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A Look Back at FDA News from September 2019
October 1st 2019In September 2019, the FDA approved new treatment options for patients with endometrial carcinoma, prostate cancer, and multiple myeloma. The FDA also expanded the indication for the Cologuard noninvasive screening test for colorectal cancer. During the month there were 2 breakthrough therapy designations, 2 fast track designations, 1 orphan drug designation, and 1 priority review granted.
Imetelstat Granted Fast Track Designation by the FDA
October 1st 2019The FDA has granted a fast track designation to imetelstat for the treatment of adult patients with relapsed or refractory myelofibrosis who have intermediate-2 or high-risk disease. This designation is inclusive of patients with primary MF or those who developed MF after thrombocythemia or polycythemia vera, according to a press release from Geron Corporation, the developer of the drug.<br />
Durable Responses Demonstrated in Phase I/II With U2 Triplet Regimen in CLL
September 28th 2019Umbralisib and ublituximab in combination with pembrolizumab was well tolerated among patients with relapsed/refractory chronic lymphocytic leukemia and Richter’s transformation, according to a phase I/II trial presented at the 18th International Workshop on CLL. Responses were durable in high-risk patients who are BTK-refractory, including 2 complete responses in patients with RT.
Checkpoint Combinations Under Investigation to Improve Survival in Lung Cancer
September 27th 2019In an interview with Targeted Oncology, Tetsuya Mitsudomi, MD, summarized the major areas under investigation for the treatment of patients with lung cancer and highlighted key findings from the updated 5-year data of the KEYNOTE-001 trial.
FDA Approves Daratumumab + VTD Combo for Frontline Multiple Myeloma
September 26th 2019The combination of daratumumab plus bortezomib, thalidomide, and dexamethasone (VTD) has been approved by the FDA for the treatment of newly diagnosed patients with multiple myeloma who are eligible for autologous stem cell transplant.
Investigational Mitomycin Gel Agents Demonstrate High CR Rates in Bladder Cancer Studies
September 26th 2019The investigational agent UGN-101 induced a complete response in 59% of patients with low-grade upper tract urothelial cancer in the phase III OLYMPUS trial, according to findings from a final analysis of the pivotal trial.
Ten-Year Analysis Confirms Poor Prognosis in TP53-Mutant Mantle Cell Lymphoma
September 26th 2019In an interview with Targeted Oncology, Ezzat Elhassadi, MD, discussed the results from this analysis and how the presence of a TP53 mutation can impact the survival of patients with MCL. He also highlighted the remaining challenges in this space and how these challenges can be overcome.
Real-World Tisagenlecleucel Data Match Trial Results in Patients With ALL and DLBCL
September 25th 2019In an interview with <em>Targeted Oncology</em>, Marcelo C. Pasquini, MD, discussed the importance of obtaining real-world data and establishing registries for collecting patient outcomes, and how real-world data compare with data from pivotal trials. He also explained the challenges with accessibility to CAR T-cell therapies.
Favorable Safety Profile Demonstrated With Umbralisib in Pretreated CLL
September 25th 2019The PI3K-delta inhibitor umbralisib demonstrated a favorable toxicity profile as treatment for patients with chronic lymphocytic leukemia who have become intolerant to a prior kinase inhibitor, of either BTK or PI3K inhibition, according to results from a phase II study presented at the 18th International Workshop on CLL.
Curative Therapies Still Needed for First and Second Line Treatment of MPNs
September 24th 2019In an interview with <em>Targeted Oncology</em>, Srdan Verstovsek, MD, PhD, discussed the treatment of MPNs in the community setting and how the field can improve. He also encouraged community oncologist to incorporate quality-of-life measurements and prognostic scoring systems when treating these patients.<br />
FDA Expands Indication for CRC Screening Test to Include Younger Patients
September 24th 2019The FDA has expanded the indication for the Cologuard noninvasive screening test for colorectal cancer to include eligible patients with an average risk of developing colorectal cancer who are between the ages of 45 and 49.
Stein Reviews the Latest Advancements in the Treatment of CRC to be Discussed at ISGIO
September 23rd 2019In an interview with Targeted Oncology, Stacey Stein, MD, discussed what attendees can expect to learn about at the 2019 ISGIO Annual Conference in terms of the treatment landscape for CRC. She also highlighted some of the recent advancements that physicians treating CRC should be aware of heading into this meeting.
Patients With BRAF+ non-V600 Colorectal Cancer May Be Sensitive to Anti-EGFR Therapy
September 21st 2019Certain patients with BRAF non-V600-mutant, RAS-dependent metastatic colorectal cancer may be sensitive to anti-EGFR therapy, according to the results of a a multicenter pooled analysis recently published in Clinical Cancer Research. The analysis suggested that those with RAS<em>-</em>dependent tumors were more likely to respond to anti-EGFR therapy than those with RAS-independent tumors.
Migden Reviews Updated Data for PD-1 Agents in Case Review of cSCC
September 20th 2019Michael R. Migden, MD, spoke with a group of physicians during a <em>Targeted Oncology </em>live case-based peer perspectives discussion about responses in patients with cutaneous squamous cell carcinoma to immunotherapy treatment.
Expert Discusses Methods for Treating Progression in Myelofibrosis
September 20th 2019In an interview with <em>Targeted Oncology</em>,<em> </em>Prithviraj Bose, MD, reviewed his thoughts on identifying and treating progression in myelofibrosis, which he recently presented on during the 2019 SOHO Annual Meeting.
Expert Highlights Frontline Advancements in Treatment Landscape for CML
September 19th 2019In an interview with <em>Targeted Oncology</em>, Neil P. Shah, MD, PhD, discussed the latest advancements in the treatment landscape of chronic myeloid leukemia, including the introduction of tyrosine kinase inhibitors. He also addressed some of the challenges both oncologists and patients face in this space.<br />
Promising Durvalumab Plus Olaparib Combination Being Explored in Metastatic Urothelial Cancer
September 19th 2019In an interview with <em>Targeted Oncology</em>, Jonathan Rosenberg, MD, discussed the ongoing study of durvalumab plus olaparib in patients with metastatic urothelial cancer and other studies that have lain the groundwork for this combination.
Surgical Oncologist Highlights Treatment Approaches for HCC Ahead of ISGIO
September 19th 2019In an interview with <em>Targeted Oncology</em>, Michael A. Choti, MD, discussed what he’s looking forward to at the 2019 ISGIO Annual Conference and why this meeting is so important to physicians in the field of GI oncology. He also highlighted the surgical approaches to treating patients with HCC from his own experiences as a surgical oncologist, as well as the challenges associated with these treatment options.
Pertuzumab Combo Not Inferior to Standard IV Infusions in HER2+ Breast Cancer
September 19th 2019The phase III FeDeriCa trial found that a fixed-dose subcutaneous injection of pertuzumab and trastuzumab with hyaluronidase in combination with intravenous chemotherapy was pharmacokinetically noninferior to the standard IV infusions of the regimen in patients with HER2-positive breast cancer.<br />
FDA Approves Pembrolizumab/Lenvatinib for Advanced Endometrial Carcinoma
September 17th 2019The FDA has granted an accelerated approval to the combination of pembrolizumab and lenvatinib for the treatment of patients with advanced endometrial cancer who have disease progression following prior systemic therapy. The indication applies to patients who are not candidates for curative surgery or radiation and who have disease that is not microsatellite instability–high or mismatch repair deficient.
Expert Explores Advancements in Aggressive Thyroid Cancers
September 17th 2019In an interview with <em>Targeted Oncology</em>, Raymond L. Chai, MD, discussed the latest treatment advancements for thyroid cancer that he has seen over the past few years and how he sees quality of life improving for patients with advanced subtypes of thyroid cancer. He also shared a personal message for oncologists in honor of Thyroid Cancer Awareness Month.
Carfilzomib Triplet Improves PFS in Phase III Myeloma Trial
September 17th 2019The combination of carfilzomib, dexamethasone, and daratumumab led to a 37% reduction in the risk of progression or death compared with carfilzomib and dexamethasone alone in patients with relapsed or refractory multiple myeloma in the phase III CANDOR trial. According to a press release from Amgen, this met the primary endpoint of progression-free survival for the trial.
Liquid Biopsy Equivalent to Tissue in Guiding Treatment of NSCLC
September 17th 2019A matched retrospective comparison showed that progression-free survival in patients with advanced non-small cell lung cancer and actionable mutations was similar whether treatment went was guided with the use of tissue or circulating tumor DNA analysis with the Guardant360 assay.
FDA Warns of Lung Inflammation From CDK4/6 Inhibitor Use in Breast Cancers
September 16th 2019The FDA has issued a warning for a rare, but severe, lung inflammation that could be caused by the use of CDK4/6 inhibition in patients with advanced breast cancers. The warning applies to treatment with palbociclib, ribociclib, and abemaciclib specifically, but warnings of the risk of lung inflammation have been approved to be added to the prescribing information for the entire class of CDK4/6 inhibitors.