Please find below reports from the most important congresses and projects:
- Rarer Cancer Patient Advocates Training Course held under the auspice of Rarer Cancers Europe by ESMO and ESO – 2nd to 4th December 2017 in Milan.
This course was held alongside a Rarer Cancers Training course for oncology professionals and there were overlaps between the two events. An initial plenary session on the Saturday included talks from Kathy Oliver (IBTA) and Francesco Di Lorenzo (ECPC) putting forward a patient view on issues affecting rare cancers and initiatives to raise awareness and political action.
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The Patient Advocates sessions started after lunch on the Saturday and the initial sessions covered clinical issues – diagnosis, surgery, oncology and research. Individual clinicians and scientists came from the professional event to talk for 20-30 minutes on a defined topic and to answer questions. These sessions were lively with lots of issues and new ideas put forward by the speakers, and plenty of challenges from the advocate audience to keep them on topic.
The research session was particularly lively when Dr Paolo Bruzzi (a statistician) and Dr Paolo Casali (medical oncologist) came together to talk about probability statistics in a session chaired by Roger Wilson, SPAEN Board member. At one point they put forward a hypothetical trial of intercessory prayer and examined how the probability issues would affect it, and how it would compare with a study of a more usual medical therapy. The subject of combination therapy was raised, which caught both scientific speakers unprepared. A humorous moment.
The final session on Monday looked at advocacy issues. Roger again spoke, drawing on his long experience as an advocate, and among the case studies put forward Estelle Lecointe-Artzner, SPAEN Board member, talked about the Pathway policy paper published by SPAEN in January.
The whole combined event closed with words from both Dr Casali and Roger Wilson, recognising the value of parallel events for both clinical specialists and patient advocates.
By Roger Wilson, SPAEN Honorary President
More info: http://www.esmo.org/Conferences/Past-Conferences/RCE-ESMO-ESO-Training-Course-for-Rare-Cancer-Patient-Advocates-2017
- “Harvesting Patient-generated information from internet discussion forums”, CTOS, November 2017
During the CTOS (Connective Tissue Oncology Society) 2017 conference in Maui, Hawaii, SPAEN Board member and Chairman of the Dutch sarcoma patient platform Gerard van Oortmerssen gave a presentation on a project aiming at harvesting information from patient discussions on the Internet. Cancer patients, in particular patients with rare cancers, are increasingly active on internet discussion fora in order to get into touch with patients with the same diagnosis.
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On these fora patients share information, get advice from experienced fellow patients and support each other emotionally.These discussions are a rich source of information: patients often share details of there case, both in terms of medical information as well as their experienced quality of life. The collective knowledge contained in these discussion fora can be of much additional value both to patients and medical professionals and researchers. The project Gerard presented is using state-of-the-art methods from artificial intelligence, natural language processing and data mining to find the “gold nuggets” hidden in the discussions.
Presently there is a working prototype which can be used to analyse forum discussions. The software starts to pre-process all discussion: all the words which have a relevant meaning, such as diagnosis, treatment, complaint, tumor type, drug, are “tagged” and the semantic relations between words in a discussion post are determined. The results are stored in a database. The software tool has a user interface similar to that of search engines such as Google in which one can type one or more search terms. The search algorithm then starts to search the database and presents all the results relevant to the search question. Results are visualised in a network presentation, highlighting relationships between different entities. In addition, the original forum posts relevant to the search term are shown in the interface. Posts can be summarised automatically, in order to facilitate browsing through relevant discussions, and expanded if more detail is desired.
In the presentation a few examples were given of applications of the text mining tool.
Research and development of the so called “Patient Forum Miner” is continuing. In cooperation with other cancer patient organisations various applications are explored. Also, a PhD project is started at Leiden University in order to strengthen the scientific basis of the method, in close co-operation with prof. Hans Gelderblom, medical oncologist and GIST and sarcoma specialist at Leiden University Medical Center.
- EORTC STBSG Meeting, October 2017
The STBSG meets twice a year, moving around Europe to enable easier access which allows junior researchers and doctors to get familiar with the sarcoma research agenda. Dr Alessandro Gronchi, a surgeon from Milan has now served his two year term as chairman and is being succeeded by Professor Hans Gelderblom from the Netherlands, a medical oncologist.
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The two day agenda brought delegates up to date with the current range of sarcoma clinical studies open for accrual of patients, and being actively planned. There was much discussion of the fact that there is no large-scale academically led randomised study across a range of sarcoma sub-types, such has been the standard approach to research for several years by the STBSG. In practical terms there is no other organisation which can develop such clinical trials but however willing the clinical researchers are to design and manage a study the absence of new drugs, or of realistic combinations of therapies, to study means that this line of work has come to a halt.
Dr Gronchi agreed to lead a group to consider development of a neo-adjuvant chemotherapy study, drawing on the results of the recent Italian study matching chemotherapies with tumour types likely to respond. The comparison arm in this study was common and proved to be the most promising. How such a trial, if it proves to be practical, might be funded was another issue.
The absence of new targeted therapies from industry was commented on by several people. The recent olaratumab Phase 3 study by Lilly is now in follow-up and results might be available at the end of 2018, but are more likely in 2019.
STBSG expresses the clinical research challenges in a positive way, as it always has done, but sarcoma is now looking for the next breakthroughs in basic research (such as genomics) or in early stage drug development if we are to see a serious upturn in clinical research activity.
By Roger Wilson, SPAEN Honorary President
Detailed report of the main results of "ASCO 2017" (June 3-7, 2017, Chicago, USA). The original report was written by Dr. Axel Le Cesne, Gustave Roussy, Villejuif, France, translated into English by Estelle Lecointe-Artzner, France and edited by Roger Wilson, UK and Markus Wartenberg, Germany. We would like to thank our French Colleagues for this extensive and comprehensive piece of work!
- "We need a single consistent approach about QoL, which is not about treatments but about people and about society."
EORTC Quality of Life Conference, April 20/21, 2017, Brussels, Belgium
This 2-day conference covered a broad range of topics in Health-Related Quality of Life (HRQOL), patient reported outcomes (PRO), Symptom Research and Cancer Clinical Trials and policies. It is a platform to discuss recent developments of tools as well as other systems for use in clinical trials as well as international developments and research guidelines. Among the 30 senior PRO international leaders was our Honorary President Roger Wilson as speaker, talking about “Pathway to Patient Benefit” and “Survival -diagnosis or lifestyle”. Watch his presentations here:
PROMS – Pathway to patient benefit?
Survival: diagnosis or lifestyle?
eSurge 2016 summary
by Estelle Lecointe-Artzner (SPAEN), Dr. Sylvie Bonvalot, France and Dr. Alessandro Gronchi, Italy
- Detailed report of the main results of "ASCO 2016" (June 3-7, 2016, Chicago, USA). The original report was written by Dr. Axel Le Cesne, Gustave Roussy, Villejuif, France, translated into English by Estelle Lecointe-Artzner, France and edited by Roger Wilson, UK and Markus Wartenberg, Germany. We would like to thank our French Colleagues for this extensive and comprehensive piece of work!
folder ASCO 2016 GIST Report
pdf ASCO 2016 STS, Bone Sarcoma and Demoid Report (403 KB)