Oncology & Hematology

At Gentili Pharma, our deep commitment to the therapeutic areas of oncology and hematology drives our focus on developing innovative therapies for solid tumors and hematologic malignancies. We work in close partnership with the medical-scientific community to address significant unmet needs, aiming to provide healthcare professionals with new therapeutic solutions that can make a tangible difference in disease management and in patients’ lives.​

Non-Small Cell Lung Cancer (NSCLC)

NSCLC accounts for approximately 85% of all lung cancer cases and remains one of the leading causes of cancer-related mortality worldwide. Due to its often asymptomatic nature in early stages, NSCLC is frequently diagnosed at locally advanced (stage III) or metastatic (stage IV) stages, requiring a multidisciplinary and personalized treatment approach.​
In recent years, advances in immuno-oncology have significantly reshaped the treatment landscape of NSCLC, particularly through therapies targeting the PD-1/PD-L1 pathway. These approaches have demonstrated meaningful improvements in clinical outcomes and have become a cornerstone of treatment in both unresectable stage III and metastatic stage IV disease.​
Early diagnosis, accurate staging, and biomarker-driven strategies are essential to optimize treatment selection and improve patient outcomes. The integration of innovative therapeutic approaches continues to transform the management of NSCLC, offering new opportunities to enhance survival and quality of life. 

Breast cancer​

Breast cancer is the most common malignant neoplasm in the female population, with over 2 million patients living with this disease in Europe. In its early stages, breast cancer may be asymptomatic or may not present with easily recognizable symptoms. The most common initial sign is the appearance of a palpable lump or nodule, which may feel firm and have irregular borders.​
The prognosis for breast cancer is significantly better when the disease is diagnosed early. Therefore, strategies for early detection are crucial. These include breast self-awareness, regular clinical breast examinations, and imaging tests such as mammography and ultrasound, which are vital for screening and diagnosis.

Neuroendocrine tumors​

Neuroendocrine tumors (NETs) are a rare and heterogeneous category of tumors originating from neuroendocrine cells, which are present throughout the body. Consequently, NETs can develop in various organs. Symptoms vary considerably depending on the tumor’s location, which often makes diagnosis complex and delayed.​
The prevalence of neuroendocrine tumors is estimated at approximately 35 per 100,000 people, reflecting their relatively long survival despite being rare cancers.​

Lymphomas​

Malignant lymphomas are the fifth most frequent type of tumor in the Western world. Non-Hodgkin Lymphoma (NHL) is a heterogeneous group of malignancies that originate from the lymphoid system, specifically from B lymphocytes or T lymphocytes.​
The most common presenting sign is painless lymphadenopathy, defined as a significant enlargement of the lymph nodes, often in the neck, armpits (axillae), or groin. In addition to localized symptoms, which vary depending on the site of involvement, patients may also experience systemic symptoms known as "B symptoms“.

Leukaemia

Acute myeloid leukaemia (AML) is a cancer of the blood and bone marrow characterised by the clonal proliferation of haematopoietic stem cells or myeloid progenitors, leading to rapid disease progression.
The resulting symptoms can be non-specific or directly related to low blood cell counts. An accurate and rapid diagnosis is essential to enable the timely initiation of treatment.
In Europe, the prevalence of acute myeloid leukaemia is estimated at approximately 5–8 per 100,000 people, reflecting its aggressive nature and relatively short disease course compared to other hematological malignancies. ​

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References

  • Armitage JO et al. Non-Hodgkin lymphoma. Lancet. 2017 Jul 15;390(10091):298-310. ​
  • Dasari A et al. Trends in the Incidence, Prevalence, and Survival Outcomes in Patients With Neuroendocrine Tumors in the United States. JAMA Oncol. 2017 Oct 1;3(10):1335-1342.​
  • Döhner H et al. Diagnosis and management of AML in adults: 2017 ELN recommendations from an international expert panel. Blood. 2017 Jan 26;129(4):424-447.​
  • European Neuroendocrine Tumor Society – Epidemiology data. Available at: https://www.enets.org/. Accessed May 2026.​
  • Hendriks LE et al. Oncogene-addicted metastatic non-small-cell lung cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up. Annals of Oncology. 2023 Apr;34(4):339-357. ​
  • Hendriks LE et al. Non-oncogene-addicted metastatic non-small-cell lung cancer: ESMO Clinical Practice Guideline for diagnosis, treatment and follow-up. Annals of Oncology. 2023 Apr;34(4):358-376.​
  • Herbst RS et al. The biology and management of non-small cell lung cancer. Nature 553, 446–454 (2018). ​
  • Heuser M et al. Acute myeloid leukaemia in adult patients: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Annals of Oncology. 2020; 31, 697-712.​
  • Joint Research Centre. The latest EU cancer data: what is new? Available at: https://joint-research-centre.ec.europa.eu/jrc-news-and-updates/latest-eu-cancer-data-what-new-2025-12-17_en. Accessed May 2026.​
  • National Cancer Institute. Adult Non-Hodgkin Lymphoma Treatment (PDQ®). Available at: https://www.cancer.gov/types/lymphoma/patient/adult-nhl-treatment-pdq. Accessed May 2026.​
  • National Cancer Institute. Breast Cancer Signs and Symptoms. Available at: https://www.cancer.gov/types/breast/symptoms. Accessed May 2026.​
  • National Cancer Institute – SEER Cancer Statistics. Available at: https://seer.cancer.gov/statistics/. Accessed May 2026.​
  • National Comprehensive Cancer Network (NCCN) Guidelines: Non-Small Cell Lung Cancer, Version 5. 2026.​
  • Raghunand N et al. Magnetic resonance imaging of RRx-001 pharmacodynamics in preclinical tumors. Oncotarget. 2017 Jun 12;8(60):102511-102520.​
  • Swerdlow SH et al. The 2016 revision of the WHO classification of lymphoid neoplasms. Blood. 2016 May 19;127(20):2375-90.
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