Archive for the ‘Diseases’ Category

Myeloma and Lymphoma: Management of Relapsed, Refractory Follicular Lymphoma

Posted by James

Speaker: Stephanie A. Gregory, Rush University Medical Center, Chicago, Illinois

Clinical trials in patients with relapsed follicular lymphoma have shown that rituximab plus CHOP therapy (R-CHOP) is better than CHOP therapy alone. Rituximab maintenance therapy following initial FCM (fludarabine, cyclophosphamide, mitoxantrone) chemotherapy, with or without rituximab, resulted in a 94% overall response rate (P = .011). There was a trend toward improved overall survival following rituximab maintenance therapy after three years.

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Myeloma and Lymphoma: Relapsed and Refractory Diffuse, Large B-Cell Lymphoma

Posted by James

Speaker: Thomas C. Shea, University of North Carolina School of Medicine, Chapel Hill, North Carolina

Salvage therapy for relapse of diffuse, large B-cell lymphoma depends on the answers to several questions:

• Which relapse is it?
• Which therapies have been used in the past?
• What was the last interval of response?
• Was the prior response complete or partial?
• What are the patient’s characteristics and profile (age, organ function, medical history, and comorbidities?)

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Myeloma and Lymphoma

Posted by James

MyelomaMultiple Myeloma: Oncogenomics for Targeting Tumor Cells in the Microenvironment

Speaker: Kenneth Anderson, Dana-Farber Cancer Institute, Boston, Massachusetts

Recent progress in the research on multiple myeloma (MM) demonstrates the tumor-promoting influence of the micro-environment. Growth factors promote tumor cell proliferation and survival, and cytokines and chemotactic factors promote tumor cell migration and invasion. Proteases break down the basement membrane, alter the architecture of tissue structures, and promote migration and invasion by tumor cells. The vasculature of tumor cells is composed of endothelial cells that are uniquely altered in different tumors. Tumors produce growth factors, such as vascular endothelial growth factor (VEGF) and fibroblast growth factor (FGF), which recruit endothelial cells, thus affecting the growth of the tumor vasculature.

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American Heart Association, 2006 Scientific Sessions: Dronedarone Maintains Sinus Rhythm in Atrial Fibrillation After Unsuccessful Previous Therapy

Posted by James

2006 Scientific Sessions

Speaker: Bramah N. Singh, MD, Professor of Medicine, Cardiology Division, Department of Medicine, University of California, Los Angeles David Geffen School of Medicine, Los Angeles, California

Dronedarone (Multaq, Sanofi-Aventis), was found to be a viable treatment option for patients with atrial fibrillation (AF) after other antiarrhythmic drugs had exhibited poor efficacy in maintaining sinus rhythm. Dronedarone is a novel multichannel blocking antiarrhythmic agent that is structurally related to amiodarone grug (e.g., Pacerone, Upsher-Smith; Corda-rone, Wyeth-Ayerst).

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American Heart Association, 2006 Scientific Sessions: Clopidogrel Plus Aspirin Benefits Patients at Higher Risk for Cardiovascular Disease

Posted by James

Speaker: Keith A. Fox, MD, Professor of Cardiology, and Head of Medical and Radiological Services, Department of Cardiological Research, University of Edinburgh, Edinburgh, United Kingdom

The impact of risk status, prior history, and proximity to recent cardiovascular events such as a myocardial infarction (MI) or stroke plays a major role in the efficacy of clopidogrel (Plavix medication, Sanofi-Aventis) when added to aspirin therapy in patients with symptomatic coronary artery disease, cardiovascular disease, peripheral artery disease, or a history of cardiovascular (CV) events.

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American Heart Association, 2006 Scientific Sessions: Fondaparinux Reduces Mortality and Re-infarction in Non-reperfused STEMI Patients

Posted by James

Fondaparinux Reduces Mortality

Speaker: Lars C. Wallentin, MD, PhD, Professor of Cardiology, Uppsala Clinical Research Centre, Uppsala, Sweden

In non-reperfused patients with acute ST-segment elevation myocardial infarction (STEMI), fondaparinux (Arixtra, GlaxoSmithKline), an anticoagulant that inhibits activated Factor X, reduced mortality and re-infarction without increasing bleeding or stroke when it was administered for eight days, compared with unfractionated heparin (UFH) for 48 hours or placebo.

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American Heart Association, 2006 Scientific Sessions: Pioglitazone and Management of Cardiovascular Risk in Diabetic Patients

Posted by James

Speaker: Theodore Mazzone, MD, Professor of Medicine and Pharmacology, and Chief of the Section of Endocrinology, Diabetes, and Metabolism, Department of Medicine, University of Illinois, Chicago

Pioglitazone (Actos generic, Takeda), a diabetes medication that improves sensitivity to insulin, appears to stop the progression of arterial wall thickening when compared with glimepiride (Amaryl drug, Sanofi-Aventis), a sulfonylurea drug that stimulates insulin secretion.

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    So Many Advances in Medicine, So Many Yet to Come