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E-Updates in Lung Cancer: Controversies and Challenges, Volume 2 

Molecular Profiling for Cytotoxics and Targeted Agents: Ready for Prime Time?


Supported by an educational grant from
Genentech BioOncology & OSI Oncology

2 AMA PRA Category 1 Credits™

Medical Editor: Corey J. Langer, MD, FACP
Professor of Medicine
Director of Thoracic Oncology
University of Pennsylvania
Philadelphia, Pennsylvania

Author: George R. Simon, MD, FACP, FCCP
Director, Thoracic Oncology Program
Department of Medical Oncology
Fox Chase Cancer Center
Philadelphia, Pennsylvania


| December 17, 2008

Table of Contents

  • A Word From the Editor
  • Introduction
  • Prognostic Markers in Patients with NSCLC: ERCC1 and RRM1 as Markers of Improved Prognosis in NSCLC
  • Oligonucleotide-based Gene Expression Signatures of Improved Survival in Resected NSCLC Patients
  • Serum Proteomic Profiles as Prognostic Marker of Improved Prognosis in NSCLC
  • Markers That Predict for Therapeutic Efficacy
  • ERCCI as a Predictor for Platinum Resistance in Advanced NSCLC
  • RRMI as a Predictor of Gemcitabine(Drug information on gemcitabine) Efficacy
  • BRCA1 as a Predictor of Chemotherapy Efficacy
  • Predictors of Improved Response or Survival with EGFR Tyrosine Kinase Inhibitors
  • Oligonucleotide-based Gene Expression Profiles as Predictors of Response in NSCLC Patients
  • Individualizing Treatment for Advanced Stage NSCLC Using ERCC1 and RRM1
  • Conclusions
  • References





CONTINUING MEDICAL EDUCATION

Activity Release Date: December 15, 2008
Activity Expiration Date: December 15, 2009

About the Activity


This activity is based on a brief article developed as part of the E-Update Series and posted on the Web. It was developed from an identified educational need for information about practical management issues in the practice of medical, surgical, and radiation oncology. This activity has been developed and approved under the direction of CME LLC.

Activity Learning Objectives

After reading this article, participants should be able to:

1. Demonstrate an understanding of the appropriate role of surgery in the metastatic setting:
• Role of tackling the unexplored mediastinum in patients who have undergone resection
• Role of surgery after chemoradiation in stage IIIA NSCLC

2. Apply into practice the role of radiation therapy post resection in the treatment of N2 NSCLC:
•PORT = Post-Operative Radiation Therapy
•STARBOARD = Sidestepping Trans-Thoracic Adjuvant Radiation Therapy Because One is Averse to Radiation Damage

3. Analyze the efficacy of molecular profiling for cytotoxics and targeted agents

4. Appraise the use of induction therapy versus adjuvant therapy

5. Demonstrate an understanding of the possible role consolidation versus observation after Initial Therapy


Target Audience


This activity targets physicians in the fields of oncology and hematology.

Accreditation

This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of CME LLC and The Oncology Group. CME LLC is accredited by the ACCME to provide continuing medical education for physicians.

Continuing Education Credit

AMA PRA Category 1 Credit™
CME LLC designates this educational activity for a maximum of 2 AMA PRA Category 1 Credits™ . Physicians should only claim credit commensurate with the extent of their participation in the activity.

Compliance Statement


This activity is an independent educational activity under the direction of CME LLC. The activity was planned and implemented in accordance with the Essential Areas and policies of the ACCME, the Ethical Opinions/Guidelines of the AMA, the FDA, the OIG, and the PhRMA Code on Interactions with Healthcare Professionals, thus assuring the highest degree of independence, fair balance, scientific rigor, and objectivity.

However, CME LLC, the Grantor, and CMPMedica shall in no way be liable for the currency of information or for any errors, omissions, or inaccuracies in the activity. Discussions concerning drugs, dosages, and procedures may reflect the clinical experience of the author(s) or may be derived from the professional literature or other sources and may suggest uses that are investigational in nature and not approved labeling or indications. Activity participants are encouraged to refer to primary references or full prescribing information resources. The opinions and recommendations presented herein are those of the author(s) and do not necessarily reflect the views of the provider or producer.

Financial Disclosures

Dr. Langer has received grant and research support from Bristol-Myers Squibb, ImClone, Pfizer, Lilly, Schering-Plough Research Institute, Sanofi-Aventis, Amgen, Cell Therapeutics Inc, OrthoBiotech, Celgene, Vertex, Genentech, OSI, AstraZeneca, Active Biotech, Medimmune (absorbed by AZ 2008); has served as scientific advisor for Bristol-Myers Squibb, ImClone, Sanofi-Aventis, Pfizer, IntraBiotics, GlaxoSmithKline, Pharmacyclics, Amgen, AstraZeneca, Novartis, Genentech, Savient, Bayer, Onyx, Abraxis, and Abbott; and has served on the speaker’s bureau for Bristol-Myers Squibb, Sanofi-Aventis, Lilly, OrthoBiotech, Genentech, and OSI. Dr. Simon has no financial relationships to disclose.

Copyright


Copyright owned by CME LLC. Copyright 2008, all rights reserved.

Contact Information

We would like to hear your comments regarding this or other activities provided by CME LLC. In addition, suggestions for future activities are welcome. Contact us at:

Director of Continuing Education
CME LLC
Harborside Financial Center
Plaza 3, Suite #806
Jersey City, NJ 07311

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