A phase II multicentre study of irinotecan (CPT 11) in combination with cisplatin (CDDP) in metastatic or locally advanced penile carcinoma (EORTC PROTOCOL 30992)

The aim of this study is to determine efficacy and feasibility of the combination regimen irinotecan and cisplatin in patients with cisplatin advanced penile cancer. Patients with T3, T4, N1, N2, N3 or M1 cisplatin advanced penile cancer were treated with a combination of irinotecan (60 mg/m2) on da...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Annals of oncology 2008-07, Vol.19 (7), p.1304-1307
Hauptverfasser: Theodore, C., Skoneczna, I., Bodrogi, I., Leahy, M., Kerst, J.M., Collette, L., Ven, K., Marréaud, S., Oliver, R.D.T.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 1307
container_issue 7
container_start_page 1304
container_title Annals of oncology
container_volume 19
creator Theodore, C.
Skoneczna, I.
Bodrogi, I.
Leahy, M.
Kerst, J.M.
Collette, L.
Ven, K.
Marréaud, S.
Oliver, R.D.T.
description The aim of this study is to determine efficacy and feasibility of the combination regimen irinotecan and cisplatin in patients with cisplatin advanced penile cancer. Patients with T3, T4, N1, N2, N3 or M1 cisplatin advanced penile cancer were treated with a combination of irinotecan (60 mg/m2) on days 1, 8 and 15 and cisplatin (80mg/m2) administered every 28 days. Patients were treated either in the neo-adjuvant setting for T3 or N1–N2 disease with a maximum of four cycles before surgery or up to eight cycles for T4 or N3 or M1 disease. The study was designed with the aim to exclude a response rate (complete response + partial response) 30%.The observation regarding M0 patients suggests to repeat this study in the neo-adjuvant setting.
doi_str_mv 10.1093/annonc/mdn149
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_journals_196616756</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><oup_id>10.1093/annonc/mdn149</oup_id><els_id>S0923753419403049</els_id><sourcerecordid>1504926801</sourcerecordid><originalsourceid>FETCH-LOGICAL-c506t-9e67e38c236f0a4646b683769129481584d2f6819903fe5475140fc17317d3b93</originalsourceid><addsrcrecordid>eNqF0UFv0zAYBuAIgVgZHLkiCwmpO4TZsWPHx9FutFKlVqMgtIvlOo7mkdiZ7Yz17_BLcUk1ToiTZevR91rfm2VvEfyIIMfn0lpn1XlXW0T4s2yCSsrzChL0PJtAXuCclZicZK9CuIMQUl7wl9kJqghihBaT7NcF6G9l0GC5BN3QRqO0jV6DEId6D1wDjDfWRa2kBdPZZgsQOgPGAuW6nbEyGmfBTxNvgTKhb9P9wObzzR_U6ShDTI8KOA9ap2Tb7oGsH6RVuga9tqbVQEmvUkYnwfRyfb2dgc31eruerVcAQ86Ls9fZi0a2Qb85nqfZ16vL7WyRr9afl7OLVa5KSGPONWUaV6rAtIGSUEJ3tMKMclRwUqGyInXR0ApxDnGjS8JKRGCjEMOI1XjH8Wn2fpzbe3c_6BDFnRu8TZECcUoRZSVNKB-R8i4ErxvRe9NJvxcIikMhYixEjIUk_-44dNh1uv6rjw0k8OEIZEj7aXzajQlProCEEV7i5Kajc0P_38zjH02I-vEJS_9DUIZZKRbfb0Q5X9x8WXzbik_Js9HrtN0Ho70IyuhDRcZrFUXtzD-SfgNrZ8K-</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>196616756</pqid></control><display><type>article</type><title>A phase II multicentre study of irinotecan (CPT 11) in combination with cisplatin (CDDP) in metastatic or locally advanced penile carcinoma (EORTC PROTOCOL 30992)</title><source>MEDLINE</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><source>Alma/SFX Local Collection</source><creator>Theodore, C. ; Skoneczna, I. ; Bodrogi, I. ; Leahy, M. ; Kerst, J.M. ; Collette, L. ; Ven, K. ; Marréaud, S. ; Oliver, R.D.T.</creator><creatorcontrib>Theodore, C. ; Skoneczna, I. ; Bodrogi, I. ; Leahy, M. ; Kerst, J.M. ; Collette, L. ; Ven, K. ; Marréaud, S. ; Oliver, R.D.T. ; for the EORTC Genito-Urinary Tract Cancer Group ; EORTC Genito-Urinary Tract Cancer Group</creatorcontrib><description>The aim of this study is to determine efficacy and feasibility of the combination regimen irinotecan and cisplatin in patients with cisplatin advanced penile cancer. Patients with T3, T4, N1, N2, N3 or M1 cisplatin advanced penile cancer were treated with a combination of irinotecan (60 mg/m2) on days 1, 8 and 15 and cisplatin (80mg/m2) administered every 28 days. Patients were treated either in the neo-adjuvant setting for T3 or N1–N2 disease with a maximum of four cycles before surgery or up to eight cycles for T4 or N3 or M1 disease. The study was designed with the aim to exclude a response rate (complete response + partial response) &lt;30% (α = 10%, power = 95%). Twenty-eight patients were included and evaluated for toxicity, and 26 eligible patients were evaluated for response. Toxicity was acceptable with three cases of grade 3 diarrhoea and two cases of grade 4 neutropenic fever. There were eight responses (two complete response and six partial response) (30.8%, 80% confidence interval 18.8% to 45.1%): three patients undergoing histological verification after chemotherapy had no evidence of malignancy. The study fails to demonstrate a response rate significantly &gt;30%.The observation regarding M0 patients suggests to repeat this study in the neo-adjuvant setting.</description><identifier>ISSN: 0923-7534</identifier><identifier>EISSN: 1569-8041</identifier><identifier>DOI: 10.1093/annonc/mdn149</identifier><identifier>PMID: 18417462</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>Adult ; advanced penile cancer ; Aged ; Antineoplastic agents ; Antineoplastic Agents - administration &amp; dosage ; Antineoplastic Agents, Phytogenic - administration &amp; dosage ; Antineoplastic Agents, Phytogenic - adverse effects ; Antineoplastic Combined Chemotherapy Protocols - adverse effects ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; Biological and medical sciences ; Camptothecin - administration &amp; dosage ; Camptothecin - analogs &amp; derivatives ; Carcinoma, Squamous Cell - drug therapy ; Carcinoma, Squamous Cell - pathology ; chemotherapy ; cisplatin ; Cisplatin - administration &amp; dosage ; Cisplatin - adverse effects ; Drug Administration Schedule ; Feasibility Studies ; Follow-Up Studies ; Gynecology. Andrology. Obstetrics ; Humans ; Irinotecan ; Male ; Male genital diseases ; Medical sciences ; Middle Aged ; Penile Neoplasms - drug therapy ; Penile Neoplasms - pathology ; Pharmacology. Drug treatments ; Time Factors ; Treatment Outcome ; Tumors</subject><ispartof>Annals of oncology, 2008-07, Vol.19 (7), p.1304-1307</ispartof><rights>2008 European Society for Medical Oncology</rights><rights>The Author 2008. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org 2008</rights><rights>2008 INIST-CNRS</rights><rights>The Author 2008. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c506t-9e67e38c236f0a4646b683769129481584d2f6819903fe5475140fc17317d3b93</citedby><cites>FETCH-LOGICAL-c506t-9e67e38c236f0a4646b683769129481584d2f6819903fe5475140fc17317d3b93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=20474953$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18417462$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Theodore, C.</creatorcontrib><creatorcontrib>Skoneczna, I.</creatorcontrib><creatorcontrib>Bodrogi, I.</creatorcontrib><creatorcontrib>Leahy, M.</creatorcontrib><creatorcontrib>Kerst, J.M.</creatorcontrib><creatorcontrib>Collette, L.</creatorcontrib><creatorcontrib>Ven, K.</creatorcontrib><creatorcontrib>Marréaud, S.</creatorcontrib><creatorcontrib>Oliver, R.D.T.</creatorcontrib><creatorcontrib>for the EORTC Genito-Urinary Tract Cancer Group</creatorcontrib><creatorcontrib>EORTC Genito-Urinary Tract Cancer Group</creatorcontrib><title>A phase II multicentre study of irinotecan (CPT 11) in combination with cisplatin (CDDP) in metastatic or locally advanced penile carcinoma (EORTC PROTOCOL 30992)</title><title>Annals of oncology</title><addtitle>Ann Oncol</addtitle><description>The aim of this study is to determine efficacy and feasibility of the combination regimen irinotecan and cisplatin in patients with cisplatin advanced penile cancer. Patients with T3, T4, N1, N2, N3 or M1 cisplatin advanced penile cancer were treated with a combination of irinotecan (60 mg/m2) on days 1, 8 and 15 and cisplatin (80mg/m2) administered every 28 days. Patients were treated either in the neo-adjuvant setting for T3 or N1–N2 disease with a maximum of four cycles before surgery or up to eight cycles for T4 or N3 or M1 disease. The study was designed with the aim to exclude a response rate (complete response + partial response) &lt;30% (α = 10%, power = 95%). Twenty-eight patients were included and evaluated for toxicity, and 26 eligible patients were evaluated for response. Toxicity was acceptable with three cases of grade 3 diarrhoea and two cases of grade 4 neutropenic fever. There were eight responses (two complete response and six partial response) (30.8%, 80% confidence interval 18.8% to 45.1%): three patients undergoing histological verification after chemotherapy had no evidence of malignancy. The study fails to demonstrate a response rate significantly &gt;30%.The observation regarding M0 patients suggests to repeat this study in the neo-adjuvant setting.</description><subject>Adult</subject><subject>advanced penile cancer</subject><subject>Aged</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Agents - administration &amp; dosage</subject><subject>Antineoplastic Agents, Phytogenic - administration &amp; dosage</subject><subject>Antineoplastic Agents, Phytogenic - adverse effects</subject><subject>Antineoplastic Combined Chemotherapy Protocols - adverse effects</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Camptothecin - administration &amp; dosage</subject><subject>Camptothecin - analogs &amp; derivatives</subject><subject>Carcinoma, Squamous Cell - drug therapy</subject><subject>Carcinoma, Squamous Cell - pathology</subject><subject>chemotherapy</subject><subject>cisplatin</subject><subject>Cisplatin - administration &amp; dosage</subject><subject>Cisplatin - adverse effects</subject><subject>Drug Administration Schedule</subject><subject>Feasibility Studies</subject><subject>Follow-Up Studies</subject><subject>Gynecology. Andrology. Obstetrics</subject><subject>Humans</subject><subject>Irinotecan</subject><subject>Male</subject><subject>Male genital diseases</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Penile Neoplasms - drug therapy</subject><subject>Penile Neoplasms - pathology</subject><subject>Pharmacology. Drug treatments</subject><subject>Time Factors</subject><subject>Treatment Outcome</subject><subject>Tumors</subject><issn>0923-7534</issn><issn>1569-8041</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqF0UFv0zAYBuAIgVgZHLkiCwmpO4TZsWPHx9FutFKlVqMgtIvlOo7mkdiZ7Yz17_BLcUk1ToiTZevR91rfm2VvEfyIIMfn0lpn1XlXW0T4s2yCSsrzChL0PJtAXuCclZicZK9CuIMQUl7wl9kJqghihBaT7NcF6G9l0GC5BN3QRqO0jV6DEId6D1wDjDfWRa2kBdPZZgsQOgPGAuW6nbEyGmfBTxNvgTKhb9P9wObzzR_U6ShDTI8KOA9ap2Tb7oGsH6RVuga9tqbVQEmvUkYnwfRyfb2dgc31eruerVcAQ86Ls9fZi0a2Qb85nqfZ16vL7WyRr9afl7OLVa5KSGPONWUaV6rAtIGSUEJ3tMKMclRwUqGyInXR0ApxDnGjS8JKRGCjEMOI1XjH8Wn2fpzbe3c_6BDFnRu8TZECcUoRZSVNKB-R8i4ErxvRe9NJvxcIikMhYixEjIUk_-44dNh1uv6rjw0k8OEIZEj7aXzajQlProCEEV7i5Kajc0P_38zjH02I-vEJS_9DUIZZKRbfb0Q5X9x8WXzbik_Js9HrtN0Ho70IyuhDRcZrFUXtzD-SfgNrZ8K-</recordid><startdate>20080701</startdate><enddate>20080701</enddate><creator>Theodore, C.</creator><creator>Skoneczna, I.</creator><creator>Bodrogi, I.</creator><creator>Leahy, M.</creator><creator>Kerst, J.M.</creator><creator>Collette, L.</creator><creator>Ven, K.</creator><creator>Marréaud, S.</creator><creator>Oliver, R.D.T.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><general>Oxford Publishing Limited (England)</general><scope>6I.</scope><scope>AAFTH</scope><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TM</scope><scope>7TO</scope><scope>H94</scope><scope>K9.</scope></search><sort><creationdate>20080701</creationdate><title>A phase II multicentre study of irinotecan (CPT 11) in combination with cisplatin (CDDP) in metastatic or locally advanced penile carcinoma (EORTC PROTOCOL 30992)</title><author>Theodore, C. ; Skoneczna, I. ; Bodrogi, I. ; Leahy, M. ; Kerst, J.M. ; Collette, L. ; Ven, K. ; Marréaud, S. ; Oliver, R.D.T.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c506t-9e67e38c236f0a4646b683769129481584d2f6819903fe5475140fc17317d3b93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Adult</topic><topic>advanced penile cancer</topic><topic>Aged</topic><topic>Antineoplastic agents</topic><topic>Antineoplastic Agents - administration &amp; dosage</topic><topic>Antineoplastic Agents, Phytogenic - administration &amp; dosage</topic><topic>Antineoplastic Agents, Phytogenic - adverse effects</topic><topic>Antineoplastic Combined Chemotherapy Protocols - adverse effects</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Camptothecin - administration &amp; dosage</topic><topic>Camptothecin - analogs &amp; derivatives</topic><topic>Carcinoma, Squamous Cell - drug therapy</topic><topic>Carcinoma, Squamous Cell - pathology</topic><topic>chemotherapy</topic><topic>cisplatin</topic><topic>Cisplatin - administration &amp; dosage</topic><topic>Cisplatin - adverse effects</topic><topic>Drug Administration Schedule</topic><topic>Feasibility Studies</topic><topic>Follow-Up Studies</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Humans</topic><topic>Irinotecan</topic><topic>Male</topic><topic>Male genital diseases</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Penile Neoplasms - drug therapy</topic><topic>Penile Neoplasms - pathology</topic><topic>Pharmacology. Drug treatments</topic><topic>Time Factors</topic><topic>Treatment Outcome</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Theodore, C.</creatorcontrib><creatorcontrib>Skoneczna, I.</creatorcontrib><creatorcontrib>Bodrogi, I.</creatorcontrib><creatorcontrib>Leahy, M.</creatorcontrib><creatorcontrib>Kerst, J.M.</creatorcontrib><creatorcontrib>Collette, L.</creatorcontrib><creatorcontrib>Ven, K.</creatorcontrib><creatorcontrib>Marréaud, S.</creatorcontrib><creatorcontrib>Oliver, R.D.T.</creatorcontrib><creatorcontrib>for the EORTC Genito-Urinary Tract Cancer Group</creatorcontrib><creatorcontrib>EORTC Genito-Urinary Tract Cancer Group</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Annals of oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Theodore, C.</au><au>Skoneczna, I.</au><au>Bodrogi, I.</au><au>Leahy, M.</au><au>Kerst, J.M.</au><au>Collette, L.</au><au>Ven, K.</au><au>Marréaud, S.</au><au>Oliver, R.D.T.</au><aucorp>for the EORTC Genito-Urinary Tract Cancer Group</aucorp><aucorp>EORTC Genito-Urinary Tract Cancer Group</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A phase II multicentre study of irinotecan (CPT 11) in combination with cisplatin (CDDP) in metastatic or locally advanced penile carcinoma (EORTC PROTOCOL 30992)</atitle><jtitle>Annals of oncology</jtitle><addtitle>Ann Oncol</addtitle><date>2008-07-01</date><risdate>2008</risdate><volume>19</volume><issue>7</issue><spage>1304</spage><epage>1307</epage><pages>1304-1307</pages><issn>0923-7534</issn><eissn>1569-8041</eissn><abstract>The aim of this study is to determine efficacy and feasibility of the combination regimen irinotecan and cisplatin in patients with cisplatin advanced penile cancer. Patients with T3, T4, N1, N2, N3 or M1 cisplatin advanced penile cancer were treated with a combination of irinotecan (60 mg/m2) on days 1, 8 and 15 and cisplatin (80mg/m2) administered every 28 days. Patients were treated either in the neo-adjuvant setting for T3 or N1–N2 disease with a maximum of four cycles before surgery or up to eight cycles for T4 or N3 or M1 disease. The study was designed with the aim to exclude a response rate (complete response + partial response) &lt;30% (α = 10%, power = 95%). Twenty-eight patients were included and evaluated for toxicity, and 26 eligible patients were evaluated for response. Toxicity was acceptable with three cases of grade 3 diarrhoea and two cases of grade 4 neutropenic fever. There were eight responses (two complete response and six partial response) (30.8%, 80% confidence interval 18.8% to 45.1%): three patients undergoing histological verification after chemotherapy had no evidence of malignancy. The study fails to demonstrate a response rate significantly &gt;30%.The observation regarding M0 patients suggests to repeat this study in the neo-adjuvant setting.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>18417462</pmid><doi>10.1093/annonc/mdn149</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record>
fulltext fulltext
identifier ISSN: 0923-7534
ispartof Annals of oncology, 2008-07, Vol.19 (7), p.1304-1307
issn 0923-7534
1569-8041
language eng
recordid cdi_proquest_journals_196616756
source MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Alma/SFX Local Collection
subjects Adult
advanced penile cancer
Aged
Antineoplastic agents
Antineoplastic Agents - administration & dosage
Antineoplastic Agents, Phytogenic - administration & dosage
Antineoplastic Agents, Phytogenic - adverse effects
Antineoplastic Combined Chemotherapy Protocols - adverse effects
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
Biological and medical sciences
Camptothecin - administration & dosage
Camptothecin - analogs & derivatives
Carcinoma, Squamous Cell - drug therapy
Carcinoma, Squamous Cell - pathology
chemotherapy
cisplatin
Cisplatin - administration & dosage
Cisplatin - adverse effects
Drug Administration Schedule
Feasibility Studies
Follow-Up Studies
Gynecology. Andrology. Obstetrics
Humans
Irinotecan
Male
Male genital diseases
Medical sciences
Middle Aged
Penile Neoplasms - drug therapy
Penile Neoplasms - pathology
Pharmacology. Drug treatments
Time Factors
Treatment Outcome
Tumors
title A phase II multicentre study of irinotecan (CPT 11) in combination with cisplatin (CDDP) in metastatic or locally advanced penile carcinoma (EORTC PROTOCOL 30992)
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-02T04%3A14%3A45IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=A%20phase%20II%20multicentre%20study%20of%20irinotecan%20(CPT%2011)%20in%20combination%20with%20cisplatin%20(CDDP)%20in%20metastatic%20or%20locally%20advanced%20penile%20carcinoma%20(EORTC%20PROTOCOL%2030992)&rft.jtitle=Annals%20of%20oncology&rft.au=Theodore,%20C.&rft.aucorp=for%20the%20EORTC%20Genito-Urinary%20Tract%20Cancer%20Group&rft.date=2008-07-01&rft.volume=19&rft.issue=7&rft.spage=1304&rft.epage=1307&rft.pages=1304-1307&rft.issn=0923-7534&rft.eissn=1569-8041&rft_id=info:doi/10.1093/annonc/mdn149&rft_dat=%3Cproquest_cross%3E1504926801%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=196616756&rft_id=info:pmid/18417462&rft_oup_id=10.1093/annonc/mdn149&rft_els_id=S0923753419403049&rfr_iscdi=true