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GLG News by Physicians who Treat Malignant Melanoma (US)

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Taral PatelAugust 9, 2007
ERBITUX
Analysis of: Bristol-Myers Squibb and Imclone Systems Significantly Expand ERBITUX Clinical Development Program | www.pipelinereview.com
Author: Taral Patel, Oncologist, Mid Ohio Oncology Hematology Inc.
The coverage restrictions placed on the FDA-approved indication have no scientific basis and are incompatible with good clinical practice," said Roger M. Perlmutter, M.D., Ph.D., executive vice president of Global Research and Development at Amgen. "We are concerned that inappropriately limiting coverage...
August 9, 2007
Don't stop your statins now...
Analysis of: Taking statins may increase cancer risk | www.timesonline.co.uk
Author: GLG Expert Contributor
Certainly, we've had a flurry of bad press over the last few years on blockbuster drugs that had unexpected consequences - Celebrex, ESAs (Epogen, Aranesp, etc...), and most recentlyl Avandia. Statins are some of the most widely used drugs in medicine in a multi-billion dollar industry.   ...
Taral PatelAugust 6, 2007
ESA
Analysis of: Amgen Responds to Final CMS National Coverage Determination on Use of Erythropoiesis-Stimulating Agents in Oncology | www.pipelinereview.com
Author: Taral Patel, Oncologist, Mid Ohio Oncology Hematology Inc.
My understading id medicare need to cover all FDA indicated drugs. Here CMS violating FDA indication for Aranesp and procrit
August 3, 2007
Promising, but too early to tell
Analysis of: OncoGenex and Isis Report Encouraging Interim Phase II Data in Advanced Prostate Cancer, Affirm Phase III Clinical Trial Plans | www.pipelinereview.com
Author: GLG Expert Contributor
Patients with hormone refractory prostate cancer have few options for treatment, and can be a challenge to manage.   Taxotere has shown an overall survival benefit in this patient population, however, when patients become refractory to this, there are no real viable options. Many companies...
August 3, 2007
Allowing non-physicians to practice medicine
Analysis of: Amgen Responds to Final CMS National Coverage Determination on Use of Erythropoiesis-Stimulating Agents in Oncology | www.pipelinereview.com
Author: GLG Expert Contributor
Another example of the erosion of a physicians autonomy. While recent data has suggested some concerns with the use of ESA's in cancer patients, the risk of cardiovascular and thromboembolic events was associated with HgB>12. Certainly, in the past we were less cautios about the HgB. CMS has now...
Taral PatelAugust 3, 2007
Growth factor use
Analysis of: Amgen Responds to Final CMS National Coverage Determination on Use of Erythropoiesis-Stimulating Agents in Oncology | www.pipelinereview.com
Author: Taral Patel, Oncologist, Mid Ohio Oncology Hematology Inc.
Decrease use by 20-25% use of ESA. This may lead discounting and higher rebate from both amgen and orto-biotech to sustain market share. Since most of amgen contract with aranesp and neulasta use. It may effect use of neulasta. Next 6 month CMS may restrict use of Neulasta and neupogen for neutropenia...
August 2, 2007
Smart Move
Analysis of: Bristol-Myers Squibb and Imclone Systems Significantly Expand ERBITUX Clinical Development Program | www.pipelinereview.com
Author: GLG Expert Contributor
Erbitux has been very successful in the colorectal cancer and head and neck trials.   The EGFR receptor is prevalent in many malignancies, and represents an obvious direction to expand the use of erbitux in other malignancies - ie lung cancer, esophagus, etc. As more indications for erbtitux...
July 30, 2007
No surprise
Analysis of: Shortage of doctors affects rural U.S. | news.yahoo.com
Author: GLG Expert Contributor
Let's face it - the rural US is a relatively 'undesirable' (please don't get offended) location, with little access to a big city or collegiality with other physicians.   It also poses a challenge, as there are limited access to specialists.    I suspect it's not a dream job...
July 30, 2007
Neat idea, needs to be tested.
Analysis of: Medivation Announces Treatment of First Patient in Phase 1-2 Clinical Trial of MDV3100 in Hormone-Refractory Prostate Cancer | www.pipelinereview.com
Author: GLG Expert Contributor
New small molecule inhibitor of androgen receptor - mechanism not completely known, but likely similar idea to other small molecule inhibitors in development for other receptors. Target population is hormone refractory prostate cancer, for which there is little viable therapy.   This is the...
July 30, 2007
Unfortunate, but a rising reality
Analysis of: Note to Medicaid Patients: The Doctor Won't See You | online.wsj.com
Author: GLG Expert Contributor
Reimbursement has continued to either remain flat or decline in the setting of rising office overhead costs.   Medicaid, which covers those that are the poorest with the least access to care provides even worse reimbursement. In the setting of being able to run a practice effectively, Medicaid...

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