Institution
Beatson West of Scotland Cancer Centre
Healthcare•Glasgow, Scotland, United Kingdom•
About: Beatson West of Scotland Cancer Centre is a healthcare organization based out in Glasgow, Scotland, United Kingdom. It is known for research contribution in the topics: Cancer & Population. The organization has 489 authors who have published 1031 publications receiving 41277 citations. The organization is also known as: Beatson Oncology Centre.
Topics: Cancer, Population, Gemcitabine, Prostate cancer, Radiation therapy
Papers
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31 citations
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University of Bristol1, University Hospitals of Leicester NHS Trust2, University of Leicester3, The Royal Marsden NHS Foundation Trust4, Papworth Hospital5, Barts Health NHS Trust6, Beatson West of Scotland Cancer Centre7, Gartnavel General Hospital8, Aneurin Bevan University Health Board9, Blackpool Victoria Hospital10, Golden Jubilee National Hospital11, New Cross Hospital12, South Tees Hospitals NHS Trust13, Leeds Teaching Hospitals NHS Trust14, Colchester Hospital University NHS Foundation Trust15, Clatterbridge Cancer Centre NHS Foundation Trust16, Maidstone and Tunbridge Wells NHS Trust17, Norfolk and Norwich University Hospital18, University of Oxford19
TL;DR: The MARS 2 study is a UK multicentre open parallel group randomised controlled trial comparing the effectiveness and cost-effectiveness of surgery—(extended) pleurectomy decortication—versus no surgery for the treatment of pleural mesothelioma and will test the hypothesis that surgery and chemotherapy is superior to chemotherapy alone with respect to overall survival.
Abstract: Introduction Mesothelioma remains a lethal cancer. To date, systemic therapy with pemetrexed and a platinum drug remains the only licensed standard of care. As the median survival for patients with mesothelioma is 12.1 months, surgery is an important consideration to improve survival and/or quality of life. Currently, only two surgical trials have been performed which found that neither extensive (extra-pleural pneumonectomy) or limited (partial pleurectomy) surgery improved survival (although there was some evidence of improved quality of life). Therefore, clinicians are now looking to evaluate pleurectomy decortication, the only radical treatment option left. Methods and analysis The MARS 2 study is a UK multicentre open parallel group randomised controlled trial comparing the effectiveness and cost-effectiveness of surgery—(extended) pleurectomy decortication—versus no surgery for the treatment of pleural mesothelioma. The study will test the hypothesis that surgery and chemotherapy is superior to chemotherapy alone with respect to overall survival. Secondary outcomes include health-related quality of life, progression-free survival, measures of safety (adverse events) and resource use to 2 years. The QuinteT Recruitment Intervention is integrated into the trial to optimise recruitment. Ethics and dissemination Research ethics approval was granted by London – Camberwell St. Giles Research Ethics Committee (reference 13/LO/1481) on 7 November 2013. We will submit the results for publication in a peer-reviewed journal. Trial registration numbers ISRCTN—ISRCTN44351742 and ClinicalTrials.gov—NCT02040272.
31 citations
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Beatson West of Scotland Cancer Centre1, Oregon Health & Science University2, Southampton General Hospital3, Hospital General Universitario Gregorio Marañón4, St James's University Hospital5, St Thomas' Hospital6, University of Minnesota7, University of Düsseldorf8, Dresden University of Technology9, Technische Universität München10, University of Münster11, AstraZeneca12, Fox Chase Cancer Center13
TL;DR: AZD4877 was generally tolerable in patients with advanced urothelial cancer and given the limited clinical efficacy, further development of AZD48 77 in uroldomial cancer is not planned.
Abstract: Background AZD4877 is a potent inhibitor of the mitotic spindle kinesin, Eg5. Early-phase clinical studies in a broad range of cancers showed that AZD4877 is well tolerated. This Phase II study evaluated the efficacy, safety and pharmacokinetics (Cmax) of AZD4877 in patients with previously treated advanced urothelial cancer (ClinicalTrials.gov identifier NCT00661609). Patients and methods AZD4877 25 mg was administered once-weekly for 3 weeks of each 4-week cycle until disease progression, death, unacceptable toxicity or withdrawal. The primary objective was to determine the objective response rate (RECIST). Recruitment was to be halted if ≤2 of the first 20 evaluable patients achieved an objective tumor response. Cmax was assessed on days 1 and 8 of cycle 1. Results None of the first 20 patients evaluable for efficacy achieved an objective response; enrollment was therefore halted. During this initial analysis, a further 21 patients were recruited. Overall, 39 patients were evaluable for efficacy, including one with confirmed partial response (PR) and seven patients with stable disease for ≥8 weeks (including one unconfirmed PR). The most commonly reported treatment-related adverse events (TRAEs) were neutropenia (22 patients), fatigue (12), leukopenia (7) and constipation (6); the most commonly reported grade ≥3 TRAE was neutropenia (21). Four patients had serious TRAEs. On days 1 and 8, the geometric mean Cmax of AZD4877 was 138 ng/ml (CV = 75 %) and 144 ng/ml (CV = 109 %), respectively. Conclusions AZD4877 was generally tolerable in patients with advanced urothelial cancer. Given the limited clinical efficacy, further development of AZD4877 in urothelial cancer is not planned.
31 citations
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TL;DR: Results indicate that using a blood-based spectroscopic test in both scenarios has the potential to be highly cost-effective in a health technology assessment agency decision-making process, as ICERs were well below standard threshold values.
Abstract: Objectives To determine the potential costs and health benefits of a serum-based spectroscopic triage tool for brain tumours, which could be developed to reduce diagnostic delays in the current clinical pathway. Design A model-based health pre-trial economic assessment. Decision tree models were constructed based on simplified diagnostic pathways. Models were populated with parameters identified from rapid reviews of the literature and clinical expert opinion. Setting Explored as a test in both primary and secondary care (neuroimaging) in the UK health service, as well as application to the USA. Participants Calculations based on an initial cohort of 10 000 patients. In primary care, it is estimated that the volume of tests would approach 75 000 per annum. The volume of tests in secondary care is estimated at 53 000 per annum. Main outcome measures The primary outcome measure was quality-adjusted life-years (QALY), which were employed to derive incremental cost-effectiveness ratios (ICER) in a cost-effectiveness analysis. Results Results indicate that using a blood-based spectroscopic test in both scenarios has the potential to be highly cost-effective in a health technology assessment agency decision-making process, as ICERs were well below standard threshold values of £20 000–£30 000 per QALY. This test may be cost-effective in both scenarios with test sensitivities and specificities as low as 80%; however, the price of the test would need to be lower (less than approximately £40). Conclusion Use of this test as triage tool in primary care has the potential to be both more effective and cost saving for the health service. In secondary care, this test would also be deemed more effective than the current diagnostic pathway.
31 citations
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University of Leeds1, University of Birmingham2, Cardiff and Vale University Health Board3, Imperial College Healthcare4, Beatson West of Scotland Cancer Centre5, University of Oxford6, Royal Liverpool and Broadgreen University Hospital NHS Trust7, Barts Health NHS Trust8, King's College9, Nottingham University Hospitals NHS Trust10, University Hospital Southampton NHS Foundation Trust11
TL;DR: The CLARITY trial (ISCRTN13751862) is a feasibility study to investigate the safety & efficacy of IBR combined with venetoclax (VEN) in patients with relapsed/refractory CLL.
31 citations
Authors
Showing all 491 results
Name | H-index | Papers | Citations |
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Stan B. Kaye | 92 | 449 | 35666 |
Tessa L. Holyoake | 65 | 272 | 18780 |
Jim Cassidy | 64 | 217 | 20828 |
John Bellamy Foster | 59 | 531 | 15649 |
James Paul | 59 | 252 | 13394 |
Hani Gabra | 53 | 200 | 23073 |
Iain A. McNeish | 52 | 228 | 17880 |
Richard H. Wilson | 50 | 188 | 8989 |
David K. Chang | 48 | 126 | 14460 |
Thomas J. Evans | 48 | 143 | 13144 |
Robert Jones | 46 | 262 | 16459 |
Nigel B. Jamieson | 44 | 131 | 10913 |
T.R. Jeffry Evans | 41 | 113 | 7283 |
Anthony J. Chalmers | 35 | 133 | 4254 |
Mhairi Copland | 33 | 121 | 4795 |