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E. Felip

Moderator of

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    5th ESO Lung Cancer Observatory (ID 52)

    • Event: ELCC 2018
    • Type: Special session
    • Track:
    • Presentations: 8
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      Developments in immunotherapy: What practice changing studies will mature in 2019? (ID 289)

      16:45 - 18:15  |  Presenting Author(s): B. Besse

      • Abstract

      Abstract not provided

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      Developments in targeted therapies: What practice changing studies will mature in 2019? (ID 290)

      16:45 - 18:15  |  Presenting Author(s): E. Felip

      • Abstract

      Abstract not provided

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      Early-stage NSCLC, next steps: Staging, surgery, molecular determinations (ID 286)

      16:45 - 18:15  |  Presenting Author(s): P. Van Schil

      • Abstract

      Abstract not provided

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      Lung cancer screening in 2019? (ID 285)

      16:45 - 18:15  |  Presenting Author(s): H. De Koning

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

      Only Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login, select "Add to Cart" and proceed to checkout. If you would like to become a member of IASLC, please click here.

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      Radiation oncology: New approaches in 2019 (ID 287)

      16:45 - 18:15  |  Presenting Author(s): F. Mornex

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

      Only Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login, select "Add to Cart" and proceed to checkout. If you would like to become a member of IASLC, please click here.

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      The patient’s perspective (ID 291)

      16:45 - 18:15  |  Presenting Author(s): F. Johansson

      • Abstract

      Abstract not provided

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      Tobacco control, strategies and figures: What’s next? (ID 284)

      16:45 - 18:15  |  Presenting Author(s): C. Adams

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

      Only Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login, select "Add to Cart" and proceed to checkout. If you would like to become a member of IASLC, please click here.

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      What to ask your pathologist today and in 2019? (ID 288)

      16:45 - 18:15  |  Presenting Author(s): K. Kerr

      • Abstract

      Abstract not provided

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    Less frequent driving alterations (ID 28)

    • Event: ELCC 2018
    • Type: Educational session
    • Track:
    • Presentations: 4
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      BRAF (ID 113)

      14:45 - 16:15  |  Presenting Author(s): C. Rolfo

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

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      HER2 and others (ID 115)

      14:45 - 16:15  |  Presenting Author(s): E. Felip

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

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      MET (ID 112)

      14:45 - 16:15  |  Presenting Author(s): A. Cortot

      • Abstract
      • Slides

      Abstract not provided

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      RET and NTRK (ID 114)

      14:45 - 16:15  |  Presenting Author(s): R. Doebele

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

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Author of

  • +

    5th ESO Lung Cancer Observatory (ID 52)

    • Event: ELCC 2018
    • Type: Special session
    • Track:
    • Presentations: 1
    • +

      Developments in targeted therapies: What practice changing studies will mature in 2019? (ID 290)

      16:45 - 18:15  |  Presenting Author(s): E. Felip

      • Abstract

      Abstract not provided

  • +

    Less frequent driving alterations (ID 28)

    • Event: ELCC 2018
    • Type: Educational session
    • Track:
    • Presentations: 1
    • +

      HER2 and others (ID 115)

      14:45 - 16:15  |  Presenting Author(s): E. Felip

      • Abstract
      • Presentation
      • Slides

      Abstract not provided

      Only Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login, select "Add to Cart" and proceed to checkout. If you would like to become a member of IASLC, please click here.

      Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.

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    Poster Display session (Friday) (ID 65)

    • Event: ELCC 2018
    • Type: Poster Display session
    • Track:
    • Presentations: 1
    • Moderators:
    • Coordinates: 4/13/2018, 12:30 - 13:00, Hall 1
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      219P - Outcomes of malignant pleural mesothelioma (MPM) patients (p) treated after first line chemotherapy (CT) (ID 510)

      12:30 - 13:00  |  Author(s): E. Felip

      • Abstract
      • Slides

      Background:
      The increasing incidence and poor outcome associated with MPM requires identification of novel treatment options. Initial reports have demonstrated beneficial effects of pemetrexed, gemcitabine and vinorelbine in previously treated MPM, however there is no clear agreement on the role of different agents after first line. The aim of this study is to evaluate the outcomes of p with MPM treated in second and third lines at our institution.

      Methods:
      91 MPM p treated with CT or experimental agents in clinical trials beyond first line between September 2002 and October 2017 were retrospectively reviewed (49 p received a third line regimen). Survival was calculated using the Kaplan–Meier method and log-rank test was used for statistical comparison. The associations of type of regimen with outcomes were assessed with Cox proportional-hazard models.

      Results:
      Patient's characteristics: median age 65 years (29–84 years), males: 73%, performance status 1: 66%, asbestos exposure: 81%, stage III at diagnosis: 48%, epithelial subtype: 77%. All p were treated with chemotherapy in first line, 77% received cisplatin plus pemetrexed, 19% carboplatin plus pemetrexed and 4% others. Median PFS in first line was 5.1 months (m; CI95% 4.6–5.2). Median overall survival after first line was 11.6 m (9.8–15.9). Regimen offered as second- or third-line: platinum doublet in 24%, vinorelbine in 32%, gemcitabine in 10%, immunotherapy in 22%, and targeted agents in 12%. Median PFS in second or third line with platinum doublet was 4.9 m (4.3–5.9), vinorelbine 2.7 m (2.1–3.8), gemcitabine 3 m (1.4 – NA), immunotherapy 3 m (2.2–4.5) and targeted agents 3 m (0.8 – NA) (p > 0.05). In the third line setting, median survival after initiation of vinorelbine was 8.5 m (5.5 – NA) versus 3 m (3 – NA) for gemcitabine-treated p (p = 0.001).

      Conclusions:
      In our single institution series of previously treated MPM p, second or third line treatment produces modest benefit, with no clear differences in outcome for CT or clinical trial alternatives. Further research is necessary to treat p who failed to first line CT, including choice of therapy sequence in the second and third lines.

      Clinical trial identification:
      NA

      Legal entity responsible for the study:
      N/A

      Funding:
      Has not received any funding

      Disclosure:
      All authors have declared no conflicts of interest.

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