Alessandro Minelli's research while affiliated with Università Campus Bio-Medico di Roma and other places

Publications (28)

Article
Full-text available
e15553 Background: Rechallenge with anti-EGFR drugs has recently proven therapeutic activity in a subset of RAS wild type (wt) metastatic colorectal cancer (mCRC) patients who had previously benefited from cetuximab- or panitumumab-based first-line regimen. Regorafenib (R) and Trifluridine/tipiracil (T) have been found to improve survival in patien...
Article
Full-text available
Background Targeted therapy (TT) with encorafenib and cetuximab is the current standard for patients with BRAFV600E-mutated metastatic colorectal cancer (mCRC) who received one or more prior systemic treatments. However, the median progression-free survival (mPFS) is ∼4 months, and little is known about the possibility of administering subsequent t...
Article
Full-text available
Simple Summary Third-line or further treatments are rarely given to patients with refractory mCRC. In this regard, two noteworthy innovative therapy options, with varying toxicity profiles and statistically significant improvements in overall survival (OS), progression-free survival (PFS), and disease control, are regorafenib (R) and trifluridine/t...
Article
Full-text available
Background: In the first-line treatment of colorectal cancer, the primary tumor location (PTL) has been shown to have prognostic and predictive value, although its value in the refractory stage is unclear. Materials and Methods: Clinical data from 13 Italian cancer institutes on patients (pts) with mCRC who received regorafenib (R) and/or triflurid...
Article
Full-text available
Background Primary tumor location (PTL) has a confirmed prognostic and predictive effect in colorectal cancer first-line therapy, but its effect during the refractory stage is uncertain. Methods Clinical data of patients diagnosed with mCRC who received regorafenib (R) and/or trifluridine/tipiracil (T) between July 2012 and March 2022, were collect...
Article
Full-text available
Background: As society ages, the number of elderly patients with refractory metastatic colorectal cancer (mCRC) will increase. However, older people (70 years) have rarely been the focus of studies on CRC. The purpose of this study was to compare the effect of age on disease control in this subset of patients to younger patients receiving regorafen...
Article
Full-text available
Background: Patients with refractory mCRC rarely undergo third-line or subsequent treatment. This strategy could negatively impact their survival. In this setting, regorafenib (R) and trifluridine/tipiracil (T) are two key new treatment options with statistically significant improvements in overall survival (OS), progression-free survival (PFS), a...
Article
3576 Background: Genomic LOH consists in the loss of chromosomal regions and is associated with the homologous recombination repair (HRR) system deficiency (dHRR). In ovarian cancer, LOH-high predicts benefit from platinum-based chemotherapy and PARP inhibitors. In mCRC, the role of LOH has been poorly investigated. Methods: An NGS-based assay (Fou...
Article
45 Background: Regorafenib (R) and Trifluridine/tipiracil (T) have been shown to prolong survival for patients (pts) with refractory metastatic colorectal cancer (mCRC) but it's to date unclear which agent should be administered first. Our analysis aimed to compare the efficacy and safety profiles of these drugs sequentially administered in daily c...
Conference Paper
Full-text available
Background: Regorafenib (R) and Trifluridine/tipiracil (T) have been shown to prolong survival for patients (pts) with refractory metastatic colorectal cancer (mCRC) but it’s to date unclear which agent should be administered first. Our analysis aimed to compare the efficacy and safety profiles of these drugs sequentially administered in daily clin...
Article
Full-text available
Background. Regorafenib (R) and Trifluridine/tipiracil (T) are of proven efficacy in patients (pts) with refractory metastatic colorectal cancer (mCRC). Our aim was to evaluate the efficacy and safety of these agents in a real-world setting. Materials and methods. This study was retrospectively conducted in 12 centers in Lazio Region from July 2012...
Article
Background: Adult-type soft tissue sarcomas (STS) are rare tumors representing about 1% of all adult malignant tumors. Their extreme histological heterogeneity places them among the most challenging fields of diagnostic pathology. The variability of clinical and prognostic presentation between the various histotypes reflects the different manageme...
Article
11571 Background: Despite surgically resectable pulmonary metastases may lead to cure patients with B-STS (Chudgar NP 2017), a substantial proportion of patients will eventually relapse. Presently, patient selection is based on unique organ involvement, number of metastases, interval between previous surgery and pulmonary progression or relapse. We...
Article
Full-text available
Simple Summary Transverse colon cancer (TCC) is mostly included among right-sided colon cancer, and sometimes even excluded at all, thus it is not completely clear if they present total similarities with right-sided ones or if they have their own specific features. With a median follow-up of 34 months, we concluded that TCC shares some clinicopatho...
Article
Background: Circulating tumor cells (CTCs) have been identified and shown to have prognostic and predictive roles in several types of carcinoma. More recently, aneuploid CTCs have become subject of a growing interest, as aneuploidy is considered a hallmark of cancer often associated with poor prognosis. Here, we aimed to identify for the first tim...
Article
Full-text available
PurposeBRAF mutations represent the main negative prognostic factor for metastatic colorectal cancer and a supposed negative predictive factor of response to standard chemotherapy. We have explored survival difference in right-sided colon cancer (RCC) patients according to BRAF mutations, with the aim to identify any predictive factors of response...
Article
Full-text available
The desmoid tumor is a locally aggressive proliferative disease within the family of soft-tissue sarcomas. Despite its relatively good prognosis, the clinical management of desmoid tumors requires constant multidisciplinary evaluation due to its highly variable clinical behavior. Recently, active surveillance has being regarded as the appropriate s...
Article
Full-text available
Pancreatic cancer is one of the leading causes of cancer death worldwide. Its high mortality rate has remained unchanged for years. Radiotherapy and surgery are considered standard treatments in early and locally advanced stages. Chemotherapy is the only option for metastatic patients. Two treatment regimens, i. e. the association of 5-fluorouracil...

Citations

... The best protocols for the administration of T and R in patients with advanced disease, the identification of subpopulations that might benefit from vital treatment with these drugs, and the identification of those subpopulations that might benefit from treatment with these drugs vs. the best supportive therapy alone are all questions that have yet to be resolved [29][30][31][32][33][34][35]. Furthermore, T and R have not been directly compared to one another, and it is uncertain which agent should be given first [36][37][38][39][40][41]. This multi-institutional retrospective study aimed to assess the effect of R and T, administered sequentially or not, on clinical outcomes and safety in patients with mCRC resistant to conventional chemotherapies. ...
... GISTs mostly occur among middle-aged individuals between 60 and 65 years and a minority of children and young adults [3], with a slightly higher incidence in males [2]. They account for around 20% of soft tissue sarcomas [4], with an incidence of 10-15 cases per million worldwide, with the highest incidence rate being reported from China (Hong Kong and Shanghai areas) [5]. Most GISTs harbor oncogenic mutations in the receptor tyrosine kinase (KIT; 65-80%) or in the related platelet-derived growth factor receptor a (PDGFRA; 5-10%), which controls the tyrosine kinase receptors and causes constitutional activation, leading to tumor growth of cells [6,7]. ...
... Here, we report data from a case series affected by high-risk stage III and stage IV CRC and tested for RAS and BRAF mutation, treated at our Medical Oncology Unit. The analysis of KRAS, NRAS (codons 12,13, 59, 61, 117, 146), and BRAF (codon 600) hotspot variants was performed in 161 CRC tumors from August 2018 to September 2021 and revealed three (1.8%) patients showing mutations in both KRAS and BRAF (V600E), including two cases with earlier CRC and one with metastatic disease. ...
... Aneuploid CTCs have also been identified in STS patients, in a pilot study in 2020; FISH analysis has been performed and CTCs were identified in all four metastatic STS patients tested, with a median value of 4 per 7 mL of blood [235]. In silico evidence using data from STS cohort of The Cancer Genome Atlas Project and the validated Aneuploidy Score confirmed the prognostic role of aneuploidy in mesenchymal cancers, with a significantly worse PFS and OS in the group with a high DNA aneuploidy, independently of the histology of the tumor. ...
... In symptomatic cases, chemotherapy and tyrosine kinase inhibitors are used, though some cases result in surgery [2,4]. Nevertheless, even after treatment, desmoid tumour recurrence is common, ranging from 24 to 77% in extremities [2,8]. Recurrence is favoured by trauma, such as in surgery, and stands at around 25 to 60% at 5 years post-treatment [2,8]. ...
... In 21 studies, the tissue samples were retrieved retrospectively . Two studies collected tissue samples at time of surgical resection [41,42], and in nine studies, there was no need for tissue collection because the mutation status of genes of interest had already been analyzed as part of diagnostic reasons [43][44][45][46][47][48][49][50][51]. Most tissue samples used in the studies (n = 24) were formalin-fixed paraffin-embedded (FFPE), while the remaining eight studies used fresh frozen tumor samples [22,31,32,34,38,[40][41][42]. ...
... As more advanced therapy strategies have been established for reducing the mortality of PC, we require more predictive tools for oncological outcomes [14]. In other words, predicting the oncological outcomes of this disease based on the prognostic factors plays a crucial role in increasing PC survival by detecting the factors contributing to worsening the patients' outcomes at earlier stages [15]. ...