Lessons learned from using CDK 4/6 inhibitors to treat metastatic breast cancer

Article Type
Changed
Thu, 12/15/2022 - 17:56
Display Headline
Lessons learned from using CDK 4/6 inhibitors to treat metastatic breast cancer

It is amazing to see how many new drugs are being developed and approved for patients with cancer. In 2015 alone, the US Food and Drug Administration approved 45 new cancer drugs – a significant jump from the average 26 approvals annually from 2006 to 2014. This major shift in the number of approvals is due to many factors, including the intensified efforts by scientists and clinicians to develop new drugs, especially novel immunotherapies, and changes in the FDA’s drug approval process under the leadership of Dr Richard Pazdur.

 

Click on the PDF icon at the top of this introduction to read the full article. 

 

Article PDF
Issue
The Journal of Community and Supportive Oncology - 14(10)
Publications
Topics
Page Number
407-408
Sections
Article PDF
Article PDF

It is amazing to see how many new drugs are being developed and approved for patients with cancer. In 2015 alone, the US Food and Drug Administration approved 45 new cancer drugs – a significant jump from the average 26 approvals annually from 2006 to 2014. This major shift in the number of approvals is due to many factors, including the intensified efforts by scientists and clinicians to develop new drugs, especially novel immunotherapies, and changes in the FDA’s drug approval process under the leadership of Dr Richard Pazdur.

 

Click on the PDF icon at the top of this introduction to read the full article. 

 

It is amazing to see how many new drugs are being developed and approved for patients with cancer. In 2015 alone, the US Food and Drug Administration approved 45 new cancer drugs – a significant jump from the average 26 approvals annually from 2006 to 2014. This major shift in the number of approvals is due to many factors, including the intensified efforts by scientists and clinicians to develop new drugs, especially novel immunotherapies, and changes in the FDA’s drug approval process under the leadership of Dr Richard Pazdur.

 

Click on the PDF icon at the top of this introduction to read the full article. 

 

Issue
The Journal of Community and Supportive Oncology - 14(10)
Issue
The Journal of Community and Supportive Oncology - 14(10)
Page Number
407-408
Page Number
407-408
Publications
Publications
Topics
Article Type
Display Headline
Lessons learned from using CDK 4/6 inhibitors to treat metastatic breast cancer
Display Headline
Lessons learned from using CDK 4/6 inhibitors to treat metastatic breast cancer
Sections
Citation Override
JCSO 2016;14(10):407-408
Disallow All Ads
Alternative CME
Article PDF Media

Making immunotherapy part of routine breast cancer treatment

Article Type
Changed
Thu, 12/15/2022 - 17:59
Display Headline
Making immunotherapy part of routine breast cancer treatment

Cancer treatment is evolving rapidly, and 2015 was no exception. It was the year of immunotherapy. Following the approval by the US Food and Drug Administration in 2014 of pembrolizumab for melanoma, 2015 saw approvals of nivolumab for melanoma, lung cancer, and kidney cancer; pembrolizumab for lung cancer; and the combination of ipilimumab and nivolimab for melanoma. That’s an impressive list of immunotherapy approvals for a single year.
 

Click on the PDF icon at the top of this introduction to read the full article.

 

Article PDF
Issue
The Journal of Community and Supportive Oncology - 14(2)
Publications
Topics
Page Number
49-50
Legacy Keywords
breast cancer, immunotherapy, avelumab, pembrolizumab, HER2-negative, HER2-positive, docetaxel, carboplatin, trastuzumab, TCH, doxorubicin, cyclophosphamide, paclitaxel, AC-TH, mammogram
Sections
Article PDF
Article PDF

Cancer treatment is evolving rapidly, and 2015 was no exception. It was the year of immunotherapy. Following the approval by the US Food and Drug Administration in 2014 of pembrolizumab for melanoma, 2015 saw approvals of nivolumab for melanoma, lung cancer, and kidney cancer; pembrolizumab for lung cancer; and the combination of ipilimumab and nivolimab for melanoma. That’s an impressive list of immunotherapy approvals for a single year.
 

Click on the PDF icon at the top of this introduction to read the full article.

 

Cancer treatment is evolving rapidly, and 2015 was no exception. It was the year of immunotherapy. Following the approval by the US Food and Drug Administration in 2014 of pembrolizumab for melanoma, 2015 saw approvals of nivolumab for melanoma, lung cancer, and kidney cancer; pembrolizumab for lung cancer; and the combination of ipilimumab and nivolimab for melanoma. That’s an impressive list of immunotherapy approvals for a single year.
 

Click on the PDF icon at the top of this introduction to read the full article.

 

Issue
The Journal of Community and Supportive Oncology - 14(2)
Issue
The Journal of Community and Supportive Oncology - 14(2)
Page Number
49-50
Page Number
49-50
Publications
Publications
Topics
Article Type
Display Headline
Making immunotherapy part of routine breast cancer treatment
Display Headline
Making immunotherapy part of routine breast cancer treatment
Legacy Keywords
breast cancer, immunotherapy, avelumab, pembrolizumab, HER2-negative, HER2-positive, docetaxel, carboplatin, trastuzumab, TCH, doxorubicin, cyclophosphamide, paclitaxel, AC-TH, mammogram
Legacy Keywords
breast cancer, immunotherapy, avelumab, pembrolizumab, HER2-negative, HER2-positive, docetaxel, carboplatin, trastuzumab, TCH, doxorubicin, cyclophosphamide, paclitaxel, AC-TH, mammogram
Sections
Citation Override
JCSO 2016;14:49-50
Disallow All Ads
Alternative CME
Article PDF Media

How to fix clinical trial accrual

Article Type
Changed
Thu, 12/15/2022 - 18:02

Editor Jame Abraham argues that once there is appropriate clinical trial infrastructure, there is only one person who can increase the clinical trial accrual: the treating oncologist.

 

Click on the PDF icon at the top of this introduction to read the full article.

Article PDF
Issue
The Journal of Community and Supportive Oncology - 13(10)
Publications
Topics
Page Number
341
Legacy Keywords
breast cancer, clinical trials, NSABP B-31, clinical trial accrual, ER/PR-positive, HER2-positive
Sections
Article PDF
Article PDF

Editor Jame Abraham argues that once there is appropriate clinical trial infrastructure, there is only one person who can increase the clinical trial accrual: the treating oncologist.

 

Click on the PDF icon at the top of this introduction to read the full article.

Editor Jame Abraham argues that once there is appropriate clinical trial infrastructure, there is only one person who can increase the clinical trial accrual: the treating oncologist.

 

Click on the PDF icon at the top of this introduction to read the full article.

Issue
The Journal of Community and Supportive Oncology - 13(10)
Issue
The Journal of Community and Supportive Oncology - 13(10)
Page Number
341
Page Number
341
Publications
Publications
Topics
Article Type
Legacy Keywords
breast cancer, clinical trials, NSABP B-31, clinical trial accrual, ER/PR-positive, HER2-positive
Legacy Keywords
breast cancer, clinical trials, NSABP B-31, clinical trial accrual, ER/PR-positive, HER2-positive
Sections
Citation Override
JCSO 2015;13(10):341
Disallow All Ads
Alternative CME
Article PDF Media

Turning back the clock: the increase in bilateral mastectomies

Article Type
Changed
Thu, 12/15/2022 - 18:07
Display Headline
Turning back the clock: the increase in bilateral mastectomies
When Bernard Fisher of National Surgical Adjuvant Breast and Bowel Project and George Crile Jr of the Cleveland Clinic initiated the conversation about breast cancer patients opting for breast preservation over radical surgery and achieving the same outcomes as those who opted for mastectomy, it was a game-changing concept. They were considered pariahs by their surgical peers, the dominating Halstedian surgeons. But when Fisher and his colleagues published fndings1 that showed equal efficacy for lumpectomy and mastectomy, the world took notice. Surgeons and patients were quick embrace the evidence, and that dramatic change in the approach to treatment continued until 2004, when we started seeing a steady increase in the mastectomy rate, and especially prophylactic mastectomy.

 

Click on the PDF icon at the top of this introduction to read the full article.

 

Article PDF
Issue
The Journal of Community and Supportive Oncology - 12(10)
Publications
Topics
Page Number
345-346
Legacy Keywords
breast cancer, bilateral mastectomy, breast preservation, prophylactic mastectomy, breast-conserving surgery, unilateral breast cancer

Sections
Article PDF
Article PDF
When Bernard Fisher of National Surgical Adjuvant Breast and Bowel Project and George Crile Jr of the Cleveland Clinic initiated the conversation about breast cancer patients opting for breast preservation over radical surgery and achieving the same outcomes as those who opted for mastectomy, it was a game-changing concept. They were considered pariahs by their surgical peers, the dominating Halstedian surgeons. But when Fisher and his colleagues published fndings1 that showed equal efficacy for lumpectomy and mastectomy, the world took notice. Surgeons and patients were quick embrace the evidence, and that dramatic change in the approach to treatment continued until 2004, when we started seeing a steady increase in the mastectomy rate, and especially prophylactic mastectomy.

 

Click on the PDF icon at the top of this introduction to read the full article.

 

When Bernard Fisher of National Surgical Adjuvant Breast and Bowel Project and George Crile Jr of the Cleveland Clinic initiated the conversation about breast cancer patients opting for breast preservation over radical surgery and achieving the same outcomes as those who opted for mastectomy, it was a game-changing concept. They were considered pariahs by their surgical peers, the dominating Halstedian surgeons. But when Fisher and his colleagues published fndings1 that showed equal efficacy for lumpectomy and mastectomy, the world took notice. Surgeons and patients were quick embrace the evidence, and that dramatic change in the approach to treatment continued until 2004, when we started seeing a steady increase in the mastectomy rate, and especially prophylactic mastectomy.

 

Click on the PDF icon at the top of this introduction to read the full article.

 

Issue
The Journal of Community and Supportive Oncology - 12(10)
Issue
The Journal of Community and Supportive Oncology - 12(10)
Page Number
345-346
Page Number
345-346
Publications
Publications
Topics
Article Type
Display Headline
Turning back the clock: the increase in bilateral mastectomies
Display Headline
Turning back the clock: the increase in bilateral mastectomies
Legacy Keywords
breast cancer, bilateral mastectomy, breast preservation, prophylactic mastectomy, breast-conserving surgery, unilateral breast cancer

Legacy Keywords
breast cancer, bilateral mastectomy, breast preservation, prophylactic mastectomy, breast-conserving surgery, unilateral breast cancer

Sections
Citation Override
JCSO 2014;12:345-346
Disallow All Ads
Alternative CME
Article PDF Media

Sequestration ‘trickle-down’ closes in on community practices

Article Type
Changed
Fri, 01/04/2019 - 11:14
Display Headline
Sequestration ‘trickle-down’ closes in on community practices

The effects of sequestration-related cuts on oncology practices have kicked in. In early April, Sarah Kliff, a blogger at The Washington Post, reported that cancer clinics had already started turning away Medicare patients because the funding cuts would make it impossible for them to continue treating their chemotherapy patients and avoid financial ruin.1 In early May, a month after the April 1 cuts took effect, we already had 2 separate survey reports, one from the American Society of Clinical Oncology (ASCO), the other from the Community Oncology Alliance (COA), that showed that the 2% cut in Medicare reimbursement had caused oncology practices “to make signifi- cant shifts in how they do business and care for patients.”2 ASCO surveyed 500 of its members (41% in suburban settings; 41%, in urban; 16%, in rural). In all, 80% of respondents said sequestration was affecting their practices, and about 75% said they were having trouble paying for chemotherapy drugs. Half of the respondents said they could care only for patients who had other sources of income independent of Medicare, 14% had stopped seeing Medicare patients, and half said they were sending their Medicare patients to outpatient infusion centers for their chemotherapy. ASCO president Sandra Swain expressed concern that some patients’ care was being disrupted and compromised, which could be detrimental to the clinical outcomes and emotional well-being of these fragile individuals, and she warned in a statement that the society’s initial findings “may just be the tip of the iceberg.”3 The fact that a quarter of respondents reported that they were planning to close satellite clinics should also raise concerns about the impact such closures might have on research and participation in clinical trials.

Article PDF
Publications
Article PDF
Article PDF

The effects of sequestration-related cuts on oncology practices have kicked in. In early April, Sarah Kliff, a blogger at The Washington Post, reported that cancer clinics had already started turning away Medicare patients because the funding cuts would make it impossible for them to continue treating their chemotherapy patients and avoid financial ruin.1 In early May, a month after the April 1 cuts took effect, we already had 2 separate survey reports, one from the American Society of Clinical Oncology (ASCO), the other from the Community Oncology Alliance (COA), that showed that the 2% cut in Medicare reimbursement had caused oncology practices “to make signifi- cant shifts in how they do business and care for patients.”2 ASCO surveyed 500 of its members (41% in suburban settings; 41%, in urban; 16%, in rural). In all, 80% of respondents said sequestration was affecting their practices, and about 75% said they were having trouble paying for chemotherapy drugs. Half of the respondents said they could care only for patients who had other sources of income independent of Medicare, 14% had stopped seeing Medicare patients, and half said they were sending their Medicare patients to outpatient infusion centers for their chemotherapy. ASCO president Sandra Swain expressed concern that some patients’ care was being disrupted and compromised, which could be detrimental to the clinical outcomes and emotional well-being of these fragile individuals, and she warned in a statement that the society’s initial findings “may just be the tip of the iceberg.”3 The fact that a quarter of respondents reported that they were planning to close satellite clinics should also raise concerns about the impact such closures might have on research and participation in clinical trials.

The effects of sequestration-related cuts on oncology practices have kicked in. In early April, Sarah Kliff, a blogger at The Washington Post, reported that cancer clinics had already started turning away Medicare patients because the funding cuts would make it impossible for them to continue treating their chemotherapy patients and avoid financial ruin.1 In early May, a month after the April 1 cuts took effect, we already had 2 separate survey reports, one from the American Society of Clinical Oncology (ASCO), the other from the Community Oncology Alliance (COA), that showed that the 2% cut in Medicare reimbursement had caused oncology practices “to make signifi- cant shifts in how they do business and care for patients.”2 ASCO surveyed 500 of its members (41% in suburban settings; 41%, in urban; 16%, in rural). In all, 80% of respondents said sequestration was affecting their practices, and about 75% said they were having trouble paying for chemotherapy drugs. Half of the respondents said they could care only for patients who had other sources of income independent of Medicare, 14% had stopped seeing Medicare patients, and half said they were sending their Medicare patients to outpatient infusion centers for their chemotherapy. ASCO president Sandra Swain expressed concern that some patients’ care was being disrupted and compromised, which could be detrimental to the clinical outcomes and emotional well-being of these fragile individuals, and she warned in a statement that the society’s initial findings “may just be the tip of the iceberg.”3 The fact that a quarter of respondents reported that they were planning to close satellite clinics should also raise concerns about the impact such closures might have on research and participation in clinical trials.

Publications
Publications
Article Type
Display Headline
Sequestration ‘trickle-down’ closes in on community practices
Display Headline
Sequestration ‘trickle-down’ closes in on community practices
Disallow All Ads
Content Gating
No Gating (article Unlocked/Free)
Alternative CME
Article PDF Media