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Sarcoma

Does histotype-tailored neoadjuvant therapy improve outcomes?

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Patients with metastatic soft-tissue sarcoma can benefit from systemic therapy, but the best drug combinations for the different disease subtypes remain to be established. Recently, great emphasis has been placed on histology-based chemotherapy regimens. Herein, we discuss the results of a recently published study demonstrating that some of these regimens are not superior to standard-of-care chemotherapy in the neoadjuvant setting.

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References

  1. Noujaim, J., Thway, K., Sheri, A., Keller, C. & Jones, R. L. Histology-driven therapy: the importance of diagnostic accuracy in guiding systemic therapy of soft tissue tumors. Int. J. Surg. Pathol. 24, 5–15 (2016).

    Article  CAS  Google Scholar 

  2. [No authors listed] Adjuvant chemotherapy for localised resectable soft-tissue sarcoma of adults: meta-analysis of individual data. Sarcoma Meta-Analysis Collaboration. Lancet 350, 1647–1654 (1997).

  3. Pervaiz, N. et al. A systematic met-analysis of randomized controlled trials for adjuvant chemotherapy for localized resectable soft tissue sarcoma. Cancer 113, 573–581 (2008).

    Article  Google Scholar 

  4. Woll, P. J. et al. Adjuvant chemotherapy with doxorubicin, ifosfamide, and lenograstim for resected soft-tissue sarcoma (EORTC 62931): a multicentre randomised controlled trial. Lancet Oncol. 13, 1045–1054 (2012).

    Article  CAS  Google Scholar 

  5. Gortzak, E. et al. A randomised phase II study on neo-adjuvant chemotherapy for 'high-risk' adult soft-tissue sarcoma. Eur. J. Cancer 37, 1096–1103 (2001).

    Article  CAS  Google Scholar 

  6. Gronchi, A. et al. Histotype-tailored neoadjuvant chemotherapy versus standard chemotherapy in patients with high-risk soft-tissue sarcomas (ISG-STS 1001): an international, open-label, randomised, controlled, phase 3, multicentre trial. Lancet Oncol. 18, 812–822 (2017).

    Article  CAS  Google Scholar 

  7. Stacchiotti, S. et al. High-grade soft-tissue sarcomas: tumor response assessment — pilot study to assess the correlation between radiologic and pathologic response by using RECIST and Choi criteria. Radiology 251, 447–456 (2009).

    Article  Google Scholar 

  8. Wardelmann, E. et al. Evaluation of response after neoadjuvant treatment in soft tissue sarcomas; the European Organization for Research and Treatment of Cancer-Soft Tissue and Bone Sarcoma Group (EORTC-STBSG) recommendations for pathological examination and reporting. Eur. J. Cancer 53, 84–95 (2016).

    Article  CAS  Google Scholar 

  9. Whitehead, J., Todd, S. & Hall, W. J. Confidence intervals for secondary parameters following a sequential test. J. Roy. Statist. Society Soc. B. 62, 731–745 (2000).

    Article  Google Scholar 

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Acknowledgements

The authors acknowledge support from the NIHR Royal Marsden/ICR Biomedical Research Centre.

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Correspondence to Khin Thway.

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Competing interests

R.L.J. has acted as a consultant for Pharmamar. K.T. declares no competing interests.

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Jones, R., Thway, K. Does histotype-tailored neoadjuvant therapy improve outcomes?. Nat Rev Clin Oncol 14, 589–590 (2017). https://doi.org/10.1038/nrclinonc.2017.118

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