15 October 2020 (Thursday) - Oncologist Update

 The nice people at “The Oncologist” sent their update today….

 

Featured Content

Practice-Changing Article

Trastuzumab Cardiotoxicity in Early Breast Cancer


With breast cancer patients experiencing longer survival, emphasizing their overall health through management of late and long‐term treatment effects is becoming increasingly important. This article reports a multiregional real‐world population‐based cohort investigation carried out to compare short‐term and long‐term cardiovascular risk of symptomatic cardiovascular events in women with localized breast cancer treated with trastuzumab‐based or standard adjuvant therapy in clinical practice.

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Review Article

SELNET Recommendations in Sarcoma During COVID-19



The COVID‐19 pandemic has caused deferral, modification, or cessation of treatment for patients with cancer. This article presents a consensus on prioritizing recommendations across the continuum of sarcoma patient care.

 

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In the News

 

Clinical Trial Results

Everolimus and Estrogen Deprivation Therapy for Fibrolamellar Carcinoma


Lessons Learned

  • FLC is a complex cancer with many implicated oncogenic pathways. Single or dual targeting does not appear to alter the natural history of the cancer, and novel therapeutics are needed.
  • Estrogen deprivation therapy with letrozole and leuprolide, alone or in combination with the mTOR inhibitor, everolimus, did not demonstrate clinical activity in advanced fibrolamellar carcinoma.
  • The study drugs were well tolerated when administered as single agents or in combination in this patient population.
  • This study demonstrates that, despite the rarity of FLC, multicenter therapeutic clinical trials are feasible and support the value of this consortium.
 

CME Activities

FDA Approval Summary: Pembrolizumab for Recurrent Locally Advanced or Metastatic Gastric or Gastroesophageal Junction Adenocarcinoma Expressing PD-L1

On September 22, 2017, the Food and Drug Administration (FDA) granted accelerated approval to pembrolizumab (KEYTRUDA®, Merck & Co., Inc.) for the treatment of patients with recurrent, locally advanced or metastatic, gastric or gastroesophageal junction (GEJ) adenocarcinoma with disease progression on or after two or more systemic therapies, including fluoropyrimidine- and platinum-containing chemotherapy and, if appropriate, HER2/neu-targeted therapy, and whose tumors express programmed death-ligand 1 (PD-L1), as determined by an FDA-approved test.


"I need to know what makes somebody tick…" - Challenges and strategies of implementing shared decision-making in individualized oncology

This empirical-ethical study explores factors potentially relevant for current difficulties to translate the concept of shared decision-making into clinical practice.

More CME

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