Merck immunotherapy appears effective in head and neck cancer – study | Reuters

Source: www.firstpress.comAuthor: Bill Berkrot  A Merck & Co drug that helps the immune system fight cancer was about twice as effective as the current standard therapy for patients with recurrent or advanced head and neck cancers, according to study data released on Friday. A quarter of the 132 patients who received the drug, Keytruda (pembrolizumab), saw their tumors shrink by at least 30 percent. Fifty-six percent of patients experienced at least some tumor shrinkage in the ongoing single drug Phase I study dubbed Keynote-012, researchers reported. "This is remarkable because we don't usually see this level of activity with new agents. We have a track record of failure," said Dr. Tanguy Seiwert, lead investigator of the study from the University of Chicago. Advanced head and neck cancer is currently treated with Eli Lilly's Erbitux, known chemically as cetuximab, which typically has a response rate of 10 percent to 13 percent. "The only thing that works is cetuximab and this looks at least twice as good," said Seiwert, who was presenting the Keytruda data at the American Society of Clinical Oncology meeting in Chicago. ADVERTISING Merck shares rose more than 1 percent to $60.43 on the New York Stock Exchange. Keytruda and Opdivo from Bristol-Myers Squibb Co are at the forefront of a promising new class of drugs called PD-1 inhibitors that block a mechanism tumors use to evade the immune system. Keytruda is approved to treat advanced melanoma and awaits a decision for use in lung cancer. It is being [...]

Sentinel Node Biopsy Safe & Effective in Head/Neck Melanomas

Source: MD News Author: Staff *see below University of Michigan study refutes controversy about technique in delicate head, neck region. ANN ARBOR, MI — A common technique for determining whether melanoma has spread can be used safely and effectively even in tumors from the head and neck area, according to a new study from the University of Michigan Comprehensive Cancer Center. Sentinel lymph node biopsy involves injecting a special dye to identify the first node where cancer would likely spread. If that node is clean, patients can avoid further debilitating surgery to remove multiple lymph nodes. If that node shows cancer, patients know they need the more extensive surgery or further treatment with radiation, chemotherapy or a clinical trial. Patients with larger melanomas are routinely offered this procedure. But many surgeons believed that the complex anatomy combined with the critical nerves and blood vessels in the head and neck area made sentinel lymph node biopsy unsafe and inaccurate for melanomas in that region. In the current study, which appears online in Cancer, researchers looked at 353 head and neck melanoma patients who had received sentinel lymph node biopsy at U-M over a 10-year period. After reviewing patients’ records, the researchers found that the sentinel lymph node could be identified in all but one patient, and no patients sustained permanent nerve injuries during the procedure. About 20 percent of the patients had at least one sentinel node positive for cancer and were referred for a complete dissection to remove additional lymph [...]

2011-08-08T12:12:51-07:00August, 2011|Oral Cancer News|

Induction chemotherapy before concomitant chemoradiotherapy improves outcomes of patients with locally advanced head and neck cancer

Source: CancerConsultants Author: Staff Researchers from Italy have reported that induction (neoadjuvant) chemotherapy prior to concomitant chemoradiotherapy improves outcomes of patients with locally advanced head and neck cancer. The details of this Phase II randomized trial were published early online in the Annals of Oncology on December 23, 2009.[1] There have been several randomized and non-randomized clinical trials suggesting that the concomitant administration of platinum-based chemotherapy and radiotherapy is superior to radiotherapy alone for the treatment of patients with advanced head and neck cancer for local and regional control. Most trials, but not all, have also shown a survival advantage for combined treatment. Two randomized trials in the May 7, 2004 issue of the New England Journal of Medicine documented the effects of adding platinum-based chemotherapy to post-operative radiotherapy for the treatment of patients with advanced head and neck cancers. A recent large randomized trial performed by the UK Head and Neck (UKHAN1) trial reported that concurrent chemoradiotherapy reduces recurrences and death in patients with advanced head and neck cancer. However, researchers are still attempting to determine the optimal way to administer radiotherapy and chemotherapy to improve outcomes of patients with advanced head and neck cancer. Previous Phase II non-randomized studies have suggested benefit from neoadjuvant induction chemotherapy prior to the administration of definitive concomitant chemoradiotherapy for treatment of patients with locally advanced head and neck cancer. The current study involved 101 patients with locally advanced head and neck cancer who were randomly allocated to treatment with concomitant chemoradiotherapy alone or to [...]

2010-03-05T07:37:01-07:00February, 2010|Oral Cancer News|

US advisers decline to push Gardasil for boys

Source: Reuters.com Author: Maggie Fox * Committee advises that doctors free to use vaccine * Says needs more evidence of cost benefit * Did not consider value in preventing cancer (Updates throughout, adds quotes, share price) WASHINGTON, Oct 21 (Reuters) - U.S. vaccine advisers declined to press for the use of Merck & Co's (MRK.N) Gardasil in boys and men, opting instead on Wednesday to simply advise doctors they are free to use it. Despite some impassioned pleas from patients and doctors alike, the Advisory Committee on Immunization Practices voted almost unanimously for "permissive" use of the vaccine for boys. It protects against the human papillomavirus, or HPV, which causes a variety of cancers and genital warts. But the committee did recommend including Gardasil for eligible boys aged 9 to 18 in the Vaccines For Children program, a government-funded system that provides vaccines to children eligible for the state-federal Medicaid health insurance plan and other uninsured children. Merck's shares were down 1.7 percent at $33.16 in afternoon trading on the New York Stock Exchange. The U.S. Centers for Disease Control and Prevention currently recommends Gardasil for girls 11 and 12 years old and women 13 to 26 who have not been vaccinated. Earlier this month, the U.S. Food and Drug Administration approved Gardasil for preventing genital warts in boys and men ages 9 through 26. The main reason the vaccine was approved was to prevent cervical cancer, which kills 4,000 women a year in the United States alone. But various [...]

2009-10-21T14:45:00-07:00October, 2009|OCF In The News, Oral Cancer News|

Routine Oesophageal Screening Recommended for Patients Previously Treated for Head and Neck Cancer: Presented at AAO-HNSF

Source: Docguide.com By Kristina Rebelo SAN DIEGO -- October 12, 2009 -- Patients who have been treated for head and neck cancer (HNCA) should be screened for oesophageal pathologies about 3 months out whether they are symptomatic or not, according a poster presentation here October 4 at the American Academy of Otolaryngology-Head and Neck Surgery Foundation (AAO-HNSF) Annual Meeting 2009. Oesophageal pathology is extremely common in patients who have been treated for HNCA, according to the researchers. "When we talk about HNCA, the 5-year survival rate for this cancer is 50%," Peter C. Belafsky, MD, Head and Neck Oncological Surgery, University of California at Davis, and the Voice and Swallowing Center, Davis, California, told DocGuide. "We took a look at the oesophagus in patients after treatment for head and neck cancer and we did oesophagoscopy and biopsy, as indicated, on all of them. We successfully performed the oesophagoscopy on all 100 patients without complication and we had only 13% of the entire cohort who had a normal examination." The study included 100 patients who had chemoradiation and underwent follow-up oesophagoscopy. Patient demographics, symptom surveys, treatments received, reflux medications prescribed and oesophageal findings were prospectively determined. Findings on oesophagoscopy included stricture (22%), candidiasis (9%), peptic oesophagitis (67%), Barrett's (8%), and new primary tumours -- 1 hypopharynx, 2 oesophageal, and 1 stomach (4%); 13% had a normal oesophagoscopy. The mean age of the cohort was 64 years and 74% were male. The mean time between the cessation of treatment and endoscopy was 40 [...]

2009-10-13T10:26:11-07:00October, 2009|Oral Cancer News|

Jeg Coughlin Sr. Chair filled by OSU’s Gillison

Source: Go2geiger.com Author: News Staff   Leading human papilloma virus (HPV) expert Maura Gillison, MD, PhD, was officially named to the Jeg Coughlin Sr. Chair in Cancer Research during a special ceremony Wednesday night at the Longaberger Alumni House at The Ohio State University.   "This is a dream come true for all of us," said Coughlin, who was surrounded by his four sons and many members of the extended Coughlin family. "This Chair represents a legacy that will continue forever. Cancer research takes commitment from a financial aspect and more importantly from a research and development side. Dr. Gillison has accomplished so many things already and we truly feel the best is yet to come."  Gillison recently joined OSU's staff after a successful stint as associate professor at Johns Hopkins University School of Medicine in Baltimore, Md., where she was a member of the Sidney Kimmel Comprehensive Cancer Center. She now serves as professor of medicine in the division of hematology and oncology at OSU and is a member of the Cancer Control and Viral Oncology Programs at the Comprehensive Cancer Center.   "Unfortunately, like so many other families, the Coughlins have been touched by cancer," Gillison said. "Now, they are a family on a mission. They put the same enthusiasm they bring to racing into cancer research. The Coughlin family has made it possible for me to take my research into a much broader direction and to really think outside of the box."   Focusing on the role that [...]

2009-05-29T09:37:54-07:00May, 2009|Oral Cancer News|
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