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GLG News by Physicians who Treat Multiple Myeloma (US)

Analysis of: In Long-Awaited Maps of Cancer, The Breakthrough Is the Problem (online.wsj.com)
Pharmacogenomics will lead to the development of targeting agents and offer true hope for the future.
Analysis of: Gleevec Receives FDA Priority Review as First Therapy to Reduce Recurrence of Gastrointestinal Stromal Tumors After Surgery (www.therapeuticsdaily.com)
Novartis is looking for approval for therapy in C-KIT + Gastrointestinal stromal tumors
Analysis of: Expanding Circle of Inhibition: Small-Molecule Inhibitors of Bcl-2 as Anticancer Cell and Antiangiogenic Agents (jco.ascopubs.org)
Bcl-2 inhibition by small molecules stands to be the next avenue for antineoplastic therapy- Looks like the real deal!
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.

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