic resistance relies on the rewiring of multiple processes, including cancer metabolism, epigenetics, gene expression, and interactions with the tumor microenvironment that are only partially understood. Therefore, reliable biomarkers of resistance or response, capable of facilitating the choice of the best treatment option for each patient, are currently missing. Recently, activation of nicotinamide adenine dinucleotide (NAD) metabolism and, in particular, of its rate-limiting enzyme nicotinamide phosphoribosyltransferase (NAMPT) have been identified as key drivers of targeted therapy resistance and melanoma progression. Another major player in this context is the mammalian target of rapamycin (mTOR) pathway, which plays key roles in the regulation of melanoma cell anabolic functions and energy metabolism at the switch between sensitivity and resistance to targeted therapy. In this review, we summarize known resistance mechanisms to ICIs and targeted therapy, focusing on metabolic adaptation as one main mechanism of drug resistance. In particular, we highlight the roles of NAD/NAMPT and mTOR signaling axes in this context and overview data in support of their inhibition as a promising strategy to overcome treatment resistance.
    MeSH term(s) Cytokines/metabolism ; Drug Resistance ; Humans ; Melanoma/metabolism ; NAD/metabolism ; Nicotinamide Phosphoribosyltransferase/metabolism ; Protein Kinase Inhibitors ; Skin Neoplasms/drug therapy ; TOR Serine-Threonine Kinases ; Tumor Microenvironment
    Chemical Substances Cytokines ; Protein Kinase Inhibitors ; NAD (0U46U6E8UK) ; Nicotinamide Phosphoribosyltransferase (EC 2.4.2.12) ; MTOR protein, human (EC 2.7.1.1) ; TOR Serine-Threonine Kinases (EC 2.7.11.1)
    Language English
    Publishing date 2022-09-01
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23179985
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Trastuzumab Deruxtecan: Changing the Destiny of HER2 Expressing Solid Tumors.

    Indini, Alice / Rijavec, Erika / Grossi, Francesco

    International journal of molecular sciences

    2021  Volume 22, Issue 9

    Abstract: HER2 targeted therapies have significantly improved prognosis of HER2-positive breast and gastric cancer. HER2 overexpression and mutation is the pathogenic driver in non-small cell lung cancer (NSCLC) and colorectal cancer, however, to date, there are ... ...

    Abstract HER2 targeted therapies have significantly improved prognosis of HER2-positive breast and gastric cancer. HER2 overexpression and mutation is the pathogenic driver in non-small cell lung cancer (NSCLC) and colorectal cancer, however, to date, there are no approved HER2-targeted therapies with these indications. Trastuzumab deruxtecan (T-DXd) is a novel HER2-directed antibody drug conjugate showing significant anti-tumor activity in heavily pre-treated HER2-positive breast and gastric cancer patients. Preliminary data have shown promising objective response rates in patients with HER2-positive NSCLC and colorectal cancer. T-DXd has an acceptable safety profile, however with concerns regarding potentially serious treatment-emergent adverse events. In this review we focus on the pharmacologic characteristics and toxicity profile of T-Dxd, and provide an update on the most recent results of clinical trials of T-DXd in solid tumors. The referenced papers were selected through a PubMed search performed on 16 March 2021 with the following searching terms: T-DXd and breast cancer, or gastric cancer, or non-small cell lung cancer (NSCLC), or colorectal cancer. Oral presentation, abstracts, and posters presented at the American Society of Clinical Oncology (ASCO, Alexandria, VA, USA) 2020 and the European Society for Medical Oncology (ESMO, Lugano, Switzerland) 2020 annual meetings were retrieved for data on T-DXd. We also overview ongoing research and data of combination therapies currently under investigation, which will impact on future therapeutic strategies. Clinicaltrials.gov was searched to identify ongoing clinical trials of T-DXd alone or in combination in solid tumors.
    MeSH term(s) Animals ; Antineoplastic Agents, Immunological/adverse effects ; Antineoplastic Agents, Immunological/pharmacology ; Antineoplastic Agents, Immunological/therapeutic use ; Camptothecin/adverse effects ; Camptothecin/analogs & derivatives ; Camptothecin/pharmacology ; Camptothecin/therapeutic use ; Clinical Trials as Topic ; Humans ; Immunoconjugates/adverse effects ; Immunoconjugates/pharmacology ; Immunoconjugates/therapeutic use ; Neoplasms/drug therapy ; Neoplasms/pathology ; Receptor, ErbB-2/analysis ; Trastuzumab/adverse effects ; Trastuzumab/pharmacology ; Trastuzumab/therapeutic use
    Chemical Substances Antineoplastic Agents, Immunological ; Immunoconjugates ; trastuzumab deruxtecan (5384HK7574) ; Receptor, ErbB-2 (EC 2.7.10.1) ; Trastuzumab (P188ANX8CK) ; Camptothecin (XT3Z54Z28A)
    Language English
    Publishing date 2021-04-30
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms22094774
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Immune related adverse events and response to immunotherapy: Focus on corticosteroids.

    Indini, Alice / Rijavec, Erika / Grossi, Francesco

    Lung cancer (Amsterdam, Netherlands)

    2020  Volume 145, Page(s) 225

    MeSH term(s) Adrenal Cortex Hormones ; Humans ; Immunotherapy ; Italy ; Lung Neoplasms ; Nivolumab
    Chemical Substances Adrenal Cortex Hormones ; Nivolumab (31YO63LBSN)
    Language English
    Publishing date 2020-02-17
    Publishing country Ireland
    Document type Letter ; Comment
    ZDB-ID 632771-0
    ISSN 1872-8332 ; 0169-5002
    ISSN (online) 1872-8332
    ISSN 0169-5002
    DOI 10.1016/j.lungcan.2020.02.009
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Molecular Profiling and Novel Therapeutic Strategies for Mucosal Melanoma: A Comprehensive Review.

    Indini, Alice / Roila, Fausto / Grossi, Francesco / Massi, Daniela / Mandalà, Mario

    International journal of molecular sciences

    2021  Volume 23, Issue 1

    Abstract: Mucosal melanoma is a rare and aggressive subtype of melanoma. Unlike its cutaneous counterpart, mucosal melanoma has only gained limited benefit from novel treatment approaches due to the lack of actionable driver mutations and poor response to ... ...

    Abstract Mucosal melanoma is a rare and aggressive subtype of melanoma. Unlike its cutaneous counterpart, mucosal melanoma has only gained limited benefit from novel treatment approaches due to the lack of actionable driver mutations and poor response to immunotherapy. Over the last years, whole-genome and exome sequencing techniques have led to increased knowledge on the molecular landscape of mucosal melanoma. Molecular studies have underlined noteworthy findings with potential therapeutic implications, including the presence of
    MeSH term(s) Humans ; Immunotherapy/methods ; Melanoma/genetics ; Melanoma/immunology ; Melanoma/therapy ; Molecular Targeted Therapy/methods ; Protein Kinase Inhibitors/therapeutic use ; Whole Exome Sequencing/methods
    Chemical Substances Protein Kinase Inhibitors
    Language English
    Publishing date 2021-12-23
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2019364-6
    ISSN 1422-0067 ; 1422-0067 ; 1661-6596
    ISSN (online) 1422-0067
    ISSN 1422-0067 ; 1661-6596
    DOI 10.3390/ijms23010147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Novel treatment strategies for early-stage lung cancer: the oncologist's perspective.

    Indini, Alice / Rijavec, Erika / Bareggi, Claudia / Grossi, Francesco

    Journal of thoracic disease

    2020  Volume 12, Issue 6, Page(s) 3390–3398

    Abstract: Management of early-stage non-small cell lung cancer (NSCLC) consists in multimodal treatment, including surgery, radiotherapy and chemotherapy. The mainstay of treatment is radical surgery. Definitive radiotherapy using stereotactic techniques can ... ...

    Abstract Management of early-stage non-small cell lung cancer (NSCLC) consists in multimodal treatment, including surgery, radiotherapy and chemotherapy. The mainstay of treatment is radical surgery. Definitive radiotherapy using stereotactic techniques can provide adequate local disease control, and is the treatment of choice in medically inoperable patients. Most early-stage patients are at significant risk of disease relapse after local treatment. Adjuvant platinum-based chemotherapy has demonstrated to provide an absolute survival benefit of 5% compared to observation. However, unlike advanced/metastatic disease, little progress has been made in the treatment of early-stage NSCLC over the past decade. In recent years, plenty of research has focused on the optimization of adjuvant and neoadjuvant treatment. Several trials with novel drugs, such as targeted agents and immune-checkpoint inhibitors are currently underway, with preliminary positive results. Customization of treatment on patients' characteristics before, and major pathological response after therapy, will further improve survival outcomes in this subset of patients.
    Language English
    Publishing date 2020-03-12
    Publishing country China
    Document type Journal Article ; Review
    ZDB-ID 2573571-8
    ISSN 2077-6624 ; 2072-1439
    ISSN (online) 2077-6624
    ISSN 2072-1439
    DOI 10.21037/jtd.2020.02.46
    Database MEDical Literature Analysis and Retrieval System OnLINE

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