Targeted Therapy for Patients with BRAF-Mutant Lung Cancer: Results from the European EURAF Cohort.

INTRODUCTION: Approximately 2% of lung adenocarcinomas have BRAF (v-Raf murine sarcoma viral oncogene homolog B) mutations, including V600E and other types. Vemurafenib, dabrafenib, and sorafenib as BRAF inhibitors are currently tested in clinical trials, but access for patients is limited. The aim of this study was to document the clinical course of patients treated outside of clinical trials. METHODS: We conducted a retrospective multicenter cohort study in Europe of patients with advanced BRAF-mutant lung cancer treated with known BRAF inhibitors. Data were anonymized and centrally assessed for age, gender, smoking, histology, stage, local molecular diagnostic results, systemic therapies, and survival. Best response was assessed locally by RECIST1.1. RESULTS: We documented 35 patients treated in 17 centers with vemurafenib, dabrafenib, or sorafenib. Median age was 63 years (range 42-85); gender was balanced; 14 (40%) were never smokers; all (100%) had adenocarcinoma; 29 (83%) had V600E; 6 (17%) had other mutations; one of them had a concomitant KRAS mutation. Thirty (86%) patients had chemotherapy in the first line. Overall survival with first-line therapy was 25.3 months for V600E and 11.8 months for non-V600E. Thirty-one patients received one BRAF inhibitor, and four received a second inhibitor. Overall response rate with BRAF therapy was 53%, and disease control rate was 85%. Median progression-free survival with BRAF therapy was 5.0 months, and overall survival was 10.8 months. CONCLUSIONS: These results confirm the activity of targeted therapy in patients with BRAF-mutant lung adenocarcinoma. Further trials are warranted to study combination therapies and drug resistance mechanisms.

European Agroforestry Conference. 3rd. Book of Abstracts

Agroforestry is considered nowadays as a sustainable form of land management that is being promoted by different global institutions like FAO and its Global Alliance Smart Climate Agriculture to mitigate and adaptate to Climate change. The European Commission through the protection of landscape features, greening and Rural Development Programs is promoting the essential presence of woody vegetation across Europe, but in a way that is difficult to recognize by farmers. AGROFE and AGFORWARD projects are both demonstrating the important value of Agroforestry at European level, which together with EURAF are pushing European Commission to include measures enhancing Agroforestry. However, there is a need of a European Agroforestry Strategy that recognizes the drawbacks of Agroforestry to be implemented at European level. This strategy should include the main mechanisms to show farmers how to implement it and at the same time to get funded for the important ecosystem services that they provide when implementing agroforestry. AGFORWARD project has identified the main agroforestry practices in Europe, highlighting silvopasture, but showing the importance that others forms of agroforestry have to play like homegardens with multipurpose trees, or the adequate improvement of fallow lands where woody vegetation can enhance the levels of organic matter in the soil if adequately managed. AGFORWARD also shows the lack of information of the real implementation of agroforestry practices like forest farming, in spite of the important productive and ecosystem benefits it provides. EURAF through the participation in the different civil dialogue groups (CAP, Direct Payments and Greening, Forestry and Cork, Organic Farming, Arable, Environment and Climate Change and Rural Development) has included and promoted agroforestry within the European Agenda. The role of Agroforestry has been also enhanced in the Groups of experts of European Structural and Investments funds and as part of the European Network for Rural Development and its derived groups: innovation, evaluation and CLLD/LEADER. EURAF is pleased to announce that Agroforestry will be discussed as part of a focus group of the European Innovation Partnership, so, apply and join the group. This book represents the lastest findings on agroforestry in Europe, integrating the participation of researchers but also policy makers and farmers and farmers' associations. It was a pleasure for EURAF to integrate all this needed knowledge to be disseminated at European levels. On behalf of EURAF, I wish all of you a successful meeting and invite you to strengthen agroforestry within the different European Union countries when you go back home. Rosa Mosquera-LOSADA President of EURAF