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issues in oncology

For Medicaid-Insured Patients With Cancer, Health Insurance Does Not Always Mean Health-Care Access

Although there has been a significant increase in the number of U.S. residents insured through Medicaid since the Patient Protection and Affordable Care Act was signed into law in March 2010, the ability of Medicaid-insured patients to access cancer care services has not been well understood. In a...

issues in oncology

Study Examines Quality-of-Life Outcomes Among Patients Participating in Phase III Randomized Trials of Cancer Drugs

In an analysis that evaluated the outcomes of anticancer drug studies in the advanced disease setting with regard to patient quality of life (QOL), improved QOL outcomes were associated with improved overall survival but not with improved progression-free survival. Almost half of the studies that...

issues in oncology

Research Examines Which Demographic Is Most Likely to Use Medical Aid in Dying

Researchers analyzed data from each of the 5,329 patients across the United States who used medical aid in dying in the 23 years after Oregon became the first state to legalize the practice (in 1997) and found one demographic dominates the group: well-educated, White patients with cancer. These...

cns cancers
genomics/genetics

Deciphering the Elusive Origin and Pathways of Brain Metastases

The effective treatment of patients with brain metastases is an unmet need because, until fairly recently, patients with brain metastases were excluded from clinical trials of systemic therapies. However, the emergence of molecular targeted therapies has allowed a new treatment approach in patients ...

ASCO 2022: Conversations in Genitourinary Oncology

In this episode, we’re featuring two conversations from leaders in the field of genitourinary oncology. These discussions go over long-term findings in prostate cancer and urothelial carcinoma and were both presented at the 2022 ASCO Annual Meeting.

cns cancers

New Antibody Therapy Shows Activity in Patients With Medulloblastoma

Effective and safe treatments are needed for medulloblastoma—the most common type of cancerous brain tumor in children—especially for patients whose cancer has spread to the spinal cord. A recent phase I clinical trial has generated promising results for a new blocking antibody therapy that targets ...

issues in oncology

New Report Underscores Importance of Health Insurance Status and Cancer Stage at Diagnosis in Relation to Patient Survival

A new report published by Jingxuan Zhao, MPH, and colleagues in CA: A Cancer Journal for Clinicians showed that individuals without health insurance coverage were significantly more likely to be diagnosed with late-stage cancer and have worse survival rates after cancer diagnosis compared to...

solid tumors

FDA Approves Crizotinib for ALK-Positive Inflammatory Myofibroblastic Tumors

On July 14, 2022, the U.S. Food and Drug Administration (FDA) approved crizotinib (Xalkori) for adult and pediatric patients aged 1 year and older with unresectable, recurrent, or refractory inflammatory anaplastic lymphoma kinase (ALK)-positive myofibroblastic tumors. Two Trials The safety and...

prostate cancer

Expert Point of View: Susan Slovin, MD, PhD

Invited discussant Susan Slovin, MD, PhD, of Memorial Sloan Kettering Cancer Center, New York, pointed out there are no relevant serum biomarkers for disease progression and the challenges of interpreting response in metastatic castration-resistant prostate cancer. “We should have more definitive...

prostate cancer

LuPSMA Improves Progression-Free Survival vs Cabazitaxel in PSMA-Positive Metastatic Castration-Resistant Prostate Cancer

Lutetium-177–labeled PSMA-617 (LuPSMA; lutetium Lu 177 vipivotide tetraxetan) achieved longer progression-free survival with fewer toxicities compared with cabazitaxel in patients with prostate-specific membrane antigen (PSMA)-positive metastatic castration-resistant prostate cancer whose disease...

covid-19

FDA Authorizes Emergency Use of Novavax COVID-19 Vaccine, Adjuvanted

On July 13, the U.S. Food and Drug Administration (FDA) issued an emergency use authorization (EUA) for the Novavax COVID-19 vaccine, adjuvanted, for the prevention of COVID-19 caused by SARS–CoV-2 in individuals aged 18 years and older.  “Authorizing an additional COVID-19 vaccine expands the...

global cancer care
covid-19

Study Reveals Cancer Screening Decreased Worldwide During Height of COVID-19 Pandemic

A study that surveyed cancer screening data included in medical journals worldwide from January 2020 into December 2021 showed significant decreases in the number of screenings for breast, colorectal, and cervical cancers during the early phase of the COVID-19 pandemic. The findings of the study,...

President Biden Appoints Cancer Panel Members, and Cancer Cabinet Unveils Priority Actions

On July 13, President Joe Biden announced his intent to appoint Mitchel Berger, MD; Carol Brown, MD; and Elizabeth M. Jaffee, MD, to the President’s Cancer Panel. The three are distinguished members of the scientific, research, and public health communities appointed by the President to advise him...

Expert Point of View: Madhav V. Dhodapkar, MBBS

“BCMA-targeting bispecific antibodies work, showing impressive single-agent activity in heavily pretreated multiple myeloma. This class of agents is likely to become an important component of future antimyeloma therapies, but we must learn how to optimally use them,” said Madhav V. Dhodapkar,...

multiple myeloma

Responses to Teclistamab Reported in Early-Phase Trial of Highly Refractory Multiple Myeloma

In patients with multiple myeloma exposed or refractory to three standard therapies, treatment with the bispecific antibody teclistamab produced strong and durable responses in the phase I/II MajesTEC-1 study.1 The results of weekly subcutaneous dosing of teclistamab in 165 patients were presented...

gynecologic cancers

Bradley J. Monk, MD, on Ovarian Cancer: New Data on Rucaparib Monotherapy vs Placebo as Maintenance Treatment

Bradley J. Monk, MD, of the University of Arizona College of Medicine and Creighton University School of Medicine, discusses phase III findings from the ATHENA–MONO (GOG-3020/ENGOT-ov45) trial. It showed that rucaparib as first-line maintenance treatment, following first-line platinum-based...

lymphoma
immunotherapy

Michael Dickinson, MBBS, on DLBCL: Phase II Expansion Results on Glofitamab

Michael Dickinson, MBBS, of the Peter MacCallum Cancer Centre, the Royal Melbourne Hospital, and The University of Melbourne, discusses new data, which showed that fixed-duration glofitamab induces durable complete remissions with a favorable safety profile in patients with or refractory diffuse...

geriatric oncology
cardio-oncology

Geriatrics Experts Explore Relationship Between Heart Disease and Cancer

Experts’ discussions and recommendations addressing the interface between cancer and heart disease were published by Supriya Mohile, MD, MS, and colleagues in the Journal of the American Geriatrics Society, summarizing sessions from a virtual bench-to-bedside conference hosted by the American...

lung cancer

Poziotinib Shows Activity in EGFR Exon 20–Mutant NSCLC, With Efficacy Dependent on Insertion Location

A phase II clinical trial of poziotinib for patients with non–small cell lung cancer (NSCLC) and epidermal growth factor receptor (EGFR) exon 20 mutations found the drug had significant antitumor activity and the efficacy was highly dependent on the location of the exon 20 loop insertion, which may ...

skin cancer

New Gene-Profiling Technology Reveals Potential Melanoma Biomarkers

Diagnosing melanoma clinically and under the microscope can be complicated by the presence of melanocytic nevi, otherwise known as birthmarks or moles that are noncancerous. The development of melanoma is a multistep process, where melanocytes mutate and proliferate. Properly identifying melanoma...

lung cancer

CLN-081 Shows Selective Activity in NSCLC With EGFR Exon 20 Insertions

CLN-081, a novel agent targeted to non–small cell lung cancer (NSCLC) cells harboring epidermal growth factor receptor (EGFR) exon 20 insertion mutations—ie, the addition of nucleotide base pairs in exon 20 of the EGFR gene, a known oncogenic driver event—holds promise, according to the results of...

prostate cancer

EAU22: Trial Shows New Imaging Technology May Be Less Accurate Than MRI in Detecting Prostate Cancer

A team of researchers in Australia and New Zealand reported that magnetic resonance imaging (MRI) scans may be able to detect prostate cancer more accurately than the newer, prostate-specific membrane antigen (PSMA) positron-emission tomography/computed tomography (PET/CT) scanning technique. The...

bladder cancer
immunotherapy

EAU22: ctDNA May Help to Predict Response to Atezolizumab in Patients With Bladder Cancer

Researchers who treated a group of patients with bladder cancer with the immunotherapy atezolizumab after they had undergone surgery have found that patients whose blood contained circulating tumor DNA (ctDNA) responded very well to the treatment. The study was presented at the European Association ...

Former NCI Director Takes Stock of His Accomplishments and Looks Ahead to the Next Challenge

After nearly 5 years as Director of the National Cancer Institute (NCI), interrupted by 7 months as Acting Commissioner for the U.S. Food and Drug Administration (FDA), Norman E. “Ned” Sharpless, MD, left his position on April 29 to concentrate on his family and contemplate his next career choice....

issues in oncology

History of Radiation Oncology in the United States

Part 1 of this two-part report described the beginnings of radiation oncology in the United States, including many of the field’s early pioneers and the rise of associated professional societies. In part 2, we will consider the advances in technology and biology that are the foundation of modern...

ASCO’s CancerLinQ and HealthVerity Collaborate to Accelerate Cancer Research

On June 8, 2022, CancerLinQLLC, a wholly owned nonprofit subsidiary of ASCO, and HealthVerity, Inc., announced a collaboration that will create the nation’s premier real-world oncology data ecosystem to advance cancer care and research for government and public health agencies. The collaboration...

skin cancer

ASCO Guideline Update for Systemic Melanoma Therapy Addresses New Treatment Option for Uveal Melanoma

A rapid update to the ASCO guideline on systemic therapy for melanoma adds a new recommendation for the treatment of patients with metastatic uveal melanoma.1 The update follows the January 2022 U.S. Food and Drug Administration (FDA) approval of tebentafusp-tebn for patients with previously...

breast cancer

ASCO Guideline Update Aims to Improve Patient Outcomes for HER2-Positive Breast Cancer With Brain Metastases

Rapid developments over the past decade in the treatment of patients with advanced HER2-positive breast cancer may lead to better outcomes and improved quality of life for patients with brain metastases, according to findings incorporated into a new ASCO guideline update.1 “The difference this...

Mount Sinai Researcher Receives Award From the American Association of Indian Scientists in Cancer Research

Nina Bhardwaj, MD, PhD, Director of Immunotherapy at The Tisch Cancer Institute at Mount Sinai, has received the 2022 Lifetime Achievement in Cancer Research award from the American Association of Indian Scientists in Cancer Research ­(AAISCR). Dr. Bhardwaj is also Medical Director of the Vaccine...

multiple myeloma
immunotherapy

CAR T-Cell Therapy Gave Me Back a High-Quality Life

A radiologist by training, I knew the minute I saw the results from my chest x-ray that I had multiple myeloma. In 2015, I was semiretired and had just taken up the game of golf. After making a big swing at the ball, I instantly felt pain in my ribs and thought I had either pulled an intercostal...

issues in oncology

Cautious Optimism About Mining for Patient-Centric Data

“If we have data, let’s look at it. If all we have are opinions, let’s go with mine.” —James Barksdale  In this issue of The ASCO Post, Daniel Vorobiof, MD, and Irad Deutsch, principles at Belong.Life, a patient-oriented website whose self-described mission is to improve patient quality of life and ...

issues in oncology

Shaping the Future of Cancer Care: The Value of Managing Aggregated Data From Patients’ Online Communities

In 2021, more than 1.9 million people in the United States were estimated to be diagnosed with cancer, and that number continues to increase yearly. Medical research is critical in prolonging survival and improving the quantity and quality of life of patients. Cancer research is one of the most...

New Hematology Chief and Director of the Wesley Center for Immunotherapy Named for UH Seidman Cancer Center

A prominent oncologist with an international reputation for cancer research will lead the new Wesley Center for Immunotherapy at University Hospitals (UH) Seidman Cancer Center as well as the Division of Hematology. Koen van Besien, MD, PhD, comes to UH Seidman Cancer Center from New...

ASTRO Welcomes New Vice President of Education and Director of Diversity, Equity, and Inclusion

The American Society for Radiation Oncology (ASTRO) recently hired Chris Neumann as its new Vice President of Learning and Education, and Kirsta Suggs as its first Director of Diversity, Equity, and Inclusion (DEI). ASTRO is the world’s largest radiation oncology society, with nearly 10,000 members ...

FDA Launches Campaign Aimed at Preventing E-Cigarette Use Among American Indian/Alaska Native Youth

The U.S. Food and Drug Administration (FDA) recently announced the launch of the “Next Legends” Youth E-cigarette Prevention Campaign as part of the agency’s ongoing efforts to protect youth from the dangers of tobacco use. The campaign will educate American Indian/Alaska Native (AI/AN) youth, ages ...

colorectal cancer

Circulating Tumor DNA–Guided Approach to Treating Stage II Colon Cancer

The use of postoperative circulating tumor DNA (ctDNA) in stage II colon cancer spared many patients the need for adjuvant chemotherapy without compromising recurrence-free survival, according to the phase II DYNAMIC study.1 “The strategy of using ctDNA results to inform treatment almost halved...

Thomas Stricker, MD, Joins OneOncology as Medical Director for Precision Medicine

OneOncology, headquartered in Nashville, recently appointed Thomas Stricker, MD, as Medical Director for Precision Medicine. Dr. Stricker will work with partner practices to create workflows that reduce physicians’ burden of genomic test ordering and interpretation, allowing more time for...

Dana-Farber Cancer Institute and L’Institut Servier, of Gustave Roussy, Sign an Oncology Cooperation Agreement

L’Institut Servier, Gustave Roussy, in Villejuif, France, and Dana-Farber Cancer Institute, Boston, have signed a cooperation agreement to foster exchange and develop bilateral collaboration among researchers from these two renowned oncology centers. The 2-year agreement includes the organization...

Jeffrey M. Rosen, PhD, Honored With 2022 William L. McGuire Memorial Lecture Award

Jeffrey M. Rosen, PhD, will receive the William L. McGuire Memorial Lecture Award at the 2022 San Antonio Breast Cancer Symposium (SABCS), to be held December 6–10, 2022. The award was established in 1992 to commemorate Dr. McGuire’s significant contributions to breast oncology. Dr. McGuire, along ...

Francesca M. Gany, MD, MS, Receives Excellence in Health Care Award From United Hospital Fund

Francesca M. Gany, MD, MS, Chief of the Immigrant Health and Cancer Disparities Service at Memorial Sloan Kettering Cancer Center in New York, was awarded a 2022 Excellence in Health Care Award by the United Hospital Fund. The award was established in 2019 to honor extraordinary personal...

issues in oncology

ASH Statement on Diversity, Equity, and Inclusion Toolkit

The American Society of Hematology (ASH) recently announced its recognition and appreciation of Pride Month by highlighting the latest addition to the LGBTQIA+ [(lesbian, gay, bisexual, transgender, queer/questioning, intersex, asexual/agender/ally] section of ASH’s Diversity, Equity, and Inclusion ...

Cleveland Clinic Appoints Alex A. Adjei, MD, PhD, as Chair of Taussig Cancer Institute

Alex A. Adjei, MD, PhD, is the new Chair of Cleveland Clinic Taussig Cancer Institute. Previously, he served as Consultant in Oncology, Professor of Oncology and Professor of Pharmacology at Mayo Clinic and Mayo Clinic College of Medicine and Science in Rochester, Minnesota. Dr. Adjei also oversaw ...

issues in oncology

Death and Clinical Trials in the Plague Years

“Everybody knows that pestilences have a way of recurring in the world; yet somehow, we find it hard to believe in ones that crash down on our heads from a blue sky. There have been as many plagues as wars in history; yet always plagues and wars take people equally by surprise.” —Albert Camus, The...

sarcoma

First Randomized Chemotherapy Study in Relapsed or Refractory Ewing Sarcoma Reports Modest Gains in Survival With High-Dose Ifosfamide

High-dose ifosfamide extended event-free and overall survival in patients with recurrent or primary refractory Ewing sarcoma compared with other commonly used chemotherapy regimens, according to the results of a randomized trial reported at the 2022 ASCO Annual Meeting by lead author Martin...

ASCO 2022: Plenary Presentation in Colorectal Cancer

In this episode, we continue to highlight research presented at the 2022 ASCO Annual Meeting. We’ll first hear a discussion between two researchers on Plenary Abstract LBA1, which may establish a standard first-line combination regimen for patients with RAS wild-type and left-sided metastatic...

head and neck cancer

Study Finds Black and Hispanic Men With Throat Cancer Are Experiencing Higher Mortality; White Men Are Increasingly Being Diagnosed at a Late Stage

Hispanic and Black men are dying from human papillomavirus (HPV)-associated throat cancer at a higher rate than White men, and most new cases being diagnosed in non-Hispanic White men are late-stage disease, according to a new study published by Villalona et al in the Annals of Cancer ...

Expert Point of View: Amir Fathi, MD

Amir Fathi, MD, Associate Professor of Medicine, Harvard Medical School, and Program Director, Center for Leukemia at Massachusetts General Hospital, called the phase III data on quizartinib “compelling” and noted some potential advantages over the first-generation FLT3 inhibitor midostaurin. “The ...

Expert Point of View: Christina Wu, MD

Christina Wu, MD, a gastrointestinal oncologist at the Mayo Clinic in Arizona, emphasized the importance of the IMPROVE study in a Highlights of the Day Session at the 2022 ASCO Annual Meeting. She said the results are not only clinically relevant but practice-changing, and they are in line with...

colorectal cancer

Intermittent FOLFIRI Plus Panitumumab Proves More Effective, Less Toxic Than Continuous Treatment in Metastatic Colorectal Cancer

In patients with RAS/BRAF wild-type metastatic colorectal cancer, FOLFIRI (fluorouracil, leucovorin, irinotecan) plus panitumumab can be given intermittently rather than continuously, without compromising outcomes, according to the results of the IMPROVE study presented at the 2022 ASCO Annual...

issues in oncology

New Study: Patients Report Increased Likelihood to Enroll in Decentralized Clinical Trials

A new article published by Adams et al in JAMA Network Open details the potential benefits of using technology to increase patient participation in cancer clinical trials. In a survey of nearly 1,200 patients with cancer and survivors, more than 80% said they would be willing to use remote...

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