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Fentanyl buccal soluble film (FBSF) for breakthrough pain in patients with cancer: a randomized, double-blind, placebo-controlled study

Source: Oxford Journals Author: Dr A. L. Finn Abstract Background: Fentanyl buccal soluble film (FBSF) has been developed as a treatment of breakthrough pain in opioid-tolerant patients with cancer. The objective of this study was to evaluate the efficacy of FBSF at doses of 200–1200 μg in the management of breakthrough pain in patients with cancer receiving ongoing opioid therapy. Patients and methods: This was a multicenter, randomized, double-blind, placebo-controlled, multiple-crossover study that included opioid-tolerant adult patients with chronic cancer pain who experienced one to four daily episodes of breakthrough pain. The primary efficacy assessment was the sum of pain intensity differences at 30 min (SPID30) postdose. Results: The intent-to-treat population consisted of 80 patients with ≥1 post-baseline efficacy assessment. The least-squares mean (LSM ± SEM) of the SPID30 was significantly greater for FBSF-treated episodes of breakthrough pain than for placebo-treated episodes (47.9 ± 3.9 versus 38.1 ± 4.3; P = 0.004). There was statistical separation from placebo starting at 15 min up through 60 min (last time point assessed). There were no unexpected adverse events (AEs) or clinically significant safety findings. Conclusions: FBSF is an effective option for control of breakthrough pain in patients receiving ongoing opioid therapy. In this study, FBSF was well tolerated in the oral cavity, with no reports of treatment-related oral AEs.

2010-05-26T10:45:17-07:00May, 2010|Oral Cancer News|

Environmental cancer risks may be more dangerous than you think

Source: LA Times Author: Jill U Adams Pollutants and other chemicals in your environment — your home, your frontyard, your workplace — may be more toxic to your health than you know, according to a report released earlier this month. The President's Cancer Panel, an advisory group charged with monitoring the war on cancer, proposed in its May 5 report that environmental chemicals might contribute to a larger share of deaths from cancer than the 1% to 5% figure cited by the National Cancer Institute. Skeptical reactions to the report, most notably from the American Cancer Society, say that the report's focus on potential environmental risks may distract from known risks with much larger effects, such as smoking, sun exposure, diet and exercise. But others, such as David Kriebel, an epidemiologist at the University of Massachusetts at Lowell who testified before the panel in 2008, say the risks associated with environmental exposures are unclear and could easily be larger than assumed. "Isn't it disappointing that we don't know how much larger?" he asks. "It is always worth making the point that tobacco is the most important exposure to try to eliminate," but that message shouldn't preclude investigation of other exposures, says Shelia Hoar Zahm, deputy director of cancer epidemiology and genetics at the National Cancer Institute. The report, with its focus on the admittedly incomplete science on environmental cancer risks, helps the U.S. government to keep the broad picture in mind as it continues its war on cancer, she says. [...]

2010-05-25T15:17:24-07:00May, 2010|Oral Cancer News|

FDA tobacco chief says to industry: ‘Long way to go’

Source: Associated Press Staff: Michael Felberbaum WILLIAMSBURG, Va. — The head of the government's tobacco regulator says the Food and Drug Administration's new power to regulate tobacco is a promising tool to reduce the toll of disease and death caused by tobacco use. "This is an opportunity for me to serve my country by preventing its men, women and children from suffering and dying from tobacco-related diseases," Dr. Lawrence Deyton, director of the FDA's Center for Tobacco Products told attendees Monday at the Tobacco Merchants Association annual meeting in Williamsburg, Va. Deyton, who has held the job for about nine months, said his job is to address the "enormous toll of confusion, suffering and death caused by the current state of tobacco use in this country." "And frankly, we have a long way to go," he said. Deyton said his top priorities include stopping kids from picking up the habit, educating the public and applying standards based on science. While Deyton encouraged an open dialogue with the industry, he acknowledged that some believe regulation as a threat to the tobacco business and will "try and block FDA at every turn in implementing this law." For those who ignore the law, Deyton said, the FDA has multiple options to enforce compliance and the agency will "not hesitate to take these steps when warranted." The FDA's authority granted last June is the main area of discussion at the two-day gathering of tobacco manufacturers, growers and retailers. The agency is tasked with creating [...]

2010-05-25T13:27:43-07:00May, 2010|Oral Cancer News|

End of cervical cancer is possible

Source: The News and Observer Author: Martha Quillin May 19--RALEIGH -- North Carolina could be among the first states to eliminate cervical cancer, according to a group of health care experts who launched an effort Tuesday with that goal. More than 100 clinicians, researchers, community activists and some cancer survivors attended the launch of the Cervical Cancer-Free Initiative at a Raleigh hotel. That's almost as many women -- 114, on average -- who die of cervical cancer in North Carolina each year. While the number of deaths from the illness has dropped over three decades in the state and across the nation, all cervical-cancer deaths are preventable, said Noel T. Brewer, director of the initiative. Brewer is also an associate professor in the UNC Gillings School of Global Public Health, which is a partner with the N.C. Division of Public Health, in the initiative. "This is an illness that kills people in countries where people don't have access to health care," Brewer said. In the United States, 4,070 women died of the disease last year, according to the National Cancer Institute. "We are a rich country," Brewer said. "This shouldn't be happening here." Participants talked about ways to get more girls vaccinated against HPV, or human papillomavirus, which is present in every case of cervical cancer, and to increase screening for cervical cancer in women who weren't vaccinated. Those two steps could prevent most of the deaths, Brewer said. In North Carolina, only a third of girls aged 13 to [...]

2010-05-20T12:20:57-07:00May, 2010|Oral Cancer News|

Sexually transmitted virus leads to rise in oral cancer

Source: The Boston Channel Author: Staff Boston cancer specialists are trying to learn what’s behind an “epidemic” spike in oral cancer cases that they say is caused by the human papillomavirus, commonly known as HPV. “What you're seeing here is a five-fold increase in the numbers that we would expect,” said Dr. Marshall R. Posner, of the Dana Farber Cancer Institute. “So that, to me, is an epidemic.” NewsCenter 5’s Heather Unruh reported Thursday that most adults have been exposed to HPV. Doctors say it can be sexually transmitted, even through deep kissing. What doctors don’t know yet is why in some people, such a common virus develops into cancer. “Most people who get infected with HPV naturally clear the virus,” said DFCI’s Dr. Karen Anderson. Anderson and her team of researchers are trying to isolate who’s at risk for oral cancer from HPV, and why. “Because then,” Anderson said, “we can focus on more aggressive screening approaches for people who are at higher risk and start to look at more therapeutic interventions earlier on.” Posner said that at least 20,000 cases of oropharyngeal cancer are diagnosed in the United States each year. Most patients are young. Three in four occur in men. Tony is one face among the statistics. Five days a week he psyches himself up for radiation to treat the cancer that grew at the base of his tongue, where it meets his throat. “What I say,” he said, “is, ‘It is not of me, or a [...]

2010-05-14T14:37:01-07:00May, 2010|Oral Cancer News|

Long Island friends honor their dads fight against cancer with inaugural walk on Father’s Day

Source: Long Island Exchange Author: Staff (Hicksville, N.Y.) Serena Ahne and Lisa Leone, of Long Island, are friends whose fathers are both cancer survivors; Fred Ahne, who was diagnosed with testicular cancer in 2008 and Fred Leone, who was diagnosed with oral cancer in 2003. Both girls looked for a way to educate others about the diseases from which their fathers suffered and the answer is the first annual Fred K’s Cancer Event, being held on June 20th in Cantiague Park in Hicksville, NY.  Serena and Lisa, otherwise known as the Traveling Baseball Babes, due to their avid love of New York sports, will be joined by their fathers, family members, friends and supporters, on Father’s Day, as they walk in honor of their dads and all those who have fought oral and testicular cancer. All funds raised from this inaugural event will go to the Oral Cancer Foundation and the Sean Kimerling Testicular Cancer Foundation, to help educate others about the importance of prevention and early detection through self-examinations and check-ups. The walk, which will include the two miles of the Cantiague Park’s Fitness Trail in Hicksville, NY, will take place on June 20th from 9:00 AM to 11:00 AM, with registration beginning at 8:00 AM. Participants are encouraged to fundraise before the day of the event, by gathering others to sponsor them in the walk, to help Lisa and Serena reach their fundraising goal of $2,000. Approximately 35,000 people in the U.S. will be newly diagnosed with oral [...]

2010-05-14T14:36:22-07:00May, 2010|OCF In The News, Oral Cancer News|

HPV types 16/18 adjuvant vaccine shows long-term efficacy

Source: DocGuide.com Author: Jenny Powers NICE, France -- May 11, 2010 -- The human papillomavirus (HPV) vaccine (types 16 and 18) AS04-adjuvanted vaccine shows a sustained immune response, as demonstrated by high levels of neutralising antibodies, up to 8.4 years after first vaccination, researchers said here at the 28th Annual Meeting of the European Society for Paediatric Infectious Diseases (ESPID) on May 6. Cecelia Maria Roteli-Martins, MD, Hospital Leonor Mendes de Barros-Secretaria d Saude de São Paulo, in São Paulo, Brazil, headed an international team that evaluated the efficacy and immunogenicity of the HPV-16/18 AS04-adjuvanted vaccine by measuring neutralising antibody levels in a follow-up analysis yearly for up to 8.4 years post vaccination Healthy women aged 15 to 25 years who were DNA-negative for oncogenic HPV types, 16 and 18 with normal cytology at baseline received the vaccine (n = 560) or placebo (n = 553). A total of  223 women who were vaccinated with the active vaccine returned for extension studies, as well as 213 of the women who were given placebo. In these women, HPV-16 and 18 antibodies were measured annually. Cervical samples were taken every 6 months and gynaecological and cytopathological examinations were performed every 12 months. All (100%) of the women in the trial have remained seropositive for HPV-16 and -18 antibodies. After 2 years of follow-up, 5 incident infections and 1 infection of low grade squamous intra-epithelial lesion or higher (LSIL) associated with HPV 16 and 18 occurred in the placebo group. The vaccine efficacy [...]

2010-05-13T07:58:42-07:00May, 2010|Oral Cancer News|

FDA’s risk aversion is endangering children

Source: Forbes.com Author: Henry Miller The agency has sown confusion by asking physicians to stop administering a vaccine that even they admit is safe. By applying its now-customary excessive precaution, the FDA has painted itself into a most interesting corner. The result will likely be confusion among pediatricians and the public and parents reluctant to permit their children to get an important vaccination. And that in turn will cause unnecessary cases of rotavirus infection, debilitating diarrhea and, in a few children, death. The FDA last March asked pediatricians to stop administering GlaxoSmithKline's ( GSK - news - people ) Rotarix, a vaccine that prevents rotavirus infection, a diarrheal illness that commonly affects infants and children and that can cause severe dehydration. Their rationale was self-contradictory and unpersuasive. On one hand, the FDA seemed still to be confident about the vaccine, explaining that, "Extensive studies, including placebo-controlled, randomized clinical studies involving tens of thousands of vaccine recipients, support the safety and effectiveness of the vaccine." And the positive experience of countless infants and children vaccinated since the licensing of the vaccine two years ago further confirms its safety. So why do regulators want a "pause" in administration? Because using a new ultra-sensitive assay, small amounts of DNA from a pig virus were detected in the vaccine preparation. That might sound like a good reason for concern--except that the FDA itself confirms "that the material has been present since the early stages of product development, including during clinical studies." In other words, all of the studies that confirmed the [...]

2010-05-13T07:58:04-07:00May, 2010|Oral Cancer News|

Human papillomavirus knowledge and vaccine acceptability among a national sample of heterosexual men

Source: BMJ.com Authors: Paul L Reiter, Noel T Brewer, & Jennifer S Smith Accepted 26 October 2009 Published Online First 30 November 2009 Abstract Objectives If approved for use in young males in the United States, prophylactic human papillomavirus (HPV) vaccine may reduce the incidence of HPV-related disease in vaccinated males and their sexual partners. We aimed to characterise heterosexual men's willingness to get HPV vaccine and identify correlates of vaccine acceptability. Methods Participants were from a national sample of heterosexual men (n=297) aged 18–59 y from the United States who were interviewed in January 2009. We analysed data using multivariate logistic regression. Results Most men had not heard of HPV prior to the study or had low HPV knowledge (81%; 239/296). Most men had heard of HPV vaccine prior to the study (63%; 186/296) and 37% (109/296) were willing to get HPV vaccine. Men were more willing to get vaccinated if they reported higher perceived likelihood of getting HPV-related disease (OR 1.80, 95% CI 1.02 to 3.17), perceived HPV vaccine effectiveness (OR 1.86, 95% CI 1.22 to 2.83) or anticipated regret if they did not get vaccinated and an HPV infection later developed (OR 2.01, 95% CI 1.40 to 2.89). Acceptability was also higher among men who thought (OR 9.02, 95% CI 3.45 to 23.60) or who were unsure (OR 2.67, 95% CI 1.30 to 5.47) if their doctor would recommend they get HPV vaccine if licenced for males. Conclusions Men had low HPV knowledge and were moderately willing to get [...]

2010-05-06T15:07:58-07:00May, 2010|Oral Cancer News|

Boot scootin’ for oral cancer screening…again!

Source: The Oral Cancer Foundation Author: John Pohl Nashville Hygienists Walk to Promote Oral Cancer Detection For the second straight year, the Nashville Area Dental Hygienists’ Society (NADHS) has organized a successful walk to raise both oral cancer awareness and funding for the Oral Cancer Foundation.  Despite grey skies and cold temperatures, the $7,700 raised by “Boot Scootin’ for Oral Cancer Screening II” represented more than a 20% increase over the inaugural event’s results. The walk took place took place the morning of Saturday, March 13 at Nashville’s Centennial Park.  Outgoing NADHS president Nicki Raines, who had convinced the organization to embrace the cause of oral cancer detection when she began her two-year presidential term, and her 6-person committee worked countless hours to ensure that the event would top last year’s efforts.  Before the walk, participants were treated to three inspiring speakers.  Two are oral cancer survivors:  Kathi Gill, a Georgia resident who attended but did not speak at the 2009 walk, and ShayLynn Grant, a 24-year-old from Kentucky.  The third speaker was Cydney Miller, Mrs. Tennessee International, who is a staunch advocate of early cancer detection. As with last year’s event, Nashville area merchants outdid themselves with their display of southern hospitality.  Auction and raffle items donated include bags of groceries from Whole Foods and Trader Joe’s, gift cards from Wal-Mart, fine wines from anonymous donors, and autographed memorabilia by such Nashville area superstars as George Strait, Tim McGraw, Faith Hill, and Brooks and Dunn (whose “Boot Scoot Boogie” [...]

2010-05-09T09:57:11-07:00May, 2010|OCF In The News, Oral Cancer News|
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