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breast cancer
issues in oncology
issues in oncology

Blood Test Detects Resistance to Aromatase Inhibitors in Breast Cancer Treatment

Scientists have developed a highly sensitive blood test that can spot when breast cancers become resistant to standard hormone treatment, and have demonstrated that this test could guide further treatment. The test gives an early warning of resistance to aromatase inhibitors, which are used to...

supportive care

Researchers Call for Hospitals to Establish Bereavement Programs for Families of Deceased Patients

Backed by a growing body of research, investigators at Dana-Farber Cancer Institute are calling for all hospitals to establish bereavement programs for families of deceased patients. In a report published by Morris and Block in the Journal of Palliative Medicine, researchers say such...

breast cancer
issues in oncology

Some Rare HER2 Mutations May Not Be Capable of Causing Breast Cancer Growth

Results of a new laboratory study by Johns Hopkins Kimmel Cancer Center researchers suggest that some rare “missense” mutations in the HER2 gene are apparently not—on their own—capable of causing breast cancer growth or spread. In a related finding, the research team said...

pancreatic cancer

Preclinical Study Reveals Why Chemotherapy May Be Compromised in Patients With Pancreatic Cancer

A study at The University of Texas MD Anderson Cancer Center may explain why chemotherapy drugs such as gemcitabine are not effective for many patients with pancreatic cancer and perhaps point to new approaches to treatment, including enhancing gemcitabine's ability to stop tumor growth. The MD...

lung cancer

‘Substantial Number’ of Patients Requiring Palliative Radiotherapy for Stage IV NSCLC Are Overtreated

An analysis of data from 46,803 patients with stage IV non–small cell lung cancer (NSCLC) who received palliative chest radiation therapy found that 49% received radiotherapy for longer than 15 fractions and 28% received more than 25 fractions. This treatment pattern “is inconsistent...

breast cancer

Shift Over Time in Treatment Patterns of Ductal Carcinoma in Situ

An evaluation of national treatment trends for ductal carcinoma in situ from 1991 to 2010 and their impact on survival revealed “a substantial shift in locoregional treatment patterns for ductal carcinoma in situ,” Mathias Worni, MD, of Duke University Medical Center, Durham North...

gynecologic cancers

Previous Oral Contraceptive Use May Be Associated With Better Outcomes in Patients With Ovarian Cancer

Patients who develop ovarian cancer appear to have better outcomes if they have a history of oral contraceptive use, according to a study by Mayo Clinic researchers published by Jatoi et al in BMC Cancer. “Multiple studies from a variety of sources have indicated that oral contraceptives are ...

kidney cancer
issues in oncology

Increased Meat Consumption May Be Linked to Elevated Kidney Cancer Risk

Diets high in meat may lead to an increased risk of developing renal cell carcinoma through intake of carcinogenic compounds created by certain cooking techniques, such as barbecuing and pan-frying. As part of a new study from The University of Texas MD Anderson Cancer Center, published by...

breast cancer
issues in oncology

New Prediction Model May Provide More Accurate Assessment of Breast Cancer Risk in Hispanic Women

A prediction model created for projecting absolute invasive breast cancer risk in Hispanic women provides a more accurate assessment of their risk of developing breast cancer compared with existing models that are based on data from non-Hispanic women, according to a new study by Banegas et al....

lymphoma

Investigational NAE Inhibitor Pevonedistat Shows Potential Activity in Patients With Relapsed/Refractory Lymphoma

A phase I study evaluating the safety, pharmacokinetic profile, pharmacodynamic effects, and antitumor activity of the first-in-class investigational NEDD8-activating enzyme (NAE) inhibitor pevonedistat (TAK-924/MLN4924) in patients with relapsed/refractory lymphoma or multiple myeloma has found...

lung cancer
issues in oncology

Reported Hospitalization Rate in Patients Receiving Systemic Therapy for Metastatic NSCLC Much Higher in Real-World vs Clinical Trial Setting

In a study reported in JAMA Oncology, Prince et al found that the hospitalization rate among patients receiving systemic therapy for metastatic non–small cell lung cancer (NSCLC) was much higher in observational studies vs clinical trials among studies reporting hospitalization rates. Study...

skin cancer

FDA Approves Cobimetinib in Combination With Vemurafenib for Advanced Melanoma

The U.S. Food and Drug Administration (FDA) approved cobimetinib (Cotellic) to be used in combination with vemurafenib (Zelboraf) to treat metastatic or unresectable melanoma, with the BRAF V600E or V600K mutation. “As we continue to advance our knowledge of tumor biology, we have...

survivorship

Cancer Survivors Are Less Likely to Receive Callbacks From Potential Employers

Job applicants who are cancer survivors are less likely to receive callbacks from potential retail employers than those who did not disclose their health history, according to a recent study by Rice University and Pennsylvania State University researchers. Study Findings The study, published by...

palliative care
breast cancer
survivorship

ABC3: Experts Create New Consensus Guidelines for Advanced Breast Cancer Treatment

Although advanced breast cancer is incurable, there are some patients who have just a few small metastases who would respond well to systemic treatments such as chemotherapy and hormone therapy. In new guidelines agreed on by participants at the Advanced Breast Cancer Third International Consensus...

sarcoma

Good Outcomes With Intensive, Interval-Compressed Chemotherapy and Irinotecan as Radiosensitizer in High-Risk Rhabdomyosarcoma

As reported in the Journal of Clinical Oncology by Weigel et al in the Children’s Oncology Group, a strategy of dose intensification and interval compression, use of the most active agents determined in phase II window studies, and use of irinotecan as a radiation sensitizer has been found to ...

breast cancer
issues in oncology
issues in oncology

Most Women Undergoing BRCA Genetic Testing Do Not Receive Pretest Genetic Counseling

In the ABOUT study reported in JAMA Oncology, Armstrong et al found that the majority of BRCA-tested women in a commercially insured population responding to a questionnaire about their experience had not received genetic counseling from a genetics clinician prior to testing. The study was...

solid tumors

Improved Outcomes With Modified Docetaxel, Cisplatin, and 5-FU vs Standard Regimen Plus Growth Factor Support in Metastatic Gastric Cancer

In a phase II trial reported in the Journal of Clinical Oncology, Shah et al in the U.S. Gastric Cancer Consortium found that a modified regimen of docetaxel, cisplatin, and fluorouracil (5-FU) (mDCF) improved toxicity and survival vs a standard DCF regimen plus growth factor support as first-line...

issues in oncology

Liquid Biopsy Promotes Precision Medicine by Tracking Patient's Cancer

A team of researchers, including scientists from the Translational Genomics Research Institute (TGen), has reported that analyzing circulating tumor DNA (ctDNA) can track how a patient's cancer evolves and responds to treatment. In a study published in Nature Communications, Muhammed Murtaza, PhD, ...

cns cancers

Experimental Drug Shown to Prevent Neuroblastoma in Preclinical Study

Australian scientists have identified a critical molecular “feedback loop” that helps initiate and drive neuroblastoma, a cancer of the nervous system in children that is triggered in embryonal nerve cells. This feedback loop massively accelerates cancer development. The research team...

breast cancer

Increasing Use of Preoperative Breast MRI Linked to Increased Postdiagnostic Imaging and Biopsy, Mastectomy, and Surgery Delay

In a Canadian population-based study reported in JAMA Oncology, Arnaout et al found that breast magnetic resonance imaging (MRI) is increasingly used in preoperative evaluation of women with breast cancer and that its use is associated with increased likelihood of confirmatory breast imaging,...

prostate cancer

PARP Inhibitor Olaparib Produces High Response Rate in Metastatic Prostate Cancer With DNA Repair Defects

In a phase II trial reported in The New England Journal of Medicine, Mateo et al found that the PARP inhibitor olaparib (Lynparza) produced a high response rate in patients with previously treated metastatic castration-resistant prostate cancer with tumors exhibiting defects in DNA repair genes....

cns cancers

Preclinical Study Finds Pediatric Low-Grade Gliomas With CRAF Fusions May Require Differential and Combinatorial Targeted Therapies

Pediatric low-grade gliomas are the most common type of brain tumor diagnosed in children, and represent a heterogeneous group of tumors, which are poorly classified based on histology and location, according to Payal Jain, a graduate student at the University of Pennsylvania, and lead author of a...

cns cancers
survivorship

Chemotherapy-Induced Hearing Loss Affects Cognition in Pediatric Brain Tumor Survivors

More children are surviving malignant brain tumors than in the past, thanks to the use of intense treatments using platinum-based chemotherapy (cisplatin and high-dose carboplatin). Unfortunately, the therapy has a known side effect of permanent hearing loss, resulting from damage to the inner ear. ...

issues in oncology
gynecologic cancers
gynecologic cancers

Protein CK5 a Marker for Cisplatin-Resistant Ovarian Cancer

A University of Colorado Cancer Center study recently published by Corr et al in the International Journal of Gynecological Cancer shows that protein cytokeratin 5 (CK5), known to be a marker of poor prognosis in breast cancer, also marks ovarian cancers likely to be resistant to the common...

skin cancer

No Difference in Overall Survival, Poorer Relapse-Free Survival With Adjuvant Intermittent vs High-Dose Interferon Alfa-2b in Stage III Melanoma

The final analysis of a European Dermatologic Cooperative Oncology Group phase III trial, reported in the Journal of Clinical Oncology by Mohr et al, showed that adjuvant intermittent vs standard high-dose intravenous interferon alfa-2b was associated with no difference in overall survival but...

breast cancer

ABC3: Higher Insulin Is an Independent Prognostic Factor in Advanced Breast Cancer

Patients with metastatic breast cancer who have higher insulin levels than normal, but are not diabetic, have a significantly worse prognosis compared with those who have normal insulin levels, according to data being presented (Abstract BP129) at the Advanced Breast Cancer Third International...

breast cancer
survivorship
cost of care

ABC3: Patients Speak Out Against 'Damaging Messages' About Metastatic Breast Cancer, Call for Inclusion in Discussion About Treatment Costs

Organizations that issue “damaging messages” about advanced breast cancer need to be identified and educated to change the way they talk about the disease, a patient told the Advanced Breast Cancer Third International Consensus Conference in Lisbon, Portugal, on November 5, 2015. In...

supportive care
issues in oncology

Dexamethasone Reduces Pain Flare After Palliative Radiotherapy for Bone Metastases

In a Canadian phase III trial reported in The Lancet Oncology, Chow et al found that prophylactic dexamethasone reduced the incidence of radiation-induced pain flare compared with placebo in patients receiving palliative radiotherapy for bone metastases. Study Details In this double-blind trial,...

colorectal cancer

Pooled Analysis Indicates That Low but Not High BMI Is Associated With Poorer Outcome in Metastatic Colorectal Cancer

In a study reported in the Journal of Clinical Oncology, Renfro et al found that low but not high body mass index (BMI) was associated with poorer progression-free and overall survival in patients receiving first-line treatment for metastatic colorectal cancer. The analysis included individual...

issues in oncology
issues in oncology
issues in oncology

Few Oncology Drugs Approved on Surrogate Endpoints Currently Have Evidence of Survival Benefit

In a study reported in a research letter in JAMA Internal Medicine, Kim and Prasad found that few oncology drugs receiving FDA approval on the basis of surrogate endpoints currently have evidence of an overall survival benefit. In the study, all approvals from January 1, 2008, through December 31, ...

lymphoma

Lenalidomide Plus Rituximab Appears Promising as First-Line Therapy for Mantle Cell Lymphoma

Mantle cell lymphoma, which is characterized by CD5-positive, CD23-negative follicular mantle B cells with t(11:14)(q13;q32) translocation and cyclin D1 overexpression, is generally incurable and associated with a median survival of between 4 and 5 years. Although front-line treatment for mantle...

prostate cancer
cost of care

Study Shows Wide Variation in Costs to Treat Low-Risk Prostate Cancer

University of California, Los Angeles (UCLA) researchers have described costs across the entire care process for low-risk prostate cancer—from the time a patient checks in for his first appointment to his post-treatment follow-up testing—using time-driven activity-based costing. For the ...

pancreatic cancer
issues in oncology

Only 1 in 5 U.S. Patients With Pancreatic Cancer Gets Key Blood Test at Diagnosis

Only 1 in 5 patients with pancreatic cancer in the United States receives a widely available, inexpensive blood test at diagnosis that can help predict relative outcome (compared to others with the same disease stage) and guide treatment accordingly, a Mayo Clinic study showed. People who test...

colorectal cancer

Phase III Trials Fail to Show Noninferiority of Surgical Outcome for Laparoscopic vs Open Resection in Rectal Cancer

Two phase III trials, reported in JAMA by Fleshman et al and Stevenson et al, failed to show noninferiority of surgical outcome for laparoscopic vs open resection in patients with rectal cancer. ACOSOG Z6051 Trial In the American College of Surgeons Oncology Group (ACOSOG) Z6051 trial, reported...

colorectal cancer

No Reduction in Recurrent Colorectal Adenomas With Vitamin D and Calcium Supplementation

In a trial reported in The New England Journal of Medicine, Baron et al found that daily vitamin D and calcium supplementation did not reduce recurrence of colorectal adenomas in patients with recently diagnosed adenomas and no known polyps remaining after complete colonoscopy. Study Details In...

breast cancer
survivorship

Breast Cancer Adjuvant Therapy Benefit Can Wax and Wane Over Time

After breast cancer surgery, women are prescribed adjuvant therapies such as chemotherapy and endocrine drugs to reduce the risk of the cancer returning. It has been assumed that the treatment effects of these therapies remain constant over time, but a new study from the Cancer Therapy &...

breast cancer

Antiangiogenic Breast Cancer Treatment May Benefit Only Patients With Well-Perfused Tumors

A Massachusetts General Hospital (MGH) research team, in collaboration with investigators at the Dana-Farber Cancer Institute, may have found a reason why the use of antiangiogenic drugs—which has improved outcomes for patients with several types of cancer—fails to benefit some breast...

breast cancer

No Significant Survival Improvement With Etirinotecan Pegol vs Physician’s Choice in Heavily Pretreated Advanced Breast Cancer

In the phase III BEACON trial reported in The Lancet Oncology, Perez et al found that etirinotecan pegol was not associated with a significant increase in overall survival compared with physician’s choice of treatment in women with locally recurrent or metastatic breast cancer previously...

breast cancer

6-Year Incidence of Cardiac Events in NCCTG N9831/Alliance Adjuvant Trastuzumab Trial

As reported in the Journal of Clinical Oncology by Advani et al, the cumulative incidence of cardiac events remained significantly higher at 6 years in breast cancer patients who received adjuvant trastuzumab (Herceptin) in the NCCTG N9831/Alliance trial. However, few new congestive heart failure...

head and neck cancer
issues in oncology

Researchers Discover SEC23B, Gene Associated With Cowden Syndrome, Contributes to Thyroid Cancer Risk

Cleveland Clinic researchers have discovered a gene associated with Cowden syndrome, an inherited condition that carries high risks of thyroid, breast, and other cancers, and a subset of noninherited thyroid cancers. These findings were published by Yehia et al in the American Journal of Human...

colorectal cancer
issues in oncology

Stool DNA Test Accurate in Screening for Colorectal Cancer in Alaska Native People

Cologuard stool DNA testing for colorectal cancer was found to be an accurate noninvasive screening option for Alaska Native people, a population with one of the world's highest rates of colorectal cancer, concluded researchers from the Alaska Native Tribal Health Consortium and Mayo Clinic. The...

lung cancer

Chemoradiotherapy Survival Benefit in Elderly Patients With Limited-Stage SCLC

In a population-based study reported in the Journal of Clinical Oncology, Corso et al found that chemoradiotherapy was associated with an overall survival benefit vs chemotherapy in elderly patients with limited-stage small cell lung cancer (SCLC). Study Details The study involved National Cancer ...

breast cancer
issues in oncology

American Cancer Society Report Finds Rising Rates of Breast Cancer Among African American Women, Especially in Southern States

Although white women have historically had higher incidence rates of breast cancer than African American women, a new report by the American Cancer Society (ACS) finds that, in 2012, the rates converged. The incidence rates were significantly higher in black women than in white women in seven...

pancreatic cancer

Immunotherapy for Pancreatic Cancer Boosts Survival by More Than 75% in Preclinical Models

A new study in mice by researchers at Fred Hutchinson Cancer Research Center has found that a specialized type of immunotherapy—even when used without chemotherapy or radiation—can boost survival from pancreatic cancer by more than 75%. The findings are promising, and human clinical...

breast cancer
issues in oncology

Exercise Could Provide a Margin of Safety for Women Who Want to Delay Preventive Mastectomy

Regular physical activity could play a role in helping women at high-risk of breast cancer delay the need for drastic preventive measures such as prophylactic mastectomy, according to new research led by the Perelman School of Medicine at the University of Pennsylvania. Results of the WISER Sister...

leukemia

Study Identifies Splicing Alterations That Enable Resistance to CD19 CAR T-Cell Immunotherapy

Although the CD19 antigen expressed on most B-cell acute lymphoblastic leukemias (ALL) can be targeted with chimeric antigen receptor–armed T cells (CART-19), relapse rates among pediatric and adult patients with the cancer remain high. In this study by Sotillo et al, the researchers...

leukemia
issues in oncology

Reduced Relapse but No Quality-of-Life Benefit With ATRA/Arsenic Trioxide vs ATRA/Idarubicin in Acute Promyelocytic Leukemia

In a UK-based phase III trial (AML17) reported in The Lancet Oncology, Burnett et al found that a chemotherapy-free regimen of arsenic trioxide plus all-trans retinoic acid (ATRA) did not improve quality of life, the primary endpoint, vs ATRA plus idarubicin in patients with acute promyelocytic...

breast cancer
issues in oncology

29-Year Single-Center Longitudinal Experience Indicates 2% Annual Risk of Breast Cancer in Lobular Carcinoma in Situ

As reported by King et al in the Journal of Clinical Oncology, 29-year longitudinal experience at Memorial Sloan Kettering Cancer Center indicates an annual 2% risk of breast cancer in women with lobular carcinoma in situ. Risk was reduced with chemoprevention. Study Details The study involved...

skin cancer

FDA Approves Adjuvant Ipilimumab to Reduce the Risk of Melanoma Returning After Surgery

The U.S. Food and Drug Administration has expanded the approved use of ipilimumab (Yervoy) to include a new use as adjuvant therapy for patients who have cutaneous melanoma with pathologic involvement of regional lymph nodes of more than 1 mm and have undergone complete resection, including total...

cns cancers
supportive care

Telotristat Etiprate Shows Clinical Benefit in Treating Carcinoid Syndrome in Cancer Patients When Added to Standard of Care

Lexicon Pharmaceuticals, Inc's telotristat etiprate was shown to have clinical benefit in treating carcinoid syndrome in cancer patients not adequately controlled by long-acting somatostatin analog therapy, the current standard of care, according to data from the phase III TELESTAR study presented...

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