Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients

David J Pinato; Alberto Zambelli; Juan Aguilar-Company; Mark Bower; Christopher Sng; Ramon Salazar; Alexia Bertuzzi; Joan Brunet; Ricard Mesia; Elia Segui; Federica Biello; Daniele Generali; Salvatore Grisanti; Gianpiero Rizzo; Michela Libertini; Antonio Maconi; Nadia Harbeck; Bruno Vincenzi; Rossella Bertulli; Diego Ottaviani; Anna Carbo; Riccardo Bruna; Sarah Benafif; Andrea Marrari; Rachel Wuerstlein; M Carmen Carmona-Garcia; Neha Chopra; Carlo Tondini; Oriol Mirallas; Valeria Tovazzi; Marta Betti; Salvatore Provenzano; Vittoria Fotia; Claudia Andrea Cruz; Alessia Dalla Pria; Francesca D'Avanzo; Joanne S Evans; Nadia Saoudi-Gonzalez; Eudald Felip; Myria Galazi; Isabel Garcia-Fructuoso; Alvin J X Lee; Thomas Newsom-Davis; Andrea Patriarca; David Garcia-Illescas; Roxana Reyes; Palma Dileo; Rachel Sharkey; Yien Ning Sophia Wong; Daniela Ferrante; Javier Marco-Hernandez; Anna Sureda; Clara Maluquer; Isabel Ruiz-Camps; Gianluca Gaidano; Lorenza Rimassa; Lorenzo Chiudinelli; Macarena Izuzquiza; Alba Cabirta; Michela Franchi; Armando Santoro; Aleix Prat; Josep Tabernero; Alessandra Gennari

doi:10.1158/2159-8290.CD-20-0773

Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients

David J Pinato, Alberto Zambelli, Juan Aguilar-Company, Mark Bower, Christopher Sng, Ramon Salazar, Alexia Bertuzzi, Joan Brunet, Ricard Mesia, Elia Segui, Federica Biello, Daniele Generali, Salvatore Grisanti, Gianpiero Rizzo, Michela Libertini, Antonio Maconi, Nadia Harbeck, Bruno Vincenzi, Rossella Bertulli, Diego OttavianiAnna Carbo, Riccardo Bruna, Sarah Benafif, Andrea Marrari, Rachel Wuerstlein, M Carmen Carmona-Garcia, Neha Chopra, Carlo Tondini, Oriol Mirallas, Valeria Tovazzi, Marta Betti, Salvatore Provenzano, Vittoria Fotia, Claudia Andrea Cruz, Alessia Dalla Pria, Francesca D'Avanzo, Joanne S Evans, Nadia Saoudi-Gonzalez, Eudald Felip, Myria Galazi, Isabel Garcia-Fructuoso, Alvin J X Lee, Thomas Newsom-Davis, Andrea Patriarca, David Garcia-Illescas, Roxana Reyes, Palma Dileo, Rachel Sharkey, Yien Ning Sophia Wong, Daniela Ferrante, Javier Marco-Hernandez, Anna Sureda, Clara Maluquer, Isabel Ruiz-Camps, Gianluca Gaidano, Lorenza Rimassa, Lorenzo Chiudinelli, Macarena Izuzquiza, Alba Cabirta, Michela Franchi, Armando Santoro, Aleix Prat, Josep Tabernero, Alessandra Gennari

Research output: Contribution to journal › Article › peer-review

Abstract

The SARS-Cov-2 pandemic significantly impacted on oncology practice across the globe. There is uncertainty as to the contribution of patients' demographics and oncological features on severity and mortality from Covid-19 and little guidance as to the role of anti-cancer and anti-Covid-19 therapy in this population. In a multi-center study of 890 cancer patients with confirmed Covid-19 we demonstrated a worsening gradient of mortality from breast cancer to haematological malignancies and showed that male gender, older age, and number of co-morbidities identifies a subset of patients with significantly worse mortality rates from Covid-19. Provision of chemotherapy, targeted therapy and immunotherapy did not worsen mortality. Exposure to antimalarials was associated with improved mortality rates independent of baseline prognostic factors. This study highlights the clinical utility of demographic factors for individualized risk-stratification of patients and support further research into emerging anti-Covid-19 therapeutics in SARS-Cov-2 infected cancer patients.

Original language	English
Pages (from-to)	1465-1474
Number of pages	10
Journal	Cancer Discovery
Volume	10
Issue number	10
DOIs	https://doi.org/10.1158/2159-8290.CD-20-0773
Publication status	Published - Jul 31 2020

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Pinato, D. J., Zambelli, A., Aguilar-Company, J., Bower, M., Sng, C., Salazar, R., Bertuzzi, A., Brunet, J., Mesia, R., Segui, E., Biello, F., Generali, D., Grisanti, S., Rizzo, G., Libertini, M., Maconi, A., Harbeck, N., Vincenzi, B., Bertulli, R., ... Gennari, A. (2020). Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients. Cancer Discovery, 10(10), 1465-1474. https://doi.org/10.1158/2159-8290.CD-20-0773

Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients. / Pinato, David J; Zambelli, Alberto; Aguilar-Company, Juan; Bower, Mark; Sng, Christopher; Salazar, Ramon; Bertuzzi, Alexia; Brunet, Joan; Mesia, Ricard; Segui, Elia; Biello, Federica; Generali, Daniele; Grisanti, Salvatore; Rizzo, Gianpiero; Libertini, Michela; Maconi, Antonio; Harbeck, Nadia; Vincenzi, Bruno; Bertulli, Rossella; Ottaviani, Diego; Carbo, Anna; Bruna, Riccardo; Benafif, Sarah; Marrari, Andrea; Wuerstlein, Rachel; Carmona-Garcia, M Carmen; Chopra, Neha; Tondini, Carlo; Mirallas, Oriol; Tovazzi, Valeria; Betti, Marta; Provenzano, Salvatore; Fotia, Vittoria; Cruz, Claudia Andrea; Dalla Pria, Alessia; D'Avanzo, Francesca; Evans, Joanne S; Saoudi-Gonzalez, Nadia; Felip, Eudald; Galazi, Myria; Garcia-Fructuoso, Isabel; Lee, Alvin J X; Newsom-Davis, Thomas; Patriarca, Andrea; Garcia-Illescas, David; Reyes, Roxana; Dileo, Palma; Sharkey, Rachel; Wong, Yien Ning Sophia; Ferrante, Daniela; Marco-Hernandez, Javier; Sureda, Anna; Maluquer, Clara; Ruiz-Camps, Isabel; Gaidano, Gianluca; Rimassa, Lorenza; Chiudinelli, Lorenzo; Izuzquiza, Macarena; Cabirta, Alba; Franchi, Michela; Santoro, Armando; Prat, Aleix; Tabernero, Josep; Gennari, Alessandra.

In: Cancer Discovery, Vol. 10, No. 10, 31.07.2020, p. 1465-1474.

Research output: Contribution to journal › Article › peer-review

Pinato, DJ, Zambelli, A, Aguilar-Company, J, Bower, M, Sng, C, Salazar, R, Bertuzzi, A, Brunet, J, Mesia, R, Segui, E, Biello, F, Generali, D, Grisanti, S, Rizzo, G, Libertini, M, Maconi, A, Harbeck, N, Vincenzi, B, Bertulli, R, Ottaviani, D, Carbo, A, Bruna, R, Benafif, S, Marrari, A, Wuerstlein, R, Carmona-Garcia, MC, Chopra, N, Tondini, C, Mirallas, O, Tovazzi, V, Betti, M, Provenzano, S, Fotia, V, Cruz, CA, Dalla Pria, A, D'Avanzo, F, Evans, JS, Saoudi-Gonzalez, N, Felip, E, Galazi, M, Garcia-Fructuoso, I, Lee, AJX, Newsom-Davis, T, Patriarca, A, Garcia-Illescas, D, Reyes, R, Dileo, P, Sharkey, R, Wong, YNS, Ferrante, D, Marco-Hernandez, J, Sureda, A, Maluquer, C, Ruiz-Camps, I, Gaidano, G, Rimassa, L, Chiudinelli, L, Izuzquiza, M, Cabirta, A, Franchi, M, Santoro, A, Prat, A, Tabernero, J & Gennari, A 2020, 'Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients', Cancer Discovery, vol. 10, no. 10, pp. 1465-1474. https://doi.org/10.1158/2159-8290.CD-20-0773

Pinato, David J ; Zambelli, Alberto ; Aguilar-Company, Juan ; Bower, Mark ; Sng, Christopher ; Salazar, Ramon ; Bertuzzi, Alexia ; Brunet, Joan ; Mesia, Ricard ; Segui, Elia ; Biello, Federica ; Generali, Daniele ; Grisanti, Salvatore ; Rizzo, Gianpiero ; Libertini, Michela ; Maconi, Antonio ; Harbeck, Nadia ; Vincenzi, Bruno ; Bertulli, Rossella ; Ottaviani, Diego ; Carbo, Anna ; Bruna, Riccardo ; Benafif, Sarah ; Marrari, Andrea ; Wuerstlein, Rachel ; Carmona-Garcia, M Carmen ; Chopra, Neha ; Tondini, Carlo ; Mirallas, Oriol ; Tovazzi, Valeria ; Betti, Marta ; Provenzano, Salvatore ; Fotia, Vittoria ; Cruz, Claudia Andrea ; Dalla Pria, Alessia ; D'Avanzo, Francesca ; Evans, Joanne S ; Saoudi-Gonzalez, Nadia ; Felip, Eudald ; Galazi, Myria ; Garcia-Fructuoso, Isabel ; Lee, Alvin J X ; Newsom-Davis, Thomas ; Patriarca, Andrea ; Garcia-Illescas, David ; Reyes, Roxana ; Dileo, Palma ; Sharkey, Rachel ; Wong, Yien Ning Sophia ; Ferrante, Daniela ; Marco-Hernandez, Javier ; Sureda, Anna ; Maluquer, Clara ; Ruiz-Camps, Isabel ; Gaidano, Gianluca ; Rimassa, Lorenza ; Chiudinelli, Lorenzo ; Izuzquiza, Macarena ; Cabirta, Alba ; Franchi, Michela ; Santoro, Armando ; Prat, Aleix ; Tabernero, Josep ; Gennari, Alessandra. / Clinical portrait of the SARS-CoV-2 epidemic in European cancer patients. In: Cancer Discovery. 2020 ; Vol. 10, No. 10. pp. 1465-1474.

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abstract = "The SARS-Cov-2 pandemic significantly impacted on oncology practice across the globe. There is uncertainty as to the contribution of patients' demographics and oncological features on severity and mortality from Covid-19 and little guidance as to the role of anti-cancer and anti-Covid-19 therapy in this population. In a multi-center study of 890 cancer patients with confirmed Covid-19 we demonstrated a worsening gradient of mortality from breast cancer to haematological malignancies and showed that male gender, older age, and number of co-morbidities identifies a subset of patients with significantly worse mortality rates from Covid-19. Provision of chemotherapy, targeted therapy and immunotherapy did not worsen mortality. Exposure to antimalarials was associated with improved mortality rates independent of baseline prognostic factors. This study highlights the clinical utility of demographic factors for individualized risk-stratification of patients and support further research into emerging anti-Covid-19 therapeutics in SARS-Cov-2 infected cancer patients.",

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