Article and Video CATEGORIES

Cancer Journey

Search By

Dr. Jack West is a medical oncologist and thoracic oncology specialist who is the Founder and previously served as President & CEO, currently a member of the Board of Directors of the Global Resource for Advancing Cancer Education (GRACE)

 

Real Advances for KRAS Mutation-Positive NSCLC: Dr. Neal Reviews MEK Inhibitor Selumetinib
Author
Howard (Jack) West, MD

Dr. Neal continues his summary of ASCO 2012 highlights with a discussion of KRAS mutation-positive advanced NSCLC, a group that actually represents the largest group of NSCLC patients with a defined molecular marker, but also a group for whom we haven't had enough good answers.  Here, Dr. Neal summarizes the very promising work with the MEK inhibitor selumetinib combined with Taxotere (docetaxel), compared with Taxotere alone, for patients with advanced NSCLC and a KRAS mutation.  While the efficacy looks very favorable, it appears to come with a price of increased side effects that may prove to be prohibitively challenging.  Nevertheless, it qualifies as a potential breakthrough for a very significant subpopulation of patients with advanced NSCLC for whom we haven't had prior breakthroughs.

Below you'll find the video and audio versions of the podcast, along with the transcript and figures for this program. 

Dr. Neal ASCO 2012 LC Highlights Selumetinib KRAS mutn pos Adv NSCLC Audio Podcast

Dr. Neal ASCO 2012 LC Highlights Selumetinib KRAS mutn pos Adv NSCLC Transcript

Dr. Neal ASCO 2012 LC Highlights Selumetinib KRAS mutn pos Adv NSCLC Figs

Dr. Neal will continue with the controversial question of how best to manage a patient with a known EGFR mutation after they have completed potentially curative surgery for early stage lung cancer, describing a study he led.

But for now, the question centers around how much of a problem are side effects.  Here, a potentially useful advance in treatment was associated with a nearly 50% chance of being hospitalized from side effects.  To most oncologists, that's more damage than we can readily accept causing in someone we're treating with a goal of balancing life prolongation with quality of life.  Would most of you favor accepting a promising treatment with a threatening side effect profile, or would you favor waiting until we learn more, optimize how we use the drug, or perhaps find a related drug that might provide the benefit with fewer side effects?

Next Previous link

Previous PostNext Post

Related Content

Image
Trial data ASCO 2024
Video
In this video series from ASCO 2024, Drs. Aakash Desai and Fauwzi Abu Rous discuss trial dates and clinical data as presented at the 2024 ASCO. To watch the complete playlist, click here.         
Image
Bladder Cancer Video Library 2024
Video
Dr. Petros Grivas discusses intravesical treatment for patients with nonmuscle invasive, or early-stage, bladder cancer, the importance of participating in clinical trials for bladder cancer, combination therapy options for patients with metastatic or incurable bladder cancer, and the importance of family history of cancer and discussing that history with your doctor.
Image
Case Based Panel
Video
The panel discusses treatment options for a patient diagnosed with EGFR Exon 19 Deletion NSCLC and examines data from the Laura Trial, a patient with a smoking history and diagnosis of small cell lung cancer, and how the Adriatic Study factors into decisions, and a patient with NSCLC adenocarcinoma, and a EGFR Exon 21 L858R Alteration, and how data from the Flaura 2 Trial can impact treatment decisions.

Forum Discussions

Hi elysianfields and welcome to Grace.  I'm sorry to hear about your father's progression. 

 

Unfortunately, lepto remains a difficult area to treat.  Recently FDA approved the combo Lazertinib and Amivantamab...

Hello Janine, thank you for your reply.

Do you happen to know whether it's common practice or if it's worth taking lazertinib without amivantamab? From all the articles I've come across...

Hi elysianfields,

 

That's not a question we can answer. It depends on the individual's health. I've linked the study comparing intravenous vs. IV infusions of the doublet lazertinib and amivantamab...

Recent Comments

JOIN THE CONVERSATION
That's beautiful Linda…
By JanineT GRACE … on
I could not find any info on…
By JanineT GRACE … on
Hi elysianfields,

 

That's…
By JanineT GRACE … on
Hello Janine, thank you for…
By elysianfields on