Robert J. Jones's research while affiliated with University of Glasgow and other places

Publications (26)

Article
Full-text available
Simple Summary Urothelial carcinoma (UC) is a common type of bladder cancer. Patients with UC that has not improved after previous treatment or has spread to other parts of the body need new treatment options. Ibrutinib is a drug approved for the treatment of blood cancers and chronic graft-versus-host disease. It works by blocking Bruton’s tyrosin...
Article
Full-text available
Cancer is the second leading cause of death in people with chronic kidney disease (CKD) after cardiovascular disease. The incidence of CKD in patients with cancer is higher than in the non-cancer population. Across various populations, CKD is associated with an elevated risk of cancer incidence and cancer death compared to people without CKD, thoug...
Article
Full-text available
Objective The aim was to assess the real-world healthcare resource use and direct medical costs for metastatic castration-resistant prostate cancer (mCRPC) patients treated with abiraterone or enzalutamide, in whom chemotherapy is not yet indicated (pre-chemotherapy) or who had previously received docetaxel-based chemotherapy (post-chemotherapy), b...
Article
Biomarkers are needed in patients with non-clear cell renal cell carcinomas (NC-RCC), particularly papillary renal cell carcinoma, in order to inform on initial treatment selection and identify potentially novel targets for therapy. We enrolled 108 patients in ASPEN, an international randomized open-label phase 2 trial of patients with metastatic p...
Article
Full-text available
Introduction The Short Course Oncology Treatment (SCOT) trial demonstrated non-inferiority, less toxicity and cost-effectiveness from a UK perspective of 3 versus 6 months of oxaliplatin-based chemotherapy for patients with colorectal cancer. This study assessed the cost-effectiveness of shorter treatment, and the budget impact of implementing tria...
Article
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IntroductionCurrent understanding of cancer patients, their treatment pathways and outcomes relies mainly on information from clinical trials and prospective research studies representing a selected sub-set of the patient population. Whole-population analysis is necessary if we are to assess the true impact of new interventions or policy in a real-...
Article
Full-text available
Background Performing cancer research relies on substantial financial investment, and contributions in time and effort from patients. It is therefore important that this research has real life impacts which are properly evaluated. The optimal approach to cancer research impact evaluation is not clear. The aim of this study was to undertake a system...
Article
Full-text available
Introduction Current treatments for COVID-19 lung disease have limited efficacy. Low dose radiotherapy (LDRT) has received both interest and criticism as a potential treatment for this condition. In this qualitative study we explored clinicians’ perspectives in order to identify barriers to testing LDRT in clinical trials and implementing it in cli...
Article
Objectives Real-time monitoring of disease status would be beneficial for timely decision making in the treatment of urothelial cancer (UC), and may accelerate the evaluation of clinical trials. Use of cell free tumor DNA (cftDNA) as a biomarker in liquid biopsy is minimally invasive and its successful use has been reported in various cancer types,...
Article
e19341 Background: The Short Course Oncology Treatment (SCOT) trial demonstrated that three months of adjuvant, doublet chemotherapy for patients with colorectal cancer was non-inferior and significantly less toxic than six months. To understand if and how these results were implemented, this study analysed prescribing practice before and after dis...
Article
7076 Background: The international Short Course Oncology Treatment (SCOT) trial demonstrated non-inferiority and significantly less toxicity of 3 versus 6 months of adjuvant chemotherapy for patients with colorectal cancer (CRC). This study assesses the value of shorter treatment and the economic implications of implementing the findings from the p...
Article
Full-text available
Purpose New treatments are introduced into standard care based on clinical trial results. However, it is not clear if these benefits are reflected in the broader population. This study analysed the clinical outcomes of patients with metastatic castration‐resistant prostate cancer, treated with abiraterone and enzalutamide, within the Scottish Natio...
Article
Clinical outcomes for patients with a wide range of malignancies have improved substantially over the last two decades. Tyrosine kinase inhibitors (TKIs) are potent signalling cascade inhibitors and have been responsible for significant advances in cancer therapy. By inhibiting vascular endothelial growth factor receptor (VEGFR)-mediated tumour blo...
Chapter
Muscle invasive bladder cancer which has not yet spread outside the bladder presents a very high risk of subsequent death from metastatic disease. It also presents the opportunity to cure by aggressive, multimodal therapy. Whilst a radical treatment approach to the bladder (either by cystectomy or by radical radiotherapy with or without concomitant...
Chapter
The current position of the medical oncologist is clear in those patients who have metastatic disease at the time of diagnosis, or who develop metastatic disease following radical treatment. However, the role of the medical oncologist in the management of bladder cancer is rapidly changing. The advent of immune checkpoint inhibitors (those targetin...
Article
Objectives: To investigate the uptake, safety and efficacy of docetaxel chemotherapy in hormone-naïve metastatic prostate cancer (mPC) in the first year of use outside of a clinical trial. Subjects/patients and methods: Patients in the West of Scotland Cancer Network (WoSCAN) with newly diagnosed mPC were identified from the regional multidiscip...
Article
LBA5003 Background: Abiraterone showed a survival advantage in men with castration-refractory prostate cancer. We assessed whether abiraterone would work earlier in the disease. STAMPEDE is a randomized controlled trial using a multi-arm multi-stage platform design. It recruits patients (pts) with high-risk locally advanced or metastatic PCa starti...
Article
Objective: To assess the efficacy and safety of sorafenib dose escalation in metastatic renal cell carcinoma (mRCC). Patients and methods: Intra-patient dose escalation may enhance the clinical benefit of targeted anticancer agents in metastatic disease. In this non-randomised, open-label, Phase 2b study, treatment-naïve patients with mRCC were...
Poster
Background: gemcitabine (G) plus cisplatin (C) is a standard-of-care, combination chemotherapy regimen for patients (pts) with bladder cancer (BC), in both neoadjuvant and palliative settings. AZD4547 is a selective fibroblast growth factor receptor (FGFR) tyrosine kinase inhibitor with potential to improve outcomes for tumors with FGFR mutation an...
Chapter
The combination of docetaxel with prednisone was the first treatment to demonstrate survival advantage in men with metastatic castration resistant prostate cancer (mCRPC) in 2004. Since then many investigators have attempted to establish more effective treatments by combining other drugs with this standard of care. The rationale for such combinatio...
Article
Full-text available
Background 8000 cases of renal cancer are diagnosed each year in the UK, with a five-year survival rate of 50 %. Treatment options are limited; a potential therapeutic target is the Src family kinases (SFKs). SFKs have roles in multiple oncogenic processes and promote metastases in solid tumours. The aim of this study was to investigate SFKs as pot...
Article
Background: Non-clear cell renal cell carcinomas are histologically and genetically diverse kidney cancers with variable prognoses, and their optimum initial treatment is unknown. We aimed to compare the mTOR inhibitor everolimus and the VEGF receptor inhibitor sunitinib in patients with non-clear cell renal cell carcinoma. Methods: We enrolled...
Article
261 Background: AA is approved for mCRPC, coadministered with prednisone (P) (5 mg BID) to prevent adverse events (AEs) associated with mineralocorticoid excess (ME). Lower GC doses had not previously been formally evaluated in combination with AA. Methods: This was an open-label, multicenter, phase 2 trial (NCT01867710) of asymptomatic chemotherap...
Article
609 Background: Axitinib is licensed in Europe for the treatment of adult patients with advanced renal cell carcinoma after failure of sunitinib, but not pazopanib. Efficacy is based on the AXIS trial which reported a progression free survival (PFS) of 4.8 months and an overall survival (OS) of 15.2 months in patients who had received prior sunitin...
Article
Despite radical treatment, many men with prostate cancer will develop recurrence of their disease. In an exciting era of new therapies for prostate cancer in general, we focus on how these will specifically benefit those men with recurrent disease. We consider salvage treatments aimed at those with local recurrence confined to the prostate gland, t...

Citations

... An increased level of BTK expression is associated with a phenotype of bladder cancer cells with a higher tendency toward invasion and metastasis [111]. A phase Ib/II study of ibrutinib (BTK inhibitor) and weekly paclitaxel in 29 patients as a second/third line of treatment showed 26% ORR [112]. ...
... More recently, phosphate in urine from patients with bladder cancer was associated with greater toxicity and altered cell proliferation [40]. As previously mentioned, phosphate is dysregulated in CKD, and a higher risk of bladder cancer is associated with CKD in non-dialysis patients [41]. ...
... Multivariate analysis revealed the negative and positive predictive values of p-Akt and c-kit expression respectively with regards to overall survival. Moreover, c-kit expression was predictive of benefit from everolimus, and c-MET expression correlated with a poorer response to everolimus or sunitinib [83]. ...
... As an illustration, accounting for drug acquisition, delivery, and management of toxicities, a 6 month course of adjuvant FOLFOX chemotherapy costs in excess of 10,000 US dollars (USD) per patient [4,5]. Strategies to reduce AC utilisation, such as shortening duration of oxaliplatinbased AC from 6 to 3 months, has been projected to result in healthcare system savings of 3.6 to 61.4 million USD over a 5 year period depending on the country [6]. Another strategy to reduce costs is the use of molecular and genomic biomarkers that allows more precise identification of patients at high risk of recurrence that would most likely benefit from AC, reducing overtreatment by avoiding AC in patients who would least benefit [7][8][9][10]. ...
... We use a newly established, unique CRC dataset, which links demographic data to the Scottish Cancer Registry and routinely collected hospital admissions data. Full details of the linkage and creation of this source dataset are described elsewhere [24]. Public Health Scotland's (PHS) Data Quality Assurance team carry out regular data accuracy audits on national datasets. ...
... Just a few decades ago, clinical investigators and physicians were often advised to refrain from engaging in oncology due to its complexity and the discouraging clinical outcomes it yielded. Additionally, conducting cancer research required significant financial investment and relied on patients dedicating their time and effort (96). Currently, the primary challenge lies in the development of fundamental research on cancer prevention and treatment to impede the occurrence of new cases and reduce the global incidence of cancer. ...
... C.R. Hanna та співавт. [58] опублікували узагальнені відомості щодо ставлення клініцистів до використан-ня НДПТ при COVID-19, сфокусувавшись на обмеженнях зазначеного лікувального підходу. Дослідники зазначають, що хоча інфраструктура ПТ добре розвинена в багатьох країнах, проте не завжди наявні логістичні зв'язки з підрозділами інтенсивної терапії, тому можливості для лікування додаткових пацієнтів, які не мають раку, можуть бути обмеженими. ...
... Circulating tumor DNA (ctDNA) has recently emerged as a real-time prognostic and predictive biomarker for monitoring cancer patients with different tumor types [4][5][6][7][8], including BC [9][10][11][12]. Currently, the detection of ctDNA can be based on two approaches: the tumor-informed approach, which requires the initial genomic profiling of the primary tumor, and the tumor-agnostic approach, which is independent of the genomic knowledge of the patient's prior tumor. ...
... Six large studies (each >1000 patients), using data from the US Veteran's Health Administration (VHA) [7,8], US Flatiron electronic medical record (EMR) [9], French National Health System [10], and Taiwan National Health Insurance databases [11,12], demonstrated statistically significant detriment in OS for abiraterone compared with enzalutamide in this population. Among studies with smaller sample sizes (100-1000 patients), one reported a significantly reduced OS with abiraterone versus enzalutamide [13] and eight found comparable OS for 1L abiraterone and enzalutamide [14][15][16][17][18][19][20][21]. Of note, a non-significant trend for worse survival with abiraterone versus enzalutamide was observed in five of these studies [14,17,18,20,21]. ...
... A comprehensive clinical history, along with physical examination and specific tests should be carried out in order to screen for CV risk factors and end-organ damage [32,33]. Additionally, an electrocardiogram and echocardiogram should be conducted when drugs with potential cardiac toxicity have been prescribed. ...