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Annals of Oncology Official Journal of the European Society for Medical Oncology and the Japanese Society of Medical Oncology editor-in-chief: editorsemeriti Preclinicalandexperimentalscience T.U.E.Helleday,Stockholm,Sweden J.-C. Soria, Villejuif, France F.Cavalli,Bellinzona,Switzerland D.J.Kerr,Oxford,UK Precisionmedicine associateeditors C.Swanton,London,UK J.B.Vermorken,Edegem,Belgium Bioinformatics Urogenitaltumors Gynecologicaltumors N.McGranahan,London,UK G.Attard,Sutton,UK B.Monk,Phoenix,Arizona,USA M.DeSantis,Birmingham,UK S.Pignata,Naples,Italy BioTechnologies E.Mardis,St.Louis,Missouri,USA Melanoma Gastrointestinaltumors D.Arnold,Lisbon,Portugal G.Long,Sydney,Australia Onco-Immunology G.Coukos,Lausanne,Switzerland A.Cervantes,Valencia,Spain Hematologicalmalignancies A.Snyder,NewYork,NewYork,USA J.Tabernero,Barcelona,Spain K.Tsukasaki,Kashiwa,Japan P.L.Zinzani,Bologna,Italy Statistics Breasttumors F.André,Villejuif,France Supportivecare M.Buyse,Brussels,Belgium K.Jordan,Halle,Germany C.Sotiriou,Brussels,Belgium Molecularandsurgicalpathology Epidemiology I.I.Wistuba,Houston,Texas,USA Thoracictumors P.Boffetta,NewYork,NewYork,USA T.Mitsudomi,Osaka,Japan Annalsofoncologyonline J.F.Vansteenkiste,Leuven,Belgium Sarcomaandclinicalpharmacology C.Ferté,Villejuif,France O.Mir,Villejuif,France Headandnecktumors Industrycorner:perspectivesandcontroversies A.T.C.Chan,Shatin,HongKong Earlydrugdevelopment K.Dhingra,NewYork,NewYork,USA E.Cohen,SanDiego,California,USA J.-C.Soria,Villejuif,France editorial board M.S.Aapro,Genolier,Switzerland R.Govindan,St.Louis,Missouri,USA A.Ohtsu,Chiba,Japan Y.Ando,Nagoya,Japan P.Grimison,Sydney,Australia I.Okamoto,Fukuoka,Japan P.Autier,Lyon,France A.Grothey,Rochester,Minnesota,USA S.I.Ou,Orange,California,USA H.A.AzimJr,Marseille,France S.Halabi,Durham,NorthCarolina,USA X.Paoletti,Paris,France I.Barnes,Oxford,UK D.G.Haller,Philadelphia,Pennsylvania,USA C.Pezaro,Melbourne,Australia J.Baselga,NewYork,USA K.Hotta,Okayama,Japan P.Pfeiffer,Odense,Denmark J.Bellmunt,Boston,Massachusetts,USA R.A.Huddart,Sutton,UK S.V.Porceddu,Brisbane,Australia B.Besse,Villejuif,France I.Hyodo,Tsukuba,Japan M.R.Posner,NewYork,USA J.Beyer,Zurich,Switzerland M.Ignatiadis,Brussels,Belgium S.Postel-Vinay,Villejuif,France P.Bierman,Omaha,Nebraska,USA D.H.Ilson,NewYork,NewYork,USA A.Psyrri,NewHaven,Connecticut,USA C.Bokemeyer,Hamburg,Germany H.Iwata,Aichi,Japan D.Quinn,LosAngeles,California,USA N.Boku,Tokyo,Japan F.Janku,Houston,Texas,USA S.S.Ramalingam,Atlanta,Georgia,USA F.Bretz,Basel,Switzerland N.Katsumata,Kawasaki,Japan M.Reck,Grosshansdorf,Germany E.Bria,Verona,Italy N.Kiyota,Kobe,Japan B.Rini,Cleveland,Ohio,USA E.F.Burgess,Charlotte,NorthCarolina,USA C.LaVecchia,Milan,Italy R.Rosell,Badalona,Spain P.G.Casali,Milan,Italy P.N.JrLara,Sacramento,California,USA A.D.Roth,Geneva,Switzerland F.Ciardiello,Naples,Italy S.Loi,Melbourne,Australia R.Salazar,Barcelona,Spain A.Comandone,Turin,Italy S.Loibl,Neu-Isenburg,Germany M.Scartozzi,Ancona,Italy P.G.Corrie,Cambridge,UK F.Lordick,Leipzig,Germany N.Schmitz,Hamburg,Germany G.Curigliano,Milan,Italy Y.Loriot,Villejuif,France H.-J.Schmoll,Halle,Germany A.DiLeo,Prato,Italy S.Lutzker,SanFrancisco,California,USA I.Sekine,Tsukuba,Japan T.Dorff,LosAngeles,California,USA T.Macarulla,Barcelona,Spain Q.Shi,Rochester,Minnesota,USA H.Dosaka-Akita,Sapporo,Japan M.Martin,Madrid,Spain A.F.Sobrero,Genoa,Italy E.A.Eisenhauer,Kingston,Canada S.Matsui,Tokyo,Japan G.Sonpavde,Birmingham,Alabama,USA A.Eniu,Cluj-Napoca,Romania J.Maurel,Barcelona,Spain S.Takahashi,Tokyo,Japan T.Fenske,Milwaukee,Wisconsin,USA G.McArthur,Melbourne,Australia M.Toi,Kyoto,Japan S.Galbraith,Cambridge,UK S.Michiels,Villejuif,France B.A.VanTine,St.Louis,Missouri,USA G.Giamas,Brighton,UK H.Minami,Kobe,Japan E.Vilar,Houston,Texas,USA R.Glynne-Jones,Northwood,UK Y.Nishimura,Osaka-Sayama,Japan Y.-L.Wu,Guangzhou,China B.-C.Goh,Singapore,Singapore K.Nishio,Osaka-Sayama,Japan J.C.-H.Yang,Taipei,Taiwan A.Goldhirsch,Milan,Italy M.Ogura,Gifu,Japan S.Yano,Kanazawa,Japan executiveeditor:LewisRowett editorialoffice:VanessaMarchesi,PaolaMinottiBernasconi,GiovannellaPorcu,AnnalsofOncology,ViaLuigiTaddei4,CH-6962 Viganello-Lugano,Switzerland AnnalsofOncologyiscoveredinC.A.B.International,CurrentClinicalCancer,CurrentContents/ClinicalMedicine®,CurrentContents/ LifeSciences,ElsevierBIOBASE/CurrentAwarenessinBiologicalSciences,EMBASE/ExcerptaMedica,IBIDS,IndexMedicus/MEDLINE, TheInternationalMonitorinOncology,MedicalDocumentationService,ScienceCitationIndex®andScienceCitationIndexExpanded. subscriptions supplements,reprintsandcorporatesales For requests from industry and companies regarding supplements, bulk AsubscriptiontoAnnalsofOncologycomprises12issuesplussupplementsin article reprints, sponsored subscriptions, translation opportunities for eachvolume.Pricesincludepostage,andforsubscribersoutsidetheUKdeliv- previouslypublishedmaterial,andcorporateonlineopportunities,pleaseemail: eryisbyStandardAir. 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Previous volumes can be obtained from the Periodicals Service notice Company at http://www.periodicals.com/oxford.html or Periodicals Service The content of the abstracts contained in this Abstract Book is subject to an Company,11MainStreet,Germantown,NY12526,USA.Email:psc@periodi- embargo. cals.com.Tel:(518)537-4700.Fax:(518)537-5899 Abstracts accepted for presentation at ESMO 2016 as Poster Discussion and For further information, please contact: Journals Customer Service Poster will be published online on the ESMO website at 12:00 CEST (local Department,OxfordUniversityPress,GreatClarendonStreet,OxfordOX26DP, Swisstime)onWednesday,28September2016. UK. Email: [email protected]. Tel (and answerphone outside normal working hours): +44 (0)1865 353907. Fax: +44 (0)1865 353485. In the US, AbstractsacceptedforpresentationatESMO2016asProfferedPaper(oralpresen- pleasecontact:JournalsCustomerServiceDepartment,OxfordUniversityPress, tation)willbepublishedonlineontheESMOwebsiteat12:00CEST(localSwiss time)onWednesday,05October2016. 2001 Evans Road, Cary, NC 27513, USA. Email: [email protected]. Tel (and answerphone outside normal working hours): 800 852 7323 (toll-free in USA/ Late-breakingabstractswillbemadepublicat08:15CEST(localSwisstime) Canada). Fax: 919 677 1714. In Japan, please contact: Journals Customer onthedayoftheofficialCongresssessionduringwhichtheyarepresented. 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Annals of Oncology Official Journal of the European Society for Medical Oncology and the Japanese Society of Medical Oncology Volume 27, 2016 Supplement 6 Abstract Book of the 41st ESMO Congress (ESMO 2016) – 7 11October2016,Copenhagen,Denmark Guest Editors: ESMO 2016 Congress ScientificCommittee Annals of Oncology Official Journal of the European Society for Medical Oncology and the Japanese Society of Medical Oncology Volume 27, 2016 Supplement 6 Abstract Book of the 41st ESMO Congress (ESMO 2016) – Copenhagen, Denmark, 7 11 October 2016 AboutESMO vi_vi Healtheconomics vi351 ESMOExecutiveBoard vi_vi Immunotherapyofcancer vi359 ESMO2016CongressOfficers vi_vii Melanomaandotherskintumours vi379 Acknowledgements vi_x Newdiagnostics vi401 NSCLC,earlystage vi407 Submitted abstracts NSCLC,locallyadvanced vi411 BasicScience vi1 NSCLC,metastatic vi416 Biomarkers vi15 Palliativecare vi455 Breastcancer,earlystage vi43 Preventionandscreening vi462 Breastcancer,locallyadvancedandmetastatic vi68 Psycho-oncology vi469 Clinicaltrialsmethodology vi100 Publichealth vi474 CNStumours vi103 Sarcoma vi483 Developmentaltherapeutics vi114 SCLC vi493 Endocrineandneuroendocrinetumours vi136 Supportivecare vi497 Gastrointestinaltumours,colorectal vi149 Thoracicmalignancies,other vi522 Gastrointestinaltumours,non-colorectal vi207 Translationalresearch vi526 Genitourinarytumours,prostate vi243 Tumourbiologyandpathology vi545 Genitourinarytumours,non-prostate vi266 Late-BreakingAbstractsanddeferredpublication Gynaecologicalcancers vi296 Drugindex vi552 HaematologicalMalignancies vi313 Translationalresearchindex vi556 Headandneckcancer vi328 Note:Abstractsuffixes “O”indicatesasubmittedabstractacceptedforProfferedPaper(oral)presentation “PD”indicatesasubmittedabstractacceptedforPosterDiscussion “P”indicatesasubmittedabstractacceptedforPosterPresentation “TiP”indicatesasubmittedabstractacceptedforPosterPresentation,TrialinProgress __PRindicatesasubmittedabstractselectedforinclusionintheESMOPressProgramme Volume27 |Supplement6| October2016 The European Society for Medical Oncology (ESMO) ESMO istheleading professional organisation for medical oncology, withthe overarching goalof improving outcomes for cancer patients everywhere. Wearethesocietyof reference foroncologyeducation andinformation, and arecommittedto supporting ourmemberstodevelop andadvancein afast-evolvingprofessional environment. Founded in1975, ESMO has European roots witha global reach: wewelcome oncology professionals from around the world. Wearea home foralloncologystakeholders, connectingprofessionals withdiverse expertise and experience, and speaking withone voice forourdiscipline. Oureducation and information resources support anintegrated multi-professional approach to cancercare, froma medical oncologyperspective. We seekto erase boundaries incancer care, whether betweencountries or specialities, and pursue our mission acrossoncology,worldwide. The ESMO community bringstogether more than 13,000 oncologyprofessionals fromover 130 countries. Drawingon 40 years ofexperienceand around 500expert committee members, ESMO servesits members and theoncologycommunity through: • Post-graduate oncologyeducation and training • Career development and leadership training for the next generations ofoncologists • Internationalcongresses and workshopsto share expertiseand bestpractice, learnabout themost up-to-date scientific advances,and connect withcolleaguesinrelated disciplines • Continuously reviewed, evidence-based standards forcancercare inEurope • Advocacyand consultation tofosterafavourable environment for scientific research Cancercareis rapidly becoming moreintegrated andmorespecialised;whethertheir field is research, diagnosis, treatment, care, oradvocacy, oncology professionals need toboth build their specialist knowledgeand connect with thebest practitioners inother disciplines worldwide. ESMO membership makesthis possible. Please visit esmo.org to learn more. Across Oncology.Worldwide. ESMO Executive Board President Fortunato Ciardiello, Naples, Italy President-Elect Josep Tabernero, Barcelona, Spain PastPresident and Membership Committee Chair RolfA. Stahel, Zurich, Switzerland Treasurer Emile Voest, Amsterdam, The Netherlands EducationalCommitteeChair Andrés Cervantes, Valencia,Spain National Representatives and Membership Committee Chair FatimaCardoso, Lisbon,Portugal EU PolicyCommittee Chair Paolo G. Casali, Milan, Italy Global Policy Committee Chair Alexandru Eniu, Cluj-Napoca, Romania Guidelines Working Group Chair George Pentheroudakis, Ioannina,Greece Press and Media Affairs CommitteeChair Solange Peters, Lausanne, Switzerland Practising Oncologists CommitteeChair Stefan Rauh, Esch-sur-Alzette, Luxembourg Board Member Dirk Arnold, Lisbon,Portugal Board Member Alexander M.M. Eggermont, Villejuif, France Board Member Jacek Jassem, Gdansk, Poland Board Member Christoph Zielinski, Vienna, Austria ESMO 2016 Congress Officers 2016 ESMO and Congress President FortunatoCiardiello,Naples, Italy Scientific Committee Chair Andrés Cervantes, Valencia, Spain Educational Chair Jean-Yves Douillard, Lugano, Switzerland Press Officer Solange Peters, Lausanne,Switzerland LocalOfficer UlrikN. Lassen, Copenhagen, Denmark Scientific Committee Basicscienceandtranslationalresearch Breastcancer,earlystage Chair:RichardMarais,Manchester,UK Chair:MarcoColleoni,Milan,Italy CatherineAlix-Panabieres,Montpellier,France HatemA.Azim,Jr.,Marseille,France AntonBerns,Amsterdam,Netherlands JacquesBernier,Genolier,Switzerland AlbertoBardelli,Candiolo,Italy HerveBonnefoi,Bordeaux,France CarlosCaldas,Cambridge,UK KarenGelmon,Vancouver,BC,Canada RaffaeleCalifano,Manchester,UK NadiaHarbeck,Munich,Germany RobertGatenby,Tampa,FL,USA GuyJerusalem,Liege,Belgium RamaswamyGovindan,St.Louis,MO,USA SybilleLoibl,Neu-Isenburg,Germany DavidHuntsman,Vancouver,BC,Canada AleixPrat,Barcelona,Spain ClareIsacke,London,UK IsabelT.Rubio,Barcelona,Spain JoanSeoane,Barcelona,Spain ElżbietaSenkus-Konefka,Gdańsk,Poland SheilaSingh,Hamilton,ON,Canada AndrewTutt,London,UK ThomasTüting,Bonn,Germany GiuseppeViale,Milan,Italy ChristofvonKalle,Heidelberg,Germany Breastcancer,metastatic CNStumours Chair:RobertE.Coleman,Sheffield,UK Chair:AlbaBrandes,Bologna,Italy FabriceAndré,Villejuif,France CarmenBalaña,Barcelona,Spain FatimaCardoso,Lisbon,Portugal DeborahBlumenthal,TelAviv,Israel PierFrancoConte,Padua,Italy MichaelBrada,Bebington,UK JavierCortes,Barcelona,Spain RogerHenriksson,Stockholm,Sweden LuisCosta,Lisbon,Portugal SimoneNiclou,Luxembourg RogerGomis,Barcelona,Spain GuidoReifenberger,Dusseldorf,Germany NadiaHarbeck,Munich,Germany MarcSanson,Paris,France PerKarlsson,Gothenburg,Sweden ColinWatts,Cambridge,UK ShereneLoi,Melbourne,Australia MichaelWeller,Zurich,Switzerland PeterSchmid,London,UK PatrickWen,Boston,MA,USA DavidWarr,Toronto,ON,Canada Developmentaltherapeutics Gastrointestinaltumours,colorectal Chair:JordiRodón,Barcelona,Spain Chair:JulienTaieb,Paris,France UdaiBanerji,Sutton,UK RichardAdams,Cardiff,UK MarkBasik,Montreal,QC,Canada DirkArnold,Lisbon,Portugal IreneBraña,Barcelona,Spain DanielaAust,Dresden,Germany MarioCampone,SaintHerblain,France ChiaraCremolini,Pisa,Italy BryanHennessy,Dublin,Ireland ThomasGruenberger,Vienna,Austria Chia-ChiLin,Taipei,Taiwan VolkerHeinemann,Munich,Germany ChristopheMassard,Villejuif,France FlorenceHuguet,Paris,France PaoloNuciforo,Barcelona,Spain Claus-HenningKoehne,Oldenburg,Germany ChristianRolfo,Edegem,Belgium FotiosLoupakis,Pisa,Italy JanSchellens,Amsterdam,Netherlands RamonSalazar,L’HospitaletdeLlobergat,Spain ChristopherTwelves,Leeds,UK SabineTejpar,Leuven,Belgium ChristopheTournigand,Creteil,France Gastrointestinaltumours,non-colorectal Genitourinarytumours,prostate Chair:FlorianLordick,Leipzig,Germany Chair:GerhardtAttard,Sutton,UK FátimaCarneiro,Porto,Portugal HimishaBeltran,NewYork,NY,USA IanChau,Sutton,UK JohanndeBono,London,UK EduardoDiazRubio,Madrid,Spain RonalddeWit,Rotterdam,Netherlands MichelDucreux,Villejuif,France EleniEfstathiou,Houston,TX,USA AxelHillmer,Mainz,Germany FelixFeng,AnnArbor,MI,USA YelenaJanjigian,NewYork,NY,USA SilkeGillessen,St.Gallen,Switzerland ChristopheMariette,Lille,France AxelHeidenreich,Aachen,Germany PerPfeiffer,Odense,Denmark YohannLoriot,Villejuif,France FernandoRivera,Santander,Spain DavidOlmos,Madrid,Spain ArnaudRoth,Geneva,Switzerland StephaneOudard,Paris,France EricVanCutsem,Leuven,Belgium MathewSydes,London,UK MarcelVerheij,Amsterdam,Netherlands ScottTomlins,AnnArbor,MI,USA Genitourinarytumours,non-prostate Gynaecologicalcancers Chair:JoaquimBellmunt,Boston,MA,USA Chair:SandroPignata,Naples,Italy LaurenceAlbiges,Villejuif,France CarienL.Creutzberg,Leiden,Netherlands FerranAlgaba,Barcelona,Spain AntonioGonzález-Martín,Madrid,Spain ArisBamias,Athens,Greece CharlieGourley,Edinburgh,UK AxelBex,Amsterdam,Netherlands FlorenceJoly,Caen,France BernardEscudier,Villejuif,France JonathanLedermann,London,UK ViktorGrünwald,Hannover,Germany DomenicaLorusso,Milan,Italy ChristianKollmannsberger,Vancouver,BC,Canada MansoorMirza,Copenhagen,Denmark AntonioLópez-Beltran,Lisbon,Portugal AndresPoveda,Valencia,Spain NicholasMottet,St.Etienne,France IsabelleRay-Coquard,Lyon,France AndreaNecchi,Milan,Italy CristianaSessa,Bellinzona,Switzerland JackSchalken,Nijmegen,Netherlands IgnaceVergote,Leuven,Belgium ManuelaSchmidinger,Vienna,Austria Haematologicalmalignancies Headandneckcancer Chair:ChristianBuske,Ulm,Germany Chair:AmandaPsyrri,Athens,Greece PeterCampbell,Hinxton,UK AnaCastro,Porto,Portugal AndrésFerreri,Milan,Italy SandrineFaivre,Clichy,France RamonGarcia-Sanz,Salamanca,Spain VincentGregoire,Brussels,Belgium PaoloGhia,Milan,Italy NikolaosKavantzas,Athens,Greece KlausHerfarth,Heidelberg,Germany LisaLicitra,Milan,Italy PeterJohnson,Southampton,UK Jean-PascalMachiels,Brussels,Belgium MarcoLadetto,Alessandria,Italy MarcoMerlano,Cuneo,Italy StevenLeGouill,Nantes,France RicardMesía,L’HospitaletdeLlobregat,Spain ArmandoLopez-Guillermo,Barcelona,Spain PieroNicolai,Brescia,Italy GertJ.Ossenkoppele,Amsterdam,Netherlands ChristosPerisanidis,Vienna,Austria MarianoProvencio,Madrid,Spain MassimoTommasino,Lyon,France EvangelosTerpos,Athens,Greece Immunotherapyofcancer Melanomaandotherskintumours Chair:JohnHaanen,Amsterdam,Netherlands Chair:OlivierMichielin,Lausanne,Switzerland PhilippBeckhove,Heidelberg,Germany PaoloAscierto,Naples,Italy MarioColombo,Milan,Italy BorisC.Bastian,SanFrancisco,CA,USA JérômeGalon,Paris,France ReinhardDummer,Zurich,Switzerland IgnacioMelero,Pamplona,Spain Jean-JacquesGrob,Marseille,France PaulNathan,Northwood,UK AxelHauschild,Kiel,Germany UlfPetrausch,Zurich,Switzerland ChristophHoeller,Vienna,Austria ThomasPowles,London,UK PaulLorigan,Manchester,UK SuzyScholl,Paris,France JosepMalvehy,Barcelona,Spain IngeMarieSvane,Herlev,Denmark CarolineRobert,Villejuif,France SjoerdvanderBurg,Leiden,Netherlands BenoîtVandenEynde,Brussels,Belgium LaurenceZitvogel,Villejuif,France JeffreyWeber,NewYork,NY,USA NETsandendocrinetumours Non-metastaticNSCLCandotherthoracicmalignancies Chair:RocioGarcia-Carbonero,Madrid,Spain Chair:DirkDeRuysscher,Maastricht,Netherlands JaumeCapdevila,Barcelona,Spain PaulBaas,Amsterdam,Netherlands MichelDucreux,Villejuif,France BenjaminBesse,Villejuif,France MassimoFalconi,Milan,Italy Anne-MarieDingemans,Maastricht,Netherlands DikKwekkeboom,Rotterdam,Netherlands WilfriedEberhardt,Essen,Germany KjellÖberg,Uppsala,Sweden PilarGarrido,Madrid,Spain MariannePavel,Berlin,Germany TetsuyaMitsudomi,Osaka-Sayama,Japan GeorgePentheroudakis,Athens,Greece SanjayPopat,London,UK EricRaymond,Lausanne,Switzerland JensBennSoerensen,Copenhagen,Denmark GuidoRindi,Rome,Italy EstherTroost,Dresden,Germany MercedesRobledo,Madrid,Spain JohanVansteenkiste,Leuven,Belgium JuanValle,Manchester,UK GiuliaVeronesi,Milan,Italy JamesYao,Houston,TX,USA NSCLC,metastatic Publichealthandhealtheconomics Chair:EgbertSmit,Amsterdam,Netherlands Chair:RosaGiuliani,Rome,Italy FabriceBarlesi,Marseille,France TitAlbreht,Ljubljana,Slovenia FionaBlackhall,Manchester,UK PeterBoyle,Ecully,France RafalDziadziuszko,Gdansk,Poland PaoloG.Casali,Milan,Italy StephenFinn,Dublin,Ireland JackCuzick,London,UK KeithKerr,Aberdeen,UK SilviadeSanjosé,L’HospitaletdeLlobregat,Spain PeterMeldgaard,Aarhus,Denmark HarrydeKoning,Rotterdam,Netherlands TonyS.K.Mok,HongKong,China AlexEniu,Cluj-Napoca,Romania SilviaNovello,Orbassano,Italy ValerieLemmens,Eindhoven,Netherlands LuisPaz-Ares,Madrid,Spain AlbertoOcana,Albacete,Spain SolangePeters,Lausanne,Switzerland RichardSullivan,London,UK MartinReck,Grosshansdorf,Germany AndreasUllrich,Geneva,Switzerland GregoryJ.Riely,NewYork,NY,USA Sarcoma Supportiveandpalliativecare Chair:OlivierMir,Villejuif,France Chair:KarinJordan,Halle,Germany StefanBielack,Stuttgart,Germany MattiAapro,Genolier,Switzerland JeanYvesBlay,Lyon,France MarieFallon,Edinburgh,UK PhilippeCassier,Lyon,France PetraFeyer,Berlin,Germany A.PaoloDeiTos,Treviso,Italy JoernHerrstedt,Odense,Denmark XavierGarciadelMuro,Barcelona,Spain SteinKaasa,Trondheim,Norway AlessandroGronchi,Milan,Italy BernardoRapoport,Johannesburg,SouthAfrica RobinJones,London,UK CarlaRipamonti,Milan,Italy CecileLePechoux,Villejuif,France FaustoRoila,Terni,Italy JavierMartinBroto,Seville,Spain TiinaSaarto,Helsinki,Finland SilviaStacchiotti,Milan,Italy FlorianScotté,Paris,France MaudToulmonde,Bordeaux,France FlorianStrasser,St.Gallen,Switzerland WinettevanderGraaf,London,UK The European Society for MedicalOncology wishestoexpress its appreciation and gratitude to allof theaboveexperts for theirmajoreffort in reviewing and selecting thecontent ofthis AbstractBook. AnnalsofOncology27(Supplement6):vi1–vi14,2016 doi:10.1093/annonc/mdw362 basicscience detectedbyELISAorqPCR,respectively.WeconductedaBioMaphumancell co-culturesystemanalysiswithperipheralbloodmononuclearcells,endothelialcells, andH1299humanlungcancercellstoevaluateeffectsofeachsingleagentand combinationtreatmentsonTh1/Th2immuneresponse. 1O EPHA2blockadeovercomesprimaryandacquiredresistanceto Results:CombinationofLENwithPD-1mAbshowedmorepotentinhibitoryactivity anti-epidermalgrowthfactorreceptor(EGFR)therapyin againsttumorgrowthinall3modelscomparedwitheachsingleagent.Notably, metastaticcolorectalcancer(mCRC) completetumorregressionsweredetectedinsomemicewithcombinationtreatmentin theH22syngeneicmousetumormodel.Re-inoculationoffreshH22cellsintothese G.Martini1,V.Belli2,P.P.Vitiello1,T.Troiani1,C.Cardone1,S.Napolitano1, curedmicewasrejected.BioMapanalysisshowedthatPD-1mAbincreasedbothTh1 V.Desiderio3,V.Sforza1,M.L.Ferrara1,G.Papaccio3,L.Mele3,G.Liguori4, andTh2cytokines,LENdecreasedTh2cytokines,andcombinationtreatment G.Botti5,R.Franco6,F.Morgillo1,F.Ciardiello1,E.Martinelli1 increasedTh1cytokinesbutdecreasedTh2cytokines.ELISAandqPCRanalysisalso 1MedicalOncology,AOUSecondaUniversitàdegliStudidiNapoli(AOU-SUN), showedthatTh1cytokineswereincreasedbutTh2cytokinesweredecreasedwith Naples,Italy,2DipartimentoMedico-ChirurgicodiInternisticaClinicae combinationtreatmentsintheLL/2andCT26syngeneicmousemodels. sperimentale,AOUSecondaUniversitàdegliStudidiNapoli(AOU-SUN),Naples, Conclusions:TheresultsindicatethatthecombinationofLENwithPD-1mAbwas Italy,3Istology,AOUSecondaUniversitàdegliStudidiNapoli(AOU-SUN),Naples, moreeffectivethansingle-agenttreatmentinmultiplesyngeneictumormodelsand Italy,4AnatomiaPatologica,IstitutoNazionaleTumori–I.R.C.C.S-Fondazione wasaccompaniedwithapotentantitumorimmuneresponse. Pascale,Naples,Italy,5Dipartimentodianatomiapatologica,IstitutoNazionale Legalentityresponsibleforthestudy:EisaiInc. Tumori–I.R.C.C.S-FondazionePascale,Naples,Italy,6Anatomiapatologica, Funding:EisaiInc. AOUSecondaUniversitàdegliStudidiNapoli(AOU-SUN),Naples,Italy Disclosure:Y.Kato,K.Tabata,Y.Hori,S.Tachino,Y.Funahashi,J.Matsui:Employee ofEisaiCo.,Ltd.X.Bao,S.Macgrath,M.Matijevici:EmployeeofEisaiInc. Background:EPHA2tyrosinekinasereceptorisimplicatedintumorprogression, neovascularizationandmigrationinawiderangeofcancers.Westudieditsroleasa potentialmarkerofresistancetoanti-EGFRdrugsincolorectalcancer(CRC). 3P DissectingtherolesofFraproteinsinlungadenocarcinoma Methods:WeevaluatedtheexpressionandactivationofEPHA2inapanelofCRCcell linessensitive(GEOandSW48cells)andresistant(HCT116,SW620,LOVO,SW480, A.Alfraidi1,L.Bakiri1,A.Ucero1,M.Musteanu2,M.Barbacid2,E.Wagner1 HCT15,SW48-CR[acquiredcetuximabresistant],GEO-CR)toanti-EGFRdrugsby 1Genes,DevelopmentandDisease,CNIO-SpanishNationalCancerCenter, WesternBlot(WB)analysis.TheeffectofALW-II-41-27(EPHA2inhibitor)and/or Madrid,Spain,2MolecularOncology,CNIO-SpanishNationalCancerCenter, cetuximaboncellsurvivalanddrugsensitivitywasevaluatedbyMTTassay.Apoptosis Madrid,Spain andcellcycleanalysiswereanalysedbyflowcytometry.SW48-CRsubcutaneous xenograftmodelswereusedforinvivoexperiments.EPHA2expressionwasassessed byimmunohistochemistry(IHC)inmCRCtumors. Background:Lungcancerisalife-threateningdiseasewithincreasedincidence worldwide.Mostpatientsarediagnosedwithadvanceddisease,andasaresult,the5year Results:EPHA2wasdifferentlyactivatedamongcelllineswithhighlevelsof survivalrateisamongthelowestincancer.Amongalllungcancer,85%arenonsmall phosphorylationinHCT116,SW620,LOVO,GEO-CRandSW48-CRcells.CRCcell lungcancer(NSCLC)subtype,whichcanbesubdividedinlungadenocarcinoma(ADC) linesweredifferentlysensitivetoALW-II-41-27withanIC50rangingfrom0.05to2 andsquamouscellcarcinoma(SCC).K-RasmutationisthemostcommoninNSCLC, mM(beingHCT116,SW620,LOVO,SW48-CR,HCT15,GEOthemostsensitive butnodrugsthattargetK-Rasdirectlyorindirectlyhaveyetbeendiscovered.Therefore, whereasGEO-CRandSW48themostresistant).WecombinedALW-II-41-27plus thereisaneedtofindadruggabletargetthatcanhelpinthetreatmentoflungcancer cetuximab,todemonstrateifEPHA2inhibitionmightrevertprimaryandacquired patients.Fos-relatedantigen2(Fra-2),amemberofAP-1transcriptionfactors,hasbeen s resistancetocetuximab.Combinedtreatmentinducedasynergisticanti-proliferative showntobeactivatedbyK-Rassignalling,aswellasderegulatedinmanycancertypes. ct andapoptoticeffectsincellswitheitherprimary(HCT15)andacquired(GEO-CR, a ScpoWMnA4fi8rPm-KCeRadn)bdryepstiAhsteKarnTec.deCutecoltlicocenytcuolxefimpanEaaPblHy.sTAish2edlesemyvneoelsnrgsatinrsdatitceadamcGtai2vrkipteyhdoalysfetihnaehrricebositmtiwobniitnhoaftthiaocentivwaatesd Mtsroafenttwshcaorrdieps.t:WoPmeroigcgednnaoetsraiastfervodamlaueg1eo9n2fe8FtriNca-Se2CnmgLiCnReNpearAetideenxmptsoretuhsssreioomungolhedvaeenll(woGnaElsiMnaesMsseu)ssrfeovdirvFianrlaa-n2alysis abstr combinationcomparedwithALWII-41-27alone.TheinvivoexperimentofSW48-CR inactivationinanexperimentalmodeloflungADCinducedbyK-Rasmutation(G12V) subcutaneousxenograftmodelsandtheEPHA2expressionbyIHCofmCRCtumors andp53inactivation.Fra-2andp53inactivation,andmutantK-Rasexpression,are patientstreatedwithantiEGFRtherapyarecurrentlyongoingandwillbepresented. inducedsimultaneouslybyinfectionwithaCre-expressingAdenovirusdelivered intra-nasally.Developmentoflungtumourswaslongitudinallymonitoredbymicro-CT. Conclusions:AselectiveEPHA2inhibitorisabletorevertinvitroprimaryand acquiredresistancetoanti-EGFRtherapy,highlightingEPHA2asapotential Results:Fra-2mRNAhighexpressionwasfoundtobesignificantlycorrelatedtopoor therapeutictargetinmCRCtreatment. outcomeinthisADCpatientcohort.GeneticinactivationofFra-2inthislungcancer modelprolongsthesurvivalofthemicecomparedwithheterozygousFra-2by Legalentityresponsibleforthestudy:SecondUniversityofNaples decreasingtumorincidence,numberandvolume. Funding:AIRC Conclusions:OurresultsidentifyanewpotentialtherapeutictargetinK-Rasmutated Disclosure:Allauthorshavedeclarednoconflictsofinterest. lungADC. Legalentityresponsibleforthestudy:A.Alfraidi 2PD Lenvatinibmesilate(LEN)enhancedantitumoractivityofa Funding:WorldWideCancerResearchformerlyAICR PD-1blockadeagentbypotentiatingTh1immuneresponse Disclosure:Allauthorshavedeclarednoconflictsofinterest. Y.Kato1,X.Bao2,S.Macgrath2,K.Tabata1,Y.Hori1,S.Tachino1,M.Matijevici2, Y.Funahashi1,J.Matsui1 4P Metallothionein1Hfunctionsasatumorsuppressorin 1EisaiCo.,Ltd.,Ibaraki,Japan,2Eisai,Inc,Andover,MA,USA hepatocellularcarcinoma Background:LENselectivelyinhibitsthekinaseactivityofVEGFR1-3,FGFR1-4,KIT, Y.Zheng1,L.Jiang2,N.Xu1,C.Xiao1,Y.Hu3,X.Wang1,L.Chen4,H.Fang5, PDGFRα,andRET,whichareinvolvedintumorangiogenesisandproliferationin J.Zhu6 severalcancertypes.Currently,Phase1b/2clinicaltrialsofthecombinationofLEN 1DepartmentofMedicalOncology,1stAffiliatedHospitalofZhejiangUniversity andpembrolizumab(amonoclonalantibody[mAb]thatblockstheinteraction SchoolofMedicine,Hangzhou,China,2DepartmentofNeurology,TheChildren’s betweenPD-1anditsligands)areongoingforselectedtypesofcancerincluding Hospital,ZhejiangUniversitySchoolofMedicine,Hangzhou,China,3Department melanomaandrenalcancer.Inordertounderstandtheantitumoreffectand ofHaematology,1stAffiliatedHospitalofZhejiangUniversitySchoolofMedicine, mechanismofactionofthecombinationofLENandPD-1blockadetreatment,we Hangzhou,China,4DepartmentofMedicalOncology,1stPeople’sHospitalof analyzedimmuneresponseinsyngeneicmurinetumormodels. Taizhou,Taizhou,China,5DepartmentofOncologyCancerCenter,Zhejiang XiaoshanHospital,Hangzhou,China,6MedicalOncology,HangzhouCancer Methods:WeexaminedantitumoractivityofcombinationtreatmentofLEN(10mg/ Hospital,Hangzhou,China kg,qd)andanti-mousePD-1mAb(500µg/mouse,twiceweekly)againstLL/2murine lungcarcinoma,H22murinehepatocellularcarcinoma,andCT26murinecoloncancer insyngeneicmousemodels.Forimmunepopulationanalyses,tumororspleensamples Background:Hepatocellularcarcinoma(HCC)remainsamajorcauseofcancer-related wereanalyzedbyflowcytometry.Theexpressionofsolublefactorsandgeneswas deathworldwide.Metallothioneins(MTs)arelow-molecularweight,cysteine-rich ©EuropeanSocietyforMedicalOncology2016.PublishedbyOxfordUniversityPressonbehalfoftheEuropeanSocietyforMedicalOncology. Allrightsreserved.Forpermissions,pleaseemail:[email protected].

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Abstracts accepted for presentation at ESMO 2016 as Poster Discussion and. Poster will be Drug index vi552. Translational research index vi556.
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