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Ovarian Cancer

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CHICAGO--A visit by Her Royal Highness The Princess of Wales to the Lurie Cancer Center of Northwestern University raised more than $1 million to support cancer research and benefit patients (see photo ). The funds will go to the Lurie Cancer Center; Gilda's Club, a support group for cancer patients named for comedian Gilda Radner who died of ovarian cancer in 1989; and The Royal Marsden Hospital, London, of which The Princess is president.

PHILADELPHIA--SmithKline Beecham's Hycamtin (topotecan) has received marketing clearance from the FDA for the treatment of patients with metastatic ovarian cancer after failure of initial or subsequent chemotherapy. It is the first topoisomerase I inhibitor approved for use in the United States.

FORT LAUDERDALE, Fla--Although many quality of life measures for cancer have been validated, eg, the FLIC (Functional Living Index-Cancer) and the FACT (Functional Assessment of Cancer Therapy), use of a single instrument facilitates analysis of data obtained at different sites, David F. Cella, PhD, said at the first annual conference of the National Comprehensive Cancer Network (NCCN).

NEW ORLEANS--In combination with cisplatin (Platinol) for treatment of gynecologic malignancies, 3-hour infu-sional paclitaxel (Taxol) might be easier to administer but it produces more peripheral neuropathy than the standard 24-hour infusion, a Cleveland Clinic study shows.

ASCO--Topotecan (Hycamtin), an inhibitor of topoisomerase I, significantly increased time to disease progression--23 weeks vs 14 weeks for paclitaxel (Taxol)--when used as second-line therapy in women with recurrent ovarian cancer, James Carmichael, MD, of the University of Nottingham, said at an ASCO scientific session.

WASHINGTON--University of Pennsylvania researchers have obtained the first "conclusive" evidence linking mutations in the recently cloned BRCA2 breast cancer gene to ovarian cancer, a discovery they say indicates that inheritance plays a significantly greater role in the disease than previously thought.

Almost exactly one decade ago, in an editorial published in the New England Journal of Medicine [1], I noted that "progress is slow but sure" in the development of monoclonal antibodies for clinical use. At that time, only muromonab-CD3 (Orthoclone OKT3) was approved for human use to prevent rejection of kidney transplants. In the ensuing 10 years, only one oncologic monoclonal antibody product, satumomoab pendetide (OncoScint CR/OV, Cytogen, Princeton, New Jersey) [2] has been approved by the FDA. Progress surely has been slow.

Molecular oncology, as it relates to cancer formation, growth, metastasis, and treatment, is a rapidly progressing and exciting field. Its forward movement is so fast that even scientific journals, because of publication delays, are unable to keep readers informed in a timely manner. What, therefore, is the role of a textbook on molecular oncology?

BETHESDA, Md--The FDA's Oncologic Drugs Advisory Committee (ODAC) has unanimously recommended approval of SmithKline Beecham's Hycamtin (topotecan HCl) for the treatment of patients with metastatic ovarian cancer after failure of initial or subsequent chemotherapy.

PALO ALTO, Calif--ALZA Corporation and U.S. Bioscience, Inc. have announced the availability of Ethyol (amifostine), which was FDA approved in December, 1995.

CHICAGO--The Society of Gynecologic Oncologists (SGO) and the Gynecologic Cancer Foundation (GCF) presented awards in four categories at the SGO's 27th annual meeting in New Orleans. The awards are funded by the GCF and were chosen from the more than 115 abstracts presented at the meeting.

NEW ORLEANS--Intraperitoneal (IP) administration of cisplatin (Platinol) plus IV cyclophosphamide produced an improved outcome over IV cisplatin plus IV cyclophosphamide in a pivotal phase III ovarian cancer trial, intergroup study 0051 (SWOG-GOG-ECOG), researchers reported at the Society of Gynecologic Oncologists meeting.

In the past, the mere mention that a patient with persistent or recurrent pelvic cancer might benefit from a palliative pelvic exenteration was met with vigorous opposition. This was due, in part, to the fact that the term "palliative pelvic exenteration" was new and not clearly defined. There was also concern that the mortality, morbidity, and overall cost previously associated with pelvic exenterative procedures were out of keeping with the concept of palliation for cancer. However, much experience with pelvic exenterative surgery has been gained during the past 40 years, and the mortality, morbidity, length of stay, and overall cost of the procedure have decreased significantly. This has made the concept of pelvic exenteration for palliation reconcilable in carefully selected patients in the 1990s.

SEATTLE--Genetically modified hematopoietic cells are being used to protect healthy stem cells from toxic drugs in early clinical trials and, in cell lines, to sensitize cancer cells to toxic drugs and to induce leukemia cells to revert to a normal phenotype, Albert Deisseroth, MD, PhD, said at a symposium held in conjunction with the American Society of Hematology meeting. Dr. Deisseroth is associate director for clinical research, Yale University Cancer Center.

Topotecan HCl, an investigational anticancer drug, has demonstrated significant antitumor activity in previously treated small-cell lung cancer (SCLC) patients, according to European Organization for Research and Treatment of Cancer (EORTC) researchers, who presented phase II trial data at the Eighth European Conference on Clinical Oncology, Cancer Research and Cancer Nursing (ECCO-8) in Paris.

SmithKline Beecham plans to launch a study of topotecan HCl, an investigational anticancer drug, in combination with cisplatin (Platinol) for the first-line treatment of ovarian cancer. The development of this protocol was announced at the Eighth European Conference on Clinical Oncology, Cancer Research and Cancer Nursing (ECCO-8) in Paris.

PHILADELPHIA--Women with advanced ovarian cancer had 50% longer survival when they received a first-line regimen combining paclitaxel (Taxol) and cisplatin (Platinol), says William P. McGuire, MD, and his colleagues in the Gynecology Oncology Group (GOG).