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Home: Oncology Leader Commentary: George W. Sledge, MD

Click on the topic below for comments by Dr George W. Sledge to comment on. You will also find links to related articles and clinical trials.

Tyrosine kinase inhitors, antiangiogenic agents
Tyrosine kinase inhitors
Herceptin versus the new tyrosine kinase inhibitors
Combining Herceptin and a tyrosine kinase inhibitors
Combining Herceptin and an Aromotase Inhibitor
Current trends in systemic therapy
Management of metastatic breast cancer
Use of Herceptin in metastatic disease
Assessing HER2 status
Herceptin as a first-line single agent
Endocrine therapy versus cytotoxic therapy of metastatic disease
Tamoxifen rechallenge in patients with prior adjuvant tamoxifen
Chosing an aromatase inhibitor
Aromatase inhibitors as first-line therapy of metastatic disease
Overview of the science of breast cancer medicine.

Overview of the science of breast cancer medicine

Interview with Neil Love, MD from Breast Cancer Update for Medical Oncologists, Program 5 2000

Play Audio Below:

I think that breast cancer, as an intellectual challenge, is going to be through in about a decade. That’s to say that, the combination of the powerful data that we’ve gotten from the human genome, the data from DNA chip arrays, the ability of combinatorial chemistry techniques to match specific molecules to specific DNA structures – all of these are going to revolutionize what we know about breast cancer in the very near future, sometime probably within the next decade. Working that out practically will keep oncologists busy long after I retire. But, I suspect that as an intellectual challenge, breast cancer is going to be through probably in a decade or so. I think that’s something I wouldn’t have said five years ago, but something that I feel very confident about going forward. Again, the intellectual challenge is one thing, the practical application is another, and the practical applications of this biologic revolution are going to keep us all in business for a long time to come.

Relevant Links:

Preclinical and clinical development of cyclin-dependent kinase modulators [Review].
Senderowicz, A. M. and Sausville, E. A. (Reprint available from: Senderowicz AM NIH Bldg 10,Rm 6N113 Bethesda, MD 20892 USA). Journal of the National Cancer Institute. 92(5):376-387, 2000 Mar 1.

Anti-HER2 antibody enhances the growth inhibitory effect of anti-oestrogen on breast cancer cells expressing both oestrogen receptors and HER2.
Kunisue, H.; Kurebayashi, J.; Otsuki, T.; Tang, C. K.; Kurosumi, M.; Yamamoto, S.; Tanaka, K.; Doihara, H.; Shimizu, N., and Sonoo, H. (Reprint available from: Kurebayashi J Kawasaki Med Sch, Dept Breast & Thyroid Surg 577 Matsushima Kurashiki Okayama 7010192 Japan). British Journal of Cancer. 82(1):46-51, 2000 Jan.

A pilot trial of suramin in metastatic breast cancer to assess antiangiogenic activity in individual patients.
Gradishar, W. J.; Soff, G.; Liu, J. G.; Cisneros, A.; French, S.; Rademaker, A.; Benson, A. B., and Bouck, N. (Reprint available from: Gradishar WJ 676 N St Clair St,Suite 850 Chicago, IL 60611 USA). Oncology. 58(4):324-333, 2000.

Progress in antiangiogenic gene therapy of cancer [Review].
Feldman, A. L. and Libutti, S. K. Cancer. 89(6):1181-1194, 2000 Sep 15.

Continuous low dose Thalidomide: a phase II study in advanced melanoma, renal cell, ovarian and breast cancer.
Eisen, T.; Boshoff, C.; Mak, I.; Sapunar, F.; Vaughan, M. M.; Pyle, L.; Johnston, S. R. D.; Ahern, R.; Smith, I. E., and Gore, M. E. (Reprint available from: Gore ME Royal Marsden Hosp, Dept Med London SW3 6JJ England). British Journal of Cancer. 82(4):812-817, 2000 Feb.

Docetaxel (Taxotere) in HER-2-positive patients and in combination with trastuzumab (Herceptin) [Review].
Burris, H. A. Seminars in Oncology. 27(2 Suppl 3):19-23, 2000 Apr.

Phase II evaluation of thalidomide in patients with metastatic breast cancer.
Baidas, S. M.; Winer, E. P.; Fleming, G. F.; Harris, L.; Pluda, J. M.; Crawford, J. G.; Yamauchi, H.; Isaacs, C.; Hanfelt, J.; Tefft, M.; Flockhart, D.; Johnson, M. D.; Hawkins, M. J.; Lippman, M. E., and Hayes, D. F. Journal of Clinical Oncology. 18(14):2710-2717, 2000 Jul.

Biological rationale for HER2/neu (c-erbB2) as a target for monoclonal antibody therapy [Review]. Pegram, M. and Slamon, D Seminars in Oncology. 27(5 Suppl 9):13-19, 2000 Oct.

In process Current and planned clinical trials with trastuzumab (Herceptin) [Review].
Baselga, J. Seminars in Oncology. 27(5 Suppl 9):27-32, 2000 Oct. In process

Clinical trials of single-agent trastuzumab (Herceptin) [Review].
Seminars in Oncology. 27(5 Suppl 9):20-26, 2000 Oct. In proces

Relevant Clinical Trials:

Phase II Pilot Study of cDNA Microarray as a Measure of Tumor Response to Neoadjuvant Docetaxel and Capecitabine Followed by Surgery and Adjuvant Doxorubicin and Cyclophosphamide in Patients with Stage II or III Breast Cancer

Phase III Randomized Study of Doxorubicin and Cyclophosphamide Followed by Paclitaxel With or Without Trastuzumab (Herceptin) in Women With Node Positive Breast Cancer That Overexpress HER2

Phase III Randomized Study of Doxorubicin Plus Cyclophosphamide Followed Paclitaxel With or Without Trastuzumab (Herceptin) in Patients With HER-2 Overexpressing Breast Cancer

Phase III Randomized Study of Trastuzumab (Herceptin) Alone Followed By Paclitaxel Plus Trastuzumab Versus Upfront Combination of Trastuzumab and Paclitaxel in Women With HER2 Overexpressing Metastatic Breast Cancer

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