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GLG News by ONC-Avastin Prescribers for Colorectal Cancer (US)

Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Pipeline Insight: Neuropathic Pain - Emerging drugs fail to capitalize in lucrative market (www.pipelinereview.com)
As I medical oncologist, I frequently deal with neuropathic pain caused either directly by tumors or for complications of cancer therapy.  this is a frequent complaint that impairs quality of life for cancer patients.  Current options for treatment all provides suboptimal efficacy and there...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: MabThera increases the time patients with the most common form of adult leukaemia live without their cancer progressing (www.pipelinereview.com)
Rituximab is an anti-CD 20 monoclonal antibody with activity in many diseases including non-Hodgkin's lymphoma and chronic lymphocytic leukemia.  The current phase 3 trial provides further support for the use of rituximab in patients with CLL and is the first study to definitively show an improvement...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: WellPoint patients to review doctors online (www.healthcarefinancenews.com)
Zagat guides have been used with the immense popularity in the evaluation of restaurants, hotels and shopping sites.  The current plan is to apply these to doctor's offices- not physician quality.  The concept is nice and may be more meaningful for patients than to Wellpoint's business.&n...
Analysis of: Sirolimus Reduces Size of Angiomyolipoma Tumors (www.medscape.com)
Sirolimus has shown activity in shrinking benign tumors associated with tuberous sclerosis......opens the door for further exploration alone and combo in other mTOR driven disorders
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.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: ZymoGenetics Begins Phase 2 Clinical Trial of IL-21 in Melanoma (www.pipelinereview.com)
IL-21 is a cytokine with biological activity in regulating cytotoxic T cells and natural killer cells.   In phase I studies, some tumor reduction was observed in patients with melanoma.  The current phase II trial will be designed to assess kidvid and toxicity in patients with metastatic...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Merck KGaA and Idera Pharmaceuticals to Collaborate on Development of TLR9 Agonists for Treatment of Cancer (www.pipelinereview.com)
TLR9 agonists have the potential to trigger the release of cytokines including interferon alfa.  IMO-2055 is a TLR9 agonist currently undergoing trials in combination with Tarceva and Avastin in patients with advanced non-small cell lung cancer and at two dose levels in a Phase IIa trial in patients...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Infinity and MedImmune Initiate Phase 2 Trial of IPI-504 to Assess the Hsp90 Inhibitor's Potential Anti-Tumor Activity in Patients With Advanced Non-Small Cell Lung Cancer (www.pipelinereview.com)
IPI-504 is an HSP90 inhibitor with activity against cancer.  A phase I/II trial has been initiated to assess the activity of this agent in groups of patients with both EGFR mutation positive and negative tumors.  Preliminary results are available from the phase I portion of the trial...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Avastin approved in Europe for first-line treatment of patients with advanced kidney cancer (www.pipelinereview.com)
Avastin now has been approved in Europe for the treatment of metastatic renal cell carcinoma.  However, available data leave questions as to why this agent should be favored over Sutent.

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