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GLG News by Oncology Physicians who Treat CID (US)

Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Amgen Told to Reword Drug Label (www.nytimes.com)
The FDA required Amgen to revise the label for Procrit and Aranesp so that these agents are not used until a patient's hemoglobin drops below 10 or in the setting of potentially curative therapy.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Transparency in Healthcare (www.hospitalimpact.org)
The author argues that transparency in healthcare will be an important step forward for the consumer.
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: Costly Cancer Drug Offers Hope, but Also a Dilemma (www.nytimes.com)
Avastin improves survival in colon cancer and lung cancer and improves progression free survival in breast cancer- clinically meaningful outcomes.  Yet these gains are of relatively short duration and the cost of Avastin is significant- 50,000 to 100,000 dollars per year.
Analysis of: Cell Genesys Ends Clinical Trials For Prostate Cancer Treatment (online.wsj.com)
No reason for the increased mortality vs Chemo alone was identified. Cell Genesys is looking into where to go now.
Analysis of: Bortezomib plus Melphalan and Prednisone for Initial Treatment of Multiple Myeloma (content.nejm.org)
Velcade + classic Melphalan/ Prednisone  (MP) is better than MP alone. No surprise
Michael Grossbard, MD, Professor of Clinical Medicine
Columbia University College of Physicians and Surgeons
Analysis of: UK Says Kidney Cancer Drugs Are Too Pricey (www.pharmalot.com)
NICE has stated that the cost of several novel agents for the treatment of renal cell cancer including Sutent, Torisel, Avastin, and Nexavar exceeds the benefit when assessed by quality adjusted life years (QALY) gained from the therapies.
Analysis of: Amgen Blood-Disorder Drug Gains Clearance (online.wsj.com)
Chronic ITP is not all that uncommon and becomes a quality of life issue with chronic steroid use as well as agents that are normaly used in neoplasia and even derivatives of male hormones.
Analysis of: Scientists Find Way to Create Red Blood Cells (online.wsj.com)
Advanced Cell Technology in Worcester, Mass., the University of Illinois at Chicago and the Mayo Clinic in Rochester, Minn. scientists say they've found an efficient way to make red blood cells from human embryonic stem cells. Impreesive!
Analysis of: Drug Makers’ Push Leads to Cancer Vaccines’ Fast Rise (www.nytimes.com)
Cervical cancer vaccines manufactured by Merck and Glaxo have been hyped, pushed and if the companies have their way, mandated by various states and organizations. (Who is benefiting? Patients or the politicians?) There are many unanswered questions but marketing and mandates press on!
Analysis of: Economic Evaluation of Sunitinib Malate for the First-Line Treatment of Metastatic Renal Cell Carcinoma (jco.ascopubs.org)
When using a model (of whose desin?) Pfizer's Sunitinib (Sutent) was found to be cost effective by Pfizer people? Surprise!!!

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