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GLG News by Physicians who Treat Malignant Melanoma (US)

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May 27, 2008
You get what you pay for
Analysis of: Look to England's example for ways to solve America's health-care problem | www.sltrib.com
Author: GLG Expert Contributor
A single payer, national system does work, but may not necessarily be in the best interest of all parties.   Yes this type of system is 'free' to the users, but is funded through higher taxes than paid in the US.
Sunil DhawanMay 19, 2008
This article may change atopic dermatitis treatment by pediatricians
Analysis of: Guidelines Issued for Treating Atopic Eczema in Children | www.medscape.com
Author: Sunil Dhawan, Clinical Assistant Professor of Dermatology, Stanford University
This article is important in that it is a good summary of the current knowledge and treatment methods for atopic dermatitis for pediatricians. It is needed in that this condition is inadequately treated, and a periodic refresher is needed for all physicians. Both pharmacologic and non pharmacologic...
Sunil DhawanMay 19, 2008
Unlicensed person injecting silicone unlikely to impact filler market
Analysis of: Renal Failure Linked to Cosmetic Soft-Tissue Filler Injections | www.medscape.com
Author: Sunil Dhawan, Clinical Assistant Professor of Dermatology, Stanford University
This article is important in that it makes the public aware that they should avoid all unlicensed persons who re injecting any substance into their bodies. These especially include those injecting silicone mixtures. The public will become more aware and should have more confidence in licensed practitioners...
Eric WhitmanApril 14, 2008
Antigenics gain approval for autologous vaccine in Russia
Analysis of: Oncophage(R) Approved in Russia for the Treatment of Intermediate-Risk Kidney Cancer | www.pipelinereview.com
Author: Eric Whitman, Medical Director, Office of Grants and Research, Atlantic Health System Inc
Oncophage is an autologous (or derived directly from a patient's own tumor cells) vaccine that may promote the generation of an effective anti-tumor immune response when re-injected into patients. Trials in melanoma and renal cell cancer failed to meet their primary endpoints and approval has not been...
Eric WhitmanApril 14, 2008
Pfizer Anti-CTLA4 antibody trial for melanoma stopped for futility
Analysis of: Pfizer Announces Discontinuation of Phase III Clinical Trial for Patients with Advanced Melanoma | pharmalive.com
Author: Eric Whitman, Medical Director, Office of Grants and Research, Atlantic Health System Inc
The Data Safety Monitoring Board halted the Phase III randomized open label trial comparing the Pfizer anti-CTLA4 antibody, tremelimumab, to "standard" (and generally ineffective) chemotherapy for metastatic melanoma. The Board has reported that there is no statistical difference between the primary...
April 14, 2008
CTLA4 Blockade in Melanoma: Where Next?
Analysis of: Pfizer Announces Discontinuation of Phase III Clinical Trial for Patients with Advanced Melanoma | pharmalive.com
Author: GLG Expert Contributor
So, now CTLA4 blockade, touted as the next big thing in melanoma, runs into the same thing as a host of other agents with promising phase II activity: failure at the phase III level.  Pfizer's randomized phase III of tremelimumab versus the fool's gold standard dacarabzine/DTIC was...
Eric WhitmanApril 8, 2008
Antisoma drug combines novel immunotherapy agent with fused targeting antibody
Analysis of: Antisoma starts phase I clinical trial of AS1409 in renal cancer and melanoma | www.pipelinereview.com
Author: Eric Whitman, Medical Director, Office of Grants and Research, Atlantic Health System Inc
This drug, which has just entered Phase I testing, is very interesting because it combines IL-12, which has shown both activity and significant toxicity, with a targeting antibody. Hopefully, this targeting antibody will minimize the toxicity of IL-12 on or in normal tissues.
Eric WhitmanApril 8, 2008
Pfizer adds to the list of late stage melanoma drug failures
Analysis of: Pfizer Ends Clinical Trial Of Melanoma Treatment | online.wsj.com
Author: Eric Whitman, Medical Director, Office of Grants and Research, Atlantic Health System Inc
The failure of this study has wide ranging implications for Pfizer and other melanoma trials. This drug, which only a few years ago caused much excitement in the melanoma oncology community, failed to show any survival benefit in this Phase III trial, when compared to standard, but generally ineffective,...
Sunil DhawanApril 1, 2008
Long term use of Allergan's Botox does not decrease efficacy
Analysis of: Efficay of Bolinum toxin does not sag over time | www.medscape.com
Author: Sunil Dhawan, Clinical Assistant Professor of Dermatology, Stanford University
 This article is important in that it lays to rest a misconception that long term repeated use of Botox ( Allergan) leads to decreased efficacy. Efficacy was maintained, and no neutralizing antibodies were found to Botox. This will reassure most users of Botox, and patients as well.
Sunil DhawanApril 1, 2008
Serious Skin Reactions with TNF antagonists
Analysis of: Serious Skin Reactions with TNF antagonists | www.medscape.com
Author: Sunil Dhawan, Clinical Assistant Professor of Dermatology, Stanford University
 This article is important in that it defined the incidence of serious skin reactions to the three common TNF antagonists- Enbrel, Humira, and Remicade. The incidence is relatively low in comparison to the numbers of patients treated. Any foreign protein has the potential for eliciting these reactions,...

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