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GLG News by Nexavar Prescribers: Oncologists

Donald Fleming, MD, Division Head of Hematology and Oncology
Donald Fleming, MD, Division Head of Hematology and Oncology
Davis Health System, Inc.
Analysis of: Kosan Opens TIME-1 Pivotal Phase 3 Trial in Multiple Myeloma (www.pipelinereview.com)
Tanespimycin is a new class of antineoplastic drugs Tanespimycin has demonstrated additive if not synergistic interaction with Velcade based MM txs Tanespimycin has a desirable iv infusion route of administration ( ROA)
Analysis of: Bad Cancer Tests Drawing Scrutiny (online.wsj.com)
Oncologists rely heavily on hormone and HER-2 status to guide treatment recommendations for women with breast cancer.  If the results of these important tests are incorrect up to 20% of the time, we may be suboptimally treating many breast cancer patients.
Analysis of: Randomized Phase II Study of Gemcitabine Plus Cisplatin, With or Without Cetuximab, As First-Line Therapy for Patients With Advanced or Metastatic Non–Small-Cell Lung Cancer (jco.ascopubs.org)
Medical oncologists have "maxed out" on  chemo combinations in lung cancer.  It is clear that biologic agents need to be incorporated into our treatment regimens in order to move forward. Erbitux is safer and can be used in a broader population of lung cancer patients than Avastin.
Eric Whitman, MD, Medical Director, Office of Grants and Research
Eric Whitman, MD, Medical Director, Office of Grants and Research
Atlantic Health System Inc
Analysis of: ZymoGenetics Begins Phase 2 Clinical Trial of IL-21 in Melanoma (www.pipelinereview.com)
Interleukin-21, or IL-21, is a protein that regulates immunomodulatory cell function. It appears to stimulate the activity of NK cells and cytotoxic T cells, which may be particularly relevant in targeting cancers that more responsive to the immune system, such as melanoma and renal cell carcinoma....
Donald Fleming, MD, Division Head of Hematology and Oncology
Donald Fleming, MD, Division Head of Hematology and Oncology
Davis Health System, Inc.
Analysis of: Merck KGaA and Idera Pharmaceuticals to Collaborate on Development of TLR9 Agonists for Treatment of Cancer (www.pipelinereview.com)
TLR9 Agonists have recently undergone phase III trials to improve outcome in lung cancer when combined with standard chemo TLR9 Agonists represents yet another attempt to demonstrate that the human cancer model is amendable to immunologic intervention
Donald Fleming, MD, Division Head of Hematology and Oncology
Donald Fleming, MD, Division Head of Hematology and Oncology
Davis Health System, Inc.
December 20, 2007
sutent will stay
Analysis of: Targeted cancer drug poses heart risk (www.philly.com)
sutent reports higher cardiac toxcicity than other RCC choices
Donald Fleming, MD, Division Head of Hematology and Oncology
Donald Fleming, MD, Division Head of Hematology and Oncology
Davis Health System, Inc.
Analysis of: Targeted cancer drug poses heart risk (www.philly.com)
sutent has first line data supporting it's use in advanced REnal Cancer Sutent's cardiac problems, mainly CHF, will cause drug to loose market share Other TKI's and biologics of different actions will advance
Donald Fleming, MD, Division Head of Hematology and Oncology
Donald Fleming, MD, Division Head of Hematology and Oncology
Davis Health System, Inc.
Analysis of: F.D.A. Criticizes Avastin Use for Breast Cancer (www.nytimes.com)
Avastin has demonstrated PFS in first line metastatic breast cancer Avastin remains in a non approved status for breast cancer Avastin is very expensive and therefore scrutinized to the max
Taral Patel, MD, Oncologist
Taral Patel, MD, Oncologist
Mid Ohio Oncology Hematology Inc.
December 7, 2007
Avastin in breast cancer
Analysis of: F.D.A. Criticizes Avastin Use for Breast Cancer (www.nytimes.com)
“On face value the data look very good,” said Buzdar, who voted with the slim (5-4) majority against the drug. In the study that was the basis of Genentech’s application, Avastin appeared to slow the progress of the disease. advanced breast cancer who had already tried other drugs. He said he’s never...
Eric Whitman, MD, Medical Director, Office of Grants and Research
Eric Whitman, MD, Medical Director, Office of Grants and Research
Atlantic Health System Inc
Analysis of: Hana Biosciences Initiates Marqibo Phase 2 Clinical Trial in Metastatic Malignant Uveal Melanoma (www.pipelinereview.com)
Uveal melanoma, although similar histologically to the more common cutaneous melanoma, is virtually a completely different disease. Once metastatic, it has failed to respond to any form of systemic therapy, even those with some (albeit limited) efficacy in "standard" melanoma. Its relative rarity and...

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