AIM:To evaluate the efficacy and safety of cetuxim-ab plus irinotecan in irinotecan-refractory metastatic colorectal cancer (mCRC) patients from South-East Asia and Australia. METHODS:In this open-label,phase Ⅱ study...AIM:To evaluate the efficacy and safety of cetuxim-ab plus irinotecan in irinotecan-refractory metastatic colorectal cancer (mCRC) patients from South-East Asia and Australia. METHODS:In this open-label,phase Ⅱ study,the main eligibility criteria were epidermal growth factor receptor-positive mCRC with progressive disease within 3 mo of an irinotecan-based regimen as the most recent chemotherapy. Patients received cetuximab 400 mg/m2 initially,then 250 mg/m2 every week,with the same regimen of irinotecan on which the patients had progressed (4 pre-defined regim-ens allowed). The prim-ary objective was evaluation of progression-free survival (PFS) at 12 wk. Secondary objectives included a further investigation of PFS,and an assessment of the overall response rate (ORR),duration of response,time to treatment failure (TTF),overall survival and the safety profile. RESULTS:One hundred and twenty nine patients were enrolled from-25 centers in the Asia-Pacific region and of these 123 received cetuximab plus irinotecan. The most common recent irinotecan regimen used was 180 mg/m2 every 2 wk which had been used in 93 patients (75.6%). The PFS rate at 12 wk was 50% (95% confidence interval (CI,41-59) and m-edian PFS tim-e was 12.1 wk (95% CI:9.7-17.7). The ORR was 13.8% (95% CI:8.3-21.2) and disease control rate was 49.6% (95% CI:40.5-58.8). Median duration of response was 31.1 wk (95% CI:18.0-42.6) and median overall survival was 9.5 mo (95% CI,7.5-11.7). The median TTF was 11.7 wk (95% CI:9.1-17.4). Treatment was generally well tolerated. The most common grade 3/4 adverse events were diarrhea (13.8%),neutropenia (8.9%),rash (5.7%) and vomiting (5.7%).CONCLUSION:In patients from Asia and Australia,this study confirm-s the activity and safety of cetuxim-ab plus irinotecan observed in previous studies in Europe and South America.展开更多
Acoustic interference can impede effective communication that is important for survival and reproduction of animals. In response to acoustic interference, some animals can improve signalling efficacy by altering the s...Acoustic interference can impede effective communication that is important for survival and reproduction of animals. In response to acoustic interference, some animals can improve signalling efficacy by altering the structure of their signals. In this study, we played artificial noise to 46 male spring peepers Pseudacris crucifer, on their breeding grounds, and tested whether the noise affected the duration, call rate, and peak frequency of their advertisement calls. We used two experimental noise treatments that masked either the high- or low-frequency components of an average advertisement call; this allowed us to evaluate whether frogs adaptively shift the peak frequency of their calls away from both types of interference. Our playback treatments caused spring peepers to produce shorter calls, and the high-frequency noise treatment caused them to lower the frequency of their calls immediately after the noise ceased. Call rate did not change in response to playback. Consistent with previous studies, ambient temperature was inversely related to call duration and positively related to call rate. We conclude that noise affects the structure of spring peeper advertisement calls, and that spring peepers therefore have a mechanism for altering signal structure in response to noise. Future studies should test if other types of noise, such as biotic or anthropogenic noise, have similar effects on call structure, and if the observed changes to call structure enhance or impair communication in noisy environments [Current Zoology 60 （4）： 438-448, 2014].展开更多
文摘AIM:To evaluate the efficacy and safety of cetuxim-ab plus irinotecan in irinotecan-refractory metastatic colorectal cancer (mCRC) patients from South-East Asia and Australia. METHODS:In this open-label,phase Ⅱ study,the main eligibility criteria were epidermal growth factor receptor-positive mCRC with progressive disease within 3 mo of an irinotecan-based regimen as the most recent chemotherapy. Patients received cetuximab 400 mg/m2 initially,then 250 mg/m2 every week,with the same regimen of irinotecan on which the patients had progressed (4 pre-defined regim-ens allowed). The prim-ary objective was evaluation of progression-free survival (PFS) at 12 wk. Secondary objectives included a further investigation of PFS,and an assessment of the overall response rate (ORR),duration of response,time to treatment failure (TTF),overall survival and the safety profile. RESULTS:One hundred and twenty nine patients were enrolled from-25 centers in the Asia-Pacific region and of these 123 received cetuximab plus irinotecan. The most common recent irinotecan regimen used was 180 mg/m2 every 2 wk which had been used in 93 patients (75.6%). The PFS rate at 12 wk was 50% (95% confidence interval (CI,41-59) and m-edian PFS tim-e was 12.1 wk (95% CI:9.7-17.7). The ORR was 13.8% (95% CI:8.3-21.2) and disease control rate was 49.6% (95% CI:40.5-58.8). Median duration of response was 31.1 wk (95% CI:18.0-42.6) and median overall survival was 9.5 mo (95% CI,7.5-11.7). The median TTF was 11.7 wk (95% CI:9.1-17.4). Treatment was generally well tolerated. The most common grade 3/4 adverse events were diarrhea (13.8%),neutropenia (8.9%),rash (5.7%) and vomiting (5.7%).CONCLUSION:In patients from Asia and Australia,this study confirm-s the activity and safety of cetuxim-ab plus irinotecan observed in previous studies in Europe and South America.
文摘Acoustic interference can impede effective communication that is important for survival and reproduction of animals. In response to acoustic interference, some animals can improve signalling efficacy by altering the structure of their signals. In this study, we played artificial noise to 46 male spring peepers Pseudacris crucifer, on their breeding grounds, and tested whether the noise affected the duration, call rate, and peak frequency of their advertisement calls. We used two experimental noise treatments that masked either the high- or low-frequency components of an average advertisement call; this allowed us to evaluate whether frogs adaptively shift the peak frequency of their calls away from both types of interference. Our playback treatments caused spring peepers to produce shorter calls, and the high-frequency noise treatment caused them to lower the frequency of their calls immediately after the noise ceased. Call rate did not change in response to playback. Consistent with previous studies, ambient temperature was inversely related to call duration and positively related to call rate. We conclude that noise affects the structure of spring peeper advertisement calls, and that spring peepers therefore have a mechanism for altering signal structure in response to noise. Future studies should test if other types of noise, such as biotic or anthropogenic noise, have similar effects on call structure, and if the observed changes to call structure enhance or impair communication in noisy environments [Current Zoology 60 （4）： 438-448, 2014].
