Author: Editor

Dr. Jim Brugarolas, Director of the UT Southwestern Kidney Cancer Program, sat down with expert urologist, Dr. Vitaly Margulis, and leading oncologist, Dr. Hans Hammers, in a roundtable discussion about the CARMENA trial, a clinical trial evaluating the role of surgery for the primary tumor in the kidney in patients with metastatic disease.

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Acute myeloid leukemia (AML) is a highly heterogenous disease, and the specific mutations that are present in the patient play a large role in the prognosis. Here, Andrew Wei, MBBS, PhD, FRACP, FRCPA, from the Monash University, Melbourne, Australia, explains the importance minimal residual disease (MRD) monitoring in this context. Dr Wei discusses how next-generation sequencing will allow clinicians to monitor the complete molecular architecture of each AML patient, and enable precision-guided therapy to target the different varieties of malignancies. This video was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest,…

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Speaking from the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, Andrew Wei, MBBS, PhD, FRACP, FRCPA, from Monash University, Melbourne, Australia, discusses the benefits of machine learning technology, which can empirically perform thousands of experiments within seconds. Specific algorithms can be applied to discover the positive and negative gene-gene interactions that occur in patients in order to determine treatment options and prognosis.

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Andrew Wei, MBBS, PhD, FRACP, FRCPA, from Monash University, Melbourne, Australia, discusses clinical trials investigating the effect of BH3 mimetic drugs, such as venetoclax, on acute myeloid leukemia (AML). Current studies are trying to improve the activity of venetoclax in combination with low-dose chemotherapy and hypomethylating agents in patients with poor risk FLT3, DNMT3A or IDH mutations to produce a longer, more sustainable remission. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Speaking from the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, Marion Subklewe, MD, from LMU Hospital Munich, Munich, Germany, gives insight into the steps that can be taken to improve the effectiveness and safety of CAR T-cell therapy, including performing allogeneic stem cell transplants on the patient after CAR T-cell therapy to overcome hematotoxicity, and using smaller adaptor molecules, such as blinatumomab, in combination with universal CAR T-cell products to enhance overall efficacy. Dr Subklewe also expresses her excitement about the amount of CAR T-cell trials that are currently in development or…

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Marion Subklewe, MD, from LMU Hospital Munich, Munich, Germany, discusses several clinical trials in acute myeloid leukemia (AML) that are currently underway, including a Phase I trial investigating MGD006 (NCT02152956), and a trial investigating the use of the anti-CD33/CD3 BiTE antibody, known as AMG 330, for the management of relapsed/refractory AML (NCT02520427). Speaking from the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, Dr Subklewe also discusses an upcoming trial that is in development to investigate the effects of a follow-up molecule of AMG 330.

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Here, Jacob Kettle, PharmD, BCOP, of the University of Missouri Health Care, Columbia, MO, shares his perspective on the different challenges surrounding the advancements made in the development of newer immunotherapy agents for pharmacists, including the need to constantly keep up to date with newly approved drugs, and being aware of their side effects on different organ systems upon administration. This video was recorded at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO.

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Results from clinical trials determine the effectiveness, toxicity and, ultimately, the approval of novel therapies for cancer. Here, Gregory Pond, PhD, from McMaster University, Hamilton, ON, discusses the results of two Phase III studies investigating the immune checkpoint inhibitor cabozantinib, COMET-1 and COMET-2. Speaking from the 2018 Genitourinary Cancers Symposium, held in San Francisco, CA, Dr Pond reviews the rationale, cohort and results of the trial. He ultimately highlights the importance of the presence risk of factors in identifying working novel therapies for cancer.

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Urothelial carcinoma has been a challenge for oncologists to treat for many years, with a steady mortality rate and no new treatments on the horizon until the recently developed checkpoint inhibitors, such as atezolizumab. In this interview, Gregory Pond, PhD, from McMaster University, Hamilton, ON, briefly discusses a promising new model for identifying patients who would benefit from atezolizumab treatment. This 6-factor model contains six prognostic factors used to identify these patients. The model was shown to be effective during two clinical trials, including IMvigor210 (NCT02302807), using atezolizumab post-platinum. Although a clinical use has yet to be defined, this new…

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Jacob Kettle, PharmD, BCOP, of the University of Missouri Health Care, Columbia, MO, discusses the different ways in which pharmacists can overcome the uncertainties surrounding new tools, such as PD-L1 testing. Pharmacists are encouraged to be aware of the correct applications of these tools by identifying the patients who are most likely to benefit from them, as well as the limitations of each test. This interview was filmed at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO.

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From the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO, Jacob Kettle, PharmD, BCOP, of the University of Missouri Health Care, Columbia, MO, gives his insight on the factors that need to be considered when administering drugs with low response rates, as applying a treatment like this may worsen outcomes at a time when palliative or end-of-life care would be more beneficial. Dr Kettle also discusses how the application of testing for PD-L1 is not as straightforward as that for other cancer biomarkers, such as HER2, BRAF and ALK.

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With the involvement of so many genetic and molecular alterations in cancer, it is nearly impossible to know what pathway to target for a clinically significant outcome that also has a low toxicity level. In this interview, Lisa Pickering, MRCP, PhD, of The Royal Marsden NHS Foundation Trust, London, UK, speaking from the Genitourinary Cancers Symposium, in San Francisco, CA, objectively compares retrospective and prospective studies for penile cancer, emphasizing the lack of the prospective studies. She discusses recent trials, including HER-Uro01 (NCT01728233) and the large-scale InPACT study (NCT02305654).

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The recent Phase II VinCap trial (NCT02057913) shows promising results for vinflunine as a chemotherapy for locally-advanced and metastatic carcinoma of the penis. At the Genitourinary Cancers Symposium, in San Francisco, CA, Lisa Pickering, MRCP, PhD, of The Royal Marsden NHS Foundation Trust, London, UK, provides a detailed and concise review of vinflunine. Dr Pickering discusses the results of the VinCap trial, depicting the advantages of vinflunine in efficacy, tolerability, and meeting its primary endpoint and clinical benefit rate compared to other chemotherapies.

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In this interview, Christopher Campen, PharmD, BCOP, from the GHS Cancer Institute, Greenville, SC, discusses combining immune checkpoint inhibitors for the treatment of cancer as opposed to using single agent drugs, but do the benefits outweigh the risks? Checkpoint inhibitors can be associated with severe side effects such as dermatitis, but despite this, the correct management of these adverse effects may lead to increased survival rates compared to current methods of treatment. This video was recorded at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO.

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The unique side effects that accompany the use of immune checkpoint inhibitors for the treatment of cancer need to be closely monitored to ensure the highest quality of patient care. Here, Christopher Campen, PharmD, BCOP, from the GHS Cancer Institute, Greenville, SC, explains how new collaborative guidelines from the American Society of Clinical Oncology (ASCO) and the National Comprehensive Cancer Network (NCCN) have been developed to help healthcare providers assess and manage these side effects. This interview was recorded at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference, held in Denver, CO.

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Patient-reported outcomes (PROs) give a greater insight into the lives of patients and their perspectives on the treatment received. Here, Suwicha Limvorasak, PharmD, BCOP, from the Cedars-Sinai Medical Center, Los Angeles, CA, explains how older PRO measures, such as questionnaires that are currently being used in clinical trials, are difficult to implement in regular clinical practice. Dr Limvorasak also suggests faster and more accessible methods that may be used as a quality indicator of patient care, satisfaction and safety. This interview was recorded at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO.

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The expression of programmed death-ligand 1 (PD-L1) can be used as a clinical biomarker to determine the efficacy of immune checkpoint inhibitor treatment; however, there are many areas of uncertainty when it comes to PD-L1 testing. In this interview, recorded at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO, Jacob Kettle, PharmD, BCOP, of the University of Missouri Health Care, Columbia, MO, discusses the challenges of using PD-L1 levels as a determining factor in offering treatment to cancer patients.

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Immune checkpoint inhibitors are effective in the management of various cancers. However, there are a number of side effects that are linked to the long-term use of these agents, including colitis and myocarditis. Here, Christopher Campen, PharmD, BCOP, from the GHS Cancer Institute, Greenville, SC, discusses the management of the related toxicity and the steps that can be taken to reduce these effects. This video was recorded at the 2018 Hematology/Oncology Pharmacy Association (HOPA) Annual Conference held in Denver, CO.

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Eytan Stein, MD, from the Memorial Sloan Kettering Cancer Center, New York, NY, discusses the new and exciting clinical trials that are currently underway for the treatment of acute myeloid leukemia (AML), including a Phase I study of isocitrate dehydrogenase (IDH) inhibitors in combination with induction chemotherapy, a Phase III study investigating low dose cytarabine and venetoclax, and the ADMIRAL study (NCT02421939) of the FLT3 inhibitor, gilteritnib, versus salvage chemotherapy in relapsed and refractory AML. Dr Stein also conveys his excitement about the QuANTUM-R trial (NCT02039726), which is investigating the effects of quizartinib monotherapy versus salvage chemotherapy on overall survival…

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Christoph Röllig, MD, from the University Hospital Carl Gustav Carus, Dresden, Germany, discusses the rationale behind determining the most suitable treatment for a patient with acute myeloid leukemia (AML). The most reasonable choice of treatment for a patient with a genetic cause of AML, such as an isocitrate dehydrogenase (IDH) mutation or tyrosine kinase overexpression, is a form of immunotherapy that directly targets the specific mutation. Dr Röllig explains how early clinical trial data and detecting minimal residual disease levels after targeted therapy can be used to determine drug efficacy. This interview was recorded at the 2018 European School of…

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Application of 2% Sequester Cut to Medicare Part B Drug Reimbursement is Unconstitutional and Illegal; Costing Seniors and Taxpayers Billions The Community Oncology Alliance (COA) has filed a lawsuit in the U.S. District Court for the District of Columbia to stop the United States Department of Health and Human Services (HHS) and the White House Office of Management and Budget (OMB) from applying the Medicare sequester cut to reimbursement for Part B drugs. In the lawsuit, COA, which represents more than 5,000 independent, community-based oncologists, shows the sequester cut has harmed patients, decimated the nation’s independent community cancer care system, and cost…

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Despite major advancements in the understanding of the genetic drivers of acute myeloid leukemia (AML) and the pathophysiology of the disease, standard treatment options for AML patients have not experienced any major changes in the past few decades. Clinicians are often hesitant to send patients into clinical trials if the condition of the patient is unlikely to improve. Here, Gail Roboz, MD, from Weill Medical College of Cornell University, New York City, NY, discusses the potential of newly-approved AML drugs on the market and how these drugs may increase clinical trial participation rates. Clinical trials will provide an in-depth understanding…

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Gail Roboz, MD, from the Weill Medical College of Cornell University, New York City, NY, explores exciting next-generation agents for the treatment of acute myeloid leukemia (AML), such as guadecitabine, a next-generation DNA hypomethylating agent that has the potential to be more effective than decitabine. A similar concept has previously been used for the development of the CPX-351, a liposomal formulation of cytarabine and daunorubicin, which received FDA approval for the treatment of high-risk AML. This video was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Patients suffering from acute myeloid leukemia (AML) who have achieved complete remission are still at risk of relapse. Assessing blood counts or examining the morphology of the bone marrow is not sufficient to determine the levels of residual leukemic cells remaining upon completion of therapy. Here, Gail Roboz, MD, from Weill Medical College of Cornell University, New York City, NY, discusses the importance of assessing the levels of minimal residual disease (MRD) and what these levels can mean to the patient. Dr Roboz also emphasizes the need to quantify MRD in AML across the world, which will help clinicians and…

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The average age of people suffering from acute myeloid leukemia (AML) is around 60 to 70 years, and there are many issues surrounding the use of chemotherapy drugs in this population. In this interview, Gail Roboz, MD, from Weill Medical College of Cornell University, New York City, NY, highlights the challenges of AML treatment in the elderly, and some of the options that can be offered to patients in which high dose chemotherapy will not prove beneficial, or patients who have a low tolerance to intensive chemotherapy. This video was recorded at the 2018 European School of Hematology (ESH) Clinical…

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Noelle Frey, MD, from the University of Pennsylvania, Philadelphia, PA, highlights the importance of minimal residual disease (MRD) assessment in predicting the long-term effects of therapy in acute lymphoblastic leukemia (ALL) patients, and the steps that should be followed if a patient is MRD-positive after the administration of CAR T-cell therapy or other forms of treatment. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Unlike childhood acute lymphoblastic leukemia (ALL), there are currently no approved CAR T-cell products for the treatment of adult ALL; here, Noelle Frey, MD, from the University of Pennsylvania, Philadelphia, PA, explains how clinical trials investigating ALL are often scarce and extremely competitive to enroll patients. Dr Frey also shares her excitement about the future of CAR T-cell therapies and the benefits that will follow. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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CAR T-cell therapy has proven effective in delivering high response rates in relapsed acute lymphoblastic leukemia (ALL) patients, but what can be done to move the field forward? Here, Noelle Frey, MD, from the University of Pennsylvania, Philadelphia, PA, discusses the current strategies that are being put in place to mitigate toxicity, such as the early delivery of tocilizumab and modifying the dose of CAR T-cell therapy delivered to the patient. Although the initial response rates to CAR T-cell therapy are high, this form of therapy should also be targeted towards antigens such as CD22, which would decrease the rates…

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Treatment outcomes for acute myeloid leukemia (AML) patients treated with immunotherapy have significantly lagged behind those achieved for acute lymphoblastic leukemia (ALL), and this is due to the fact that eliminating the B-cell lineage for the management of ALL is less problematic than eliminating the myeloid lineages involved in AML. In this interview, Marion Subklewe, MD, from the Ludwig-Maximilians University Hospital of Munich, Munich, Germany, explores the antigens targeted for the treatment of ALL, such as CD22, CD20 and CD19. Dr Subklewe also discusses the other factors that play a role in choosing the right AML targets, including cofactors and…

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Despite recent approvals of drugs targeting acute myeloid leukemia (AML), overall survival and complete remission rates remain suboptimal. In this interview, Eytan Stein, MD, from the Memorial Sloan Kettering Cancer Center, New York, NY, explains how he encourages his AML patients to participate in clinical trials, especially those who are in a relapsed or refractory state. Patients are more hesitant to participate in randomized, placebo-controlled trials because there is no guarantee that they will receive the active drug, and due to the general commitments associated with trial participation. This video was recorded at the 2018 European School of Hematology (ESH)…

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Eytan Stein, MD, from the Memorial Sloan Kettering Cancer Center, New York, NY, discusses the mechanisms of resistance to targeted therapies such as enasidenib and ivosidenib in acute myeloid leukemia (AML). Primary resistance, defined by a complete lack of response to the drug, is mediated by co-occurring mutations and is most common in patients with FLT3, JAK and Ras mutations. Secondary resistance, where the patient relapses after achieving remission on the drug, is primarily mediated through the clonal outgrowth of different clones, such as different FLT3, Ras or isocitrate dehydrogenase (IDH) mutations. This video was recorded at the 2018 European…

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The side effects of isocitrate dehydrogenase (IDH) inhibitors for the treatment of acute myeloid leukemia (AML) include gastrointestinal toxicity, leukocytosis, differentiation syndrome and QT prolongation, among many others. Here, Eytan Stein, MD, from the Memorial Sloan Kettering Cancer Center, New York, NY, explains how these side effects are minimal and well tolerated in most patients. Dr Stein highlights how differentiation syndrome, characterized by symptoms such as unexplained fever, weight gain and peripheral edema, should be addressed immediately with high doses of steroids. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held…

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Eytan Stein, MD, from the Memorial Sloan Kettering Cancer Center, New York, NY, explains the mechanisms of isocitrate dehydrogenase (IDH) mutations and their effect on myeloid differentiation, ultimately leading to the phenotype of acute myeloid leukemia (AML). Targeting the IDH mutation, using IDH inhibitors, may lead to the reversal of this differentiation blockade. Dr Stein discusses the IDH2 inhibitor enasidenib, which received FDA approval last year for the treatment of relapsed and refractory AML, and the IDH1 inhibitor ivosidenib, which is currently under FDA review. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on…

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Traditionally, the standard therapy for the management of acute myeloid leukemia (AML) in elderly patients has been low-dose cytarabine, but hypomethylating agents (HMAs) have quickly become the backbone of AML treatment in many countries. Here, Chrisoph Röllig, MD, from the University Hospital Carl Gustav Carus, Dresden, Germany, provides evidence for the efficacy of HMAs in the elderly and those with unfavorable cytogenetics, including an increased tolerability and decreased toxicity when compared to intensive chemotherapy. Early clinical trials into HMAs combined with other drugs, such as venetoclax, have demonstrated increased complete remission rates and prolonged survival in elderly AML patients. This…

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Minimal residual disease (MRD) is a highly important prognostic indicator used to determine treatment efficacy in acute myeloid leukemia (AML) patients. Here, Christoph Röllig, MD, from the University Hospital Carl Gustav Carus, Dresden, Germany, discusses the benefits and disadvantages of the common techniques used to measure MRD today, including next-generation sequencing and flow cytometry. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Patients suffering from acute myeloid leukemia (AML) who have achieved complete remission are still at risk of relapse. Assessing blood counts or examining the morphology of the bone marrow is not sufficient to determine the levels of residual leukemic cells remaining upon completion of therapy. Here, Gail Roboz, MD, from Weill Medical College of Cornell University, New York City, NY, discusses the importance of assessing the levels of minimal residual disease (MRD) and what these levels can mean to the patient. Dr Roboz also emphasizes the need to quantify MRD in AML across the world, which will help clinicians and…

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Gemtuzumab ozogamicin is a monoclonal antibody drug for the treatment of acute myeloid leukemia (AML). This drug uses a different strategy to classical chemotherapeutic agents, and the development of other similar drugs is expected to drastically improve the outcomes of patients with AML. In this interview, Chrisoph Röllig, MD, from the University Hospital Carl Gustav Carus, Dresden, Germany, also discusses treatments that have recently received FDA approval, such as CPX-351, a liposomal formulation of cytarabine and daunorubicin that has been approved for the treatment of secondary AML in the US, and isocitrate dehydrogenase (IDH) inhibitors. This video was recorded at…

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Christoph Röllig, MD, from the University Hospital Carl Gustav Carus, Dresden, Germany, discusses how his team is carrying out treatment optimization trials to match established acute myeloid leukemia (AML) therapies to the ideal patient population. This initiative involves comparing dosing schedules of available drugs and establishing which patients will benefit from allogeneic stem cell transplantation. Newly FDA-approved drugs are also being examined to see if they can be combined with standard regimens to tackle relapse and resistance. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Christoph Röllig, MD, from the University Hospital Carl Gustav Carus, Dresden, Germany, explains how the lack of novel drugs for the treatment of acute myeloid leukemia (AML) in the past 50 years has led to increased research into combination therapy using existing drugs. Different dosing schedules of available AML drugs are now being used to improve patient outcomes, but extensive research into new therapiesis needed to further increase response rates. This interview was recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Speaking from the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, Charles Mullighan, MBBS (Hons), MSc, MD, from St. Jude Childrens Research Hospital, Memphis, TN, discusses ways of improving the outcomes of patients suffering from B- cell acute lymphoblastic leukemia (ALL) and other B-cell disorders using CAR T-cell therapy. Therapy should be offered as early as possible before relapse has occurred and before initial diagnosis to avoid the effects of high-dose chemotherapy. B-cell ALL target antigens including CD19 have also been proven to demonstrate efficacy in ALL patients and should be considered when…

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Minimal residual disease (MRD) in childhood acute lymphoblastic leukemia (ALL) is now considered to be an equal, or greater, marker in predicting patient outcomes. MRD can aid in tailoring therapies according to initial treatment response. This risk-adapted approach to therapy has been shown to reduce the poor outcomes associated with high-risk subtypes of ALL. In this interview, Charles Mullighan, MBBS (Hons), MSc, MD, from St. Jude Childrens Research Hospital, Memphis, TN, highlights the importance of MRD monitoring and the new techniques that are being used to measure MRD in ALL patients, such as sequencing-based approaches. Recorded at the 2018 European…

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Charles Mullighan, MBBS (Hons), MSc, MD, from St. Jude Childrens Research Hospital, Memphis, TN, discusses the novel and interesting approaches for first-line therapy, in acute lymphoblastic leukemia (ALL) patients treatments given to those who have relapsed. The monoclonal antibody, rituximab, has been found to increase survival rates in adult ALL patients, and reduce allergic reactions to the chemotherapeutic agent, asparaginase. As a therapy targeted towards a specific mutation, kinase inhibitors have been found to be effective in ALL subtypes such as BCR-ABL-positive ALL and Philadelphia chromosome-positive ALL. Dr Mullighan also emphasizes the need to use different immunotherapy techniques upon poor…

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Finding the right treatment for a specific subset of acute lymphoblastic leukemia (ALL) requires a correct diagnosis, but there are many challenges that clinicians face when trying to implement precision medicine. ALL subsets are not as easily identified in comparison to other leukemias, as the various genetic changes that occur in ALL, such as chromosomal rearrangements, deletions of DNA and sequence changes, are challenging to identify. Charles Mullighan, MBBS (Hons), MSc, MD, explains how the team at St. Jude Childrens Research Hospital, Memphis, TN has taken a different approach to diagnosing new ALL patients. Recorded at the 2018 European School…

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Charles Mullighan, MBBS (Hons), MSc, MD, from St. Jude Childrens Research Hospital, Memphis, TN, provides an overview of his talk presented at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, where he discussed the advancements in the molecular classifications of acute lymphoblastic leukemia (ALL) with an increased understanding of the genetic drivers of the disease. The identification of the complex mutations that accompany the different subtypes of ALL have also allowed for a better prognosis for both childhood and adult ALL, as available therapies can be tailored to the patient.

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Arnold Ganser, MD, from the Hannover Medical School, Hannover, Germany, discusses the importance of collaborating with other trial groups that are focusing on acute leukemias by joining efforts with other experts at various networking events and conferences. Recorded at the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Midostaurin is a tyrosine kinase inhibitor that has been newly approved for the treatment of acute myeloid leukemia (AML). In this interview, Arnold Ganser, MD, from the Hannover Medical School, Hannover, Germany, discusses the process of organizing the midostaurin clinical trials by collaborating with experts throughout North America, Europe and Australia (NCT00651261). Although midostaurin is already FDA-approved, analysis of the collected data from the trials is still being carried out to find out the causes of a low response to the drug, which may lead to a further understanding of AML in the future. Recorded from the 2018 European School…

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Speaking from the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, Arnold Ganser, MD, from the Hannover Medical School, Hannover, Germany, explains how CAR T-cell therapy might not prove effective in acute myeloid leukemia patients if healthy hematopoietic stem cells are targeted. His research group is now looking into special gene-modified autologous dendritic cells that have increased activity towards WT1, a tumor antigen that is expressed at high levels in various acute and chronic leukemias.

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Arnold Ganser, MD, from the Hannover Medical School, Hannover, Germany, discusses the research carried out by some of his former mentees that identified the IDH1 mutation as a novel therapeutic target in acute myeloid leukemia (AML). As Prof. Ganser explains, the genetic changes that occur in AML are now becoming better understood through enthusiastic young researchers and medical students that are willing to explore exciting new topic areas. This interview was recorded at 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary.

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Dealing with patients with refractory acute myeloid leukemia (AML) or with those who have relapsed, is challenging, and stem cell transplantation is one of the few therapies that can be offered in these instances. However, most patients who have relapsed are too old to undergo this procedure, so palliative care must be offered in its place to relieve existing symptoms and improve quality of life. Arnold Ganser, MD, from the Hannover Medical School, Hannover, Germany explains how the right balance should be achieved when using aggressive forms of therapy, because mechanisms of resistance in AML are not yet fully understood.…

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Arnold Ganser, MD, from the Hannover Medical School, Hannover, Germany talks about his experience of the 2018 European School of Hematology (ESH) Clinical Updates on Acute Leukemias, held in Budapest, Hungary, where he discusses the quality of the presentations being held at the event, the exciting conversations with other experts such as current controversies surrounding acute leukemia research, and the overall atmosphere of the conference.

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Community Oncology Alliance Statement on President’s Blueprint to Lower Drug Prices Putting Cancer Patients First and Lowering Drug is Critically Important, Community Oncology Supports Blueprint and is Working on Solutions Administration Must Fix and Avoid Past Policy Mistakes That Have Contributed to Ongoing Problems with Cancer Care System Washington, DC – Friday, May 11, 2018 – The Community Oncology Alliance (COA) released the following statement regarding President Donald Trump’s recently announced blueprint to lower drug prices and reduce out-of-pocket costs. COA strongly supports President Trump and the Administration’s work to put patients first and lower the price of prescription drugs.…

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Community Oncology Alliance Names Dr. Frederick M. Schnell to Newly Created Medical Director Position Experienced Community Oncologist Will Provide Valuable Guidance on Patient Care and Practice Operations Washington, D.C. – February 22, 2018 – The Community Oncology Alliance (COA) announced today that Frederick M. Schnell, M.D., F.A.C.P., has been appointed to the newly created staff position of Medical Director. He brings more than three decades of experience as a physician and community oncology practice CEO. Among the first issues Dr. Schnell will help community oncology practices address is the future of oncology payment reform. Previously, Dr. Schnell was a practicing…

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Community Oncology Alliance Statement on White House Budget Proposal Drug Price Recommendations Administration’s Budget has Numerous Smart, Overdue Policy Solutions; but Certain Medicare Part B Proposals Ignore History and will Backfire  Washington, DC – February 13, 2018 – Today, the Community Oncology Alliance (COA) released the following statement regarding the White House’s proposed budget recommendations and a recent report from President Trump’s Council of Economic Advisors on strategies to reform biopharmaceutical pricing. Ensuring patients can afford and access life-saving therapies to fight cancer is a top concern for oncologists, nurses, practice administrators, and other cancer care professionals. Every day we…

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NFL linebacker and Super Bowl champion Mark Herzlich of the New York Giants discusses how he created a team of caregivers, doctors, nurses, family, and friends who were there for him when battling cancer.

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H. Jack West, MD, Medical Director, Thoracic Oncology Program, Swedish Cancer Institute, Founder & President, Grace Global Resource for Advancing Cancer Education leads this section on new data concerning Lurbinectedin of a three part series dedicated to the advancements in treatment of small cell lung cancer. The discussants include Anne Chiang MD, PhD, Associate Professor, Yale University School of Medicine, Deputy Chief Medical Officer, Chief Network Officer, Smilow Cancer Hospital, Taofeek Owonikoko, MD, PhD, MSCR, Professor, Department of Hematology & Medical Oncology, Emory University School of Medicine, Co-Chair, Clinical & Translational Review Committee, Winship Cancer Institute of Emory University, Jeff…

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H. Jack West, MD, Medical Director, Thoracic Oncology Program, Swedish Cancer Institute, Founder & President, Grace Global Resource for Advancing Cancer Education leads this section on immunotherapy of a three part series dedicated to the advancements in treatment of small cell lung cancer. The discussants include Anne Chiang MD, PhD, Associate Professor, Yale University School of Medicine, Deputy Chief Medical Officer, Chief Network Officer, Smilow Cancer Hospital, Taofeek Owonikoko, MD, PhD, MSCR, Professor, Department of Hematology & Medical Oncology, Emory University School of Medicine, Co-Chair, Clinical & Translational Review Committee, Winship Cancer Institute of Emory University, Jeff Petty, MD, Director,…

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H. Jack West, MD, Medical Director, Thoracic Oncology Program, Swedish Cancer Institute, Founder & President, Grace Global Resource for Advancing Cancer Education leads this section on ROVA-T of a three part series dedicated to the advancements in treatment of small cell lung cancer. The discussants include Anne Chiang MD, PhD, Associate Professor, Yale University School of Medicine, Deputy Chief Medical Officer, Chief Network Officer, Smilow Cancer Hospital, Taofeek Owonikoko, MD, PhD, MSCR, Professor, Department of Hematology & Medical Oncology, Emory University School of Medicine, Co-Chair, Clinical & Translational Review Committee, Winship Cancer Institute of Emory University, Jeff Petty, MD, Director,…

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H. Jack West, MD, Medical Director, Thoracic Oncology Program, Swedish Cancer Institute, Founder & President, Grace Global Resource for Advancing Cancer Education leads a roundtable discussing newly released data on Lurbinectedin, ROVA-T, and emerging immunotherapies within small cell lung cancer treatments. This clip is the entire virtual roundtable with all topics discussed in detail. The panel includes Anne Chiang MD, PhD, Associate Professor, Yale University School of Medicine, Deputy Chief Medical Officer, Chief Network Officer, Smilow Cancer Hospital Taofeek Owonikoko, MD, PhD, MSCR, Professor, Department of Hematology & Medical Oncology, Emory University School of Medicine, Co-Chair, Clinical & Translational Review…

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Thrombotic microangiopathy (TMA) is a rare complication that may arise post-transplant in patients, however, incidence of TMA has increased in recent years with no clear reason. Speaking at the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal, Enric Carreras, MD, PhD, from the Hospital Clinic of Barcelona, Barcelona, Spain, analyses the current knowledge of TMA complications and discusses the potential of various therapeutic options available, including tacrolimus, rituximab and eculizumab.

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The complications in blood and marrow transplantation can be serious with rapid onset, therefore ideal donor matching is crucial in minimizing complications. In this talk, Enric Carreras, MD, PhD, from the Hospital Clinic of Barcelona, Barcelona, Spain, outlines the process of donor selection for blood and marrow transplants and the variables to be considered in selecting ideal donors. This video was recorded at the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal.

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Speaking from the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal, Mohamad Mohty, MD, PhD, from Saint-Antoine Hospital, Paris, France, discusses the key reasons why EBMT 2018 has been a success. Mohamad talks about the attention that the latest treatment options including CAR-T therapy are receiving and how, together with managing complications, patient outcomes can be improved.

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There has been an increase in the number of patients with refractory hematological malignancies being referred to transplant centers, although previously, treatment was limited for refractory conditions. In this talk, Mohamad Mohty, MD, PhD, from Saint-Antoine Hospital, Paris, France, alludes to the optimism regarding allogeneic therapy for patients with refractory hematological malignancies. Talking from the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal, Prof. Mohty discusses the potential candidates for allogeneic transplantation.

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The therapeutic landscape of Hodgkin lymphoma has improved considerably over the past 50 years, with patient outcomes improving due to accurate diagnoses. Here, Mohamad Mohty, MD, PhD, from Saint-Antoine Hospital, Paris, France, raises the issue that not all patients respond in the same way to therapy. Speaking from the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal, Prof. Mohty discusses the factors that may introduce complications in therapy response, and how novel therapies may hold the key in delivering tailored care to patients.

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Dr. Jed Gorden, Swedish Cancer Institute, describes the differences between bronchoscopy and endobronchial ultrasound, highlighting the advantages of EBUS in diagnosis and staging

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Disease relapse is a significant cause of transplant failure in patients with acute myeloid leukemia (AML). Talking at the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal, Charles Craddock, CBE, FRCP (UK), FRCPath, DPhil, from University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, stresses the importance of managing relapse and how it may be achieved. Prof. Craddock mentions the exciting opportunities present to improve patient outcomes, but only with the use of clinical trials.

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Charles Craddock, CBE, FRCP (UK), FRCPath, DPhil, from University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, outlines the breakthrough therapies for the treatment of acute myeloid leukemia (AML) in adults, including midoastaurin in patients with a FLT-3 mutation, vyxeos for patients with secondary AML, and IDH2 inhibitors. This video was recorded at the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal.

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Cure Leukemia is a leading center for the development of new drug and transplant treatments for patients with hematological cancers. Its aim is to improve the access to the latest clinical trials for patients in the UK with the assistance of research nurses, who play a pivotal role in recruiting patients for transplant clinical trials. In this talk, Charles Craddock, CBE, FRCP (UK), FRCPath, DPhil, from University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, mentions the recognition Cure Leukemia has received and why its role is crucial. Prof. Craddock was speaking from the 2018 European Society for Blood and Marrow…

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There is a desperate need for rapid turnaround of transplant clinical trials to bring forward breakthrough therapies. IMPACT is a new partnership that aims to improve regulation and transplant outcomes. Speaking here, Charles Craddock, CBE, FRCP (UK), FRCPath, DPhil, from University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK, introduces key trials that will be starting soon, including the PRO-DLI trial (NCT02856464), a trial investigating CPX-351 for untreated acute myeloid leukemia (NCT03335267). This video was recorded at the 2018 European Society for Blood and Marrow Transplantation (EBMT) Annual Meeting in Lisbon, Portugal.

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Dr. Rachel Sanborn, Providence Thoracic Oncology Program, discusses using adjuvant chemotherapy for elderly and frail patients. What was seen in particular in the trial performed by NCI Canada, using cisplatin with navelbine chemotherapy, was that people who were considered elderly were able to achieve just as much benefit from chemotherapy in terms of survival as younger people did.

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