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Keynote 189: Tumor mutational burden not significantly associated with efficacy of pembrolizumab

Researchers studied the relationship between tumor mutational burden and response to immunotherapy with pembrolizumab. The study found that high or low TMB levels did not significantly impact overall survival, progression-free survival, or objective response rates for patients with metastatic nonsquamous non-small cell lung cancer.

Delay from breast cancer diagnosis to chemotherapy after an operation may shorten survival

A new study published in Annals of Surgical Oncology suggests that delaying chemotherapy after breast cancer surgery can lead to poorer overall survival. The research found that patients who received postoperative chemotherapy within four months of diagnosis had better survival rates than those whose treatment was delayed.

SourceAmerican College of Surgeons·JournalAnnals of Surgical Oncology·DateJul 22, 2019

Study finds key metabolic changes in patients with chemotherapy-associated cardiotoxicity

Researchers at Beth Israel Deaconess Medical Center found that metabolites associated with energy powerhouse mitochondria changed differently in patients who developed heart dysfunction compared to those who did not. Citric acid and aconitic acid levels differentiated the two groups of patients.

SourceBeth Israel Deaconess Medical Center·JournalJournal of Cardiovascular Translational Research·DateJul 18, 2019

'Trojan horse' anticancer drug disguises itself as fat

A stealthy new drug-delivery system has been developed that disguises chemotherapeutics as fat, allowing it to penetrate and destroy tumors while minimizing side effects. The system uses a long-chain fatty acid with two binding sites to attach to drugs, which are then carried by human serum albumin throughout the body.

SourceNorthwestern University·JournalJournal of the American Chemical Society·DateJul 18, 2019

Unlocking chemo-resistance in cancer

Researchers have discovered the precise mechanism behind 5-Fluorouracil resistance in cancer, revealing a previously unknown protein called BOK as the key to understanding this phenomenon. Without BOK, cancer cells become dormant and can survive chemotherapy treatment before mutating into more aggressive forms.

SourceLa Trobe University·JournalProceedings of the National Academy of Sciences·DateJul 15, 2019

IDIBELL researchers relate the amplification of a chromosomal region with resistance to to a chemotherapeutic drug in breast cancer

IDIBELL researchers have discovered a biomarker that predicts resistance to the chemotherapy drug docetaxel in triple-negative breast cancer. The study found that tumors with an amplified chromosome 12 region are more likely to develop resistance to docetaxel, but may be vulnerable to alternative treatment with carboplatin.

Carboplatin & paclitaxel chemotherapy alone should remain standard treatment for endometrial cancer

The NRG-GOG 0258 trial showed that carboplatin and paclitaxel chemotherapy alone resulted in comparable recurrence-free survival rates compared to combined modality treatment. The study found a reduced incidence of vaginal, pelvic, and para-aortic lymph node recurrences but increased distant recurrences with combined modality treatment.

SourceNRG Oncology·JournalNew England Journal of Medicine·DateJun 13, 2019

A homing beacon for chemotherapy drugs

Scientists have created a hydrogel that attracts chemotherapy drugs to tumors in mice, reducing side effects caused by the drugs acting on healthy cells. The approach uses cucurbituril to target therapies to a tumor, resulting in improved treatment outcomes and reduced toxicity.

SourceAmerican Chemical Society·JournalACS Central Science·DateJun 12, 2019

Continuous chemotherapy improves outcomes and quality of life in advanced breast cancer

Patients with advanced HER2-negative breast cancer treated with continuous chemotherapy showed improved survival rates and maintained quality of life compared to intermittent scheduling. The study also found that treatment holidays had a negative impact on physical quality of life scores, with a clinically meaningful decline at 24 months.

SourceEuropean Society for Medical Oncology·JournalAnnals of Oncology·DateApr 29, 2019