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| October 2013 Volume 10 Number 10 | Advertisement | ||||||||||||||||||||||||||||||||||||
In this issue
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| NEWS AND VIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Lung cancer: Maintenance therapy and precision medicine in NSCLC Rafael Rosell & Niki Karachaliou Published online: 20 August 2013 p549 | doi:10.1038/nrclinonc.2013.152 Two phase III trials have shown that prolonging chemotherapy duration improves outcome in patients with nonsquamous non-small-cell lung cancer. Pemetrexed versus placebo, and pemetrexed-bevacizumab versus bevacizumab was tested in patients without disease progression after pemetrexed-cisplatin treatment. Biomarker-directed chemotherapy and/or targeted therapy could further improve treatment outcomes for patients with lung cancer. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Targeted therapies: Afatinib—new therapy option for EGFR-mutant lung cancer Helena A. Yu & William Pao Published online: 20 August 2013 p551 | doi:10.1038/nrclinonc.2013.154 On 15 July 2013, the FDA approved afatinib as a first-line treatment for patients with metastatic non-small-cell lung cancer whose tumours harbour exon 19 deletions or exon 21 (L858R) EGFR substitution mutations. We discuss three recent studies investigating afatinib in this molecular subset of patients. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Innovation: Tumour board—introducing real time to oncology management Timothy Craig Allen & Bryan A. Liang Published online: 27 August 2013 p552 | doi:10.1038/nrclinonc.2013.159 The tumour board has outlived its intended function—it delays care, provides minimal patient benefit, is costly, does not account for patient psychosocial issues, is not evidence-based and has numerous potential legal issues. Instead, multidisciplinary oncology teams using real-time social media and networking that integrates patient input is a better approach. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Haematological cancer: Treatment of smoldering multiple myeloma S. Vincent Rajkumar & Robert A. Kyle Published online: 03 September 2013 p554 | doi:10.1038/nrclinonc.2013.160 In a recent randomized trial, lenalidomide plus low-dose dexamethasone prolonged overall survival in patients with high-risk smoldering multiple myeloma. Although the results are impressive, the generalizability is limited to a small subset of patients. Additional studies are needed to identify specific patient populations who can benefit from early intervention. Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| REVIEWS | Top | ||||||||||||||||||||||||||||||||||||
| Molecular targets on the horizon for kidney and urothelial cancer Joaquim Bellmunt, Bin T. Teh, Giampaolo Tortora & Jonathan E. Rosenberg Published online: 27 August 2013 p557 | doi:10.1038/nrclinonc.2013.155 Advances in the arena of whole-genome sequencing have revealed biomarkers of drug sensitivity and resistance in both renal cell carcinoma and urothelial tumours. This Review article highlights those markers of particular interest and discusses the preclinical and clinical evidence supporting their utility. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
| Drug rechallenge and treatment beyond progression—implications for drug resistance Elizabeth A. Kuczynski, Daniel J. Sargent, Axel Grothey & Robert S. Kerbel Published online: 03 September 2013 p571 | doi:10.1038/nrclinonc.2013.158 There are many circumstances where patients respond to reintroduction of the same therapy (drug rechallenge) following relapse or disease progression during therapy, and in a few cases, when a therapy is continued beyond disease progression. The authors comprehensively describe the available data on rechallenge and continuation beyond progression treatment strategies, discuss the potential mechanisms explaining tumour re-sensitization with reintroduced or continued therapy, and make the case for why drug resistance definitions need to be re-evaluated. Abstract | Full Text | PDF | Supplementary information | |||||||||||||||||||||||||||||||||||||
| The Society for Immunotherapy of Cancer consensus statement on tumour immunotherapy for the treatment of cutaneous melanoma HowardHoward L. Kaufman, John M. Kirkwood, F. Stephen Hodi, Sanjiv Agarwala, Thomas Amatruda, Steven D. Bines, Joseph I. Clark, Brendan Curti, Marc S. Ernstoff, Thomas Gajewski, Rene Gonzalez, Laura Jane Hyde, David Lawson, Michael Lotze, Jose Lutzky, Kim Margolin, David F. McDermott, Donald Morton, Anna Pavlick, Jon M. Richards, William Sharfman, Vernon K. Sondak, Jeffrey Sosman, Susan Steel, Ahmad Tarhini, John A. Thompson, Jill Titze, Walter Urba, Richard White & Michael B. Atkins Published online: 27 August 2013 p588 | doi:10.1038/nrclinonc.2013.153 Immunotherapy is associated with durable clinical benefit in patients with melanoma, and this consensus statement outlines recommendations for its use. The panel has based their guidance on the available evidence and outlines a treatment paradigm using drugs that are FDA approved. Abstract | Full Text | PDF | Supplementary information | |||||||||||||||||||||||||||||||||||||
| PERSPECTIVES | Top | ||||||||||||||||||||||||||||||||||||
| SCIENCE AND SOCIETY Clinical trials to improve childhood cancer care and survival in sub-Saharan Africa Trijn Israëls, Joyce Kambugu, Francine Kouya, Nader Kim El-Mallawany, Peter B. Hesseling, Gertjan J. L. Kaspers, Tim Eden, Lorna Renner & Elizabeth M. Molyneux Published online: 30 July 2013 p599 | doi:10.1038/nrclinonc.2013.137 In this Science & Society article, the authors provide their personal experience of treating children in low and middle-income countries in sub-Saharan Africa. The authors discuss how conducting clinical trials in this environment can be used for the benefit of all paediatric patients, and outline the measures that need to be put in place to ensure that the outcomes in improved care are met. Abstract | Full Text | PDF | |||||||||||||||||||||||||||||||||||||
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| *Journal Citation Reports, Thomson, 2012. Nature Reviews Clinical Oncology was previously published as Nature Clinical Practice Oncology. |
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