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health-care policy
issues in oncology
issues in oncology

ECC 2015: Tackling the Global Shortfall in Radiotherapy

Millions of people are unable to receive necessary treatment worldwide because of a chronic underinvestment in radiotherapy resources, according to a major new Commission on access to radiotherapy, published in by Atun et al in The Lancet Oncology, and presented at the 2015 European Cancer Congress ...

breast cancer
survivorship
issues in oncology

ECC 2015: Treatment of Elderly Patients With Breast Cancer Varies Throughout Europe

First results from the largest international comparison of the treatment of elderly patients with breast cancer have shown substantial differences in the use of surgery, hormone therapy, and chemotherapy among European countries. The European Registration of Cancer Care (EURECCA) study compared the ...

issues in oncology

Study Finds Cancer Is Increasingly Common in Patients With HIV, Necessitating Targeted Cancer Prevention Efforts

The effectiveness of antiretroviral therapy in the treatment of patients with human immunodeficiency virus (HIV) has prolonged lives and resulted in cancer becoming increasingly common in this population, with a higher burden than the general population due to impaired immune function, including...

lung cancer
gastroesophageal cancer

KW-0761 May Reduce Immune System–Suppressing Treg Cells in Patients With Solid Tumors

A small phase Ia clinical trial investigating whether depleting immune cells called Tregs, which can inhibit anticancer immune responses, with KW-0761, a humanized anti-CCR4 monoclonal antibody, in patients with lung or esophageal cancer has found that the therapy dramatically reduced the number of ...

survivorship

Tailored Education Improves Awareness of Risk for Therapy-Related Complications Among Childhood Cancer Survivors

In a study reported in the Journal of Clinical Oncology, Landier et al found that education tailored to personal risk for therapy-related complications improved risk awareness in survivors of childhood cancer. The level of awareness appeared to reach a maximum after several educational sessions....

lymphoma

Brentuximab Vedotin Effective, Safe in Elderly Hodgkin Lymphoma Patients Who Cannot Tolerate Standard Chemotherapy

A study published by Forero-Torres et al in Blood reported that brentuximab vedotin (Adcetris) is an effective and safe first course of treatment for older patients with Hodgkin lymphoma who are unfit for chemotherapy.  Ineligibility for Chemotherapy Although standard chemotherapy can...

issues in oncology
lung cancer

ECC 2015: First Targeted Treatment for Small Cell Lung Cancer Shows Promise

Small cell lung cancer (SCLC) is an aggressive disease that is difficult to treat and is frequently diagnosed only when it has metastasized. Five-year survival rates in SCLC, which accounts for about 14% of all lung cancers, are very low, at only 6%. Researchers presented novel findings (Abstract...

issues in oncology

ECC 2015: Children Exposed to Prenatal Cancer Treatment Show Normal Mental Processes and Heart Function

In a special session on cancer in pregnancy at the 2015 European Cancer Congress (Abstract 3205), Frédéric Amant, MD, PhD, said that new results from a study of 129 children, aged 1–3, born after prenatal exposure to cancer treatment, showed normal development of their...

lymphoma

ECC 2015: Living Conditions and Gender Appear to Affect Incidence of Hodgkin Lymphoma

Living in overcrowded conditions appears to protect children and young adults against developing a particular type of Hodgkin lymphoma. This protective effect seems to suggest that infections earlier in life may stimulate the immune system to deal with future infections and cancerous cells more...

colorectal cancer
issues in oncology

ECC 2015: Discovery of Differences Between Tumors of Younger and Older Patients With Colorectal Cancer May Lead to Better Treatments

Colorectal cancer is on the rise among younger patients. Although some of the younger-onset cases can be explained by hereditary factors, the majority arise spontaneously. Researchers have now found that tumors in younger patients with colorectal cancer may be molecularly distinct from those of...

cns cancers
issues in oncology

ECC 2015: Genetic Screening of Brain Metastases Could Reveal New Targets for Treatment

Unraveling the genetic sequences of cancer that has spread to the brain could offer unexpected targets for effective treatment, according to new research (Abstract 2905) presented at the 2015 European Cancer Congress in Vienna, Austria, and published simultaneously by Brastianos et al in...

lung cancer
issues in oncology

Study Finds No Disease-Free Survival Improvement With Adjuvant Erlotinib in EGFR-Expressing NSCLC

In the phase III RADIANT trial reported in the Journal of Clinical Oncology, Kelly et al found no disease-free survival improvement with adjuvant erlotinib (Tarceva) vs placebo in patients with EGFR-expressing stage IB to IIIA non–small cell lung cancer (NSCLC). However, there was evidence of ...

breast cancer
survivorship
issues in oncology

ECC 2015: Hormone Therapy May Prevent Ovarian Failure and Preserve Fertility in Women With Breast Cancer

Young women undergoing chemotherapy for breast cancer may be more likely to remain fertile if they also receive hormonal treatment, according to new research (Abstract 1957) presented at the 2015 European Cancer Congress in Vienna, Austria, and published simultaneously by Lambertini et al in Annals ...

issues in oncology

ECC 2015: Over Three-Quarters of People With Cancer Worldwide Have No Access to Safe Surgery

Over 80% of the 15 million people diagnosed with cancer worldwide in 2015 will need surgery, but less than one-quarter of them will have access to proper, safe, affordable surgical care when they need it, according to a major new Commission examining the state of global cancer surgery. The...

solid tumors

ECC 2015: Use of Aspirin Linked to Improved Survival in Gastrointestinal Cancers

Aspirin improved survival in patients with tumors situated throughout the gastrointestinal tract, results from a large study in the Netherlands showed. This is the first time that survival data from patients with tumors in different gastrointestinal locations have been analyzed at the same time;...

health-care policy
survivorship
issues in oncology
issues in oncology
issues in oncology

ECC 2015: Childhood Cancers in Europe: Progress Has Been Made, but Much Still to Do

Each year in Europe, 6,000 young people die from cancer, and two-thirds of those who survive suffer from treatment-related side effects. Although there has been considerable progress in the treatment of childhood cancers over the past few decades, and cancer in childhood is rare, these are major...

head and neck cancer
survivorship

ECC 2015: Association Between Primary Surgery and Survival Benefit in Patients With Advanced Throat Cancers

Patients with cancers of the mid and lower throat may have higher survival rates if their initial treatment includes surgery, according to new research (Abstract 2804) presented at the 2015 European Cancer Congress in Vienna, Austria. Researchers explained that a nationwide study in Taiwan found...

kidney cancer

ECC 2015: Nivolumab Improves Overall Survival in Patients With Advanced Kidney Cancer

The targeted drug nivolumab (Opdivo) significantly prolonged survival in patients with advanced kidney cancer whose disease had progressed after their first treatment, according to the results (Abstract 3LBA) presented at the 2015 European Cancer Congress (ECC) in Vienna, Austria, and published...

survivorship
issues in oncology
issues in oncology

ECC 2015: EUROCARE Results Show Large Variations in Survival Among European Countries

Comparisons of cancer patients’ survival and care in Europe up to 2007 showed that although more patients are surviving for at least 5 years after diagnosis, there are large variations among countries, which are particularly significant in cancers of the blood. Milena Sant, MD, from the...

kidney cancer

ECC 2015: Cabozantinib Improves Survival in Patients With Advanced Kidney Cancer

Patients with advanced kidney cancer lived for nearly twice as long without their disease progressing if they were treated with cabozantinib (Cometriq), a drug that inhibits the action of tyrosine kinases. Toni Choueiri, MD, presented the research (Abstract 4LBA) at the Presidential Session of the...

issues in oncology
breast cancer
issues in oncology

ECC 2015: Study Finds Significant Genetic Differences Between Breast Cancers That Relapse and Those That Do Not

Although most patients with breast cancer are cured after treatment, in about one in five patients, the cancer will recur, returning either to the same place as the original tumor or metastasizing to other parts of the body. Now, researchers have taken an important step toward understanding why...

colorectal cancer

Activity of Combined BRAF and MEK Inhibition in BRAF V600–Mutant Metastatic Colorectal Cancer

In a phase I/II study reported in the Journal of Clinical Oncology, Corcoran et al found that the combination of the BRAF inhibitor dabrafenib (Tafinlar) and the MEK inhibitor trametinib (Mekinist) produced responses in some patients with BRAF V600–mutant metastatic colorectal cancer. MAPK...

lung cancer

ECC 2015: Nivolumab Is More Effective Than Docetaxel in Extending Overall Survival in Advanced Nonsquamous NSCLC

A randomized phase III study by Borghaei et al evaluating the efficacy and safety of nivolumab (Opdivo) vs docetaxel in patients with advanced nonsquamous non–small cell lung cancer (NSCLC) after failure of platinum-based chemotherapy has found that nivolumab improved overall survival, 12.2...

pancreatic cancer

Ruxolitinib-Capecitabine May Benefit Patients With Gemcitabine-Pretreated Metastatic Pancreatic Cancer With Systemic Inflammation

In a randomized phase II trial reported in the Journal of Clinical Oncology, Hurwitz et al found no significant survival benefit of adding the JAK1/JAK2 inhibitor ruxolitinib (Jakafi) to capecitabine in patients with advanced pancreatic adenocarcinoma who had treatment failure with gemcitabine....

breast cancer

Phase II Study Suggests Survival Benefit With First-Line Fulvestrant vs Anastrozole in Advanced Breast Cancer

Overall survival data from a phase II study, reported in the Journal of Clinical Oncology by Ellis et al, suggest a benefit of first-line fulvestrant (Faslodex) vs anastrozole in postmenopausal women with estrogen receptor–positive advanced breast cancer. The study protocol was amended to...

gynecologic cancers
gynecologic cancers
issues in oncology

Study Finds Improving Cervical Cancer Screening Practice May Generate Health Gains With Nominal Increases in Cost

Cytology-based screening has led to substantial declines in cervical cancer incidence and mortality since it was introduced in the 1940s. A population-based, cost-effective analysis investigating the benefits, costs, and cost-effectiveness of current cervical cancer screening practice, however, has ...

issues in oncology

RAB35 Protein Implicated in Oncogenic Process in the PI3K/AKT Pathway

A protein known to play a role in transporting the molecular contents of normal cells into and out of various intracellular compartments can also turn such cells cancerous by stimulating a key growth-control pathway. By conducting a large-scale search for regulators of the signaling pathway known...

multiple myeloma
issues in oncology
issues in oncology

Adding Lenalidomide to Melphalan/Prednisone Yields Better Quality of Life Than Thalidomide in Elderly Patients With Multiple Myeloma

A phase III Eastern Cooperative Oncology Group (ECOG) trial (E1A060) comparing melphalan, prednisone, and thalidomide (Thalomid) (MPT-T) with melphalan, prednisone, and lenalidomide (Revlimid) (mPR-R) in elderly patients with untreated multiple myeloma found that at the end of the induction period, ...

kidney cancer
kidney cancer

Patient Characteristics in Trials of Targeted Therapies for Metastatic Renal Cell Carcinoma Differ From Those in Real-World Population

Patients with metastatic renal cell carcinoma treated with tyrosine kinase inhibitors in real-world clinical practice tend to be older and sicker than the patients enrolled in pivotal clinical trials of tyrosine kinase inhibitors. Conversely, patients with metastatic renal cell carcinoma treated...

prostate cancer

Active Surveillance Program Improves Intermediate/Longer-Term Outcomes in Favorable-Risk Prostate Cancer

As reported in the Journal of Clinical Oncology by Tosoian et al, a prospective active surveillance program resulted in good intermediate/longer-term outcomes in men with favorable-risk prostate cancer. Study Details The program included 1,298 men with very-low-risk or low-risk disease enrolled...

leukemia

Ofatumumab Maintenance Improves Progression-Free Survival in Responders to Second- or Third-Line CLL Treatment

In an interim analysis of the phase III PROLONG trial reported in The Lancet Oncology, van Oers et al found that maintenance therapy with ofatumumab (Arzerra) prolonged progression-free survival vs observation in patients with chronic lymphocytic leukemia in complete or partial remission after...

skin cancer
skin cancer
issues in oncology

Unprecedented Number of Mutations Identified in Rare Melanoma

A rare form of skin cancer known as desmoplasmic melanoma may possess the highest burden of gene mutations of any cancer, suggesting that immunotherapy may be a promising approach for treatment, according to an international team led by University of California San Francisco (UCSF) scientists. One...

issues in oncology
issues in oncology

Preclinical Study Shows Starving Cancer Cells of Cholesterol May Inhibit Tumor Growth and Improve Drug Sensitivity

Drugs that target key proteins involved in cholesterol metabolism could represent a promising new treatment strategy for a broad range of cancers, according to research by Fox Chase Cancer Center investigators. The study, published by Gabitova et al in Cell Reports, reveals that deficiency in the...

lung cancer

Adding Bevacizumab to Treatment of Patients With NSCLC May Lead to More Toxicity but Less Risk for Hospitalization

A study among patients with advanced non–small cell lung cancer (NSCLC) treated with carboplatin-paclitaxel or carboplatin-paclitaxel-bevacizumab (Avastin) found that those receiving the bevacizumab combination were more likely to experience a toxicity event but were less likely to be...

colorectal cancer

FDA Approves New Oral Medication for the Treatment of Refractory Metastatic Colorectal Cancer

The U.S. Food and Drug Administration today approved trifluridine/tipiracil (Lonsurf) for patients with metastatic colorectal cancer who have been previously treated with chemotherapy and biologic therapy and are no longer responding to treatment. The new agent is an oral combination of...

sarcoma

Improved Progression-Free Survival With Trabectedin vs Dacarbazine After Conventional Chemotherapy in Advanced Liposarcoma or Leiomyosarcoma

In a phase III trial reported in the Journal of Clinical Oncology, Demetri et al found that treatment with trabectedin significantly improved progression-free survival vs dacarbazine in patients with advanced liposarcoma or leiomyosarcoma after prior conventional chemotherapy. Interim analysis of...

breast cancer

Breast Cancer Symposium: Adjuvant Radiation After Lumpectomy May Benefit Some Elderly Women With Triple-Negative Breast Cancer

Adjuvant radiation therapy may be omitted for elderly women with estrogen receptor–positive, early-stage breast cancer who receive hormone therapy. Limited data exist to guide treatment decision-making for elderly women with triple-negative breast cancer. As some findings thus far have shown...

survivorship

ASCO Statement: Recommendations for Obesity Clinical Trials in Cancer Survivors

As reported in the Journal of Clinical Oncology by Ligibel et al, ASCO has issued a statement providing recommendations for obesity clinical trials in cancer survivors. ASCO convened the Research Summit on Advancing Obesity Clinical Trials in Cancer Survivors in November 2014. The meeting involved...

breast cancer
issues in oncology
survivorship

Breast Cancer Symposium: Recurrence Rates for Ductal Carcinoma in Situ Treated Between 1978–2010

A new retrospective analysis explored local recurrence rates for women with ductal carcinoma in situ (DCIS) treated between 1978 and 2010. In the research (Abstract 32) by Van Zee et al, to be presented September 25 at the 2015 Breast Cancer Symposium, in San Francisco, investigators evaluated a...

solid tumors
prostate cancer

Decreased Mortality for Men With Unfavorable-Risk Prostate Cancer and Moderate or Severe Comorbidities Treated With Radiotherapy Alone

Men with unfavorable-risk prostate cancer and moderate or severe comorbidities had significantly decreased overall and cardiac mortality when treated with radiotherapy alone vs radiotherapy and androgen-deprivation therapy, according to a study described in a research letter in JAMA. In the letter, ...

breast cancer
gynecologic cancers
issues in oncology
issues in oncology
cost of care

Study Questions Cost-Effectiveness of Universal BRCA Screening

Women who are carriers of mutated BRCA genes are known to have a significantly higher risk for developing breast and ovarian cancers than those who do not have the mutations. A viewpoint published recently in JAMA Oncology by researchers at the University of California Los Angeles questioned...

skin cancer
issues in oncology
survivorship
issues in oncology
issues in oncology

Antifungal Agent Increases Risk of Cutaneous Squamous Cell Carcinoma in Some Lung Transplant Recipients

Voriconazole, commonly used to prevent and treat fungal infections in lung transplant recipients, significantly increases the risk for cutaneous squamous cell carcinoma in this population, according to a new study by University of California San Francisco researchers. The team recommends physicians ...

skin cancer

Phase III Trial Shows No Benefit of Adjuvant GM-CSF or Peptide Vaccine in High-Risk, Resected Melanoma

In a phase III trial (Eastern Cooperative Oncology Group-American College of Radiology Imaging Network Cancer Research Group E4697 trial) reported in the Journal of Clinical Oncology, Lawson et al found no relapse-free or overall survival benefit with adjuvant yeast-derived granulocyte-macrophage...

multiple myeloma

Study Finds CD38-Targeted Antibody Daratumumab Active in Relapsed Multiple Myeloma

In a phase I/II trial reported in The New England Journal of Medicine, Lokhorst et al found that the CD38-targeting human IgG1κ monoclonal antibody daratumumab had an acceptable safety profile and produced durable responses in relapsed multiple myeloma. Study Details In the dose-escalation...

pancreatic cancer

Pancreatic Cancer Action Network and AACR Invite Applications for 2016 Research Grants

The American Association for Cancer Research (AACR) and the Pancreatic Cancer Action Network announced the opening of the 2016 Research Grants Program to support early-career investigators to focus on pancreatic cancer. Two grant mechanisms, the Pathway to Leadership Grant and the Career...

issues in oncology
skin cancer
issues in oncology

New Genetic Mutation Leading to Protein Repression Identified in Melanoma Cancer Cells

There is strong evidence that the protein complex APC/C may function as a tumor suppressor in multiple cancers including lymphoma, colorectal cancer, breast cancer, and now, melanoma. A new study has revealed that a genetic mutation leading to repression of a specific protein, Cdh1, which interacts ...

breast cancer

Prophylactic Surgery Rates Rise in Men With Breast Cancer

The number of men with breast cancer who undergo surgery to remove the unaffected breast has risen sharply, according to a new report by the American Cancer Society and Dana-Farber Cancer Institute researchers. The report, published by Jemal et al in JAMA Surgery, is the first to identify the...

colorectal cancer
issues in oncology

Study Finds Racial Differences in BRAF/KRAS Mutation and Disease-Free Survival in Patients With Stage III Colon Cancer

In a study reported in the Journal of the National Cancer Institute, Yoon et al found that among patients with stage III colon cancer in the Alliance N0147 trial, Asians had the lowest rate of BRAF/KRAS mutations and longer disease-free survival vs whites among patients with N2 disease and that...

issues in oncology
gynecologic cancers
issues in oncology

Study Explores Link Between MAPK Pathway Alteration and Long-Term Response to MEK Inhibitor in Serous Ovarian Cancer

In a study reported in the Journal of Clinical Oncology, Grisham et al identified a novel alteration in the MAP2K1 gene encoding for MEK1 that appeared to explain a complete response ongoing for more than 5 years in a patient treated with the MEK inhibitor selumetinib for metastatic low-grade...

breast cancer
survivorship

Group-Based Behavioral Weight Loss Intervention Successful in Overweight/Obese Breast Cancer Survivors

Obesity increases the risk for overall and breast cancer mortality and comorbidity. As reported in the Journal of Clinical Oncology by Rock et al, the Exercise and Nutrition to Enhance Recovery and Good Health for You (ENERGY) study has shown that a group-based behavioral intervention can produce...

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