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Updated: Jan 13, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Maximización del beneficio de supervivencia con terapia de precisión basada en patrones de progresión después de
Yingnan Liu1,2, Shuping Cheng2, Taotao Dong3
1Shandong University Cancer Center, Cheeloo College of Medicine, Shandong University, Jinan, Shandong 250117, China.
Abstract:
This study aimed to define optimal treatment strategies for metastatic esophageal cancer with different progressive patterns after first-line immunotherapy (IO) resistance. Patients were stratified into oligoprogression and polyprogression, with further subclassifications (repeat oligoprogression [REO]/induced oligoprogression [INO]/de-novo polyprogression [DNP]/repeat polyprogression [REP]). Oligoprogression patients receiving radiotherapy (RT) had longer progression-free survival (PFS) (9.4 vs. 5.8 months, p = 0.018, q = 0.036) and overall survival (OS) (21.9 vs. 9.2 months, p = 0.012, q = 0.024), especially in the REO subgroup (PFS: 9.4 vs. 5.7 months, p = 0.0249, q = 0.0498; OS: 21.9 vs. 8.7 months, p = 0.018, q = 0.036). Polyprogression patients on IO rechallenge showed improved PFS (4.7 vs. 2.8 months, p = 0.006, q = 0.024) and OS (8.5 vs. 4.8 months, p = 0.001, q = 0.004), particularly in the REP subgroup (PFS: 5.6 vs. 2.8 months, p = 0.008, q = 0.016; OS: 5.6 vs. 2.8 months, p < 0.001, q < 0.002). Overall, RT is more important for patients with REO, while IO rechallenge could play a more dominant role for REP.
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