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"Richard, Sandrine"
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Pegasus : how a spy in your pocket threatens the end of privacy, dignity, and democracy
\"Pegasus is widely regarded as the most effective and sought-after cyber-surveillance system on the market. The system's creator, the NSO Group, a private corporation headquartered in Israel, is not shy about proclaiming its ability to thwart terrorists and criminals. \"Thousands of people in Europe owe their lives to hundreds of our company employees,\" NSO's cofounder declared in 2019. This bold assertion may be true, at least in part, but it's by no means the whole story. NSO's Pegasus system has not been limited to catching bad guys. It's also been used to spy on hundreds, and maybe thousands, of innocent people around the world: heads of state, diplomats, human rights defenders, political opponents, and journalists. This spyware is as insidious as it is invasive, capable of infecting a private cell phone without alerting the owner, and of doing its work in the background, in silence, virtually undetectable. Pegasus can track a person's daily movement in real time, gain control of the device's microphones and cameras at will, and capture all videos, photos, emails, texts, and passwords-encrypted or not. This data can be exfiltrated, stored on outside servers, and then leveraged to blackmail, intimidate, and silence the victims. Its full reach is not yet known. \"If they've found a way to hack one iPhone,\" says Edward Snowden, \"they've found a way to hack all iPhones.\" Pegasus is a look inside the monthslong worldwide investigation, triggered by a single spectacular leak of data, and a look at how an international consortium of reporters and editors revealed that cyber intrusion and cyber surveillance are happening with exponentially increasing frequency across the globe, at a scale that astounds. Meticulously reported and masterfully written, Pegasus shines a light on the lives that have been turned upside down by this unprecedented threat and exposes the chilling new ways authoritarian regimes are eroding key pillars of democracy: privacy, freedom of the press, and freedom of speech\"-- Provided by publisher.
Efficacy of second-line chemotherapy or immune checkpoint inhibitors for patients with a prolonged objective response (≥ 6 months) after first-line therapy for recurrent or metastatic head and neck squamous cell carcinoma: a retrospective study
by
Huguet, Florence
,
Richard, Sandrine
,
Vienne, Agathe
in
Analysis
,
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
,
Biomedical and Life Sciences
2023
Background
Patients with recurrent or metastatic head and neck squamous cell carcinoma (R/M-HNSCC) have a poor prognosis and limited therapeutic options. Immune checkpoint inhibitors (ICIs) are effective in patients with tumor progression < 6 months following first-line, platinum-based chemotherapy (PBC), but data are missing for patients with progression ≥ 6 months after the last platinum dose.
Methods
Retrospective analysis (six French centers, 2008–2019) of all consecutive R/M-HNSCC patients. treated first-line with PBC and tumor progression ≥ 6 months after the last platinum dose. Primary endpoint: progression-free survival after second-line therapy (PFS2). Additional endpoints: overall survival from Day 1 of first-line (OS1) and second-line (OS2) therapy.
Results
R/M-HNSCC patients (n = 144) received cisplatinum (n = 67, 47%) or carboplatinum (n = 77, 53%) first-line. Response after first-line: complete response (CR; n = 16, 11%); partial response (PR; n = 77, 53%); stable disease (n = 22, 15%). Second-line therapy: PBC (n = 95, 66%); platinum-free regimen (PFR) (n = 25, 17%); ICI (n = 24, 17%). Median [95% confidence interval] PFS (months): PBC 5.0 [3.8–6.2]; PFR 4.0 [1–7.0]; ICI 2.0 [0.4–3.6] (p = 0.16). For PBC, PFR, and ICI, respectively: OS1 30, 23, and 29 months (p = 1.02); OS2 14, 10, and 16 months (p = 0.25); PR, 26%, 16%, and 21% patients; CR, 0%, 8%, and 4% patients. For subsequent lines, ICIs were administered for PBC (n = 11, 12%) and PFR (n = 2, 8%). No predictive factor for efficacy (PFS, OS) was identified.
Conclusions
Our retrospective study suggests similar efficacy regarding OS2 for second-line chemotherapy or ICI in R/M-HNSCC patients with progression ≥ 6 months after the last first-line platinum dose.
Journal Article
High-Dose Chemotherapy for Adult-Type Ovarian Granulosa Cell Tumors: A Retrospective Study of the European Society for Blood and Marrow Transplantation
by
Badoglio, Manuela
,
Nicolas-Virelizier, Emmanuelle
,
Maertens, Johan
in
Chemotherapy
,
Ovarian cancer
,
Tumors
2017
ObjectivesA few small retrospective series reported results with salvage chemotherapy for malignant ovarian adult-type granulosa cell tumors (GCTs), whereas no data are available on high-dose chemotherapy (HDC) with hematopoietic progenitor cell support (HSCS) in these patients. The aim of this study was to analyze the available data of HDC for adult-type GCTs.MethodsWe conducted a retrospective analysis of ovarian cancer treated with salvage HDC registered with the European Society for Blood and Marrow Transplantation.ResultsOf 203 adult female patients with a diagnosis of nonepithelial ovarian cancer treated with salvage HDC with HSCS and registered with the European Society for Blood and Marrow Transplantation, 4 (2%) patients were affected by GCTs. All 4 patients had ovarian adult-type GCTs that relapsed/progressed after first-line chemotherapy. The conditioning regimens included a platinum agent in all 4 patients. Bone marrow recovery was promptly achieved; neither treatment-related deaths or life-threatening toxicities occurred. At a median follow-up of 8.5 months, all patients reported a progressive disease. The patient who underwent multicycle HDC enjoyed a long-term remission of 84 months before progression and is the only one alive after 94+ months.ConclusionsWe showed for the first time a case with long-lasting response to salvage multicycle HDC and HSCS in adult-type GCTs.
Journal Article
Weekly paclitaxel—still preferred first-line taxane for mBC
2015
Taxane-based regimens are among the preferred first-line chemotherapy options for metastatic breast cancer, with weekly paclitaxel considered equivalent to 3-weekly docetaxel. The CALGB 40502/NCCTG N063H (Alliance) trial has now compared bevacizumab plus weekly paclitaxel, nab-paclitaxel, or ixabepilone in this setting; ixabepilone was inferior and nab-paclitaxel was not superior, with a trend towards inferiority. Paclitaxel thus remains the standard-of-care taxane chemotherapy.
Journal Article
Breast cancer metastasis to the spleen: a case report and literature review
by
Richard, Sandrine
,
Khalil, Ahmed
,
EL Fadli, Mohammed
in
Breast cancer
,
Case Report
,
Estrogens
2017
Splenic metastasis from cancers is extremely rare. They usually occur and are detected simultaneously with metastasis to other organs. We present a case of splenic metastasis from carcinoma of the breast occurring 5 years after initial treatment. The metastatic recurrence was an oligometastic form made from the association of a unique bone metastasis to a rib and the metastasis to the spleen. Treatment of the metastatic recurrence was a second line hormonotherapy as the primitive tumor was estrogen receptors positive and gave a 2 year’s long control of the disease. A clinical progression occurred then, the patient complained from pain in the left hypochondrium and was objective on [18F]-FDG PET which leaded to splenectomy. This case is being reported because of the rarity of the lesion and its originality is the first reported case with use of an in vivo demonstration of estrogen receptors expression in the spleen metastasis using PET/CT with 16α-[18F]-Fluoroestradiol.
Journal Article
Long-term complete response in a breast cancer patient with skeletal muscle metastases diagnosed using 18F-FDG-PET
by
Soares, Daniele G.
,
Khalil, Ahmed
,
Richard, Sandrine
in
Biopsy
,
Breast cancer
,
Cancer therapies
2017
Common sites for metastatic spreading from breast cancer are bones, lungs and liver, the skeletal muscle being an unusual site. Although rare, when skeletal muscle metastases occur they are associated with a poor prognosis. These metastases are clinically difficult to diagnose since they can be found without pain symptoms. Radiologically, magnetic resonance imaging has been considered better than computed tomography for imaging of the muscles and has been the first procedure to use in case of muscle metastasis suspicion. In the last years, positron emission tomography (PET) with 18Fluorine-2-fluoro-2-deoxy-d-glucose (18F-FDG) has emerged as the main imaging tool. We here report a case of a hormone receptor-positive/human epidermal growth factor receptor 2-negative patient who presented with a recurrent infiltrating ductal carcinoma and diffuse skeletal muscle metastases detected by 18F-FDG-PET. The treatment of the patient with exemestane and everolimus led to a durable complete response.
Journal Article
A Phase I Trial of High-Dose Chemotherapy Combining Topotecan plus Cyclophosphamide with Hematopoietic Stem Cell Transplantation for Ovarian Cancer: The ITOV 01bis Study
by
Viens, Patrice
,
Lokiec, François
,
Richard, Sandrine
in
Chemotherapy
,
Clinical trials
,
Drug therapy
2016
Background: Dose-intensive chemotherapy with hematopoietic stem cell transplantation has been evaluated as a salvage treatment for recurrent ovarian cancer, but its benefit has not yet been demonstrated. In a previous phase I trial, we reported the feasibility of administering topotecan as a salvage regimen. Methods: Twenty-one patients were treated with escalating doses of topotecan associated with a fixed dose of cyclophosphamide. Results: The maximum tolerated dose was established at 9.0 mg/m2 on a 5-day regimen, analogously to what was reported for topotecan monotherapy. One toxic death from septic shock and multiorgan failure occurred. Although hematopoietic toxicities were overcome by peripheral blood stem cell transplantation, superior nonhematological toxicities were observed as compared to the initial trial. Conclusion: Response rates were generally short and survival rates were poor. Results of the ITOV 01bis study demonstrate that, in the setting of recurrent ovarian cancer, intensive chemotherapy based on topotecan-cyclophosphamide association is not currently clinically indicated.
Journal Article
Biofilm and mercury availability as key factors for mercury accumulation in fish (Curimata cyprinoides) from a disturbed amazonian freshwater system
by
Cossa, Daniel
,
Maury-Brachet, Régine
,
Richard, Sandrine
in
Amazonian hydroelectric reservoir
,
Animals
,
Anoxia
2007
The Petit‐Saut hydroelectric reservoir was filled in 1994 on the Sinnamary River in French Guiana (Amazonian basin). Flooding of the equatorial rain forest led to anoxia in most of the water column and enhanced mercury methylation in the reservoir hypolimnion. We selected the benthivorous/omnivorous fish species Curimata cyprinoides to investigate total mercury and methylmercury (MeHg) bioavailability and bioaccumulation capacities in the reservoir and downstream in the Sinnamary River. Mercury concentrations in the dorsal skeletal muscle were 10‐fold higher in fish from the downstream zone. Stomach contents and stable nitrogen and carbon isotope ratios showed that biofilms and the associated invertebrate communities represented important food sources at the two sites. The δ13C measurements indicated that biofilms in the flooded forest zone of the reservoir consist of endogenous primary producers; downstream, they are based on exogenous organic matter and microorganisms, mainly from the anoxic layers of the reservoir. Total mercury and MeHg concentrations in the biofilms and associated invertebrates were much higher at the downstream site compared to concentrations at the reservoir. Our results clearly show the importance of MeHg export from the anoxic layers of this tropical reservoir. We conclude that differences between biofilm composition and MeHg concentrations in the ingested food could explain the marked differences observed between mercury levels in fish.
Journal Article