Publications

Authors:

Provenzano, Leonardo; Gwee, Yong Xiang; Conca, Veronica; Lonardi, Sara; Bozzarelli, Silvia; Tamburini, Emiliano; Passardi, Alessandro; Zaniboni, Alberto; Tosi, Federica; Aprile, Giuseppe; Nasca, Vincenzo; Boccaccino, Alessandra; Ambrosini, Margherita; Vetere, Guglielmo; Carullo, Martina; Guaglio, Marcello; Battaglia, Luigi; Zhao, Joseph Jonathan; Chia, Daryl Kai Ann; Yong, Wei Peng; Tan, Patrick; So, Jimmy; Kim, Guowei; Shabbir, Asim; Ong, Chin-Ann Johnny; Casella, Francesco; Cremolini, Chiara; Bencivenga, Maria; Sundar, Raghav; Pietrantonio, Filippo

Title:

Unveiling the prognostic significance of malignant ascites in advanced gastrointestinal cancers: a marker of peritoneal carcinomatosis burden

Year:

2024

Type of item:

Articolo in Rivista

Tipologia ANVUR:

Articolo su rivista

Language:

Inglese

Referee:

No

Name of journal:

THERAPEUTIC ADVANCES IN MEDICAL ONCOLOGY

ISSN of journal:

1758-8340

N° Volume:

16

Page numbers:

1-14

Keyword:

chemotherapy; gastric cancer; intraperitoneal chemotherapy; medical oncology; precision oncology; prognostic biomarker; systemic treatment; targeted therapy

Short description of contents:

Background: Ascites is common in advanced gastrointestinal cancers with peritoneal metastases (PM) and negatively impacts patient survival. No study to date has specifically evaluated the relationship between ascites, PM and survival outcomes in metastatic colorectal cancer (mCRC) and metastatic gastric cancer (mGC). Objectives: This study aims to investigate and elucidate the relationship between malignant ascites, PM and survival outcomes in both mCRC and mGC patients. Design: This is a retrospective analysis of prospectively collected clinical trial data of mCRC and mGC patients with PM. Methods: We performed two pooled analyses, firstly of two Italian randomized trials enrolling patients with mCRC eligible for systemic therapy (TRIBE2; VALENTINO), and secondly of gastric cancer and peritoneal metastasis (GCPM) patients who underwent bi-directional therapeutic treatment comprising systemic and peritoneal-directed therapies. Results: Of 900 mCRC patients, 39 (4.3%) had PM with malignant ascites. Compared to the group without PM, median progression-free and overall survival were significantly inferior in the ascites group (hazard ratio (HR) for progression-free survival (PFS) 1.68, 95% confidence interval (CI): 1.21-2.35, p = 0.007; HR for overall survival (OS) 2.14, 95% CI: 1.57-3.01, p < 0.001), but not in the group of PM without ascites (HR for PFS 1.10, 95% CI: 0.91 - 1.34; HR for OS 1.04, 95% CI: 0.84 - 1.30). Of 170 patients with GCPM, those with ascites had higher median Peritoneal Cancer Index scores (23 vs 9, p < 0.001). Median OS was significantly inferior among those with ascites compared to those without (13.0 vs 21.0 months, HR 1.71, 95% CI: 1.16-2.52, p = 0.007). Conclusion: Ascites identifies a subgroup of patients with PM and poor outcomes, for whom tailored research are needed.

Product ID:

144861

Handle IRIS:

11562/1158390

Last Modified:

March 27, 2025

Bibliographic citation:

Provenzano, Leonardo; Gwee, Yong Xiang; Conca, Veronica; Lonardi, Sara; Bozzarelli, Silvia; Tamburini, Emiliano; Passardi, Alessandro; Zaniboni, Alberto; Tosi, Federica; Aprile, Giuseppe; Nasca, Vincenzo; Boccaccino, Alessandra; Ambrosini, Margherita; Vetere, Guglielmo; Carullo, Martina; Guaglio, Marcello; Battaglia, Luigi; Zhao, Joseph Jonathan; Chia, Daryl Kai Ann; Yong, Wei Peng; Tan, Patrick; So, Jimmy; Kim, Guowei; Shabbir, Asim; Ong, Chin-Ann Johnny; Casella, Francesco; Cremolini, Chiara; Bencivenga, Maria; Sundar, Raghav; Pietrantonio, Filippo, Unveiling the prognostic significance of malignant ascites in advanced gastrointestinal cancers: a marker of peritoneal carcinomatosis burden «THERAPEUTIC ADVANCES IN MEDICAL ONCOLOGY» , vol. 16 , 2024 , pp. 1-14

Consulta la scheda completa presente nel repository istituzionale della Ricerca di Ateneo