Articles

Recruiting adults with cancer to take part in clinical trials is an ongoing challenge in the United States, but the growing number of studies for targeted therapeutics and the positive news emerging from these studies might help turn that around. Trials of targeted agents depend heavily on pharmacokinetic and pharmacodynamic testing to assess outcomes, prompting a team of researchers to investigate how willing patients are to undergo various testing procedures in the trial setting.

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Researchers from the National Cancer Institute report that radiation therapy for a first cancer is unlikely to lead to a second cancer diagnosis later in life. The investigative team conducted a retrospective review of data from the Surveillance, Epidemiology, and End Results cancer registry for nearly 650,000 adults who received a cancer diagnosis between 1973 and 2002 and survived at least 5 years. Approximately 50% of patients received radiation, and only 8% of these (n = 3266) developed a second malignancy considered attributable to the therapy (95% confidence interval [CI], 7%-9%). Read More ›

APP Pharmaceuticals has issued a voluntary recall of 5 lots of irinotecan hydrochloride injection (Camptosar) as a precautionary measure. No adverse events related to the recalled products have been reported. The lots recalled: • 870DE00301 • 870CZ00301 • 870DE00101 • 870DE00201 • 870DE00401 Read More ›

Patients with inoperable metastatic melanoma now have another treatment option as ipilimumab becomes the second immunotherapy drug approved by the US Food and Drug Administration (FDA) for the treatment of cancer. Fortunately for clinicians, ipilimumab also has a new, easier-to-pronounce name–Yervoy. Specifically, Yervoy is indicated for patients with unresectable metastatic melanoma that is newly diagnosed or continues to progress despite prior therapy. Read More ›

Despite the US Food and Drug Administration's (FDA) misgivings about the use of bevacizumab (Avastin) in patients with advanced breast cancer, the National Comprehensive Cancer Network (NCCN) has announced that it will continue to include the combination of bevacizumab and paclitaxel in its treatment guidelines for metastatic breast cancer. At the NCCN annual meeting last week, Robert W. Read More ›

A panel of experts convened by the US Food and Drug Administration to evaluate neurological devices recommended approval of the NovoTTF-100A system for pre-market use in patients with recurrent supratentorial glioblastoma multiforme (GBM). After reviewing final data from the phase III EF-11 trial, the 12-member panel returned 7 yes votes and 3 no votes, with 2 abstentions, on the question of whether the device’s benefits outweighed its risks.
 
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Lowering the induction dose of cytarabine to 200-mg/m2 in patients with acute myeloid leukemia (AML) reduced the rate of treatment-related toxicities but was no less effective than an induction dose >1000 mg/ m2 according to a report in the New England Journal of Medicine. Investigators for the phase III multinational study recruited ~860 patients and randomized them 1:1 to an intermediate- or high-dose induction regimen of cytarabine. Read More ›

A new study shows that tamoxifen protects high-risk women against breast cancer for as long as a decade after treatment ends. Joyce Noah-Vanhoucke, PhD, Archimedes Inc., San Francisco, California, and colleagues conducted the meta-analysis and found that using tamoxifen to prevent breast cancer in postmenopausal women aged <55 years was cost-effective and saved lives.
 
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A retrospective analysis of Medicare claims for women with advanced epithelial ovarian cancer (EOC) found that only 39% of patients received optimal therapy as outlined by national treatment guidelines. Data were presented at a plenary session at the annual meeting of the Society of Gynecologic Oncology last week. Discussant Michael Carney, MD, University of Hawaii, Honolulu, described the report as "disappointing, shocking, and sad."
 
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A coalition of healthcare and advocacy groups launched a new Website called “Healthcare and You” last week to help American consumers navigate the ins and outs of the Affordable Care Act. Read More ›

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