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GLG News by Oncologists who Treat Hematologic Malignancies (US)

Analysis of: FDA Receives New Data on Risks of Anemia Drugs (www.fda.gov)
ESA's shorten survival when the hemoglobins are elevated to "normal" levels. The entire subject will be re-reviewed by the FDA in the next few months.
Analysis of: Efficacy of Sunitinib and Sorafenib in Metastatic Papillary and Chromophobe Renal Cell Carcinoma (jco.ascopubs.org)
Bayer's Nexavar and Pfizer's Sutent appear to have slight activity in 2 variants of RCC that make up about 10% of all kidney cancers.
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.
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)
"Nothing ventured, nothing gained." The patients were not treated uniformly thus the results are completely inconclusive.
Analysis of: Paclitaxel plus Bevacizumab versus Paclitaxel Alone for Metastatic Breast Cancer (content.nejm.org)
Avastin + chemo in metastatic breast cancer improves progression but not overall survival. No wonder the FDA rejected it in breast cancer BUT...
Analysis of: Phase 2 study of lenalidomide in transfusion-dependent, low-risk, and intermediate-1–risk myelodysplastic syndromes with karyotypes other than deletion (bloodjournal.hematologylibrary.org)
Revlimid appears to deliver rather impressive results Re: transfusion independence (or decreased frequency) in Low and intermediate 1 risk non 5Q- MDS.
Analysis of: Use of epoetin and darbepoetin in patients with cancer: 2007 American Society of Hematology/American Society of Clinical Oncology clinical practice guideline updat (bloodjournal.hematologylibrary.org)
Yada Yada Yada Hemoglobins need to be < 10 grams in order to give Epo.
Analysis of: Avastin approved in Europe for first-line treatment of patients with advanced kidney cancer (www.pipelinereview.com)
Roche received approval for Avastin plus interferon (IFN) in advanced RCC
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)
A phase I/II trial of a heat shock protein 90 (Hsp90) inhibitor is being tested in patients with and without an Epidermal Growth Factor Receptor (EGFR) mutation that "sensitizes" the lung cancer cells to some targeting agents.
Analysis of: Ablynx Reports Positive Phase I Results for Its Anti-Thrombotic Nanobody(R), ALX-0081 (www.pipelinereview.com)
A novel antibody, ALX-0081, that is well tolerated nd is directed against von Willebrand Factor (anti-vWF), that is strongly implicated in taking part in acute coronary events and conclusively responsible for the disastrous outcomes of thrombotic thrombocytopenic purpura (TTP).

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