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Expert Point of View: Howard A. Fine, MD and Albert Lai, MD, PhD

Howard A. Fine, MD, Chief of Hematology/Oncology at New York University Langone Medical Center and Director of the NYU Brain Tumor Center, served as formal discussant of the RTOG 0825 study at the Plenary Session. He noted the strong rationale for studying bevacizumab in glioblastoma, which is a...

cns cancers

Studies Explore Role of Bevacizumab in Combination Therapies for Glioblastoma

At the 2013 ASCO Annual Meeting, studies evaluating the addition of bevacizumab (Avastin) to standard therapy in newly diagnosed glioblastoma multiforme patients did not meet their primary endpoints. When paired with irinotecan, however, bevacizumab showed activity in MGMT-unmethylated tumors....

Keith Amos, MD, Surgical Oncologist, Dies at 42 

Keith Amos, MD, of the University of North Carolina Lineberger Comprehensive Cancer Center, died recently in Edinburgh, Scotland, where he was on a Dr. Claude Organ, Jr., Travel Award from the American College of Surgeons. Dr. Amos is survived by his wife, Ahaji, and three young daughters....

Some Excess Cancer Risk in Men May Be Related to Greater Height  

More than one-third of the excess risk for cancers among men may be due to factors associated with height, according to data from the Vitamins and Lifestyle (VITAL) study. As reported in the Journal of the National Cancer Institute, these factors include the “number of susceptible cells in a...

leukemia
geriatric oncology

Lenalidomide Induces Long-lasting Responses in Elderly Patients

Treatment with lenalidomide (Revlimid) as initial therapy induced long-lasting responses in a phase II study of 60 patients with chronic lymphocytic leukemia (CLL). “Overall, 35 patients (58%) patients had responses lasting more than 36 months and were considered long-term responders,” the...

breast cancer

Two Studies Indicate Potential Predictors of Survival Benefit from Endocrine Therapy 

Two studies published in Journal of Clinical Oncology indicate that treatment-related symptoms and mammographic density reduction may predict whether a woman with hormone receptor–positive breast cancer will benefit from adjuvant endocrine therapy. In one study, women who had specific adverse...

prostate cancer

Pain Is More Prevalent and Severe in Men with Metastatic Disease and Use of Docetaxel  

Men who have metastatic castration-resistant prostate cancer and have used docetaxel reported a higher prevalence and greater severity of pain than docetaxel-naive patients, according to results of an anonymous survey conducted at five comprehensive cancer centers in the Prostate Cancer Clinical...

prostate cancer

Use of Advanced Technologies Has Increased in Men at Low Risk of Dying from Prostate Cancer 

The use of advanced treatment technologies, such as intensity-modulated radiotherapy and robotic prostatectomy, has increased among men unlikely to die from prostate cancer, according to a retrospective analysis of data from almost 56,000 men diagnosed with prostate cancer between 2004 and 2009....

lung cancer

Most Patients Receiving Radiotherapy for Incurable Lung Cancer Do Not Realize It Is Unlikely to Cure Them 

Surveying a population-based and health system–based cohort of patients receiving radiation therapy for incurable lung cancer (defined as stage IV or stage IIIB with malignant effusion at diagnosis) revealed that “64% did not understand that [radiotherapy] was not at all likely to cure them.” These ...

Encourage Questions about Late Effects of Treatment   

Melissa Hudson, MD, of St. Jude Children’s Research Hospital in Memphis, and lead author of a study finding that 98.2% of adult survivors of childhood cancer had a chronic health condition, told The ASCO Post that she hoped that survivors’ awareness of the need for ongoing health monitoring was...

survivorship

More Than 98% of Childhood Cancer Survivors Have Chronic Health Conditions 

More than 98% of adult survivors of childhood cancer in a large clinically evaluated cohort had a chronic health condition, including a substantial number of previously undiagnosed problems that are more likely to occur in an older population. “These findings underscore the importance of ongoing...

pancreatic cancer
issues in oncology

Pancreatic Cancer Action Network Names 7-Year Survivor Chair of National Board of Directors 

The Pancreatic Cancer Action Network recently announced the appointment of Laurie MacCaskill to Chair of the National Board of Directors of the organization, effective July 1, 2013. Ms. MacCaskill is the first pancreatic cancer patient to hold this position. Since her diagnosis in 2006, Ms....

pancreatic cancer

I Have No Fear 

I found out that I had stage III pancreatic cancer on Valentine’s Day in 2011, but I think the disease may have been brewing for a long time. For 19 years, I had experienced intermittent pain in the right upper quadrant of my abdomen. I had gallbladder surgery to relieve a bile duct obstruction,...

issues in oncology

‘Medicalizing’ Physician-assisted Suicide

It was with regret that I read the article and commentary on physician-assisted suicide in the June 10 issue of The ASCO Post (“Death with Dignity Program at Seattle Cancer Care Alliance,” by Matthew Stenger, and “One Cancer Center’s Approach to Death with Dignity,” by Frederick R. Appelbaum, MD)....

global cancer care

Clinical Trials for Patients in Africa

Thank you very much for The ASCO Post Evening News,* which ensures I don’t miss anything that happened at the ASCO 2013 meeting. Due to financial constraints I could not attend the ASCO Annual Meeting in Chicago. My comment is that pharmaceutical companies should extend their oncology drug trials...

breast cancer

Conversations with Breast Cancer Patients

I am a retired oncologist, previously an attending physician at Memorial Sloan-Kettering Cancer Center, with a professional lifetime experience in caring for patients with all stages of breast cancer, and now I am a regular reader of The ASCO Post. In recent months there have been several articles...

issues in oncology

Co-discoverer of DNA Double Helix, James Watson, PhD, Offers a New Theory on Cancer Progression 

Despite his fame as co-discoverer—along with Francis Crick, PhD—of the double-helix structure of deoxyribonucleic acid (DNA) in 1953, that accomplishment is not what James Dewey Watson, PhD, came to talk about during a recent presentation he gave at the World Science Festival in New York. Instead,...

issues in oncology

Rocky Mountain Cancer Centers and St. Anthony Hospital Complete Affiliation for a Comprehensive Oncology Center

Colorado’s Rocky Mountain Cancer Centers, with 20 centers throughout the state, and St. Anthony Hospital have completed an agreement to provide comprehensive inpatient and outpatient cancer services to patients on the St. Anthony Hospital campus in Lakewood, Colorado. Expanded radiation therapy...

Oncology Meetings

July 14th International Lung Cancer CongressJuly 25-27 • Huntington Beach, CaliforniaFor more information: www.gotoper.com/conferences Up Close and Personalized: The 2nd International Congress on Personalized MedicineJuly 25-28 • Paris, FranceFor more information: www.upcp.org Multidisciplinary...

symptom management
supportive care

Diagnosing and Treating Acute Graft-vs-Host Disease 

Dermatologic Events in Oncology is guest edited by Mario E. ­Lacouture, MD, an Associate Member in the Division of Dermatology, Department of Medicine, at Memorial Sloan-Kettering Cancer Center, New York. He is a board-certified dermatologist with a special interest in dermatologic conditions that...

University of Michigan Cancer Center Names New Medical Director

The University of Michigan Comprehensive Cancer Center has named Alon Weizer, MD, MS, as Medical Director. In this new role Dr. Weizer will be responsible for managing the day-to-day clinical outpatient operations at the Cancer Center. Dr. Weizer is Associate Professor of Urology at the University...

cns cancers

Management of Anaplastic Oligodendroglial Tumors 

Pearls in Neuro-oncology is guest edited by Tracy Batchelor, MD, Director, Division of Neuro-Oncology, Massachusetts General Hospital Cancer Center, and Professor of Neurology, Harvard Medical School, Boston. The series is intended to provide the practicing oncologist with guidance in managing...

lung cancer

FDA Approves Afatinib for Late-stage Lung Cancer

On July 12, 2013, the FDA approved the tyrosine kinase inhibitor afatinib (Gilotrif) for the first-line treatment of patients with metastatic non–small cell lung cancer (NSCLC) whose tumors express epidermal growth factor receptor (EGFR) exon 19 deletions or exon 21 (L858R) substitution mutations...

multiple myeloma
supportive care

New Guidelines Issued in the Treatment of Multiple Myeloma-Related Bone Disease 

The International Myeloma Working Group (IMWG) has developed clinical practice recommendations for the management of multiple myeloma-related bone disease based on published study data through August 2012. Consensus of the interdisciplinary panel of clinical experts on the plasma-cell cancer was...

hematologic malignancies

Barriers to Successful Hematopoietic Stem Cell Transplantation 

The Center for International Blood and Marrow Transplant Research is a combined research program of the National Marrow Donor Program and the Medical College of Wisconsin, Milwaukee. At the forefront of research to increase access to hematopoietic stem cell transplantation and improve outcomes, the ...

solid tumors

Denosumab in Adults and Skeletally Mature Adolescents with Giant Cell Tumor of Bone 

In the Clinic provides overviews of novel oncology agents, addressing indications, mechanisms, administration recommendations, safety profiles, and other essential information needed for the appropriate clinical use of these drugs. Indication On June 13, 2013, denosumab (Xgeva) was approved for the ...

hematologic malignancies
leukemia
multiple myeloma
issues in oncology

ACCC Institutes Network to Provide Assistance in Treating Uncommon Cancers 

Among the more than 200 types of cancer are those called “forgotten” or “orphan” cancers, with fewer than 40,000 new cases each year. They present treatment challenges in community cancer centers. Because of the low incidence of these diseases, such as chronic myeloid leukemia, acute promyelocytic...

issues in oncology

FDA Announces Decisions on New Tobacco Products

For the first time since the Family Smoking Prevention and Tobacco Control Act of 2009 gave the FDA the authority to regulate tobacco products, the agency has authorized the marketing of two new tobacco products and denied the marketing of four others through the substantial equivalence pathway....

breast cancer
leukemia

FDA Grants Priority Review to Obinutuzumab in CLL and Pertuzumab in Neoadjuvant Therapy for HER2-positive Early-stage Breast Cancer

Two drugs were recently given Priority Review designation by FDA. Obinutuzumab (GA101) was granted Priority Review for the treatment of chronic lymphocytic leukemia, based on final stage 1 data from the pivotal CLL11 trial. The FDA confirmed the action date is December 20, 2013. FDA also granted...

hematologic malignancies
issues in oncology

Just Say 'Know'

In 1989, Denardo and associates reported the results of intensive care unit (ICU) therapy in a series of patients who developed acute respiratory failure and required mechanical ventilation after bone marrow transplantation. Of those on mechanical ventilatory support longer than 4 days, not one...

hematologic malignancies
issues in oncology

Critically Ill Hematology Patients Admitted to ICU Have Good Survival, Disease Control, and Quality of Life 

A large prospective multicenter cohort study in France and Belgium, reported by Elie Azoulay, MD, of Saint-Louis Hospital, Paris, and colleagues from the Groupe de Recherche Respiratoire en Réanimation Onco-Hématologique,1 has shown that critically ill patients with hematologic malignancies...

sarcoma

Nearly Half of Sarcoma Surgeries Performed by Non-oncology Surgeons  

Nearly half the surgical procedures for sarcoma done at 85 academic medical centers were performed by surgeons untrained in oncology, according to national data analyzed by researchers from the University of California Davis Medical Center, Sacramento. Orthopedic oncologists and surgical...

colorectal cancer

Looking for Drivers in the Rearview Mirror 

The latest clinical trial looking at combining vascular endothelial growth factor (VEGF) and epidermal growth factor receptor (EGFR) inhibition in metastatic colorectal cancer adds little to our overall understanding of the mechanisms for optimizing selection of patients to receive such therapies....

colorectal cancer

Addition of Brivanib to Cetuximab in Chemotherapy-refractory Metastatic Wild-type KRAS Colorectal Cancer: Key Results 

The addition of a combination of epidermal growth factor receptor (EGFR) and vascular endothelial growth factor (VEGF) inhibitors to chemotherapy has not improved outcome in first-line treatment of advanced colorectal cancer. However, in early-phase evaluation, the addition of the investigational...

breast cancer
skin cancer
multiple myeloma
supportive care
gastroesophageal cancer

New Research Presented in Breast, Gastric, Esophageal Cancers, Melanoma, and Multiple Myeloma, plus Supportive Care 

Attendees at the ASCO Annual Meeting are faced with a major challenge of trying to attend as many important sessions as they can over a 4-day period. Our challenge is to feature the major news in The ASCO Post. In addition to our regular comprehensive coverage of key presentations, the following...

SIDEBAR: Societies Call for Protection of Patient Access to Clinical Trials

American Academy of NeurologyAmerican Association for Cancer ResearchAmerican Cancer Society Cancer Action NetworkAmerican Childhood Cancer FoundationAmerican Diabetes AssociationAmerican Epilepsy SocietyAmerican Heart Association/American Stroke AssociationAmerican Lung AssociationAmerican Society ...

health-care policy

ASCO Urges Administration to Provide Clear Affordable Care Act Guidance on Protecting Patient Access to Clinical Trials

ASCO has joined more than 50 other organizations in urging the Administration to issue regulations or guidance before January 2014 to ensure health plans implement an important provision of the Affordable Care Act that would remove a critical obstacle to patients interested in participating in...

issues in oncology

ASCO Targets Health Disparities, Need for Research in Achieving Health Equity

The American Society of Clinical Oncology (ASCO), the Association of Black Cardiologists (ABC), and the Heart Failure Society of America (HSFA) recently held a Capitol Hill Briefing to draw attention to health disparities among minority and underserved patients and opportunities to achieve health...

Young Investigator Awards and Career Development Awards Build a Pipeline of Cancer Researchers

Behind the scenes, researchers are working to unlock the secrets of cancer in its many forms—researchers who are well acquainted with the human cost of this disease and who see the vast scientific and clinical opportunities for conquering it. Some are well established in their careers and have been ...

issues in oncology

Cancer.Net Mobile App: Now in Spanish

Cancer.Net’s award-winning app for patients is now available in Spanish. If your patients are using a Spanish-language enabled iPhone, iPod touch, or iPad, they can use the app to access Cancer.Net’s Spanish content, as well as use interactive tools in Spanish to help track side effects and manage...

breast cancer
issues in oncology

ASCO Completes Electronic Data Sharing Standard for Breast Cancer Treatment

ASCO has completed the first phase in developing several sets of interoperability standards for cancer care data and overcoming the widespread inconsistencies that currently limit secure sharing of information between providers, patients, and researchers. The first standard, the Breast Cancer...

lymphoma

Lenalidomide in Relapsed/Progressed Mantle Cell Lymphoma after Two Prior Therapies Including Bortezomib 

In the Clinic provides overviews of novel oncology agents, addressing indications, mechanisms, administration recommendations, safety profiles, and other essential information needed for the appropriate clinical use of these drugs. Indication On June 5, 2013, lenalidomide (Revlimid) was approved...

breast cancer

ASCO Releases Updated Guideline on Interventions for Women at Increased Risk for Breast Cancer

The American Society of Clinical Oncology (ASCO) recently issued a newly updated clinical practice guideline on pharmacologic prevention interventions for premenopausal and postmenopausal women who are at increased risk for breast cancer. Compared to the previous version of the guideline, this...

breast cancer

Examining the Role Genetics Plays in Breast Cancer Onset 

Internationally known for her research in the molecular genetics of cancer, Olufunmilayo I. Olopade, MD, FACP, first became interested in oncology during medical school in Nigeria, where she cared for patients with Burkitt’s lymphoma. After moving to Chicago in 1983 to continue her medical...

Expert Point of View: Clifford A. Hudis, MD

These patients are mainly young men,” stated Clifford A. Hudis, MD, ASCO President, commenting on a cohort study of surveillance for stage I seminoma at a press conference held before the Annual Meeting. “For these selected patients, neither chemotherapy nor radiation therapy is necessary, sparing...

solid tumors

Surveillance Sufficient Follow-up for Most Patients with Stage I Seminoma  

Surveillance appears to be sufficient for men with stage I seminoma treated with orchiectomy, sparing patients from side effects of adjuvant radiation or chemotherapy. In a long-term study presented at the ASCO Annual Meeting,1 99.5% of men followed by surveillance alone were disease-free and alive ...

issues in oncology

Genomic Heterogeneity Can Lead to the Selection of 'Incorrect' Targeted Inhibitors 

Genomic heterogeneity within tumors and among lesions varies widely, and “discordance among lesions could lead to the selection of the ‘incorrect’ targeted inhibitor,” according to David B. Solit, MD, of Memorial Sloan-Kettering Cancer Center, who spoke at the ASCO/American Association for Cancer...

hematologic malignancies
leukemia
lymphoma

New Research on Combination Chemotherapy, Prognostic Biomarkers, and PET-guided Radiation Therapy in B-cell Malignancies 

The 12th International Conference on Malignant Lymphoma was held June 19-22, 2013, in Lugano, Switzerland. Over 3,000 hematologists, clinical oncologists, pathologists, and leading researchers attended the meeting, which featured new research on B-cell malignancies, follicular lymphoma, as well as...

gynecologic cancers

Roche Files for Cervical Cancer Primary Screening Indication for cobas HPV Test

Roche recently announced it has submitted a Premarket Approval (PMA) supplement to the FDA seeking the addition of a cervical cancer primary screening indication for the cobas HPV Test. Approval of the expanded indication would mean the cobas HPV Test could be used as the first-line test rather...

leukemia
lymphoma

New Drug Application Submitted for Ibrutinib in the Treatment of Two B-cell Malignancies

Pharmacyclics, Inc, recently announced that it has submitted a New Drug Application (NDA) to the U.S. Food and Drug Administration (FDA) for the investigational oral Bruton’s tyrosine kinase inhibitor ibrutinib, for two relapsed/refractory B-cell malignancy indications: mantle cell lymphoma (MCL)...

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