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Surveillance of ctDNA in HPV-Positive Head and Neck Cancers May Predict Recurrence
February 7th 2020The detection of circulating tumor DNA in human papillomavirus with an experimental blood test has been associated with high positive predictive value and negative predictive value for identifying disease recurrence in HPV-positive oropharyngeal cancer, according to a press release from the University of North Carolina Lineberger Comprehensive Cancer Center.
FDA Extends Decision Date on Avapritinib in Fourth-Line GIST by 3 Months
February 7th 2020The FDA has extended the Prescription Drug User Fee Act date by 3 months for the new drug application of avapritinib from February 14, 2020, to May 14, 2020, the manufacturer, Blueprint Medicines Corporation, announced in a news release. The NDA was seeking accelerated approval for the kinase inhibitor for the treatment of adults with fourth-line gastrointestinal stromal tumors.
Tremelimumab Prompts Durable Responses in Metastatic Urothelial Cancer
February 6th 2020Tremelimumab monotherapy showed clinical activity with durable responses in patients with metastatic urothelial carcinoma and documented transitional cell carcinoma of the urothelium who failed first-line platinum-based chemotherapy, according to results from a phase II study, which is evaluating the drug in solid tumors.
CAR NK-Cell Therapy Induces Clinical Responses in Patients With NHL and CLL
February 6th 2020The majority of patients with relapsed or refractory non-Hodgkin lymphoma and chronic lymphocytic leukemia who were participants in a phase I/IIa trial had clinical responses to treatment with TAK-007, a cord blood–derived chimeric antigen receptor natural killer–cell therapy that targets CD19, with no major toxicities experienced by patients, according to a press release from the University of Texas MD Anderson Cancer Center.
Liquid Biopsy May Predict Relapse Risk and Aid Therapy Decision-Making in Node-Positive Melanoma
February 6th 2020Performing a liquid biopsy of circulating tumor cells may help identify patients who are at risk for node-positive melanoma relapse and identify patients who wish to avoid the toxicities associated with systemic adjuvant therapy, according to the results of a prospective study from The University of Texas MD Anderson Cancer Center, which was recently published in Clinical Cancer Research.
Doctors Debate: Should the Screening Age for Colonoscopy Be Reduced in Average-Risk Patients?
February 5th 2020The incidence of colorectal cancer is rising among people who are below 50 years of age, the colonoscopy screening age as recommended by the United States Preventive Service Task Force of the National Cancer Institute. To date, there is no research that can explain the rise which has led physicians to deliberation on whether the recommended screening age for colonoscopies should be lowered or left as is. During a debate at the 2020 Gastrointestinal Cancers Symposium, Uri Ladabaum, MD, and David S. Weinberg, MD, MSc, presented their stances on the topic.
Immunotherapy Combination Induces Promising ORR in Patients With Advanced Sarcoma
February 5th 2020The combination of talimogene laherparepvec plus pembrolizumab led to a promising objective response rate in patients with advanced sarcoma who typically have limited treatment options, according to a phase II clinical trial published in <em>JAMA Oncology</em>.
MEK/PI3K Inhibitor Combo Generates Activity in RAS/BRAF-Mutant Ovarian Cancer
February 4th 2020Continuous dosing of the MEK inhibitor binimetinib plus buparlisib, a PI3K inhibitor, demonstrated promising activity as treatment of patients with ovarian cancer harboring either a RAS or BRAF mutation, according to results from a phase Ib clinical trial.
Onvansertib Triplet Shows Promise in KRAS-Mutant Metastatic Colorectal Cancer
February 4th 2020In an interview with Targeted Oncology, Daniel H. Ahn, DO, discussed the phase Ib/II study of onvansertib plus FOLFIRI and bevacizumab for the treatment of patients with metastatic colorectal cancer with a KRAS mutation.
Afatinib Monotherapy Shows Clinical Activity in Treatment-Naive EFGR-Mutant NSCLC
February 4th 2020Afatinib demonstrated clinical activity against uncommon and compound <em>EGFR</em> mutations in patients with EGFR tyrosine kinase inhibitor-naive non–small cell lung cancer, a patient population for which limited data exist on the efficacy of treatment with EGFR- tyrosine kinase inhibitors, according to Yang et al.
Dinutuximab Plus Irinotecan Misses Overall Survival End Point in R/R SCLC
February 4th 2020The addition of the dinutuximab injection to irinotecan did not improve overall survival in patients with relapsed/refractory small cell lung cancer, failing to meet the primary end point of the phase III DISTINCT trial, according to top-line results announced in a press release from United Therapeutics, developer of dinutuximab.
Updates in Myeloma for Post-ASCT Therapies Provide More Insight for Treatment Options
February 3rd 2020In an interview with Targeted Oncology, Noa Biran, MD, discussed the findings from 2 clinical trials evaluating consolidation therapy post-transplant in patients with high-risk multiple myeloma.
Trastuzumab Plus Pertuzumab Added to Standard Therapy Found to Be Feasible in Esophageal Cancer
February 2nd 2020A new phase II study of trastuzumab and pertuzumab added to neoadjuvant chemoradiotherapy followed by surgery in patients with esophageal adenocarcinoma has found the combined regimen to be feasible and worthy of further study.
HER2-Directed CAR T-Cell Therapy Appears Active in Phase I Trial for Advanced Sarcoma
February 2nd 2020In an interview with Targeted Oncology, Shoba A. Navai, MD, discussed the evolving role of CAR T-cell therapy in solid tumors, including sarcomas and how the efficacy and safety compare with CAR T cells in this space compared with hematologic malignancies.
STELLAR Trial Explores Potential Treatment Options for Anaplastic Astrocytoma
February 1st 2020In an interview with Targeted Oncology, Arati Desai, MD, co-director of the University of Pennsylvania Brain Tumor Cancer Program Center, assistant professor of clinical medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, discussed the implications of the STELLAR trial, the role of eflornithine, and how IDH1/2 mutational status affects outcomes in patients with anaplastic astrocytomas.
Lenvatinib Appears Effective in Real-Life Retrospective Analysis of Advanced HCC
February 1st 2020The tyrosine kinase inhibitor lenvatinib demonstrated promising activity and safety in patients with advanced hepatocellular carcinoma in a retrospective multicenter observational analysis in Korea, according to a poster presentation at the 2020 Gastrointestinal Cancers Symposium.
FDA Grants Breakthrough Therapy Designation to APR-246 Plus Azacytidine for MDS
January 31st 2020The combination of APR-246 and azacytidine was granted Breakthrough Therapy Designation by the FDA for the treatment of myelodysplastic syndromes with susceptible TP53 mutations, Aprea Therapeutics, Inc, developer of APR-246, announced in a press release.
FDA Clears IND Application for TPST-1495 in Advanced Solid Tumors
January 31st 2020The Investigational New Drug application for small molecule dual antagonist TPST-1495 was cleared by the FDA to begin a clinical investigation into the treatment of prostaglandin-driven tumors, according to a press release from Tempest Therapeutics.
Gemtuzumab Added to Induction Therapy Shows Limited EFS Benefit in NPM1-Mutant AML
January 31st 2020Following the FDA approval of gemtuzumab ozogamicin with induction and consolidation therapy in newly diagnosed CD33-positive acute myeloid leukemia, investigators led by Richard F. Schlenk, MD, hypothesized that patients with NPM1-mutated acute myeloid leukemia, which occurs in 20% to 30% of the patient population, could also derive benefit from gemtuzumab.
Novel Triplet Regimen Induces Promising Early Activity in Relapsed/Refractory CLL
January 31st 2020In an interview with Targeted Oncology, Paul M. Barr, MD, discussed the rationale and preliminary findings for the phase I/II study evaluating umbralisib and ublituximab plus venetoclax in patients with relapsed/refractory chronic lymphocytic leukemia. He also explained how the role of combination therapy continues to evolve in this space.
Darolutamide With Androgen Deprivation Therapy Improves OS in Nonmetastatic CRPC
January 30th 2020Darolutamide and androgen deprivation therapy improved overall survival compared with placebo in patients with nonmetastatic castration-resistant prostate cancer, meeting one of the end points of the phase III ARAMIS study, Bayer announced in a press release.
Lenvatinib/Pembrolizumab Shows Promising Antitumor Activity and Safety in Select Solid Tumors
January 30th 2020In a phase II trial, the combination of lenvantinib and pembrolizumab demonstrated a manageable safety profile and encouraging antitumor activity in patients with selected advanced solid tumors. The decision to combine the agents was based on preclinical data, which suggested that VEGF and FGF signaling may enhance the therapeutic efficacy of lenvatinib.
FDA Grants Priority Review to Selpercatinib in RET Fusion+ NSCLC and Thyroid Cancer
January 29th 2020The New Drug Application for selpercatinib was granted FDA Priority Review for the treatment of patients with advanced RET fusion–positive non–small cell lung cancer, RET-mutant medullary thyroid cancer, and RET fusion–positive thyroid cancer, based on data from the phase I/II LIBRETTO-001 trial, Eli Lilly and Company announced in a press release.
Trastuzumab Deruxtecan Shows Preliminary Activity in HER2-Positive Gastric/GEJ Cancer
January 29th 2020The HER2-targeted antibody-drug conjugate trastuzumab deruxtecan demonstrated promising activity and manageable safety profile in patients with HER2-positive gastric or gastroesophageal junction cancer, meeting the primary end point of the study, according to a press release.
Ipilimumab Shows Tolerability and Signals Efficacy in Advanced Cervical Cancer
January 29th 2020Research has shown that patients with para-aortic lymph node metastasis, human papillomavirus-18, and those with certain histocompatibility genes in their cervical tumors also have a poor prognosis. Preclinical research suggests, however, that immune checkpoint blockade with radiation can enhance immune-mediated activity in patients who have up to stage IV disease.
CORALLEEN Trial Induces Clinical Activity in HR-Positive, HER2-Negative Breast Cancer
January 29th 2020The CDK4/6 inhibitor ribociclib plus endocrine therapy with letrozole may induce molecular downstaging of disease in certain patients with high-risk, early-stage, hormone receptor–positive, HER2-negative breast cancer compared with multiagent chemotherapy, according to results from the randomized phase II CORALLEEN trial.
Encorafenib Combinations Maintain QoL Over Standard of Care in BRAF+ CRC
January 28th 2020Maintenance of quality of life on patient-reported assessments was prolonged with encorafenib plus cetuximab with or without binimetinib, out-performing the standard of care in patients with <em>BRAF</em> V600E-mutant metastatic colorectal cancer.
Immunotherapeutic Agents Expand Treatment Landscape for Triple-Negative Breast Cancer
January 28th 2020In an interview with Targeted Oncology, Elizabeth Mittendorf, MD, PhD, discussed the highlights from the 2019 San Antonio Breast Cancer Symposium for the treatment of patients with triple-negative breast cancer, as well as those with HER2-positive breast cancer. She also shared her thoughts on the key takeaways from the 2019 meeting.
Analysis Finds No Association Between Sorafenib Use and Sarcopenia in Thyroid Cancer
January 27th 2020A new retrospective exploratory analysis has found no association between treatment with sorafenib and the development of sarcopenia among patients with locally advanced or metastatic radioactive iodine-refractory differentiated thyroid cancer. However, this analysis, which was published recently in Thyroid, did find that sorafenib had a significant effect on muscle mass.