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Prostate cancer patients who undergo androgen deprivation therapy have an increased chance of developing bone- and heart-related side effects compared to patients who do not undergo ADT, according to an analysis in Cancer online (April 29, 2009).

Pfizer Oncology is working with a fully human, IgG2 monoclonal antibody (PF-03446962) that is directed against an activin-like receptor kinase 1 (ALK-1) target. An early investigation indicates that neutralizing ALK-1 with PF-03446962 can disturb tumor endothelial cell function and impair tumor angiogenesis, according to the company (AACR 2009 abstract 2007).

In 1998, FDA approved oral capecitabine (Xeloda) for metastatic colorectal cancer, ushering in a new era of oncology therapy. Since then, exponential growth in cancer drugs delivered orally has followed. According to an NCCN report, about 25% of the roughly 400 agents currently in the drug development pipeline are oral oncolytics.

By supporting the growth of blood vessels that absorb nutrients and oxygen, angiogenesis allows tumors to progress from clonal populations to cell masses that can expand and ultimately metastasize. This is a well-established concept, but some of the premises underlying anti-angiogenic drug development are now being revised, according to Luisa Iruela-Arispe, PhD, of the molecular, cell and developmental biology department at the University of California, Los Angeles.

A phase III study by the Eastern Cooperative Oncology Group in patients with newly diagnosed multiple myeloma showed that induction therapy with low-dose dexamethasone plus lenalidomide (Revlimid) improved survival, compared with high-dose dexamethasone plus lenalidomide. Look for updates on treatment regimens that include dexamethasone in multiple myeloma at ASH 2010 from Sagar Lonial, MD, and S. Vincent Rajkumar, MD.

The EGFR tyrosine kinase inhibitor gefitinib (Iressa) should be considered a first-line treatment option for nonsmoking Asian patients with adenocarcinoma of the lung, according to results from the large Iressa Pan-Asia Study (IPASS) conducted at the Chinese University of Hong Kong.

Banner Health and M.D. Anderson Cancer Center will jointly build the M.D. Anderson Banner Cancer Center in Phoenix. The 120,000 square-foot outpatient center will be adjacent to the Banner Gateway Medical Center campus.

APF530 is undergoing regulatory review for a new drug approval for the prevention of chemotherapy-induced nausea and vomiting, according to manufacturer A.P. Pharma. PF530 is a formulation of granisetron, a 5-HT3 antagonist.

The Radiation Therapy Oncology Group has begun the last leg of a trial assessing temozolomide (Temodar) and radiotherapy plus bevacizumab (Avastin) for newly diagnosed glioblastoma tumors.

ORLANDO-The ancillary treatment costs of managing side effects can be burdensome to patients, so Harvard Medical School investigators were somewhat surprised when clinical trial patients reported little anxiety about paying for these drugs. But as more people become uninsured or underinsured, and the costs of drugs rise, patient anxiety could increase and adherence to treatment diminish, the lead author predicted.

ORLANDO-Ginger has been used for years to treat gastrointestinal upset, but for the first time, a large double-blind multicenter randomized study has shown ginger supplements can successfully stem chemotherapy-related nausea, University of Rochester in New York investigators reported at ASCO 2009 (abstract 9511). Some 70% of patients experience nausea and vomiting related to chemotherapy. While vomiting can largely be prevented with anti-emetics, nausea is typically more difficult to prevent and treat.

ORLANDO-Preliminary data suggested that Novartis’ RAD001 is moderately active in stabilizing the progression of HCC, according to a poster presentation at ASCO 2009 (abstract 4587). In this phase I trial, researchers in Taiwan enrolled 36 advanced HCC patients whose disease was not suitable for local therapy or had progressed after local therapy.

Music is a powerful tool that can evoke latent emotions, induce a range of emotional states, and enhance communication. It also offers a creative, lyrical, and symbolic means of addressing spiritual needs, and is increasingly used in end-of-life care.