Clinical Trial Biopsies: Ethical Concerns Raised About Disclosure, Follow-Up
April 22nd 2013Two recent reports have challenged certain assumptions in the drug development process that raise ethical concerns, individually and collectively, which the clinical cancer research community must address.
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Rethinking Overall Survival: Still an Acceptable Sole Primary Endpoint in Cancer Clinical Trials?
March 29th 2013A clinical commentary by Maurie Markman, MD, addressing whether overall survival can still be considered the sole acceptable primary endpoint in studies of novel anticancer therapeutic strategies.
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EGFR's Evolution: New Insights Refine Role of Mutation in NSCLC
March 1st 2013Despite all we have learned about the importance of sensitizing EGFR mutations in defining the management of advanced NSCLC, our education regarding the relevance of this molecular target in optimizing clinical outcomes continues.
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A Nobel Prize in Waiting: Understanding Unexpected and Prolonged Remissions
December 19th 2012Ipilimumab provides a striking example of the way in which some patients derive long-term benefits from therapy while others do not. The reasons for such differences should be a priority for translational research.
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Evolution of Targeted Therapy: GIST Experience Points the Way to Defining Third-Line Treatment
November 19th 2012Targeted antineoplastic therapy based on the presence of a well-defined molecular target should be recognized as a standard-of-care approach in an increasing number of clinical settings.
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When Toxicity Counts: It's Time to Reappraise Non-Severe but Clinically Relevant Side Effects
November 2nd 2012As an increasing number of cancers are considered chronic diseases treatable with continuous drug delivery, it is essential that our vocabulary describing the side effects experienced by our patients more appropriately reflects this new paradigm.
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Redefining Standard-of-Care: In Rare Cancers, the Experiences of Two Patients May Be Enough
October 24th 2012As more individual cancers undergo molecular profiling, we can anticipate that the scenario in which a targeted drug demonstrates rather remarkable clinical activity against a rare tumor type will become increasingly common.
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Targeting Non-Mutant EGFR: Genetic and Clinical Biomarkers May Help Validate Use of Inhibitors
June 25th 2012A recent study suggests patients may be selected for therapy based on the number of EGFR gene copies, and evaluated for clinical benefit based on the severity of the rash that often develops.
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The Retreatment Strategy: Would It Work With the Same Molecularly Targeted Therapy?
February 23rd 2012Patients who initially exhibit a response to a particular strategy may achieve substantial clinical benefit if the same or very similar agents are delivered after variably defined treatment-free intervals.
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2 Landmark Trials Suggest Changes in Practice; Brachytherapy Controversy Attracts Attention
February 20th 2012This commentary will highlight 2 phase III randomized trials and a retrospective review of a large national database that has been strongly criticized based on its overall conclusions.
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Pharmacogenomics in Action: CYP2D6 Breast Cancer Debate Shows Intricacies of Genotyping
December 21st 2011Recently reported and truly impressive clinical trial data have revealed the relevance of administering antineoplastic agents specifically and prospectively targeted to molecular abnormalities.
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