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    PURPOSE CNS progression or relapse is an uncommon but devastating complication of aggressive B-cell lymphoma. There is no consensus regarding the optimal approach to CNS prophylaxis. This study was designed to determine whether high-dose methotrexate (HD-MTX) is effective at preventing CNS progression in patients at high risk of this complication. PATIENTS AND METHODS Patients age 18-80 years with aggressive B-cell lymphoma and high risk of CNS progression, treated with curative-intent anti–CD20-based chemoimmunotherapy, were included in this international, retrospective, observational study. Cause-specific hazard ratios (HRs) and cumulative risks of CNS progression were calculated according to use of HD-MTX, with time to CNS progression calculated from diagnosis for all patients (all-pts) and from completion of frontline systemic lymphoma induction therapy, for patients in complete response at completion of chemoimmunotherapy (CR-pts). RESULTS Two thousand four hundred eighteen all-pt

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    In the companion to this article, Peters et al 1 reported that the addition of concomitant chemotherapy to adjuvant radiation therapy in the treatment of women with high-risk factors after radical hysterectomy for cervical cancer significantly improved both progression-free survival and overall survival. This became the standard of care and remains so today. AUTHOR’S DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by the author of this manuscript.

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    • 🎉 Celebrating #JCO's 40th: Read the Flashback Foreword by Dr. Fleming to the top-cited #JCO article, Concurrent CT/RT for Cervical Cancer (2000) 👇 https://t.co/XAwexoARLj https://t.co/1qzVUAcqHd

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    Part 2 of the COLUMBUS trial, reported in the article 10 that accompanies this editorial, confirmed that the combination of binimetinib to encorafenib 300 mg once daily, which is lower than the maximum tolerated combination dose (450 mg once daily), is associated with improved outcomes compared with single-agent encorafenib (dosed at 300 mg once daily) in patients with previously untreated, advanced BRAF -mutant melanoma. However, past and emerging data support the use of frontline immunotherapy instead

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    • 📣 #JCO #Editorial: To inhibit or not to inhibit MEK with BRAF inhibitors: Is that the question? https://t.co/JM4BW8mY7c #Melanoma #melsm

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    In the article that accompanies this editorial, Nadal et al 8 present the results of a single-arm, multicenter phase II study (Atezo-Brain) investigating the safety and efficacy of atezolizumab in combination with carboplatin and pemetrexed in patients with advanced, nonsquamous non–small-cell lung cancer with clinically stable, untreated brain metastases. In addition to demonstrating the intracranial safety and efficacy of chemoimmunotherapy, even in patients with a considerable burden of intracranial

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  • Mashup Score: 3

    In the companion to this article, Peters et al 1 reported that the addition of concomitant chemotherapy to adjuvant radiation therapy in the treatment of women with high-risk factors after radical hysterectomy for cervical cancer significantly improved both progression-free survival and overall survival. This became the standard of care and remains so today. AUTHOR’S DISCLOSURES OF POTENTIAL CONFLICTS OF INTEREST The following represents disclosure information provided by the author of this manuscript.

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    • 🎉 Celebrating #JCO's 40th: Read the Flashback Foreword by Dr. Fleming of the top-cited #JCO article, Concurrent CT/RT for Cervical Cancer (2000) 👉 https://t.co/o3e2qKjsl8 https://t.co/T2IHpVFi1C

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    In 2012, two of us wrote in these pages a critique arguing against the use of progression-free survival (PFS) as a primary end point in randomized controlled trials (RCTs) evaluating anticancer drugs. 1 Drugs should be approved if there is evidence that they benefit patients in comparison with best standard care. Regardless of medical disease, one can o nly benefit patients by improving their duration or quality of survival. Despite evidence summarized below that PFS is rarely a surrogate for overall

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