AJO

Audio Journal of Oncology 14.2, March 2006

Reporting from:
American Society of Hematology Meeting, Atlanta, 10-13 December 2005

In this edition:

It is not necessary to use rituximab along with standard CVP (cyclophosphamide, vincristine, predinsone) induction therapy among patients with advanced follicular lymphoma. So said Sandra Horning at a packed lymphoma meeting during the ASH confderence. According to the findings of a new study reported to the ASH conference, however, the use of rituximab mainenance, after the induction therapy, brings strong improvements in clinical outcome.

The original IRIS study showing the runaway superiority of imatinib after one year over standard treatment for cronic myeloid leukemia has now been followed up to maturity. John Goldman told the ASH audience the study results strongly endorses the use of imatinib as the gold standard treatment.

Michael Keating told the Atlanta conference that adding rituximab to standard fluydarabine plus cyclophosphamide therapy for chronic lymphocytic leukemia has helped patients survive longer.

….
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    Audio Journal of Oncology 14.2, March 2006

    Reporting from:
    American Society of Hematology Meeting, Atlanta, 10-13 December 2005
    Scientific Editors:

    George Canellos, Dana-Farber Cancer Institute, Boston
    Gordon McVie, European Institute of Oncology, Milan
    Pat Price, Christie Hospital, Manchester
    Gianni Bonadonna, Istituto Nazionale Tumori, Milan
    Producer: Derek Thorne

    In this edition:

    It is not necessary to use rituximab along with standard CVP (cyclophosphamide, vincristine, predinsone) induction therapy among patients with advanced follicular lymphoma. So said Sandra Horning at a packed lymphoma meeting during the ASH confderence. According to the findings of a new study reported to the ASH conference, however, the use of rituximab mainenance, after the induction therapy, brings strong improvements in clinical outcome.

    The original IRIS study showing the runaway superiority of imatinib after one year over standard treatment for cronic myeloid leukemia has now been followed up to maturity. John Goldman told the ASH audience the study results strongly endorses the use of imatinib as the gold standard treatment.

    Michael Keating told the Atlanta conference that adding rituximab to standard fluydarabine plus cyclophosphamide therapy for chronic lymphocytic leukemia has helped patients survive longer.

    Interviews in this edition:

    1. Rituximab Maintenance after Chemotherapy Gives Better Outcomes in Advanced Follicular Lymphoma
    Sandra Horning
    Sandra Horning

    Abstract 349
    Sandra Horning, Stanford University Medical Center
    It is not necessary to use rituximab along with standard CVP (cyclophosphamide, vincristine, predinsone) induction therapy in patients with advanced follicular lymphoma. However, the use of rituximab maintenance, after induction therapy, brought clear benefits among patients in the study.


    2. Rituximab Plus CHOP Induction then Rituximab Maintenance: Big Gains in Relapsed Non-Hodgkin’s Lymphoma
    Marinus Van Oers
    Marinus Van Oers

    Abstract 353
    Marinus Van Oers, Academic Medical Center, Amsterdam
    The use of rituximab as part of both induction and maintenance therapy for relapsed non-Hodgkin’s lymphoma has now been endorsed.


    3. First Line Immuno-Chemotherapy: Efficacy Confirmed in Follicular Non Hodgkin’s Lymphoma
    Philippe Solal-Celigny
    Philippe Solal-Celigny

    Abstract 350
    Philippe Solal-Celigny, Centre Jean Bernard, Le Mans
    Rituximab contributed to improvements in clinical outcomes among patients with follicular non Hodgkin’s lymphoma who were treated first line with this immunotherapy combined with standard CVP chemotherapy. But an additional and greater benefit was found among patients randomized to receive further maintenance immunotherapy with rituximab.


    4. AMN 107: Inhibitor of BCR-ABL Active in Imatinib Resistant Chronic Myeloid Leukemia or Philadelphia-positive Acute Lymphoblastic Leukemia
    Hagop Kantarjian
    Hagop Kantarjian

    Abstract 37
    Hagop Kantarjian, MD Anderson Cancer Center, Houston
    Although imatinib brings control to more than 90% of patients with chronic myeloid leukemia, the drug does not suppress disease in other patients. One of the two leading alternative agents, however, AMN 107, has now given promising responses among patients whose disease evades the effects of imatinib.


    5. Dasatinib: Phase II Remissions in Chronic Myeloid Leukemia
    Andreas Hochhaus
    Andreas Hochhaus

    Andreas Hochhaus, University of Heidelberg, Manheim
    Another tyrosine kinase inhibitor targeting the BCR ABL pathway, dasatinib, has also achieved positive results among patients whose chronic myeloid leukemia is resistant or refractory to imatinib.


    6. Four Year Results from IRIS Confirm Imatinib Benefit
    John Goldman
    John Goldman

    John Goldman, Imperial College, London
    The original IRIS study compared imatinib with the combination of interferon plus cytarabine for the treatment of chronic myeloid leukemia. The runaway superiority of imatinib (noticed after one year) has now confirmed at four years of follow up, strongly endorsing the use of imatinib as the gold standard treatment.


    7. CMLVAX100 Trial - Peptide Vaccination for CML
    Monica Bocchia
    Monica Bocchia

    Abstract 167
    Monica Bocchia, University of Siena, Italy
    A vaccine targeting a protein junction of BCR ABL has achieved partial, complete, and even molecular remissions among patients with chronic myeloid leukemia, raising hopes of yet another weapon in the armory for patients whose disease is resistant to imatinib.


    8. Acute Myeloid Leukemia Salvage Therapy: Gemtuzumab Adds to ATRA and Chemotherapy Benefit

    Abstract 1849
    Richard Schlenk, University of Ulm
    The addition of gemtuzumab to a salvage regimen appears to bring benefits among patients with acute myeloid leukemia who have failed other therapies.


    9. Imatinib Brings Benefits in Acute Lymphoblastic Leukemia

    Bella Patel, Royal Free Hospital, London
    Imatinib has achieved improvements in clinical outcomes among patients with Philadelphia positive acute lymphoblastic leukemia.


    10. Chemo-Immunotherapy: Best Initial Therapy for Chronic Lymphocytic Leukemia?

    Abstract 2118
    Michael Keating, MD Anderson Cancer Center, Houston
    Adding rituximab to standard fluydarabine plus cyclophosphamide therapy for chronic lymphocytic leukemia has helped patients survive longer.


    11. Salvage Therapy for Chronic Lymphocytic Leukemia and the Role of Stem Cell Transplantation

    John Gribben, St Bartholomew’s Hospital, London
    The use of stem cell transplantation, antisense, and the new drug alemtuzumab all bring promise of better outcomes for salvage therapy in chronic lymphocytic leukemia.


    12. Myelo-Ablative Radio-Immunotherapy Eases Autologous Stem Cell Transplantations in Over 60s with Relapsed or Refractory B-Cell Lymphoma
    Ajay Gopal
    Ajay Gopal

    Abstract 487
    Ajay Gopal, Fred Hutchinson Cancer Research Center, Seattle
    Radioimmunotherapy at myeloablative doses may hold the key to treating patients with lymphoma over the age of 60 who would otherwise be denied transplants on grounds of the treatment being too harsh for their age.


    13. New Targeted Therapy for Older Patients with Advanced Acute Myeloid Leukemia
    John Pagel
    John Pagel

    Abstract 397
    John Pagel, University of Washington, Seattle
    Reduced intensity conditioning, sometimes called “mini transplants” offer an option which could safely be used to treat older patients with multiple myeloma.


    14. Phase III Study of Lenalidomide Plus Dexamethasone versus Dexamethasone Alone in Multiple Myeloma
    Meletios Dimopoulos
    Meletios Dimopoulos

    Abstract 6
    Meletios Dimopoulos, University of Athens, Greece
    58% of patients with heavily pre-treated multiple myeloma responded to a combination of the thalidomide analog lenalidomide combined with the standard drug dexamethazone, as compared with only 22% treated with dexamethazone alone. The study of 700 patients found better response rates and time to progression in the lenalidomide-treated group.


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    1. I would like to be able to listen to these interviews from the Audio Journal from ASH this past winter. Is there anyway for me to access these.
      thank you
      deanna

      Posted by Deannaboj | April 3, 2006, 3:10 am

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