LIVIVO - The Search Portal for Life Sciences

zur deutschen Oberfläche wechseln
Advanced search

Search results

Result 1 - 10 of total 118

Search options

  1. Article ; Online: Assessment of comorbidity in lung cancer: How, why, and in whom?

    Gajra, Ajeet

    Journal of geriatric oncology

    2016  Volume 7, Issue 2, Page(s) 64–67

    MeSH term(s) Carcinoma, Non-Small-Cell Lung/epidemiology ; Comorbidity ; Humans ; Lung Neoplasms/epidemiology
    Language English
    Publishing date 2016-03
    Publishing country Netherlands
    Document type Comment ; Editorial
    ZDB-ID 2556813-9
    ISSN 1879-4076 ; 1879-4068
    ISSN (online) 1879-4076
    ISSN 1879-4068
    DOI 10.1016/j.jgo.2016.02.003
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  2. Article ; Online: Designing geriatric-specific trials in advanced lung cancer: What, who and how to study?

    Gajra, Ajeet

    Journal of geriatric oncology

    2016  Volume 8, Issue 1, Page(s) 16–17

    MeSH term(s) Aged ; Antineoplastic Agents/therapeutic use ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Clinical Trials as Topic ; Deoxycytidine/analogs & derivatives ; Deoxycytidine/therapeutic use ; Docetaxel/therapeutic use ; Drug Therapy, Combination ; Geriatric Assessment ; Humans ; Lung Neoplasms/drug therapy ; Paclitaxel/therapeutic use ; Vinorelbine/therapeutic use
    Chemical Substances Antineoplastic Agents ; Deoxycytidine (0W860991D6) ; Docetaxel (15H5577CQD) ; gemcitabine (B76N6SBZ8R) ; Paclitaxel (P88XT4IS4D) ; Vinorelbine (Q6C979R91Y)
    Language English
    Publishing date 2016-12-16
    Publishing country Netherlands
    Document type Editorial
    ZDB-ID 2556813-9
    ISSN 1879-4076 ; 1879-4068
    ISSN (online) 1879-4076
    ISSN 1879-4068
    DOI 10.1016/j.jgo.2016.12.007
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  3. Article ; Online: Older Patients with Lung Cancer: a Summary of Seminal Contributions to Optimal Patient Care.

    Basnet, Alina / Alahmadi, Asrar / Gajra, Ajeet

    Current oncology reports

    2022  Volume 24, Issue 11, Page(s) 1607–1618

    Abstract: Purpose of review: This review aspires to summarize the landmark advancements in the management of the non-small cell lung cancer (NSCLC), both historically and contemporarily with special focus in older adults.: Recent findings: The past two decades ...

    Abstract Purpose of review: This review aspires to summarize the landmark advancements in the management of the non-small cell lung cancer (NSCLC), both historically and contemporarily with special focus in older adults.
    Recent findings: The past two decades have witnessed remarkable improvements in the diagnosis and management of lung cancer. Screening recommendations now facilitate earlier diagnosis in high-risk individuals, PET/CT scans have improved radiologic accuracy in identifying sites of disease, and surgical management with minimally invasive techniques has rendered surgery safer in those with limited physiologic reserve. Radiation enhancements, especially radiosurgery, have extended the reach and safety of radiation among high-risk populations. Finally, the revolution in precision medicine with identification of numerous actionable mutations, the advent of immunotherapy, and enhanced supportive care have revolutionized the outcomes in patients with advanced lung cancer. Older adults who represent a majority of patients battling lung cancer have not benefitted to the same extent as their younger counterparts. This special population is only expected to grow in coming days. Hence, addressing major gaps in the management of older adults with NSCLC and optimizing the care are much needed.
    MeSH term(s) Humans ; Aged ; Lung Neoplasms/therapy ; Lung Neoplasms/surgery ; Carcinoma, Non-Small-Cell Lung/diagnosis ; Carcinoma, Non-Small-Cell Lung/genetics ; Carcinoma, Non-Small-Cell Lung/therapy ; Positron Emission Tomography Computed Tomography ; Radiosurgery/methods ; Patient Care
    Language English
    Publishing date 2022-07-28
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2057359-5
    ISSN 1534-6269 ; 1523-3790
    ISSN (online) 1534-6269
    ISSN 1523-3790
    DOI 10.1007/s11912-022-01307-y
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  4. Article ; Online: A Letter in Support of Real-World RECIST.

    Gajra, Ajeet / Feinberg, Bruce A

    Advances in therapy

    2020  Volume 37, Issue 4, Page(s) 1688–1690

    MeSH term(s) Abstracting and Indexing ; Carcinoma, Non-Small-Cell Lung ; Electronic Health Records ; Humans ; Lung Neoplasms ; Response Evaluation Criteria in Solid Tumors ; Tumor Burden
    Language English
    Publishing date 2020-02-13
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 632651-1
    ISSN 1865-8652 ; 0741-238X
    ISSN (online) 1865-8652
    ISSN 0741-238X
    DOI 10.1007/s12325-020-01245-w
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  5. Article ; Online: Corrigendum to "Real-world clinical outcomes with enasidenib in relapsed or refractory acute myeloid leukemia" [Leuk. Res. (2022) 106946].

    Klink, Andrew J / Gajra, Ajeet / Knoth, Russell L / Marshall, Landon / Hou, Ying / McBride, Ali / Copher, Ronda

    Leukemia research

    2024  Volume 136, Page(s) 107430

    Language English
    Publishing date 2024-01-09
    Publishing country England
    Document type Published Erratum
    ZDB-ID 752396-8
    ISSN 1873-5835 ; 0145-2126
    ISSN (online) 1873-5835
    ISSN 0145-2126
    DOI 10.1016/j.leukres.2023.107430
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  6. Article ; Online: Adjuvant chemotherapy in older adults with non-small cell lung cancer.

    Gajra, Ajeet

    American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

    2013  

    Abstract: Platinum-based adjuvant chemotherapy is the standard of care for patients with early-stage non-small cell lung cancer (NSCLC) treated with surgery. There is a paucity of data regarding the appropriate use of adjuvant chemotherapy in the treatment of ... ...

    Abstract Platinum-based adjuvant chemotherapy is the standard of care for patients with early-stage non-small cell lung cancer (NSCLC) treated with surgery. There is a paucity of data regarding the appropriate use of adjuvant chemotherapy in the treatment of older adults. In the absence of prospective randomized controlled trials specific to this population, the available evidence is limited to post hoc analyses of prospective studies in age-unselected populations and retrospective reviews of population databases. The available evidence for treatment of older adults with adjuvant therapy using cisplatin- and carboplatin-based therapy is reviewed. Strategies for future research, as well as the role of geriatric assessment in risk stratification, will be addressed.
    MeSH term(s) Age Factors ; Aged ; Antineoplastic Combined Chemotherapy Protocols/adverse effects ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Carboplatin/administration & dosage ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/pathology ; Chemotherapy, Adjuvant ; Cisplatin/administration & dosage ; Humans ; Lung Neoplasms/drug therapy ; Lung Neoplasms/pathology ; Neoplasm Staging ; Pneumonectomy ; Risk Assessment ; Risk Factors ; Treatment Outcome
    Chemical Substances Carboplatin (BG3F62OND5) ; Cisplatin (Q20Q21Q62J)
    Language English
    Publishing date 2013-03-28
    Publishing country United States
    Document type Journal Article ; Review ; Video-Audio Media
    ZDB-ID 2431126-1
    ISSN 1548-8756 ; 1548-8748
    ISSN (online) 1548-8756
    ISSN 1548-8748
    DOI 10.1200/EdBook_AM.2013.33.e185
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  7. Article ; Online: Biosimilars And Follow-On Products.

    Feinberg, Bruce / Gajra, Ajeet / Oskouei, Sonia

    Health affairs (Project Hope)

    2021  Volume 40, Issue 9, Page(s) 1515–1516

    MeSH term(s) Biological Products ; Biosimilar Pharmaceuticals ; Humans
    Chemical Substances Biological Products ; Biosimilar Pharmaceuticals
    Language English
    Publishing date 2021-09-08
    Publishing country United States
    Document type Letter
    ZDB-ID 632712-6
    ISSN 1544-5208 ; 0278-2715
    ISSN (online) 1544-5208
    ISSN 0278-2715
    DOI 10.1377/hlthaff.2021.01122
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  8. Article ; Online: Real-world outcomes associated with afatinib use in patients with solid tumors harboring NRG1 gene fusions.

    Liu, Stephen V / Frohn, Claas / Minasi, Lori / Fernamberg, Kristie / Klink, Andrew J / Gajra, Ajeet / Savill, Kristin M Zimmerman / Jonna, Sushma

    Lung cancer (Amsterdam, Netherlands)

    2024  Volume 188, Page(s) 107469

    Abstract: Objectives: Neuregulin-1 (NRG1) fusions may drive oncogenesis via constitutive activation of ErbB signaling. Hence, NRG1 fusion-driven tumors may be susceptible to ErbB-targeted therapy. Afatinib (irreversible pan-ErbB inhibitor) has demonstrated ... ...

    Abstract Objectives: Neuregulin-1 (NRG1) fusions may drive oncogenesis via constitutive activation of ErbB signaling. Hence, NRG1 fusion-driven tumors may be susceptible to ErbB-targeted therapy. Afatinib (irreversible pan-ErbB inhibitor) has demonstrated activity in individual patients with NRG1 fusion-positive solid tumors. This study collected real-world data on demographics, clinical characteristics, and clinical outcomes in this patient population.
    Materials and methods: In this retrospective, multicenter, non-comparative cohort study, physicians in the US-based Cardinal Health Oncology Provider Extended Network collected data from medical records of patients with NRG1 fusion-positive solid tumors who received afatinib (afatinib cohort) or other systemic therapies (non-afatinib cohort) in any therapy line. Objectives included demographics, clinical characteristics, and outcomes (overall response rate [ORR], progression-free survival [PFS], and overall survival [OS]).
    Results: Patients (N = 110) with a variety of solid tumor types were included; 72 received afatinib, 38 other therapies. In the afatinib cohort, 70.8 % of patients received afatinib as second-line treatment and Eastern Cooperative Oncology Group performance status (ECOG PS) was 2-4 in 69.4 % at baseline. In the non-afatinib cohort, 94.7 % of patients received systemic therapy as first-line treatment and ECOG PS was 2-4 in 31.6 % at baseline. In the afatinib cohort, ORR was 37.5 % overall (43.8 % when received as first-line therapy); median PFS and OS were 5.5 and 7.2 months, respectively. In the non-afatinib cohort, ORR was 76.3 %; median PFS and OS were 12.9 and 22.6 months, respectively.
    Conclusion: This study provides real-world data on the characteristics of patients with NRG1 fusion-positive solid tumors treated with afatinib or other therapies; durable responses were observed in both groups. However, there were imbalances between the cohorts, and the study was not designed to compare outcomes. Further prospective/retrospective trials are required.
    MeSH term(s) Humans ; Afatinib/therapeutic use ; Afatinib/pharmacology ; Lung Neoplasms/drug therapy ; Retrospective Studies ; Cohort Studies ; Gene Fusion ; Mutation ; Protein Kinase Inhibitors/therapeutic use ; Neuregulin-1/genetics
    Chemical Substances Afatinib (41UD74L59M) ; Protein Kinase Inhibitors ; NRG1 protein, human ; Neuregulin-1
    Language English
    Publishing date 2024-01-05
    Publishing country Ireland
    Document type Multicenter Study ; Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 632771-0
    ISSN 1872-8332 ; 0169-5002
    ISSN (online) 1872-8332
    ISSN 0169-5002
    DOI 10.1016/j.lungcan.2024.107469
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  9. Article ; Online: Oncologist Perceptions of Racial Disparity, Racial Anxiety, and Unconscious Bias in Clinical Interactions, Treatment, and Outcomes.

    Balanean, Alexandrina / Bland, Emily / Gajra, Ajeet / Jeune-Smith, Yolaine / Klink, Andrew J / Hays, Harlen / Feinberg, Bruce A

    Journal of the National Comprehensive Cancer Network : JNCCN

    2024  Volume 22, Issue 2, Page(s) 82–90

    Abstract: Background: Cancer spares no demographic or socioeconomic group; it is indeed the great equalizer. But its distribution is not equal; when structural discrimination concentrates poverty and race, zip code surpasses genetic code in predicting outcomes. ... ...

    Abstract Background: Cancer spares no demographic or socioeconomic group; it is indeed the great equalizer. But its distribution is not equal; when structural discrimination concentrates poverty and race, zip code surpasses genetic code in predicting outcomes. Compared with White patients in the United States, Black patients are less likely to receive appropriate treatment and referral to clinical trials, genetic testing, or palliative care/hospice.
    Methods: In 2021, we administered a survey to 369 oncologists measuring differences in perceptions surrounding racial disparity, racial anxiety, and unconscious bias and adverse influence on clinical interactions, treatment, and outcomes for non-White patients. We analyzed responses by generational age group, sex/gender, race/ethnicity, US region, and selection of "decline to respond."
    Results: The most significant differences occurred by age group followed by race/ethnicity. Racial disparity was perceived as moderate to very high by 84% of millennial, 69% of Generation X, and 57% of baby boomer oncologists, who were also 86% more likely than millennials and 63% more likely than Generation Xers to perceive low/nonexistent levels of racial anxiety/unconscious bias.
    Conclusions: Most oncologists rarely or never perceived racial anxiety/unconscious bias as adversely influencing clinical treatment or survival outcomes in non-White patients, and White oncologists were 85% more likely than non-White oncologists to perceive rare/nonexistent influence on referral of non-White patients to palliative care/hospice. The discrepancy between 62% of oncologists perceiving moderate to very high levels of racial anxiety/unconscious bias and 37% associating them with adverse influence on non-White patients shows a disconnect, especially among older oncologists (baby boomers), who were also least likely to select the decline option. Together, these factors hinder effective patient-provider communication and result in differential care and outcomes. Oncologists should uncover their own perceptions surrounding racial disparity, racial anxiety, and unconscious bias and modify their behaviors accordingly. It is this simple-and this complicated. Cancer does not discriminate, and neither should cancer care.
    MeSH term(s) Humans ; United States ; Black or African American ; Bias, Implicit ; Neoplasms/therapy ; Oncologists ; Anxiety/etiology ; Anxiety/therapy ; White
    Language English
    Publishing date 2024-02-27
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2250759-0
    ISSN 1540-1413 ; 1540-1405
    ISSN (online) 1540-1413
    ISSN 1540-1405
    DOI 10.6004/jnccn.2023.7078
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

  10. Article ; Online: Randomization versus Real-World Evidence.

    Gajra, Ajeet / Zettler, Marjorie E / Feinberg, Bruce A

    The New England journal of medicine

    2020  Volume 383, Issue 4, Page(s) e21

    MeSH term(s) Random Allocation ; Research Design
    Language English
    Publishing date 2020-07-23
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 207154-x
    ISSN 1533-4406 ; 0028-4793
    ISSN (online) 1533-4406
    ISSN 0028-4793
    DOI 10.1056/NEJMc2020020
    Database MEDical Literature Analysis and Retrieval System OnLINE

    More links

    Kategorien

To top