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

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...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Pharmexa provides update on the HeptoVax trial of GV1001 in liver cancer (www.pipelinereview.com)
The HeptoVax trial is  Phase II study in which GV1001 (a telomerase peptide vaccine administered with GM-CSF) was given to patients suffering from advanced hepatocellular carcinoma (HCC or liver cancer). The trial update indicates safety of the vaccine but no efficacy data are available.  Such...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
November 26, 2007
Erbitux On a Roll
Analysis of: New England Journal of Medicine Study Shows ERBITUX(R) Improves Survival in Advanced Colorectal Cancer (www.pipelinereview.com)
The current report in NEJM demonstrates that Erbitux + best supportive care improves survival (6.1 months) for patients with previously treated metastatic colorectal carcinoma as compared with BSC alone (4.6 months).  These data represent the first report of a survival advantage in a solid tumor...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Hana Biosciences Initiates Marqibo Phase 2 Clinical Trial in Metastatic Malignant Uveal Melanoma (www.pipelinereview.com)
Uveal melanoma is an uncommon disease but is devastating when it metastasizes.  The most common site of metastases is the liver and response rates to conventional chemotherapy agents are poor.   This trial is designed specifically to assess the activity of Marqibo in patients with metastatic...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Avastin receives positive opinion 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.  Avastin + Interferon nearly doubles the PFS vs Interferon alone.  Approval in Europe (and similar FDA approval) will be critical to the marketing of this expensive agent.  However, these data...
November 12, 2007
Great potential for S1
Analysis of: Adjuvant Chemotherapy for Gastric Cancer with S-1, an Oral Fluoropyrimidine (content.nejm.org)
I think this a very important advance in a tumor where there is no adequate treatment. however, we have to realize that the studies were done in japan, and the natural history of gastri  cancer in japan is quite different that gastic cancer in USA
November 6, 2007
Too little, too late
Analysis of: ADVENTRX Provides Update on Cofactor(R) Program (www.pipelinereview.com)
CoFactor would have been a great drug 15 years ago.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: FDA Removes Partial Hold on TELCYTA Clinical Development (www.prnewswire.com)
Trials of Telik were halted by the FDA in June 2007 after patients receiving the agent in an ovarian cancer trial were found to have ahigher death rate than those that did not receive Telik.  The current decision allows Telik trials to resume, but efficacy is still in question.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Avastin seen as helpful against deadly brain tumor (www.reuters.com)
New therapies are needed for the treatment of glioblastoma multiforme.  Surgery, radiation and temozolamide remain the mainstay of treatment.  Results from the current pilot study suggest that Avastin may have efficacy in GBM.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Micromet Receives Regulatory Approval to Conduct a Phase 2 Clinical Trial Investigating MT103 (MEDI-538) in Patients with Acute Lymphoblastic Leukemia (www.pipelinereview.com)
MT-103 is an anti-CD19 monoclonal antibody that has demonstrated clinical activity in phase I trials in patients with NHL.  The proposed phase II trial in ALL will assess whether MT103 can remove residual tumor cells and thereby convert patients from a MRD (minimal residual disease)- positive to...

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