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Q&A Session with Dr. Ramalingam on Personalizing Treatment Recommendations for Advanced NSCLC

March 27, 2010 - 8:57 am

The second podcast from Dr. Ramalingam’s excellent webinar on Personalizing Treatment for First Line NSCLC is the question and answer session that followed it, which includes many questions about EGFR-based therapy, antiangiogenic agents, and other relevant issues for individualized treatments for patients.
Here is the audio and video versions of the podcast, along with the figures [...]

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Dr. Suresh Ramalingam on Personalizing First Line Therapy for Advanced NSCLC: Podcast Available

March 24, 2010 - 9:46 am

I’m very pleased to offer the excellent podcast produced from the recent webinar by Dr. Suresh Ramalingam, a leader in the lung cancer field who heads the Thoracic Oncology Program at Emory University in Atlanta.  He’s also a good friend I’ve known since our fellowship training days, and he was kind and generous enough to [...]

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Dr. Alan Sandler Provides General Intro to Treatment of Advanced Non-Small Cell Lung Cancer

December 9, 2009 - 7:07 pm

Dr. Alan Sandler is an international leader in the lung cancer world, also identified as among the most down to earth and funniest people in the field (and though that might not sound like much, he travels with an audio clip of a rim shot to play after his jokes).  His talks are light-hearted, but [...]

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Correlation of Rash with Survival on FLEX Trial: Predictive or Prognostic?

June 29, 2009 - 9:25 pm

Completing our tour of clinical factors that we might use for predicting benefit with the EGFR monoclonal antibody Erbitux (cetuximab) in the FLEX trial is the development of a rash.  We’re actually discussing rash separately from the other clinical factors from the FLEX trial that we discussed in the prior post for a couple of [...]

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Clinical Factors on the FLEX Trial: Do Certain Patient Groups Benefit More or Less with Erbitux?

June 27, 2009 - 3:43 pm

In the last post that presented the highlights of the FLEX trial that tested the benefit of adding Ebritux (cetuximab) to standard chemo.  The trial was technically positive, statistically significant, but the results in the overall population of the trial were so marginally superior with Erbitux that a very logical follow-up question is whether we [...]

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FLEX Trial Redux

June 25, 2009 - 10:29 pm

I covered the highlights of the FLEX trial, reported at the Plenary Session of ASCO 2008, a full year ago, but in that time, we never showed the survival curves or covered all of the details.  It’s time to rectify that, now that it’s actually been published, and we’re left to reflect on whether certain [...]

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Cetuximab (Erbitux) for Advanced NSCLC: Promising Results, But is it Ready for Prime Time?

May 11, 2009 - 10:37 am

There has been quite a lot of discussion recently about the EGFR tyrosine kinase inhibitors (TKIs), erlotinib (Tarceva) and gefitinib (Iressa). Recently however the final results of the FLEX trial were published in The Lancet, bringing attention back to one of the antibodies against EGFR, cetuximab (Erbitux). Dr. West [...]

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Polling Lung Cancer Experts: Metastatic NSCLC, Squamous Subtype

March 21, 2009 - 8:40 pm

    Several weeks ago, I described the results of a survey I sent out to several colleagues who are lung cancer experts around the country, asking how they would manage a case of a newly diagnosed Caucasian never-smoking patient with advanced NSCLC, adenocarcinoma, and asymptomatic subcentimeter brain metastases, treated with whole brain RT before starting systemic [...]

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Potentially Life-Threatening Hypersensitivity Reaction with Erbitux: A Region-Specific Side Effect

January 10, 2009 - 4:10 pm

   Erbitux (cetuximab) is a monoclonal antibody to EGFR, and it’s actually made from a protein that is part mouse and part human (called a chimeric protein, named for the mythologic creature chimera that was composed of multiple parts from different animals). It’s uncommon but not rare for patients to have an allergic reaction to [...]

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Can Development of a Rash on Erbitux Predict Who Will Benefit?

January 9, 2009 - 4:41 pm

   The improvement in median survival of 1.2 months with the monoclonal antibody to EGFR erbitux (cetuximab) in the FLEX trial that I’ve previously described was statistically significant, but there’s plenty of room to debate whether it’s really clinically significant (see prior post).  What If we could add some way to refine our predictions of who [...]

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