Commentary on Abstracts #2482, #2477, #3148, and #4758
February 1st 2001Other active unconjugated antibodies are in various stages of their clinical development. CAMPATH-1H has recently been approved for the treatment of refractory chronic lymphocytic leukemia (Keating et al: Blood 94:705a[abstract 3118],
Commentary on Abstracts #3153, #3592, #3168, #3170, #704, #2214, #3275, #1086, #2560, and #3264
February 1st 2001Rituximab is also being explored in other lymphoid malignancies. Some of the most interesting data are in patients with CD20-positive Hodgkin’s disease (abstract #3153). The Stanford group (abstract #3592) reported on 13 patients. Of the 9
Corticosteroids in Advanced Cancer
February 1st 2001Despite the fact that there are only a few controlled trials demonstrating the benefits associated with the use of corticosteroids in specific situations, these agents are administered frequently to patients with advanced cancer. Corticosteroids may be used alone or as adjuvants in combination with other palliative or antineoplastic treatments. For example, corticosteroids may help prevent nausea, vomiting, and hypersensitivity reactions to treatment with chemotherapy or radiation. They are also commonly used as appetite stimulants in patients with advanced cancer. In the adjuvant setting, corticosteroids help to alleviate pain in advanced cancer patients, including specific situations such as back pain related to epidural compression. This article reviews the evidence supporting the use of corticosteroids in a broad range of situations seen in patients with advanced cancer. [ONCOLOGY 15(2):225-236, 2001]
Book Review: Textbook of Uncommon Cancer, Second Edition
The second edition of the Textbook of Uncommon Cancer is a useful resource for practicing oncologists who encounter unusual presentations of common tumors or esoteric subtypes of more common cancers. The text is laid out according to
Zevalin Improves Quality of Life for Non-Hodgkin’s Lymphoma Patients
February 1st 2001ROCHESTER, Minnesota-Ibritumomab tiuxetan (Zevalin) significantly improves quality of life for patients with low-grade, follicular, or transformed non-Hodgkin’s lymphoma (NHL) patients, according to the results of a phase-III study reported by Gregory A. Wiseman, MD. "Low-grade lymphoma is not a curable disease, but patients live for a long time with it," said Dr. Wiseman, lead researcher and assistant professor, Radiology Department, at the Mayo Clinic in Rochester, Minnesota. "We want to know how patients are feeling, especially if they’re going through difficult treatments. What we discovered is that after receiving Zevalin, patients’ quality of life was good."
Eli Lilly Launches Website for Community Oncologists
February 1st 2001INDIANAPOLIS-Eli Lilly and Company has launched a new website for community medical oncologists and their staffs. The site, located at www.lillydirect.com, is designed to save oncology health care professionals time by streamlining many of their business-related responsibilities.
Perspectives on Fluorinated Pyrimidine Use in Gastrointestinal and Breast Oncology
January 2nd 2001During this symposium, faculty participated in a roundtable discussion of the relative merits and weaknesses associated with use of the fluorinated pyrimidines. Dehydropyrimidine dehydrogenase (DPD) deficiency and the impact of this deficiency on
Perspectives on the Use of Fluorinated Pyrimidines
January 2nd 2001The fluorinated pyrimidines, in particular 5-fluorouracil (5-FU), are among the oldest cytotoxic agents still in broad use today. To some degree, this continued use of 5-FU is a bit of an embarrassment to those of us who spend considerable amounts of
Biochemical Modulation of 5-FU in Systemic Treatment of Advanced Colorectal Cancer
January 2nd 2001Randomized studies have tested a variety of strategies to improve the activity of 5-fluorouracil (5-FU) in colorectal cancer patients. Results from 14 randomized trials comparing 5-FU administered via intravenous ( IV) bolus either
Clinical Implications of Dihydropyrimidine Dehydrogenase on 5-FU Pharmacology
January 2nd 2001Dihydropyrimidine dehydrogenase (DPD) is the initial rate-limiting enzyme in the catabolism of 5-fluorouracil (5-FU), accounting for catabolism of over 85% of an administered dose of 5-FU. DPD plays an important role in
ODAC Recommends Campath for FDA Approval for Refractory CLL
January 1st 2001BETHESDA, Md-The FDA’s Oncologic Drugs Advisory Committee (ODAC) has voted 14 to 1 to recommend that the agency grant accelerated approval to Campath (alemtuzumab, Millennium & ILEX Partners) for the treatment of patients with chronic lymphocytic leukemia (CLL) who have been treated with alkylating agents and have failed fludarabine (Fludara) therapy.
FDA Approves Arsenic Trioxide for Treatment of Acute Promyelocytic Leukemia
January 1st 2001The injectable form of arsenic trioxide (Trisenox) was recently approved by the US Food and Drug Administration (FDA) for the treatment of patients with a severe form of leukemia-acute promyelocytic leukemia (APL)-whose disease has recurred or who have failed to respond to standard therapy.
Lessons Learned From Large Lung Cancer Screening Program
January 1st 2001NEW YORK-A program to screen for lung cancer that was remarkably successful in recruiting participants has produced some surprises and taught the investigators some lessons about what to expect from large-scale lung cancer screening.
Rituximab/CHOP Ups Survival in Untreated Aggressive NHL
January 1st 2001SAN FRANCISCO-Interim results of a phase III European study show that combining conventional chemotherapy with the monoclonal antibody rituximab (Rituxan) improves survival rates over chemotherapy alone in elderly patients with aggressive lymphoma.
Medicare Backtracks Further on Average Wholesale Prices
January 1st 2001Medicare payment for chemotherapy administration has been a controversial issue beyond accurate practice expense RVUs; a more inflammatory side of the story involves the cuts in payments to oncologists for drugs they purchase and then administer in their office.
Combination Chemo-Rituximab Therapy Raises CLL Response Rates
January 1st 2001SAN FRANCISCO-A regimen combining the monoclonal antibody rituximab (Rituxan) with fludarabine (Fludara) and cyclophosphamide may become the standard treatment for patients with chronic lymphocytic leukemia (CLL). That projection is based on preliminary findings from a phase II trial of 56 previously untreated patients with advanced CLL presented at the American Society of Hematology annual meeting.
Thalidomide Studied in a Variety of Cancers
January 1st 2001NEW YORK-Long banished from the pharmacopoeia because of its teratogenic effects, thalidomide (Thalomid) has recently reemerged as a potentially promising chemotherapeutic agent in a variety of cancers. Four presentations at the Chemotherapy Foundation Symposium XVIII looked at its use as a single agent and in combination therapy.
Adjuvant RT Plus Chemotherapy Improves Survival in Locally Advanced Stomach Cancer
January 1st 2001BOSTON-A new regimen of adjuvant radiation therapy and chemotherapy significantly raised 3-year survival rates for locally advanced stomach cancer patients in a randomized phase III intergroup trial reported at the annual meeting of the American Society for Therapeutic Radiology and Oncology (ASTRO).
NCI Seeks a $5.03 Billion Budget for Fiscal Year 2002
January 1st 2001BETHESDA, Md-The National Cancer Institute has requested $5.03 billion in its "bypass budget" for fiscal year 2002, which begins Oct. 1, 2001. The request represents an increase of $1.525 billion over the $3.5 billion President Clinton asked Congress to provide the Institute for FY 2001, and $1.27 billion above the actual FY 2001 appropriation granted by Congress ($3.76 billion).
TBI Using Arc Technology More Comfortable for Patients
January 1st 2001BOSTON-A new, intensity modulated radiation therapy delivery system allows patients to lie down rather than stand up for total body irradiation (TBI) and avoid the discomfort of heavy lead shields to block the lungs, John T. Keane, PhD, reported at the American Society for Therapeutic Radiology and Oncology (ASTRO) annual meeting.
Xcytrin Plus Radiation Therapy Targets Brain Metastases
January 1st 2001BOSTON-Combining standard radiation with a new drug called motexafin gadolinium (Xcytrin) produced substantial benefits for cancer patients with brain metastases in the lead-in phase of an ongoing phase III clinical trial, according to a report presented at the American Society for Therapeutic Radiology and Oncology (ASTRO) annual meeting.