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ORLANDO, FL— The news was promising regarding several drugs for the treatment of prostate cancer at the recent ASCO Genitourinary Cancers Symposium held February 17-19, 2011 An extension-phase study of degeralix, approved by the FDA in 2008, confirmed the efficacy of this drug versus leuprolide. Other positive studies focused on drugs in various stages of development, including abiraterone, cabozantinib, and MDV3100.
 
Degarelix (Firmagon, Ferring)
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The US Food and Drug Administration (FDA) has agreed to hold a two-day hearing to give Genentech an opportunity to convince the agency not to revoke Avastin's (bevacizumab's) indication in breast cancer. Controversy raged among patients, medical professionals, and politicians from the moment the FDA announced last year that it was considering withdrawing its approval of Avastin to treat metastatic breast cancer.
 
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In a randomized trial of patients with cancer and vertebral compression fractures (VCFs), balloon kyphoplasty was associated with greater pain relief and better of quality of life than nonsurgical care. According to the authors, patients who received kyphoplasty relied significantly less on pain medication, bed rest, and walking assistance 1 month after the procedure.
 
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SAN ANTONIO—Denosumab was superior to zoledronic acid (ZA) in preventing skeletal-related events (SREs) in 2046 women with advanced breast cancer and bone metastases, according to new trial results. Denosumab, a monoclonal antibody acting via a novel mechanism, targets the receptor activator of nuclear factor kappa-B (RANK) ligand, important for the survival of osteoclasts, and thereby inhibits bone resorption.

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SYDNEY—One-year results in meta static melanoma for PV-10 (Rose Bengal, Provectus Pharmaceuticals) confirm positive interim findings found earlier with the first 40 patients. The updated analysis of the full 80-patient cohort was presented by Sanjiv Agarwala, MD, at the 4th Interdisciplinary Melanoma & Skin Cancer Centres Meeting, held at the 2010 International Melanoma Research Congress. Interim findings had been presented at the annual meeting of the American Society of Clinical Oncology in June. All patients had stage III/IV melanoma.

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ANAHEIM—Antibiotics are being delayed in patients with febrile neutropenia, found George Varughese, PharmD.

After a patient is diagnosed with neutropenia, guidelines from the Infectious Diseases Society of America recommend prompt initiation of an antibiotic. “Ideally, prompt is considered to be administration in less than 1 hour,” said Varughese, a pharmacy resident at the University Hospital-Health Alliance of Greater Cincinnati at the University of Cincinnati at the time the study was conducted.

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ORLANDO—In newly diagnosed multiple myeloma, the greatest benefits of continuous lenalidomide maintenance after melphalan, prednisone, and lenalidomide induction (MPR-R) are conferred to patients aged between 65 and 75 years. The finding emerged from results of the MM-015 study presented by Antonio Palumbo, MD, University of Torino, Italy. Palumbo’s analysis of the phase 3 study also showed continuous lenalidomide therapy to be superior to regimens of limited duration.

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ORLANDO—Adult survivors of childhood acute lymphoblastic leukemia (ALL) treated with dexamethasone may have greater risk for neurocognitive impairment and poor emotional regulation than patients treated with prednisone, and they exhibited symptoms of physical stress.

A pilot study conducted by Kevin R. Krull, PhD, at St. Jude Children’s Research Hospital in Memphis, Tennessee, and colleagues found an association between the use of dexamethasone during the pediatric patients’ chemotherapy regimen and neurocognitive difficulties as adults.

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