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  1. Article ; Online: Is alectinib-induced elevation of creatine phosphokinase a predictive factor for response? Report of two cases and review of the literature.

    Shalata, Walid / Massalha, Ismaell / Agbarya, Abed

    Anti-cancer drugs

    2021  Volume 32, Issue 4, Page(s) 456–459

    Abstract: We aim to describe two cases of creatine phosphokinase (CPK) and liver enzymes elevation occurring as adverse effects of alectinib (Alecensa) treatment for anaplastic lymphoma kinase (ALK)-mutated metastatic nonsmall cell lung cancer (NSCLC). A 56-year- ... ...

    Abstract We aim to describe two cases of creatine phosphokinase (CPK) and liver enzymes elevation occurring as adverse effects of alectinib (Alecensa) treatment for anaplastic lymphoma kinase (ALK)-mutated metastatic nonsmall cell lung cancer (NSCLC). A 56-year-old female and a 59-year-old male diagnosed with NSCLC exhibiting ALK gene rearrangements were treated by alectinib administration. The former had a complete response of widespread metastatic disease within 3 months, and the latter also had a substantial response. Both patients initially experienced an episode of CPK elevation and neither had dose modifications. At the end of the treatment, CPK and liver enzymes returned to normal range despite the continuation of alectinib full dose. A transient elevation of CPK and liver enzymes may take place during the alectinib treatment, indicating a tumor tissue damage thus contributing to a significant response.
    MeSH term(s) Anaplastic Lymphoma Kinase/genetics ; Carbazoles/administration & dosage ; Carbazoles/pharmacology ; Carcinoma, Non-Small-Cell Lung/drug therapy ; Carcinoma, Non-Small-Cell Lung/enzymology ; Carcinoma, Non-Small-Cell Lung/genetics ; Creatine Kinase/metabolism ; Female ; Gene Rearrangement ; Humans ; Lung Neoplasms/drug therapy ; Lung Neoplasms/enzymology ; Lung Neoplasms/genetics ; Male ; Middle Aged ; Piperidines/administration & dosage ; Piperidines/pharmacology ; Predictive Value of Tests ; Protein Kinase Inhibitors/administration & dosage ; Protein Kinase Inhibitors/pharmacology
    Chemical Substances Carbazoles ; Piperidines ; Protein Kinase Inhibitors ; ALK protein, human (EC 2.7.10.1) ; Anaplastic Lymphoma Kinase (EC 2.7.10.1) ; Creatine Kinase (EC 2.7.3.2) ; alectinib (LIJ4CT1Z3Y)
    Language English
    Publishing date 2021-01-13
    Publishing country England
    Document type Case Reports ; Journal Article ; Review
    ZDB-ID 1065301-6
    ISSN 1473-5741 ; 0959-4973
    ISSN (online) 1473-5741
    ISSN 0959-4973
    DOI 10.1097/CAD.0000000000001043
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Radiotherapy-Induced Atrial Myxoma: A Case Report and Literature Review.

    Shalata, Walid / Massalha, Ismaell / Ishay, Shlomo Yaron / Chernomordikova, Elena / Jama, Ashraf Abu / Rouvinov, Keren / Dudnik, Yulia / Yakobson, Alexander

    Life (Basel, Switzerland)

    2023  Volume 13, Issue 7

    Abstract: In this particular case study, we present a 66-year-old male who was diagnosed with an atrial myxoma eight years after receiving treatment for non-small cell lung cancer. The patient underwent chemo-radiotherapy (mediastinal area) in 2012 to address ... ...

    Abstract In this particular case study, we present a 66-year-old male who was diagnosed with an atrial myxoma eight years after receiving treatment for non-small cell lung cancer. The patient underwent chemo-radiotherapy (mediastinal area) in 2012 to address stage III-A adenocarcinoma of the lung. During follow-up imaging in 2020, a left atrial mass displaying characteristic features of a cardiac myxoma was detected. Upon reviewing a computed tomographic (CT) scan from 2017 within the previously irradiated mediastinal region, the cardiac mass was retrospectively identified. The surgical excision of the cardiac mass was performed, and a subsequent pathological examination confirmed the diagnosis of myxoma. To the best of our knowledge, this is the first reported case of a left atrial myxoma in a patient previously treated for adenocarcinoma of the lung and the first instance of an atrial myxoma occurring in a site that had undergone prior radiation therapy.
    Language English
    Publishing date 2023-07-19
    Publishing country Switzerland
    Document type Case Reports
    ZDB-ID 2662250-6
    ISSN 2075-1729
    ISSN 2075-1729
    DOI 10.3390/life13071585
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Pulmonary toxicity following administration of granulocyte colony-stimulating factor during chemotherapy for breast cancer: a case report and literature review.

    Shalata, Walid / Waichenberg, Lauren / Massalha, Ismaell / Dudnik, Yulia / Rouvinov, Keren / Yakobson, Alexander

    Anti-cancer drugs

    2021  Volume 32, Issue 10, Page(s) 1142–1145

    Abstract: In this report, we aim to present a case of pulmonary toxicity in a patient that received neoadjuvant chemotherapy treatment with doxorubicin and cyclophosphamide for triple-negative breast cancer that was followed with granulocyte colony-stimulating ... ...

    Abstract In this report, we aim to present a case of pulmonary toxicity in a patient that received neoadjuvant chemotherapy treatment with doxorubicin and cyclophosphamide for triple-negative breast cancer that was followed with granulocyte colony-stimulating factor (G-CSF) for prevention neutropenia, our patient presented with chest discomfort and dyspnea, with radiologic evidence of radiologic investigations showed acute respiratory distress syndrome, after investigation and follow up we came to the conclusion that it was G-CSF adverse effect.
    MeSH term(s) Adult ; Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Breast Neoplasms/drug therapy ; Cyclophosphamide/therapeutic use ; Doxorubicin/therapeutic use ; Female ; Granulocyte Colony-Stimulating Factor/administration & dosage ; Granulocyte Colony-Stimulating Factor/adverse effects ; Humans ; Neutropenia/prevention & control ; Respiratory Distress Syndrome/chemically induced
    Chemical Substances Granulocyte Colony-Stimulating Factor (143011-72-7) ; Doxorubicin (80168379AG) ; Cyclophosphamide (8N3DW7272P)
    Language English
    Publishing date 2021-07-07
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1065301-6
    ISSN 1473-5741 ; 0959-4973
    ISSN (online) 1473-5741
    ISSN 0959-4973
    DOI 10.1097/CAD.0000000000001115
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Cardiac Toxicity Associated with Immune Checkpoint Inhibitors: A Systematic Review.

    Shalata, Walid / Abu-Salman, Amjad / Steckbeck, Rachel / Mathew Jacob, Binil / Massalha, Ismaell / Yakobson, Alexander

    Cancers

    2021  Volume 13, Issue 20

    Abstract: Immune checkpoint inhibitors are immune stimulatory drugs used to treat many types of cancer. These drugs are antibodies against inhibitory proteins, such as CTLA-4 and PD-1/PD-L1, that are expressed on immune cells. When bound, they allow for increased ... ...

    Abstract Immune checkpoint inhibitors are immune stimulatory drugs used to treat many types of cancer. These drugs are antibodies against inhibitory proteins, such as CTLA-4 and PD-1/PD-L1, that are expressed on immune cells. When bound, they allow for increased stimulation of T cells to fight tumor cells. However, immune checkpoint inhibitors have several immune-related adverse effects. Many cases have come to light recently of cardiotoxicity as a result of treatment with these drugs. Cardiotoxicity from immune checkpoint inhibitors is unique due to its rarity and high mortality rate. Patients with this toxicity may present with myocarditis, pericarditis, Takotsubo cardiomyopathy, conduction disorders, and others within just a few weeks of starting immune checkpoint inhibitors. We present here a review of the current research on immune checkpoint inhibitors, their associated cardiotoxicities, the timing of presentation of these conditions, lab tests and histology for each condition, and finally the treatment of patients with cardiotoxicity. We observe a positive skew in the onset of presentation, which is significant for the treating physician.
    Language English
    Publishing date 2021-10-18
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13205218
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Metastatic small cell lung cancer - an aggressive disease: a case report and literature review.

    Shalata, Walid / Massalha, Ismaell / Rouvinov, Keren / Oscar, Elron / Toker, Margarita / A-J, Ashraf / Dudnik, Yulia / Yakobson, Alexander

    Anti-cancer drugs

    2021  Volume 32, Issue 10, Page(s) 1138–1141

    Abstract: In the present case study, we describe a 53-year-old male with an aggressive small cell lung cancer (SCLC) that was diagnosed in January 2019. Our patient was treated as first line of systemic chemotherapy consisting of cisplatin and etoposide followed ... ...

    Abstract In the present case study, we describe a 53-year-old male with an aggressive small cell lung cancer (SCLC) that was diagnosed in January 2019. Our patient was treated as first line of systemic chemotherapy consisting of cisplatin and etoposide followed by mediastinal prophylactic radiotherapy with good response later he received for his metastatic disease (M-SCLC) a rechallenge of systemic chemotherapy consisting of carboplatin, etoposide and dulvalumab with stable disease and after progression his disease he was treated with lurbinectedin and after four cycles he reached a complete radiologic response. To the best of our knowledge, this is the first case to be reported of M-SCLC patient treated with prior of two types of platinum combination with immunotherapy and reaching a complete radiologic response.
    MeSH term(s) Antineoplastic Combined Chemotherapy Protocols/therapeutic use ; Chemoradiotherapy/methods ; Humans ; Lung Neoplasms/pathology ; Lung Neoplasms/therapy ; Male ; Middle Aged ; Platinum Compounds/therapeutic use ; Small Cell Lung Carcinoma/pathology ; Small Cell Lung Carcinoma/therapy
    Chemical Substances Platinum Compounds
    Language English
    Publishing date 2021-07-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 1065301-6
    ISSN 1473-5741 ; 0959-4973
    ISSN (online) 1473-5741
    ISSN 0959-4973
    DOI 10.1097/CAD.0000000000001119
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Safety of the BNT162b2 mRNA COVID-19 vaccine in oncologic patients undergoing numerous cancer treatment options: A retrospective single-center study.

    Kian, Waleed / Zemel, Melanie / Kestenbaum, Emily H / Rouvinov, Keren / Alguayn, Wafeek / Levitas, Dina / Ievko, Anna / Michlin, Regina / Abod, Moataz A / Massalha, Ismaell / Chernomordikov, Elena / Sharb, Adam A / Shalata, Walid / Levison, Esther / Roisman, Laila C / Lavrenkov, Konstantin / Peled, Nir / Nesher, Lior / Yakobson, Alexander

    Medicine

    2022  Volume 101, Issue 2, Page(s) e28561

    Abstract: Abstract: The COVID-19 pandemic, caused by the SARS-CoV2 virus, has infected millions worldwide with cancer patients demonstrating a higher prevalence for severe disease and poorer outcomes. Recently, the BNT162b2 mRNA COVID-19 vaccine was released as ... ...

    Abstract Abstract: The COVID-19 pandemic, caused by the SARS-CoV2 virus, has infected millions worldwide with cancer patients demonstrating a higher prevalence for severe disease and poorer outcomes. Recently, the BNT162b2 mRNA COVID-19 vaccine was released as the primary means to combat COVID-19. The currently reported incidence of local and systemic side effects was 27% in the general public. The safety of the BNT162b2 mRNA COVID-19 vaccine has not been studied in patients with an active cancer diagnosis who are either ongoing or plan to undergo oncologic therapy.This single center study reviewed the charts of 210 patients with active cancer diagnoses that received both doses of the BNT162b2 mRNA COVID-19 vaccine. The development of side effects from the vaccine, hospitalizations or exacerbations from various oncologic treatment were documented. Type of oncologic treatment (immunotherapy, chemotherapy, hormonal, biologic, radiation or mixed) was documented to identify if side effects were related to treatment type. The time at which the vaccine was administered in relation to treatment onset (on long term therapy, within 1 month of therapy or prior to therapy) was also documented to identify any relationships.Sixty five (31%) participants experienced side effects from the BNT162b2 mRNA COVID-19 vaccine, however most were mild to moderate. Treatment protocol was not linked to the development of vaccine related side effects (P = .202), nor was immunotherapy (P = .942). The timing of vaccine administered in relation to treatment onset was also not related to vaccine related side effects (P = .653). Six (2.9%) participants were hospitalized and 4 (2%) died.The incidence of side effects in cancer patients is similar to what has been reported for the general public (31% vs 27%). Therefore, we believe that the BNT162b2 mRNA COVID-19 vaccine is safe in oncologic patients undergoing numerous cancer treatments.
    MeSH term(s) Aged ; Aged, 80 and over ; BNT162 Vaccine/administration & dosage ; BNT162 Vaccine/adverse effects ; COVID-19/epidemiology ; COVID-19/immunology ; COVID-19/prevention & control ; COVID-19 Vaccines/immunology ; Drug-Related Side Effects and Adverse Reactions ; Female ; Humans ; Immune Checkpoint Inhibitors ; Male ; Middle Aged ; Neoplasms/complications ; Neoplasms/therapy ; Pandemics ; RNA, Messenger ; RNA, Viral ; Retrospective Studies ; SARS-CoV-2 ; Treatment Outcome
    Chemical Substances COVID-19 Vaccines ; Immune Checkpoint Inhibitors ; RNA, Messenger ; RNA, Viral ; BNT162 Vaccine (N38TVC63NU)
    Language English
    Publishing date 2022-01-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 80184-7
    ISSN 1536-5964 ; 0025-7974
    ISSN (online) 1536-5964
    ISSN 0025-7974
    DOI 10.1097/MD.0000000000028561
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Rapid Response to the Combination of Lenvatinib and Pembrolizumab in Patients with Advanced Carcinomas (Lung Adenocarcinoma and Malignant Pleural Mesothelioma).

    Shalata, Walid / Iraqi, Muhammed / Bhattacharya, Baisali / Fuchs, Vered / Roisman, Laila C / Cohen, Ahron Yehonatan / Massalha, Ismaell / Yakobson, Alexander / Prasad, Manu / Elkabets, Moshe / Porgador, Angel / Peled, Nir

    Cancers

    2021  Volume 13, Issue 14

    Abstract: The new era of cancer treatments has made immune checkpoint inhibitors (ICIs) and emerging multikinase inhibitors (TKIs) the standards of care, thus drastically improving patient prognoses. Pembrolizumab is an anti-programmed cell death-1 antibody drug, ... ...

    Abstract The new era of cancer treatments has made immune checkpoint inhibitors (ICIs) and emerging multikinase inhibitors (TKIs) the standards of care, thus drastically improving patient prognoses. Pembrolizumab is an anti-programmed cell death-1 antibody drug, and lenvatinib is a TKI with preferential antiangiogenic activity. We present, to our knowledge, the first reported series of cases consisting of patients with metastatic non-small cell lung cancer and malignant pleural mesothelioma who were treated with several types of chemotherapy combinations and ICIs followed by disease progression. They were subsequently treated with combined immunotherapy and TKI treatment, resulting in a near complete response within a very short time. Clinical responses were supported by in vitro testing of each patient's lymphocytic response to pembrolizumab after pre-exposure of target cancer cells to lenvatinib.
    Language English
    Publishing date 2021-07-20
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2527080-1
    ISSN 2072-6694
    ISSN 2072-6694
    DOI 10.3390/cancers13143630
    Database MEDical Literature Analysis and Retrieval System OnLINE

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