Colorectal cancer and Cancers of Unknown Primary Dr Sally Clive Consultant and honorary senior lecturer in medical oncology Contact details Email: sally.clive@nhs.scot Research in a NutshellDr Clive works as a consultant in medical oncology in the Edinburgh Cancer Centre and in NHS Fife, specialising in the medical management of colorectal cancer, cancers of unknown primary (CUP) and clinical trials. She also specialises in cancer medicine governance and national health technology appraisal of new medicines.Sally has been chief investigator, principal investigator and co-investigator on numerous clinical trials over her career and works closely with medical colleagues in Edinburgh Cancer Research and NHS Fife, their clinical trials teams and the ECMC to deliver high quality trials with robust data and specimen collection. She has collaborated with colleagues across the UK and beyond on multicentre clinical trials (phase I-IV) with the overarching desire to make meaningful improvement to patient outcomes. Sally’s research interests focus specifically on improving pathways and outcomes and for patients with colorectal cancer and cancers of unknown primary. Sally’s work has been supported since 2012 by a NRS Career Researcher Award. People NameRole Dr Sally CliveConsultant Medical Oncologist and Honorary Senior Lecturer in Medical OncologyDr Stefan SymenoidesClinical lead in early phase clinical trialsDr Ewan BrownCo-investigator in colorectal clinical trialsDr Lesley DawsonCo-investigator in colorectal clinical trialsDr Phil YanCo-investigator in colorectal clinical trialsDr Archie McNairCo-investigator in colorectal clinical trialsDr Faye RobertsonCo-investigator in colorectal clinical trialsDr Colin BarrieCo-investigator in cancers of unknown primaryDr Mark StaresCo-investigator in cancers of unknown primaryMr Jim McPhersonLead data managerMs Heather McVicarsClinical research nurse manager Key Publications Biomarkers of systemic inflammation provide additional prognostic stratification in cancers of unknown primary. Harvey S; Stares M, Scott J-A; Thottiyil, Tharun; Conway A-M, Haigh R, Brown J, Knowles G, Dasgupta S, Shiu K-K, Mitchell C, Barrie C, Cook N, Clive S. Cancer Medicine, Feb 2024. http://doi.org/10.1002/cam4.6988Characterisation and outcomes of patients referred to a regional Cancer of Unknown Primary Team: a 10-year analysis. Stares M, Purshouse K, Knowles G, Haigh R, Irvine J, Gatenby A, Patton R, McGinty J, Christie A, MacLennan M, Barrie C, Clive S. British Journal Cancer, Sept 2021. 10.1038/s41416-021-01544-1Efficacy of reduced intensity chemotherapy with oxaliplatin and capecitabine on quality of life and cancer control among older and frail patients with advanced gastro-oesophageal cancer. The GO2 randomised clinical trial. Hall P, Swinson D, Cairns D, Clive S et al. JAMA Oncol. Published online May 13, 2021. https://doi.org/10.1001/jamaoncol.2021.0848Systemic chemotherapy with or without cetuximab in patients with resectable colorectal liver metastasis (New EPOC): long-term results of a multicentre, randomised, controlled, phase 3 trial. Bridgewater JA, Pugh S, Maishman T, Clive S et al. The Lancet Oncology 21 (3); 398-411, 2020. DOI: https://doi.org/10.1016/S1470-2045(19)30798-3A biobank analysis of prognostic biomarkers of the systemic inflammatory response in patients with cancer of unknown primary; routine clinical tests predict outcome. Patton R, Stares M, Knowles G, Haigh R, Barrie C, Dobbs L, Laird B, Clive S. Eur J Cancer (2020); 139: 1-9. DOI: https://doi.org/10.1016/j.ejca.2020.07.036Designing and evaluating dose-escalation studies made easy: the MoDEsT web app. Pallmann P, Wan F, Mander A, Wheeler G, Yap C, Clive S, Hampson L, Jaki T. Clinical Trials (2019). DOI: 10.1177/1740774519890146Vertebral fractures in patients treated with FOLFIRI-Cetuximab at the Edinburgh Cancer Centre. Swan A, Clive S, Dawson L, McGowan D, McLean C, Philips H, Sakala M, Zahra M, Brown E. British Journal of Cancer (2018); meeting supplementA first-in-human phase I study to determine the maximum tolerated dose of the oral Src/ABL inhibitor AZD0424. Woodcock VK, Clive S, Wilson RH, Coyle VM, Stratford MRL, Folkes LK, Eastell R, Barton C, Jones P, Kazmi-Stokes S, Turner H, Halford S, Harris AL, Middleton MR. British Journal Cancer (2018); 118, 770–776 | doi: 10.1038/bjc.2017.484Embracing model based designs for dose finding studies. Love S, Brown S, Weir C, Harbron C, Yap C, Gaschler-Markefski B, Matcham J, Caffery L, McKevitt C, Clive S, Craddock C, Spicer J, Cornelius V. British Journal of Cancer (2017); 1–8 | doi: 10.1038/bjc.2017.186Targeting Carcinoembryonic Antigen with DNA Vaccination: On-Target Adverse Events Link with Immunological and Clinical Outcomes and Survival. Cazaly A, Mander A, Chudley L, McCann K, Stasakova J, Thirdborough S, King A, Lloyd-Evans P, Buxton E, Edwards C, Bateman A, O’Callaghan A, Clive S, Anthoney DA, Jodrell D, Weinschenk T, Simon P, Sahin U, Thomas G, Stevenson FK, Ottensmeier CH. Clin Cancer Res. (2016) Oct 1; 22(19): 4827–4836. doi: 10.1158/1078-0432.CCR-15-2507A phase I open-label study investigating the disposition of [14C]-cabazitaxel in patients with advanced solid tumors. Ridoux L, Sémiond DR, Vincent C, Fontaine H, Mauriac C, Sanderink GJ, Oprea C, Kelly L, Clive S. Anti-Cancer Drugs (2015), 26:350–358A Phase I, Open-Label, Multicenter Study to Evaluate the Pharmacokinetics and Safety of Oral Panobinostat in Patients with Advanced Solid Tumors and Various Degrees of Hepatic Function. Slingerland M, Hess D, Clive S, Sharma S, Sandstrom P, Loman N, Porro MG, Waldron E, Mu S, Valera S, Gelderblom H. Cancer Chemotherapy Pharmacology (2014); 74 (5): 1089-98A phase 1/2, multiple-dose, dose-escalation study of siltuximab, an anti-interleukin-6 monoclonal antibody, in patients with advanced solid tumors. Angevin E, Tabernero J, Elez ME, Cohen SJ, Bahleda R, Van Laethem JL, Ottensmeier CH, Lopez-Martin JA, Clive S et al. Clin Cancer Res (2014). Doi: http://clincancerres.aacrjournals.org/content/early/2014/02/21/1078-0432.CCR-13-2200.longDevelopment and implementation of a service of patients with cancer of unknown primary. Knowles G, Christie A, Bedi C, Dawson L, Mackean M, Wall L, Brown E, Clive S. Cancer Nursing Practice (2013) 12; 9: 33-38Randomized Phase II Study of PEGylated SN-38 (EZN-2208) With or Without Cetuximab in Patients with Advanced Colorectal Cancer. Garrett CR, Bekaii-Saab TS, Ryan TF, Fisher GA, Clive S, Kavan P, Shacham-Shmueli E, Buchbinder A, Goldberg RM. Cancer (2013) Sep 16. doi: 10.1002/cncr.28358A Phase I Pharmacokinetic Study of PM00104 (Zalypsis®) Administered as a 24-hour Intravenous Infusion Every Three Weeks in Patients with Advanced Solid Tumors. Capdevila J, Clive S, Casado E, Michie C, Piera A, Sicart E, Josep Carreras M, Coronado C, Kahatt C, Matos-Pita AS, Teruel CF, Siguero M, Cullell-Young M, Tabernero J. Cancer Chemother Pharmacol (2013) 71:1247–1254; DOI 10.1007/s00280-013-2119-8Principles of dose finding studies in cancer: a comparison of trial designs. Jaki T, Clive S, Weir C. Cancer Chemother Pharmacol (2013) 71:1107–1114; DOI 10.1007/s00280-012-2059-8Characterizing the disposition, metabolism, and excretion of an orally active pan-deacetylase inhibitor, panobinostat, via trace radiolabeled 14C material in advanced cancer patients. Clive S, Woo M, Nydam T, Kelly L, Squier M, Kagan M. Cancer Chemotherapy and Pharmacology (2012); DOI: 10.1007/s00280-012-1940-9Accuracy of GFR estimation by the Cockroft and Gault, MDRD and Wright equations in Oncology patients with renal impairment. Faluyi OO, Masinghe SP, Hayward RL, Clive S. Med Oncol (2012); 29 (2):755-60, DOI: 10.1007/s12032-011-9824-0 The frequency and severity of capecitabine-induced hypertriglyceridaemia in routine clinical practice; a prospective study. Michie C, Clive S. British Journal of Cancer (2010); 103 (5):617-21Capecitabine combined with oxaliplatin (CapOx) in clinical practice: how significant is peripheral neuropathy? Storey DJ, Sakala M, McLean CM, Phillips HA, Dawson LK, Wall LR, Fallon MT, Clive S. Annals of Oncology (2010). 21(8):1657-1661Capecitabine (oral 5-fluorouracil pro-drug) treatment for colorectal carcinoma causing ischaemic chest pain T McGoldrick, D Jodrell, S Clive. British Medical Journal (2009), Case Reports2009:; doi:10.1136/bcr.07.2008.0449The value of adjuvant treatment in young women with breast cancer. Clive S, Dixon JM. Drugs (2002), 62(1), 1-11.Forearm blood flow and local responses to peptide vasodilators: A novel pharmacodynamic measure in the phase I trial of Antagonist G, a neuropeptide growth factor antagonist. Clive S, Webb DJ, MacLellan J, Young A, Byrne B, Robson L, Smyth JF, Jodrell DI. Clinical Cancer Research (2001), 7, 3071-3078.Gastrin-releasing peptide is a potent vasodilator in humans. Clive S, Jodrell D, Webb D. Clinical Pharmacology and Therapeutics (2001), 69(4), 252-9.Miltefosine as a topical treatment for cutaneous metastases in breast carcinoma. Clive S, Gardiner J, Leonard RCF. Cancer Chemotherapy and Pharmacology (1999), 44, 7 (S29-S30).Influence of the antacid Maalox on the pharmacokinetics of capecitabine in cancer patients. Reigner B, Clive S, Cassidy J, Jodrell DI, Schulz R, Goggin T, Banken L, Roos B, Utoh M, Mulligan T, Weidekamm E. Cancer Chemotherapy and Pharmacology (1999), 43, 309-315.A simple non-invasive method of assessing the acute haemodynamic effects of doxorubicin. Clive S, Dawson AA, Bennet NB, Rawles JM. Haematological Oncology (1991), 9, 1, 53-58.Small Cell Ovarian Cancer - a rare aggressive tumour treated with high dose chemotherapy. Clive S, Smyth JFS. Oncology Today (1998), 18, 17-19.Miltefosine in recurrent cutaneous breast cancer. Clive S, Leonard RCF. Lancet (1997), 349, 621-622.Necrobacillosis (Lemmiere’s Syndrome): a rare cause of necrotising pneumonia. Dykhuizen RS, Olson JS, Clive S, Douglas JG. The European Respiratory Journal (1994), 7, 2246-2248. Partners and Funders NRS Career Researcher Award This article was published on 2024-09-23