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FLEX Trial of Chemo with or without Erbitux in First Line NSCLC Data Available

May 31, 2008 - 8:49 pm

   There’s a single lung cancer trial being presented 6/1/08 at ASCO’s Plenary Session, at which the most important cancer studies of the year are presented.  This is on the FLEX trial that I described in a prior post, and which was already reported to be positive, at a press release all the way back in […]

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Speaking at ASCO: Seven Abstracts on Refining Prognosis for Patients with Resected NSCLC

May 30, 2008 - 8:10 pm

   I’ve spent a lot of the last few days, and in fact a fair bit of the last few weeks, working on a faculty presentation I’m doing at the ASCO meeting tomorrow evening.  It’s providing commentary in what is called a poster discussion session, at which 25 posters are displayed for several hours, and […]

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Abstracts to Watch in Lung Cancer for ASCO 2008 (Part 2)

May 26, 2008 - 5:55 pm

   Let’s round out the discussion of additional abstracts that will be worthy of further discussion based on their implications for clinical practice.  Here are another five to add to the five I introduced in the last post.
6)  Molecular signatures to predict which patients benefit from adjuvant chemo (abstract here):  Using tissue from 133 patients […]

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Abstracts to Watch in Lung Cancer for ASCO 2008 (Part 1)

May 24, 2008 - 9:24 pm

   Now that ASCO has changed its policy and has published the vast majority of its abstracts online in the weeks preceding the annual meeting (next week, where most of the biggest developments in clinical cancer research are presented), we can peek at some of these summaries and determine many of the reports that are […]

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More Disappointing Results with EGFR/COX-2 Combination

May 21, 2008 - 9:14 pm

   When I first started OncTalk, there was a lot of buzz about celebrex (celecoxib) as a cancer drug, but almost all of it was among patients talking about it on the internet: oncologists watching the field hadn’t been impressed by the early returns, including this one (despite the fact that some of my earliest work […]

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Dose Escalation with Tarceva? Dosing to Rash?

May 19, 2008 - 9:09 pm

   As I’ve described in a prior post, there is some evidence that patients who develop a rash on tarceva (erlotinib) have an improved survival compared to patients who experience no skin toxicity on tarceva.  The key question is whether this is an issue of under-dosing some patients, or if it’s just a correlate of overall immune […]

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Maintenance Alimta in Advanced NSCLC Shows Significant Improvement in Progression-Free Survival

May 17, 2008 - 3:05 pm

   Last year, a provocative trial was presented at ASCO that compared early vs. later taxotere as second line therapy.  I described that study here, and it showed a very significant improvement in progression-free survival (PFS) and a near significant improvement in overall survival (OS) for the recipients of taxotere immediately after four cycles of first line […]

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ASCO Abstracts Now Publicly Available

May 15, 2008 - 8:27 pm

  In past years, a huge book of abstracts, the approximately 250 word summaries for each study, were mailed out to members of ASCO (the American Society of Clinical Oncology) in mid-May, but they weren’t publicly available to anyone else until the time of the huge annual conference about 2-3 weeks later (where most of the biggest […]

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Stable disease is just fine, thank you.

May 10, 2008 - 2:36 pm

At the 1st ESMO-IASLC Lung Cancer Conference in Geneva last week I saw a presentation that I thought would interest this general readership. The study, presented by Dr Grossi, from Italy, is a retrospective review of 61 patients with advanced NSCLC of all subtypes treated with either Tarceva (erlotinib) or Iressa (gefitinib) […]

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Arguing Against Molecular Testing for EGFR in NSCLC

May 8, 2008 - 10:24 pm

     So I’ve been invited to be on the faculty of a lung cancer conference in Kauai next month (yes, a good gig, but this is the first year that the flights are so expensive that I can’t bring my family to this normally very family-friendly event), and my topic is to argue in a […]

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