Author: Editor

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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Dr. Rachel Sanborn, Providence Thoracic Oncology Program, discusses the topic of lung cancer and that there is an entire spectrum of different kinds of cancers that have started inside the lungs. Small cell lung cancers behave very differently than non-small cell lung cancer.

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On August 20, 2016, in collaboration with the University of Colorado Cancer Center, GRACE presented the Targeted Therapies in Lung Cancer Patient Forum in Aurora Colorado. We are happy to share the videos from this live and webcast forum. Our first video welcomes all to the event, and it was our extreme pleasure to have Chris Draft and Dr. Ross Camidge join us to start the day! This is followed by Does NED matter? Using curative surgery or radiation techniques to treat “incurable” advanced lung cancer, with Dr. Rob Meguid, and a panel discussion featuring Dr. Meguid, Dr. Chad Rusthoven,…

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On August 20, 2016, in collaboration with the University of Colorado Cancer Center, GRACE presented the Targeted Therapies in Lung Cancer Patient Forum in Aurora Colorado. We are happy to share the videos from this live and webcast forum. Our second video is the first part of the forum breakout session for ALK + patients and caregivers, featuring Dr. Shirish Gadgeel and patient moderator Linnea Olson.

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GRACE is happy to present the 6th video in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer. Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss whether current evidence supports favoring proton beam radiation.

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GRACE is happy to present the 5th in our series ASCO 2016 Lung Cancer Roundtable, Highlights and New Approaches in Lung Cancer. Featuring Jack West, MD, Janet Freeman-Daily, Everett Vokes, MD, and Suresh Ramalingam, MD, this roundtable discussion, moderated by Dr. West, highlights the newest and most intriguing discussions from ASCO 2016. Drs. West, Vokes and Ramalingam, along with patient advocate Janet Freeman-Daily, discuss the J-Alex trial and whether Alecensa should replace Xalkori as First-Line ALK Therapy.

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Dramatic progress has been made in our understanding of the clinical, biological and molecular heterogeneity of chronic lymphocytic leukemia (CLL). Despite this, treatment challenges remain, particularly in patients with high-risk disease. This Velocity Vlog activity featuring Dr. John N. Allan addresses the question of how to integrate the latest knowledge into clinical practice to help guide treatment choices for patients with high-risk CLL. Earn CME Credit for this activity: http://elc.imedex.com/ELC/Specialty-Search.aspx?search=CLL © 2018 Imedex, LLC.

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On Friday, November 4th, 2016, GRACE joined our partners Lineberger Comprehensive Cancer Center in Chapel Hill, NC and the Lung Cancer Initiative of North Carolina, to discuss with top providers the newest information on Squamous Cell Lung Cancer. This webcast was made available live online, and we are excited to present the videos, now available for viewing. Our first presentation discusses what is squamous lung cancer, with Chad Pecot, MD.

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On Friday, November 4th, 2016, GRACE joined our partners Lineberger Comprehensive Cancer Center in Chapel Hill, NC and the Lung Cancer Initiative of North Carolina, to discuss with top providers the newest information on Squamous Cell Lung Cancer. This webcast was made available live online, and we are excited to present the videos, now available for viewing. Our second presentation discusses currently available treatment options, with Jared Weiss, MD.

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On Friday, November 4th, 2016, GRACE joined our partners Lineberger Comprehensive Cancer Center in Chapel Hill, NC and the Lung Cancer Initiative of North Carolina, to discuss with top providers the newest information on Squamous Cell Lung Cancer. This webcast was made available live online, and we are excited to present the videos, now available for viewing. Our third presentation discusses future directions in treatment, with Chad Pecot, MD.

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Hyperhydration is typically used along with high-dose melphalan in patients undergoing stem cell transplantation. However, the evidence behind this practice is limited and the dosage administered to patients needs refining. In this interview, Midori Nakagaki, BPharm, MSc, from the Royal Brisbane Hospital, Brisbane, Australia, discusses the findings of her groups study retrospectively comparing patients response with hyperhydration vs. without hyperhydration. Midori emphasizes the advantages in reducing dosage, namely easing the workload for healthcare professionals and minimizing the pressures on patients. This video was recorded at the European Society for Blood and Marrow Transplantation (EBMT) 2018 Annual Meeting in Lisbon, Portugal.

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The European Society for Blood and Marrow Transplantation (EBMT) have recently set up their dedicated EBMT Patient Advisory and Advocacy Committee, to encourage and support patient and advocate involvement in stem cell transplantation. Here, Anita Waldmann from the Leukaemia Patient-Support Group RHEIN-MAIN, Rüsselsheim am Main, Germany, talks about the Committees recent success and future aims. This video was recorded at the European Society for Blood and Marrow Transplantation (EBMT) 2018 Annual Meeting in Lisbon, Portugal.

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Blood and bone marrow transplantation continues to experience breakthroughs, with the role of the patient becoming increasingly important. In this talk, Anita Waldmann from the Leukaemia Patient-Support Group RHEIN-MAIN, Rüsselsheim am Main, Germany, discusses the needs of blood and marrow transplant patients, and why transplant centers should focus on these needs. Speaking from the European Society for Blood and Marrow Transplantation (EBMT) 2018 Annual Meeting in Lisbon, Portugal, Anita stresses the power of the patients voice in influencing policy.

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The Worldwide Network for Blood & Marrow Transplantation (WBMT) is an umbrella organization for institutions and centers carrying out blood and marrow transplants. Here, Anita Waldmann from the Leukaemia Patient-Support Group RHEIN-MAIN, Rüsselsheim am Main, Germany, discusses the role of the WBMT in supporting countries to set up blood and marrow transplant institutions. This video was recorded at the European Society for Blood and Marrow Transplantation (EBMT) 2018 Annual Meeting in Lisbon, Portugal.

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Plasma cell leukemia (PCL) is a rare and aggressive plasma cell dyscrasia, and can present de novo or following the early symptoms of plasma cell myeloma. Patients with PCL tend to present with aggressive clinical features, such as extramedullary disease. Here, Torben Plesner, MD, from the University of Southern Denmark, Vejle, Denmark, discusses the challenges in treating patients with these aggressive subtypes of multiple myeloma, as optimal therapies havent been designed for this patient population. This video was recorded at the 1st European Myeloma Network (EMN) Meeting, in Turin, Italy.

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Systemic amyloid light-chain (AL) amyloidosis, a disease with improving outcomes using novel therapies, is increasingly recognized in the elderly, but treatment and outcomes have not been systematically studied in this group of patients. Here, Giampaolo Merlini, MD, from the University of Pavia, Paiva, Italy, discusses the clinical profile and treatment outcomes of this patient population, from an analysis conducted by his group. Dr Merlini highlights the most effective treatment approach indicated by this data. This video was recorded at the 2018 European Myeloma Network (EMN) Meeting, in Turin, Italy.

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New insights into the biology of multiple myeloma (MM) are continually emerging. In this interview, Martin Kaiser, MD, of the Institute of Cancer Research, London, UK, covers what is known about Monoclonal Gammopathy of Undetermined Significance (MGUS) and clonal succession in MM. Dr Kaiser then considers whether this could be targeted, particularly in terms of predicting disease progression. This video was recorded at the 1st European Myeloma Network (EMN) Meeting, held in Turin, Italy.

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A large contributing factor to outcome in amyloidosis is the stage of diagnosis. Here, Giampaolo Merlini, MD, from the University of Pavia, Paiva, Italy, discusses the need to improve outcomes in patients with very advanced (stage IIIb) cardiac amyloid light-chain (AL) amyloidosis. Dr Merlini emphasises the importance of early diagnosis for this patient population using biomarkers and imaging, to supress the light-chains amyloid deposits early on, and change the outlook of these patients. This video was recorded at the 1st European Myeloma Network Meeting, in Turin, Italy.

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This is an exciting time for the treatment of amyloid light-chain (AL) amyloidosis, with a number of novel therapies on the horizon. In this interview, Giampaolo Merlini, MD, from the University of Pavia, Paiva, Italy, discusses the novel agents currently in clinical trials, which can target the amyloid deposits characterizing the disease. Dr Merlini highlights NEOD001 (Phase III VITAL study; NCT02312206) and the combination of CPHPC and anti-serum amyloid P component antibodies (NCT01777243). This video was recorded at the 1st European Myeloma Network Meeting (EMN), in Turin, Italy.

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New insights into amyloid light-chain (AL) amyloidosis have emerged in recent years. Here, Giampaolo Merlini, MD, from the University of Pavia, Paiva, Italy, gives an overview of the mechanisms behind this rare condition at the 1st European Myeloma Network Meeting (EMN), in Turin, Italy. Dr Merlini then discusses the importance of biomarkers in the reflection of pathogenic mechanisms of AL amyloidosis, highlighting key biomarkers, such as NT-proBNP and GDF-15.

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There are now many options to treated relapsed/refractory multiple myeloma (MM); however, these drugs can be costly, and access differs between countries and locations. In this interview, Jean-Luc Harousseau, MD, of the University of Nantes, Nantes, France, discusses the recommendations for and challenges of treating at relapse from a cost/efficacy point of view. Dr Harousseau discusses how this can assessed and understood, as well as how treatment duration is considered and how clinical trials can be designed to optimize this measure. This video was recorded at the 1st European Myeloma Network (EMN) Meeting, held in Turin, Italy.

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As our knowledge of the genetics of multiple myeloma (MM) advances, we can more precisely understand and target the disease. Here, Martin Kaiser, MD, of the Institute of Cancer Research, London, UK, discusses how different classes of genetic abnormalities in MM could be targeted. Dr Kaiser highlights exciting work on the t(4;14) translocation in MM and tissue agnostic therapies.This video was recorded at the 1st European Myeloma Network (EMN) Meeting, held in Turin, Italy.

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There are an array of new strategies evolving to manage relapsed chronic lymphocytic leukemia (CLL). In this interview, George Follows, MA, BM, BCh, PhD, FRCP, FRCPath, from Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK, discusses the exciting UK CLL Forum analysis of patients treated with ibrutinib at first relapse. Dr Follows highlights the fascinating results identified between patients with early and late relapse. This interview was recorded at the British society for Hematology (BSH) 2018 Annual Scientific Meeting, held in Liverpool, UK.

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The treatment of relapsed/refractory lymphoma can prove to be challenging. PEP-C (prednisone, etoposide, procarbazine, and cyclophosphamide) is an oral combination therapy regimen used for such patients. Here, George Follows, MA, BM, BCh, PhD, FRCP, FRCPath, from Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK, discusses the Cambridge University Hospitals and Anglia regional experience of the benefits of using PEP-C over the past 8 years. This interview was recorded at the British society for Hematology (BSH) 2018 Annual Scientific Meeting, in Liverpool, UK.

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An exciting array of data for myeloproliferative neoplasms (MPNs) was presented at the 2018 British Society for Hematology (BSH) Annual Scientific Meeting, held in Liverpool, UK. Speaking from the meeting, Claire Harrison, MD, FRCP, FRCPath, from Guys and St Thomas Hospital NHS Foundation Trust, London, UK, talks about the exciting clinical trials currently being conducted in MPNs. Prof. Harrison discusses a study aiming to improve the management of very young MPN patients, which may be used as a pilot to set up a collaboration across Europe, to rapidly generate data that can be used in further understanding this patient population…

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