GI CANCERS

Improving the Treatment of Locally Advanced Pancreatic Cancer

Wui-Jin Koh, MD, has been selected as senior vice president and chief medical officer of the National Comprehensive Cancer Network. This is a newly-designed position to oversee the NCCN Oncology Research Program.

Zev A. Wainberg, MD, recently discussed the treatment considerations and decisions he makes when treating patients with colorectal cancer and hepatocellular carcinoma. Wainberg, co-director of the Gastrointestinal Oncology Program, University of California Los Angeles, explained his treatment decisions based on 2 gastrointestinal case scenarios during a <em>Targeted Oncology</em> live case-based peer perspectives program.

The adjuvant treatment landscape of gastrointestinal cancers has recently undergone a transformation, with significant findings from several clinical trials. These studies, in gastric, biliary, pancreatic, and colon cancer looked particularly at the use of treatment in the adjuvant setting after surgical resection and have ultimately changed the standards of care for these patients.

According to topline findings from the phase III IMblaze370 study, treatment with the combination of the PD-L1 inhibitor atezolizumab and the MEK inhibitor cobimetinib failed to improve overall survival versus regorafenib in patients with locally advanced or metastatic colorectal cancer&nbsp; who were previously treated.

While not all patients with gastrointestinal cancers will respond to immunotherapy, those who do&nbsp;are likely to have long-lasting responses, explained John L. Marshall, MD.

According to additional analyses from the phase III RESORCE trial published in the<em> Journal of Hepatology,&nbsp;s</em>econd-line regorafenib continued to show antitumor activity regardless of prior dose or time to progression on frontline sorafenib (Nexavar) for patients with unresectable advanced hepatocellular carcinoma.

Carlos Becerra, MD, recently shared the treatment considerations and decisions he makes when treating patients with metastatic colorectal cancer and hepatocellular carcinoma. Becerra, a medical oncologist at Texas Oncology, Baylor Charles A. Sammons Cancer Center, explained his treatment decisions based on 2 case scenarios during a <em>Targeted Oncology </em>live case-based peer perspectives presentation.

Ghassan K. Abou-Alfa, MD, a medical oncologist at Memorial Sloan Kettering Cancer Center, discusses results of the CELESTIAL trial. The results were clinically and statistically significant, Abou-Alfa notes.&nbsp;

Overall survival was extended in patients with&nbsp;hepatocellular carcinoma and elevated baseline alpha-fetoprotein (AFP) who received second-line treatment with ramucirumab (Cyramza) versus placebo,&nbsp;according to findings from the phase III REACH-2 trial.