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issues in oncology

Study Finds Prior Authorization Costs Academic Radiation Oncology Clinics More Than $40 Million Every Year

The time required to secure prior authorization approvals for radiation therapy equates to a financial impact of more than $40 million annually for academic medical centers, according to a new study presented by Bingham et al at the 2021 American Society for Radiation Oncology (ASTRO) Annual...

Expert Point of View: Arjun Gupta, MBBS

Moderator of the session on oncology drug pricing, Arjun Gupta, MBBS, Assistant Professor of Medicine at the University of Minnesota Medical School, observed that generics alone may be insufficient to slow the astronomical rise of drug prices. “The general thinking has always been that generics...

breast cancer
lung cancer
issues in oncology

ACCURE Trial Aims to Eliminate Disparities in Survival in Black and White Patients With Early-Stage Lung and Breast Cancers

A study presented by Manning et al at the 2021 American Society for Radiation Oncology (ASTRO) Annual Meeting (Abstract 53) showed that interventions to help Black patients overcome obstacles to completion of treatment can impact disparities in survival outcomes between Black and White patients...

cost of care

Is Precision Oncology an Unsustainable Promise?

Despite the promise of precision oncology, the cost-effectiveness of targeted treatments remains open to debate. According to Aakash Desai, MD, MPH, there is an urgent need for drug-pricing reform, given the average expenditure of Medicare Part D. An analysis of the Medicare database presented...

prostate cancer

22-Gene Classifier Score May Allow for Personalization of Therapy in Patients With High-Risk Prostate Cancer

A 22-gene genomic classifier (the Decipher score) may be able to predict the course of disease in men with high-risk prostate cancer, according to a patient-level meta-analysis of three randomized clinical trials presented by Paul L. Nguyen, MD, at the 2021 American Society for Radiation Oncology...

issues in oncology

Study Examines Relationship Between Risk of Cancer and Age of Smoking Initiation/Cessation

Data from a new study showed that those who started to smoke at earlier ages have an elevated likelihood of dying from cancer. Those who began at the youngest ages (before age 10 years) had four times the cancer mortality rates in adulthood than those who had never smoked. However, individuals who...

kidney cancer

Is Cabozantinib Active in Treating Brain Metastases From Renal Cell Carcinoma?

In a retrospective cohort study reported in JAMA Oncology, Hirsch et al found that cabozantinib showed substantial activity in treating brain metastases in patients with renal cell carcinoma. As stated by the investigators, “Patients with brain metastases from renal cell carcinoma have been...

multiple myeloma

Melphalan Flufenamide Withdrawn From the U.S. Market

On October 22, Oncopeptides announced its decision to withdraw melphalan flufenamide (Pepaxto), a first-in-class peptide-drug conjugate, from the market in the United States, following results from the phase III OCEAN study in patients with relapsed or refractory multiple myeloma. The decision to...

lung cancer

Having Stage IV Lung Cancer Has Refocused My Life

The first indication I had stage IV lung cancer was a persistent cough during the beginning of the cold-and-flu season in the fall of 2013. I was 35 years old, never smoked, and in otherwise excellent health, so I ignored the cough for several months until I noticed my breathing had also become...

Clayton Dunklin Pruett, Business Professional, ASCO Member, Dies at Age 86

The delivery of high-quality cancer care relies on a vast network of dedicated experts, some of whom work assiduously behind the scenes, building and modernizing the very architecture on which the cancer community operates. One such person was Clayton Dunklin Pruett, an engineer by training, who...

MD Anderson and Siemens Healthineers Collaborate to Enable Consistent Clinical Implementation of Quantitative MRI

The University of Texas MD Anderson Cancer Center and Siemens Healthineers recently announced the collaborative development of a global education program focused on enabling the implementation of consistent, high-quality magnetic resonance imaging (MRI) in radiation oncology. The program will...

lymphoma

Zanubrutinib for Relapsed or Refractory Marginal Zone Lymphoma

On September 14, 2021, the Bruton’s tyrosine kinase inhibitor zanubrutinib was granted accelerated approval for adults with relapsed or refractory marginal zone lymphoma (MZL) who have had at least one prior anti-CD20–based regimen.1 Supporting Efficacy Data  Approval was based on findings in the...

MSK Launches New Center to Expand Commitment to Meeting the Unique Needs of Adolescents and Young Adults With Cancer

Although overall cancer cases are declining, they are on the rise in older adolescents and young adults (AYAs). Memorial Sloan Kettering Cancer Center (MSK) recently announced the establishment of the Lisa and Scott Stuart Center for Adolescent and Young Adult Cancers (the Stuart Center), expanding ...

integrative oncology

Acupuncture vs Cognitive Behavioral Therapy for Cognitive Function in Cancer Survivors With Insomnia

Guest Editor’s Note: Cancer-related cognitive difficulties, experienced by many cancer survivors, include perceived or objective deficits in memory, attention, and concentration, which can negatively impact quality of life. Given the important role that healthful sleep plays in cognitive processes, ...

colorectal cancer

FDA Expands Cetuximab Label for Encorafenib Combination in BRAF V600E Mutation–Positive Metastatic Colorectal Cancer

The U.S. Food and Drug Administration (FDA) has granted approval of a new indication for the EGFR inhibitor cetuximab (Erbitux) in combination with encorafenib (Braftovi) for the treatment of adults with metastatic colorectal cancer and a BRAF V600E mutation, as detected by an FDA-approved test,...

cardio-oncology

Cardio-oncology

The ASCO Post is pleased to reproduce installments of the Art of Oncology as published previously in the Journal of Clinical Oncology. These articles focus on the experience of suffering from cancer or of caring for people diagnosed with cancer, and they include narratives, topical essays,...

MD Anderson and BostonGene Announce Strategic Alliance to Advance Personalized Cancer Diagnostics and Treatments

The University of Texas MD Anderson Cancer Center and BostonGene Corporation recently announced a strategic alliance to advance the development and clinical integration of multiplatform biomarker signatures. Expands Upon Existing Collaborations The alliance brings together BostonGene’s innovative...

breast cancer
global cancer care

Urbanization in Bangladesh: The Prevalence of Breast Cancer Brings Unique Challenges

The number of deaths related to breast cancer are increasing at an alarming pace worldwide. According to a World Health Organization (WHO) 2020 report, approximately 2,088,849 new cases and 627,000 deaths related to breast cancer occurred in 2018.1 More than 55% of these deaths occurred in low- to ...

issues in oncology

Extended Open Enrollment, Special Enrollment Periods Finalized for Some Insurance Exchanges, Increasing Access to Cancer Care

On September 17, 2021, the Centers for Medicare & Medicaid Services (CMS) finalized a rule that could increase access to cancer care through an extended open enrollment period and monthly special enrollment periods for federally facilitated health insurance exchanges and state-based exchanges...

Memorial Sloan Kettering Cancer Center Announces New Early-Career Physician Research Program in Cancer Science

Memorial Sloan Kettering Cancer Center (MSK) recently announced a $25 million gift from Louis V. Gerstner, Jr, to create the Louis V. Gerstner, Jr Physician Scholars Program. Designed to support the innovative research of physician-scientists who are early in their career at MSK, the program will...

lung cancer
genomics/genetics

Mobocertinib for Previously Treated Advanced NSCLC With EGFR Exon 20 Insertion Mutations

On September 15, 2021, the kinase inhibitor mobocertinib was granted accelerated approval by the U.S. Food and Drug Administration (FDA) for adults with locally advanced or metastatic non–small cell lung cancer (NSCLC) with EGFR exon 20 insertion mutations, as detected by an FDA-approved test,...

An Atypical Road to a Career in Medicine and Leading a Cancer Center for Robert A. Winn, MD

In this installment of the Living a Full Life series, guest editor Jame Abraham, MD, spoke with Robert A. Winn, MD, Director of VCU Massey Cancer Center, Richmond, Virginia. In 2020, he became the first Black physician to lead a National Cancer Institute–designated cancer center. Among other...

Cleveland Clinic Launches Center for Young-Onset Colorectal Cancer

According to the National Cancer Institute, cases of colorectal cancer in patients younger than age 50 have grown by more than 50% since the 1990s. Cleveland Clinic has addressed this trend with the establishment of a center focused on the diagnosis, care, and research of young-onset colorectal...

symptom management

Ruxolitinib for Chronic Graft-vs-Host Disease After Failure of Systemic Therapy

On September 22, 2021, ruxolitinib, a tyrosine kinase inhibitor of JAK1 and JAK2 was granted approval for treatment of chronic graft-vs-host disease after failure of one or two lines of systemic therapy in adult and pediatric patients aged ≥ 12 years.1 Supporting Efficacy Data Approval was...

issues in oncology

Advance Care Planning Is Crucial Component of Cancer Care

ASCO’s Coverage and Reimbursement Steering Group presented a poster on utilization of advance care planning (ACP) services at the ASCO Quality Care Symposium. The poster examined whether Current Procedural Terminology (CPT®) codes for ACP services are regularly utilized by hematology and oncology...

issues in oncology

JCO OP Special Series: Disparities in Cancer Care for Hispanic-Latinx People

JCO Oncology Practice is now accepting manuscripts for a special issue on disparities in cancer care for Hispanic-Latinx people. Submit your manuscript today at https://www.editorialmanager.com/op-ascopubs/default.aspx Guest Editors Miguel Villalona-Calero, MD; Gilberto Lopes, MD, MBA; Narjust...

leukemia

Noninferior Progression-Free Survival and Reduced Cardiovascular Toxicity With Acalabrutinib vs Ibrutinib in Previously Treated CLL

As reported in the Journal of Clinical Oncology by John C. Byrd, MD, of The Ohio State University Comprehensive Cancer Center, and colleagues, the phase III ELEVATE-RR trial has shown noninferior progression-free survival with the more-selective Bruton’s tyrosine kinase (BTK) inhibitor...

Caroline Chung, MD, Named MD Anderson’s First Chief Data Officer

The University of Texas MD Anderson Cancer Center recently appointed Caroline Chung, MD, Associate Professor of Radiation Oncology and Diagnostic Radiology, the new Vice President and Chief Data Officer (CDO). As the institution’s first-ever CDO, Dr. Chung will be responsible for shaping MD...

global cancer care

Cancer on the Global Stage: Incidence and Cancer-Related Mortality in Bhutan

Located in the Eastern Himalayas, Bhutan is a landlocked, lower–middle-income country bordered by China and India. With a population of more than 850,000 people, Bhutan is predominately made up of three ethnic groups—the largest group is the Bhutia (also called Ngalop), followed by the Nepalese...

thyroid cancer

Cabozantinib for Previously Treated Advanced Differentiated Thyroid Cancer

On September 17, 2021, cabozantinib was approved for adult and pediatric patients aged ≥ 12 years with locally advanced or metastatic differentiated thyroid cancer progressing after ­VEGFR-targeted therapy and who are ineligible or refractory to radioactive iodine.1 Cabozantinib inhibits the...

issues in oncology

Urge Congress to Avoid Shutdown, Increase Funding for Cancer Research in Fiscal Year 2022

ASCO is calling on Congress to continue its bipartisan support of federally funded research. Robust, sustained, and predictable funding growth for the National Institutes of Health (NIH) and the National Cancer Institute (NCI) baseline budgets is critical in advancing our nation’s work toward...

issues in oncology
cost of care
cardio-oncology

Financial Impact of Cardiovascular Disease and Cancer Care: Overlapping Toxicities

The leading causes of mortality in the United States are cardiovascular disease (23%) and cancer (21%), accounting for more than 40% of total deaths reported.1,2 The increasing rise in health-care expenditures over the past several decades has driven the need for metrics to further evaluate the...

gynecologic cancers

Tisotumab Vedotin-tftv in Recurrent or Metastatic Cervical Cancer

On September 20, 2021, tisotumab vedotin-tftv, a tissue factor-directed antibody and microtubule inhibitor conjugate, was granted accelerated approval for the treatment of adults with recurrent or metastatic cervical cancer who have had disease progression on or after chemotherapy.1 Supporting...

issues in oncology
cost of care

Financial Toxicity Associated With Atherosclerotic Cardiovascular Disease, Cancer, and Both in U.S. Adult Patients

In a study of National Health Interview Survey (NHIS) data reported in JACC: CardioOncology, Javier Valero-Elizondo, MD, MPH, of Houston Methodist DeBakey Heart and Vascular Center, and colleagues, found that U.S. adult patients aged 18 to < 65 years with atherosclerotic cardiovascular disease...

Expert Point of View: Bruna Pellini, MD

Study discussant Bruna Pellini, MD, of the Department of Thoracic Oncology, Moffitt Cancer Center, Florida, noted that, regardless of PD-L1 or tumor mutation burden status, the NADIM trial demonstrated improved progression-free and overall survival for patients with resectable, stage IIIA non–small ...

lung cancer

Pretreatment Levels of Circulating Tumor DNA May Predict Long-Term Survival in NSCLC

Pretreatment circulating tumor DNA (ctDNA) levels in patients with non–small cell lung cancer (NSCLC) appear to be a more accurate predictor of long-term survival than classic survival surrogates, according to research presented during the International Association for the Study of Lung Cancer...

Expert Point of View: Julie Brahmer, MD, MSc, FASCO

Discussant of the POSEIDON trial, Julie Brahmer, MD, MSc, FASCO, Co-Director of the Upper Aerodigestive Department within the Bloomberg~Kimmel Institute for Cancer Immunotherapy at Johns Hopkins Medicine, applauded the numerous treatment choices now available to patients with metastatic non–small...

lung cancer

POSEIDON Trial: Dual Checkpoint Blockade Plus Chemotherapy Improves Survival in First-Line Metastatic NSCLC

The combination of dual checkpoint inhibition plus chemotherapy could be the new standard of care in first-line metastatic non–small cell lung cancer (NSCLC), according to data presented during the International Association for the Study of Lung Cancer (IASLC) 2021 World Conference on Lung Cancer.1 ...

Expert Point of View: Heather A. Wakelee, MD, FASCO, and Erika Hlavacek

Heather A. Wakelee, MD, FASCO, President of the International Association for the Study of Lung Cancer (IASLC), who moderated a press briefing where the results of the Atezo-Brain trial were presented, called the study “beautiful work designed specifically” for patients with non–small cell lung...

lung cancer

Phase II Trial Finds Atezolizumab of Benefit in Patients With Lung Cancer and Brain Metastases

Patients with non–small cell lung cancer (NSCLC) and brain metastasis derived significant benefit from treatment with the monoclonal antibody atezolizumab plus chemotherapy, according to the multicenter phase II Atezo-Brain trial.1 The study was presented at the International Association for the...

MSK Announces Appointment of Deb Schrag, MD, FASCO, MPH, as Chair of the Department of Medicine

Deb Schrag, MD, FASCO, MPH, has been named the new Chair of the Department of Medicine at Memorial Sloan Kettering Cancer Center (MSK). Dr. Schrag has a deep familiarity with MSK, having previously spent 8 years at the institution as a physician and faculty member. She joins MSK from the...

Expert Point of View: J. Kellogg Parsons, MD, MHS, FACS

“Population-based screening for prostate cancer reduces prostate cancer mortality,” noted J. Kellogg Parsons, MD, MHS, FACS, Professor of Urology, UC San Diego Health, who commented on the study. “Effective screening programs focus on the early detection of aggressive but curable tumors, minimize...

IASLC Presents WCLC 2021 Lectureship Awards to International Array of Lung Cancer Researchers

The International association for the Study of Lung Cancer (IASLC), at its 2021 World Conference on Lung Cancer (WCLC), presented awards to clinicians and researchers who made significant contributions to the treatment of patients with lung cancer. The awards represent many major categories of lung ...

IASLC Names Kristin Richeimer, CAE, DES, Interim Chief Executive Officer

The Board of Directors of the International Association for the Study of Lung Cancer (IASLC) has announced the appointment of Kristin Richeimer, CAE, DES, to the position of Interim Chief Executive Officer (CEO). Ms. Richeimer joined the IASLC in 2010 as its first Director of Membership and brings ...

Michael Diaz, MD, Named President and Managing Physician at Florida Cancer Specialists & Research Institute

Florida Cancer Specialists & Research Institute (FCS) recently appointed Michael Diaz, MD, to the position of President and Managing Physician, effective January 1, 2022. Dr. Diaz succeeds Lucio Gordan, MD, who has served in that position since 2018. Dr. Gordan will continue to practice as a...

Expert Point of View: Eleni Efstathiou, MD

Invited discussant Eleni Efstathiou, MD, of Houston Methodist Cancer Center and Athens Medical Center, Greece, said that both the STAMPEDE meta-analysis1 and the PEACE-1 trial2 firmly establish the importance of introducing abiraterone acetate earlier in the course of treatment. “The STAMPEDE...

breast cancer

Katherine E. Reeder-Hayes, MD, MBA, on Geography, Breast Cancer Treatment, and Racial Disparities

Katherine E. Reeder-Hayes, MD, MBA, of the University of North Carolina at Chapel Hill, discusses the timeliness of breast cancer care for Black women compared with non-Black women in North Carolina. Her data showed that greater geographic variation exists in the timeliness of breast cancer care...

issues in oncology
cost of care

Aakash Desai, MPH, MD, on the Precision Oncology Promise: Can We Deliver?

Aakash Desai, MPH, MD, of the Mayo Clinic in Rochester, Minnesota, talks about the urgent need for drug pricing reform, given the average expenditure of Medicare part D, and the ultimate out-of-pocket costs for patients with cancer. The promise of precision oncology will fail, says Dr. Desai, if we ...

issues in oncology

Jenny Jing Xiang, MD, on Improving Clinical Trial Recruitment With a Universal Prescreening Protocol

Jenny Jing Xiang, MD, of Yale University School of Medicine, discusses a universal, standardized clinical trial prescreening protocol, which streamlined research recruitment and was associated with yearly increases in patient enrollment at the Veterans Administration (VA) Connecticut Cancer Center. ...

prostate cancer

STAMPEDE: In Nonmetastatic Castration-Sensitive Prostate Cancer, Abiraterone Added to Androgen-Deprivation Therapy Improves Survival

The addition of 2 years of abiraterone acetate plus prednisolone (AAP) to androgen-deprivation therapy improves metastasis-free survival and overall survival compared with androgen-deprivation therapy alone in men with nonmetastatic castration-sensitive prostate cancer, according to a primary...

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