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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: Exemestane after tamoxifen improves breast cancer survival (www.asco.org)
1.  Exemestane administered as adjuvant therapy to breast cancer patients who have completed 5 yrs of Tamoxifen extended disease free survival, recurrence free survival and overall survival.2.  Exemestane after Tamoxifen now repesents an alternative standard of care for appropriate patien...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Health Canada Issues Health Advisory for Rituxan (www.newsinferno.com)
1. Health Canada has issued a warning to physicians regarding potential bowel toxicity in patients treated with Rituxan.2. 47 cases of bowel obstruction and 37 cases of bowel perforation have been reported in 730,000 patient exposures to Rituxan.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Profit and Questions on Prostate Cancer Therapy (www.nytimes.com)
1. IMRT represents a potential advance in the radiation therapy of prostate cancer.2. Because greater use of IMRT likely would decrease the frequency of radical prostatectomies, urologists have begun to initiate their own programs in IMRT, representing a potential complicated interest between financial...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Bayer and Ortho-McNeil, Inc. Outline Phase III Study Program of Oral Factor Xa Inhibitor Rivaroxaban in Chronic Indications (www.pipelinereview.com)
1.  Patients with atrial fibrillation, deep venous thrombosis, and pulmonary emboli can require long-term anticoagulation.2.  No effective oral anticoagulant is available in the United States that does not require frequent monitoring.3.  Rivaroxaban may fill this unmet need.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
November 27, 2006
NICE Not Nice to Tarceva
Analysis of: NICE rejects use of cancer drug Tarceva (www.pharmaceutical-business-review.com)
1.  Tarceva has been approved for the treatment of non-small cell lung cancer (NSCLC)  in the United States.2.  In the UK, the National Institute for Health and Clinical Excellence has stated that Tarceva is not cost effective and is no more effective for treating lung cancer than other...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Pharmacyclics Announces Presentation of Pooled Analysis of Xcytrin(R) for Lung Cancer Brain Metastases (www.pipelinereview.com)
1.  Whole brain radiation therapy (WBRT) remains the standard of care for patients with multiple brain metastases from solid tumors.Xcitirin (Motexafin gadolinium) combined with whole brain radiation therapy prolonged time to neurologic progression in non-small cell lung cancer (NSCLC) patients...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Gleevec: New Uses, New Warning (www.cancer.org)
1. Gleevec previously was FDA approved for the therapy of chronic myelogenous leukemia (CML) and gastrointestinal stromal tumors (GIST).2. The FDA now has approved five additional indications for Gleevec including dermatofibrosarcoma protuberans, Ph chromosome positive ALL, certain forms of myelodysplasia,...
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Lilly Launches Phase III 'GALES' Trial of Alimta (Pemetrexed for Injection) in Small Cell Lung Cancer (pharmalive.com)
1. Small cell lung cancer comprises 15-20% of lung cancers diagnosed in the United States2. Although multiple newer chemotherapy agents (Irinotecan, Topotecan) have demonstrated activity in this disease, there has been no advance in chemotherapy in more than a decade that has improved outcome.3. The...

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