Many Breast Cancer Patients Can Safely Skip Chemo, Large Trial Confirms
These results have the potential to reduce overtreatment of breast cancer—stopping patients’ unnecessary exposure to chemotherapy—in a large fraction of cases.
writer, health care advocate, physician
These results have the potential to reduce overtreatment of breast cancer—stopping patients’ unnecessary exposure to chemotherapy—in a large fraction of cases.
For patients with metastatic breast cancer, doctors don’t yet know how to predict long-term responses to this PARP drug.
What’s at issue is the right of all cancer patients—regardless of wealth—to obtain high-quality information about their conditions.
Few doctors, even oncologists who subspecialize, can keep up with developments in the field.
The paradigm for using chemo first to treat advanced breast cancer may change, as we gain experience with these new drugs.
Perhaps the literature fails to capture the clinical value of oncology drugs. This could happen for several reasons.
A new type of cancer medication, called PARP inhibitors, is gaining traction in clinical practice.
The key to the positive results is molecular matching. Patients received larotrectinib, a TRK inhibitor, only if their cancers were marked by a switch…It’s a perfect example of how precision medicine can benefit patients with rare conditions.
The FDA’s accelerated approval of this drug might surprise traditional oncologists. It suggests the agency may be ditching an archaic system for classifying cancers based on body parts—like breast or liver or colon cancer—and instead will focus..
My enthusiasm for this new drug, Stivarga, is tempered by the low response rate and toxicity.
It’s possible that tumor mutation burden (TMB) predicts if cancer―of any type―will respond to treatment with immune drugs, but this remains to be tested.
Lynparza—a PARP inhibitor taken as an oral tablet, daily— keeps qualified cases of advanced ovarian cancer in check for two years, as compared to placebo.
Can you perform a sentinel lymph node biopsy, and avoid removing all of the glands from my armpit?
Are unbridled profits necessary to drive medical innovation and progress?
The new agent, a monoclonal antibody to CD22 with a toxin attached, is manufactured by Pfizer. It’s called inotuzumab ozogamicin.
Ribociclib is one of several CDK inhibitors being tried in breast cancer and other malignancies.
It was a seemingly innocuous change in the protocol that may have caused this experimental tragedy. Which is all the more reason to be careful, and mind the details.
If these data pan out, this first-in-class antibody might be likened to Herceptin, or Rituxan… a precise treatment that works on malignant cells that have tested positive for the relevant molecule.
Avoiding recurrence is a legitimate goal, but there’s a trade-off.
..as if mothers telling an FDA panel about what’s happening to their kids with Duchenne muscular dystrophy, a disabling condition, is the opposite of science.
Today, Walter White might not be doomed by his lung cancer. The harder problem is how to pay for his care.
Blood specialists reported on practice-changing studies for sickle cell disease, including a large study of bone marrow transplant from matched sibling donors. A preliminary report looked at effects of GBT440, a novel oral agent that augments hemoglobin’s binding to oxygen.
The benefits of Prolia appear to exceed those reported for a competing class of drugs, bisphosphonates. It’s well-tolerated and comparatively easy to take…
Venetoclax is a powerful new kind of oral medication. It enables leukemia cells to die by interfering with Bcl-2, a survival signal.
The concept of valuing drugs, at least in part, by how easy it is to reliably produce, distribute and take them, appeals to reason.
These biomarkers should link patients to optimal therapy (when such exists), and lead some to decline therapy that’s unlikely to help. The CDx field is moving forward rapidly in oncology..
A common misconception is that precision medicine is about one drug for one disease. But for most cancer types, it will involve combining medications in effective cocktails.
Over time, the costs should drop, like for smartphone tech, what my Dad – a chemistry major and retired physician – called “magic.”
Taken together, the findings raise many possibilities – and questions about strategy, and expense – for testing and prescribing new small drugs and immune-targeting antibodies to patients with kidney and, potentially, other advanced cancer forms.
One problem is that prospective, randomized clinical trials comparing treatments for conditions like “Stage 3 ovarian cancer” fall behind the pace of advances in science and drug development.
A new study sheds light on social and economic factors that influence whether women with breast cancer get lumpectomy or mastectomy.
In a prospective randomized trial, adding a “shave” to the lumpectomy site reduced positive margins and halved re-operations.
The Shower Shirt is made of waterproof parachute material on the outside, with microfiber on the inside of the neck, a water-resistant zipper, flap, and Velcro all the way down in front.
So far, the studies demonstrate that Lynparza has activity in cancer patients with and without inherited BRCA mutations.
It’s the kind of problem a person who’s had cancer, or a doctor who’s prescribed generally helpful treatment, may not want to think about.
Carr’s story highlights the need for improved survivorship care. As his recent autopsy disclosed, he died with an aggressive form of lung cancer and heart disease.