Literatura 3 Imunoterapie nemalobuněčných karcinomů plic současný stav a budoucnost prof. MUDr. Luboš Petruželka, CSc. Onkologická klinika 1. LF UK a VFN, Praha 3 Léčba karcinomu plic aktuálně a výhledy MUDr. Leona Koubková Pneumologická klinika 2. LF UK a FN v Motole, Praha 4 Poslední výsledky analýzy dat klinické studie ALEX (data cut-off 12/2017) MUDr. Daniel Krejčí Klinika pneumologie a hrudní chirurgie, Nemocnice na Bulovce, Praha 4 Studie APHINITY: Adjuvantní léčba zachraňuje životy prof. MUDr. Jindřich Fínek, Ph.D., MHA Onkologická a radioterapeutická klinika FN a LF UK Plzeň 4 Dočkají se naše nemocné? Léčba pokročilého karcinomu prsu inhibitory CDK4/6 MUDr. Miloš Holánek Klinika komplexní onkologické péče, MOÚ, Brno 4 Pertuzumab v neoadjuvantní léčbě karcinomu prsu MUDr. Markéta Protivánková Interní hematologická a onkologická klinika, LF MU a FN Brno 4 Je čas na změnu algoritmu léčby pokročilého karcinomu ledviny? prof. MUDr. Jindřich Fínek, Ph.D. Onkologická a radioterapeutická klinika FN a LF UK Plzeň 5 Pacientka s pokročilým gastrointestinálním stromálním nádorem léčeným sunitinibem kazuistika MUDr. Zdeněk Linke Onkologická klinika 2. LF UK a FN v Motole, Praha 5 Levá a pravá význam lokalizace primárního nádoru u kolorektálního karcinomu MUDr. Michal Vočka prof. MUDr. Luboš Petruželka, CSc. Onkologická klinika, VFN a 1. LF UK, Praha 5 Studie PRECONNECT: Přínos trifluridin/tipiracilu u pacientů s metastatickým kolorektálním karcinomem MUDr. Beatrix Bencsiková, Ph.D. Klinika komplexní onkologické péče, Regionální centrum aplikované molekulární onkologie, Masarykův onkologický ústav, Brno 5 Teysuno v léčbě metastatického karcinomu žaludku MUDr. Radka Obermannová, Ph.D. Klinika komplexní onkologické péče, MOÚ a MU, Brno 5 Ramucirumab cílený zásah jaterních metastáz karcinomu gastroezofageální junkce kazuistika MUDr. Sabina Svobodová MUDr. Jana Katolická, Ph.D. Onkologicko-chirurgické oddělení, FN u sv. Anny v Brně MUDr. Adam Peštál, Ph.D. I. chirurgická klinika, FN u sv. Anny v Brně MUDr. Igor Suškevič Klinika zobrazovacích metod, FN u sv. Anny v Brně 6 Monoterapie, nebo kombinovaná léčba inhibitory kontrolních bodů imunity v první linii léčby pacientů s metastazujícím melanomem? MUDr. Ivana Krajsová, MBA Dermatovenerologická klinika VFN a 1. LF UK, Praha 6 Léčba generalizovaného maligního melanomu kombinací BRAF inhibitoru dabrafenibu s MEK inhibitorem trametinibem kazuistika MUDr. Michaela Fridrichová Ústav radiační onkologie Nemocnice Na Bulovce, Praha 6 Pacient s mnohočetným recidivujícím bazocelulárním karcinomem kazuistika MUDr. Renata Emmerová Komplexní onkologické centrum, KN Liberec, a. s., Liberec 6 Lenvatinib nově dostupná možnost léčby radiojod refrakterního diferencovaného karcinomu štítné žlázy MUDr. Hana Švébišová, Ph.D. Onkologická klinika a LF UP, Olomouc 6 Kam směřuje léčba chronické myeloidní leukemie inhibitory tyrosinové kinázy? MUDr. Hana Klamová, Ph.D. Ústav hematologie a krevní transfuze, Ústav klinické a experimentální hematologie 1. LF UK, Praha 7 Hodgkinův lymfom u starších nemocných MUDr. Alice Sýkorová, Ph.D. IV. interní hematologická klinika, FN a LF UK, Hradec Králové MUDr. Heidi Móciková, Ph.D. Oddělení klinické hematologie, FN Královské Vinohrady a 3. LF UK, Praha 8 Můžeme upravit intenzitu úvodní léčby u Hodgkinova lymfomu podle výsledku průběžného PET? doc. MUDr. Vít Procházka, Ph.D. MUDr. Marie Lukášová Hemato-onkologická klinika Fakultní nemocnice Olomouc MUDr. Lenka Henzlová, Ph.D. Klinika nukleární medicíny Fakultní nemocnice Olomouc prof. MUDr. Tomáš Papajík, CSc. Hemato-onkologická klinika Fakultní nemocnice Olomouc
8 Primární lymfom centrální nervové soustavy kam kráčíš? MUDr. Heidi Móciková, Ph.D. Interní hematologická klinika FNKV a 3. LF UK, Praha 8 Úspěšná léčba obinutuzumabem s chlorambucilem u staršího pacienta s masivní lymfadenopatií kazuistika MUDr. Martin Špaček, Ph.D. I. interní klinika klinika hematologie 1. LF UK a VFN, Praha 9 Úspěšná léčba venetoklaxem u pacientky s abruptivním relapsem předléčené relabující/refrakterní chronické lymfocytární leukemie po selhání terapie idelalisibem a ibrutinibem kazuistika MUDr. Peter Turcsányi, Ph.D. MUDr. Renata Urbanová, Ph.D. prof. MUDr. Tomáš Papajík CSc. Hemato-onkologická klinika FN Olomouc 9 Aktuální léčba relabované a refrakterní chronické lymfocytární leukemie kazuistika MUDr. Martin Šimkovič, Ph.D. IV. interní hematologická klinika, FN Hradec Králové 9 Management lymfomů v těhotenství MUDr. Jan Kořen I. interní klinika klinika hematologie, 1. LF UK a VFN, Praha 9 Příznivý vliv dasatinibu na kompenzaci diabetu u pacienta s chronickou myeloidní leukemií kazuistika MUDr. Petra Bělohlávková, Ph.D. IV. interní hematologická klinika, FN a LF UK, Hradec Králové 10 Nová doporučení pro léčbu chronické lymfocytární leukemie a ibrutinib MUDr. Jakub Trizuljak prof. MUDr. Michael Doubek, Ph.D. Interní hematologická a onkologická klinika, LF a FN Brno, Středoevropský technologický institut (CEITEC) Masarykovy univerzity, Brno
Imunoterapie nemalobuněčných karcinomů plic současný stav a budoucnost prof. MUDr. Luboš Petruželka, CSc. Onkologická klinika 1. LF UK a VFN, Praha 1 Brahmer, J. Reckamp, K. L. Baas, P., et al.: Nivolumab versus docetaxel in advanced squamous-cell non-small-cell lung cancer. N Engl J Med. 2015, 373, s. 123 135. 2 Borghaei, H. Paz-Ares, L. Horn, L., et al.: Nivolumab versus docetaxel in advanced nonsquamous non-small-cell lung cancer. N Engl J Med, 201, 373, s. 1627 1639. 3 Herbst, R. S. Baas, P. Kim, D. W., et al.: Pembrolizumab versus docetaxel for previously treated, PD-L1-positive, advanced non-small-cell lung cancer (KEYNOTE-010): a randomised controlled trial. Lancet, 2016, 387, s. 1540 1550. 4 Rittmeyer, A. Barlesi, F. Waterkamp, D., et al.: Atezolizumab versus docetaxel in patients with previously treated non-small-cell lung cancer (OAK): a phase 3, open-label, multicentre randomised controlled trial. Lancet, 2017, 389, s. 255 265. 5 Kim, J. M. Chen, D. S.: Immune escape to PD-L1/PD-1 blockade: seven steps to success (or failure). An Oncol, 2016, 27, s. 1492 1504. 6 Chen, D. S. Mellamn, I.: Elements of cancer imunity and the cancerimmune set point. Nature, 2017, 541, s. 321 330. 7 Hegde, P. S. Karanikas, V. Evers, S.: The where, the when, and the how of immune monitoring for cancer immunotherapies in the era of checkpoint inhibition. Clin Cancer Res, 2016, 22, s. 1865 1874. 8 Gandhi, L. Rodríguez-Abreu, D. Gadgeel S, et al.; Keynote-189 investigators: Pembrolizumab plus chemotherapy in metastatic nonsmall-cell lung cancer. N Engl J Med, 2018, 378, s. 2078 2092, doi: 10.1056/NEJMoa1801005. 9 Socinsky, M. A. Jotte, R. M. Frederico Cappuzo, M. D., et al.: Atezolizumab for first-line treatment of metastatic nonsquamous NSCLC. N Engl J Med, 2018, 378, s. 2288 2301. 10 Hellmann, M. D. Ciuleanu, T-E. Pluzanski, A., et al.: Nivolumab plus ipilimumab in lung cancer with a high tumor mutational burden. N Engl J Med, 2018, 378, s. 2093 2104. 11 Melosky B.: Current treatment algorithms for patients with metastatic non-small cell, non-squamous lung cancer. Mini review article. Front Oncol, 20. 3. 2017, https://doi.org/10.3389/fonc.2017.00038. 12 Reck, M. Rodrígues-Abreu, D. Robinson, A. G., et al.: Pembrolizumab versus chemotherapy for PD-L1-positive non-small-cell lung cancer. N Engl J Med, 2016, 375, s. 1823 1833 13 Lopes, G. Wu, Y. Kudaba, I., et al.: Pembrolizumab (pembro) versus platinum-based chemotherapy (chemo) as first-line therapy for advanced/metastatic NSCLC with a PD-L1 tumor proportion score (TPS) 1%: Open-label, phase 3 KEYNOTE-042 study. J Clin Oncol, 2018, 36, suppl., abstrakt LBA4. 14 Paz-Ares, L. Luft, A. Tafreshi, A., et al.: Phase 3 study of carboplatin-paclitaxel/nab-paclitaxel (Chemo) with or without pembrolizumab (Pembro) for patients (Pts) with metastatic squamous (Sq) non-small cell lung cancer (NSCLC). J Clin Oncol, suppl., 2018, http:// ascopubs.org/doi/abs/10.1200/jco.2018.36.15_suppl.105. 15 Carbone, D. P. Reck, M. Paz-Ares, L., et al.: First-line nivolumab in stage IV or recurrent non-small-cell lung cancer. N Engl J Med, 2017, 376, s. 2415 2426. 16 Borghaei, H. Paz-Ares, L. Horn, L., et al.: Nivolumab versus docetaxel in advanced nonsquamous non-small-cell lung cancer. N Engl J Med, 2015, 373, s. 1627, doi: 10.1056/NEJMoa1507643; J Clin Oncol, suppl., 2018. Léčba karcinomu plic aktuálně a výhledy MUDr. Leona Koubková Pneumologická klinika 2. LF UK a FN v Motole, Praha 1 Scagliotti, G. V., et al.: Phase III study comparing cisplatin plus gemcitabine with cisplatin plus pemetrexed in chemotherapy-naive patients with advanced-stage non-small-cell lung cancer. J Clin Oncol, 2008, 26, s. 3543 3551. 2 Yang, J. C., et al.: AZD9291 in pre-treated T790M positive advanced NSCLC: AURA study Phase II extension cohort. Abstrakt 943, přednáška. Prezentováno na 16 th World Conference on Lung Cancer, 6. 9. 9. 2015, Denver, CO. 3 Mitsudomi, T., et al.: AZD9291 in pre-treated T790M positive advanced NSCLC: AURA2 Phase II study. Abstrakt 1406, přednáška. Prezentováno na 16 th World Conference on Lung Cancer, 6. 9. 9. 2015, Denver, CO. 4 Mok, T. S. Wu, Y. L. Ahn, M. J., et al.: Osimertinib or platinumpemetrexed in EGFR T790M-positive lung cancer. N Engl J Med, 2017, 376, s. 629 640. 5 Soria, J. C. Ohe, Y. Vansteenkiste, J., et al.: Osimertinib in untreated EGFR-mutated advanced non-small-cell lung cancer. N Engl J Med, 2018, 378, s. 113 125. 6 Vansteenkiste, J. Reungwetwattana, T. Nakagawa, K., et al.: CNS response to osimertinib vs standard-of-care EGFR-TKI as firstline treatment in patients with EGFRm advanced NSCLC: FLAURA. Prezentováno na European Society of Medical Oncology Asia Congress, 17. 19. 11. 2017, Singapur, abstrakt LBA5. 7 Thatcher, N. Hirsch, F. R. Luft, A. V., et al.: Necitumumab plus gemcitabine and cisplatin versus gemcitabine and cisplatin alone as first-line therapy in patients with stage IV squamous non-small-cell lung cancer (SQUIRE): an open-label, randomised, controlled phase 3 trial. Lancet Oncology, 2015, 16, s. 763 774. 8 Soria, J. C. Tan, D. S. Chiari, R., et al.: First-line ceritinib versus platinum based chemotherapy in advanced ALK-rearranged nonsmall cell lung cancer (ASCEND-4): a randomised, open-label, phase 3 study. Lancet, Epub 24. 1. 2017. 9 Shaw, A. T. Kim, T. M. Crinò,L., et al.: Ceritinib versus chemotherapy in patients with ALK-rearranged non-small-cell lung cancer previously given chemotherapy and crizotinib (ASCEND-5): a randomised, controlled, open-label, phase 3 trial. Lancet, 2017, 18, s. 874 886. 10 Gettinger, S. N. Bazhenova, L. A. Langer, C. J., et al.: Activity and safety of brigatinib in ALK-rearranged non-small cell lung cancer and other malignancies: a single-arm, open-label, phase 1/2 trial. Lancet Oncol, 2016, 17, s. 1683 1696. 11 Camidge, D. Tiseo, M. Ahn, M., et al.: Brigatinib in crizotinib-refractory ALK+ NSCLC: Central assessment and updates from ALTA, a pivotal randomized phase 2 trial. Prezentováno na 17 th World Conference on Lung Cancer, prosinec 2016, Vídeň, Rakousko. 12 Solomon, B., et al.: Phase 2 study of lorlatinib in patients with advanced ALK+ /ROS1+ non-small-cell lung cancer. Prezentováno na International Association for the Study of Lung Cancer (IASLC) 18 th World Conference on Lung Cancer, 16. 10. 2017, abstrakt #OA 05.06. 13 Novello, S. Mazières, J. Oh, I.-J., et al.: Alectinib versus chemotherapy in crizotinib-pretreated anaplastic lymphoma kinase (ALK)- positive non-small-cell lung cancer: results from the phase III ALUR study. An Oncol, mdy121, https://doi.org/10.1093/annonc/mdy121. 14 Solange, P. Ross Camidge, D. Shaw, A. T., et al.: Alectinib versus crizotinib in untreated ALK-positive non-small-cell lung cancer. N Engl J Med, 2017, 377, s. 829 838. 15 Camidge, D. R., et al.: Updated efficacy and safety data from the global phase III ALEX study of alectinib (ALC) vs crizotinib (CZ) in untreated advanced ALK+ NSCLC. J Clin Oncol, 2018, 36, suppl., abstrakt 9043. 16 Shaw, A. T., et al.: Crizotinib in ROS1-rearranged non-small-cell lung cancer. N Engl J Med, 2014, 371, s. 1963 1971. 17 Ahn, M.-J. Cho, B. C. Siena, S., et al.: Entrectinib in patients with locally advanced or metastatic ROS1 fusion-positive non-small cell lung cancer (NSCLC). Prezentováno na IASLC 18 th World Conference on Lung Cancer, 15. 18. 10. 2017, Jokohama, Japonsko, abstrakt 8564. 18 Drilon, A. De Braud, F. G. Siena S, et al.: Entrectinib, an oral pan- Trk, ROS1, and ALK inhibitor in TKI-naïve patients with advanced solid tumors harboring gene rearrangements. Prezentováno na AACR Annual Meeting, 16. 20. 4. 2016, New Orleans, Louisiana, abstrakt CT007. 19 Sandler, A., et al.: Paclitaxel-carboplatin alone or with bevacizumab for non-small-cell lung cancer. NEJM, 2006, 355, s. 2542 2550. 20 Reck, M. Kaiser, R. Mellemgaard, A., et al.: LUME-Lung 1 Study Group. Docetaxel plus nintedanib versus docetaxel plus placebo in patients with previously treated non-small-cell lung cancer (LUME- Lung 1): a phase 3, double-blind, randomised controlled trial. Lancet Oncol, 2014, 15, s. 143 155, doi: 10.1016/S1470-2045(13)70586-2, Epub 9. 1. 2014. 21 Garon, E. B. Ciuleanu, T-E. Arrieta, O., et al.: Ramucirumab plus docetaxel versus placebo plus docetaxel for second-line treatment of stage IV non-small-cell lung cancer after disease progression on platinum-based therapy (REVEL): a multicentre, double-blind, randomised phase 3 trial. Lancet, 2014, 384, s. 665 673. 22 Seto, T. Kato, T. Nishio, M., et al.: Erlotinib alone or with bevacizumab as first-line therapy in patients with advanced non-squamous non-small-cell lung cancer harbouring EGFR mutations (JO 25567): an open-label,randomised, multicentre, phase 2 study. Lancet Oncol, 2014, 15, s. 1236 1244. 23 Brahmer, J. R. Rodriguez-Abreu, D. Robinson, A. G., et al.: Progression after the next line of therapy (PFS2) and updated OS among patients (pts) with advanced NSCLC and PD-L1 tumor proportion score (TPS) 50% enrolled in KEYNOTE-024. 2017 ASCO Annual Meeting. J Clin Oncol, 2017, 35, suppl., abstrakt 9000. 24 Spigel, D. R., et al.: A phase III study (CheckMate 017) of nivolumab (NIVO; anti-programmed death-1 [PD-1]) vs docetaxel (DOC) in previously treated advanced or metastatic squamous (SQ) cell non-small cell lung cancer (NSCLC). J Clin Oncol, 2015, 33, suppl., abstrakt 8009. 25 Paz-Ares, L. Horn, L. Borghaei, H., et al.: Phase III, randomized trial (CheckMate 057) of nivolumab (NIVO) versus docetaxel (DOC) in advanced non-squamous cell (non-sq) non-small cell lung cancer (NSCLC). J Clin Oncol, 2015, 33, suppl., abstrakt LBA109. 26 Horn, L. Spigel, D. R. Vokes, E. E., et al.: Nivolumab versus docetaxel in previously treated patients with advanced non-small-cell lung cancer: two-year outcomes from two randomized, open-label, phase iii trials (CheckMate 017 and CheckMate 057). J Clin Oncol, 2017, 35, s. 3924 3933. 27 Herbst, R. S. Kim, D.-W. Felip, E., et al.: KEYNOTE-010: Phase 2/3 study of pembrolizumab (MK-3475) vs docetaxel for PD-L1-positive NSCLC after platinum-based therapy. Prezentováno na ESMO Asia 2015 Congress, Singapur, 18. 21. 12. 2015, LBA3 PR. 28 Rittmeyer, A. Barlesi, F. Waterkamp, D., et al.: Atezolizumab versus docetaxel in patients with previously treated non-small-cell lung cancer (OAK): a phase 3, open-label, multicentre randomised controlled trial. Lancet, 2017, 389, s. 255 265. 29 Papadimitrakopoulou, V. Gadgeel, S. M. Borghaei, H., et al.: Firstline carboplatin and pemetrexed (CP) with or without pembrolizumab (pembro) for advanced nonsquamous NSCLC: Updated results of KEYNOTE-021 cohort G. J Clin Oncol, 2017, 35, suppl., s. 9094 9094, DOI: 10.1200/JCO.2017.35.15_suppl.9094. 30 Gandhi, L. Rodríguez-Abreu, D. Gadgeel, S., et al.: Pembrolizumab plus chemotherapy in metastatic non-small-cell lung cancer. N Engl J Med, 16. 4. 2018. 31 Reck, M., et al.: Primary PFS and safety analyses of a randomized phase III study of carboplatin + paclitaxel +/ bevacizumab, with or without atezolizumab in 1L non-squamous metastatic nsclc (IM- POWER150). An Oncol, 2017, 28, suppl. 11, 1. 12. 2017, mdx760.002. 32 Socinski, M. A., et al.: Atezolizumab for first-line treatment of metastatic nonsquamous NSCLC. 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N Engl J Med, 2018, 378, s. 2093 2104. 37 Scott, J. A. Villegas, A. Daniel, D., et al.: Durvalumab after chemoradiotherapy in stage III non-small-cell lung cancer, November 16, 2017. N Engl J Med, 2017, 377, s. 1919 1929. 38 Antonia, S. J. Villegas, A. Daniel, D., et al.: Durvalumab after chemoradiotherapy in stage III non-small-cell lung cancer [article and supplementary appendix]. N Engl J Med, 2017, 377, s. 1919 1929. 39 Hellmann, M. D. Callahan, M. K. Awad, M. M., et al.: Tumor mutation burden and efficacy of nivolumab monotherapy and in combination with ipilimumab in small cell lung cancer. Cancer Cell, 2018, 33, s. 853 861. 40 Camidge, D. R., et al.: Updated efficacy and safety data from the global phase III ALEX study of alectinib (ALC) vs crizotinib (CZ) in untreated advanced ALK+ NSCLC. NCT02075840, ASCO 2018. 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Poslední výsledky analýzy dat klinické studie ALEX (data cut-off 12/2017) MUDr. Daniel Krejčí Klinika pneumologie a hrudní chirurgie, Nemocnice na Bulovce, Praha 1 Skřičková, J. Kolek, V., et al.: Základy moderní pneumoonkologie. Maxdrof Jesenius, 2017, s. 168. 2 Rangachari, D. Yamaguchi, N. Van der Laan, P. A., et al.: Brain metastases in patients with EGFR-mutated or ALK-rearranged nonsmall-cell lung cancers. Lung Cancer, 2015, s. 88:108 111. 3 Peters, S. Camidge, D. R. Shaw, A. T., et al.: Alectinib versus crizotinib in untreated ALK-positive non-small-cell lung cancer. N Engl J Med, 2017, 377, s. 829 838. 4 SPC Alectinib. 5 Camidge, D. R. Peters, S. Mok, T., et al.: Updated efficacy and safety data from the global phase III ALEX study of alectinib (ALC) vs crizotinib (CZ) in untreated advanced ALK+ NSCLC. ASCO 2018. J Clin Oncol, 2018, 36, suppl., abstrakt 9043. 6 Novello, S. Barlesi, F., et. al.: Metastatic non-small-cell lung cancer: ESMO Clinical Practice Guidelines. Publikováno 2016. Ann Oncol, 2016, 27, suppl. 5, v1 v27. 7 www.sukl.cz Studie APHINITY: Adjuvantní léčba zachraňuje životy prof. MUDr. Jindřich Fínek, Ph.D., MHA Onkologická a radioterapeutická klinika FN a LF UK Plzeň 1 Minckwitz, G. Procter, M. Azambuja, E., et al.: Adjuvant pertuzumab and trastuzumab in early HER2-positive breast cancer. N Engl J Med, 2017, 377, s. 122 131, doi: 10.1056/NEJMoa1703643, Epub 5. 6. 2017. Dočkají se naše nemocné? Léčba pokročilého karcinomu prsu inhibitory CDK4/6 MUDr. Miloš Holánek Klinika komplexní onkologické péče, MOÚ, Brno 1 Baselga, J., et al.: Everolimus in postmenopausal hormone-receptor-positive advanced breast cancer. New Eng J Med, 2012, 366, s. 520 529. 2 Fasching, P. A., et al.: Breast cancer treatment with everolimus and exemestane for ER+ women-results of the 2 nd interim amalysis of the non-interventional trial brawo. An Oncol, 2014, 25, suppl. 4, mdu438. 6. 3 Finn, R. 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