Morbidity of Contemporary Radical Retropubic Prostatectomy for Localized Prostate Cancer
May 1st 1995Complication rates in 1,000 consecutive patients who underwent radical retropubic prostatectomy for clinically localized prostate cancer between November 1989 and January 1992 were assessed and compared to complication rates in a historical group of patients operated on by primarily the same surgeons prior to 1987. In the contemporary series, there were no operative deaths, only 22% of patients required blood transfusion, and only six (0.6%) patients suffered rectal injuries. Early complications, including myocardial infarction, pulmonary embolism, bacteremia, and wound infection, occurred in less than 1% of patients. Vesical neck contracture, the most common late complication, developed in 87 patients (8.7%). At 1 year post-surgery, 80% of patients were completely continent, and fewer than 1% were totally incontinent. [ONCOLOGY 9(5):379-389, 1995]
Chemo Patients Often Develop Menstrual Irregularities
April 1st 1995"If a women has not had a period in a year, it is unlikely that she will resume menstruation," Elyse E. Lower, MD, said at her poster presentation. "These women require closer monitoring for cardiac risks and osteoporosis, both of which are associated with the onset of menopause."
Controlled-Release AZT Gets FDA Go-Ahead for New Drug Investigation
April 1st 1995SAN DIEGO--Genta Jago, a joint venture between Genta Incorporated and Jagotec AG (Hergiswil, Switzerland), has filed an Investigational New Drug application with the FDA for a controlled-release formulation of zidovudine (AZT), marketed
Antisense Drug Against BCL-2 Effective in Animal Cancer Models
April 1st 1995SAN DIEGO--Genta Incorporated's antisense oligonucleotide targeted against the BCL-2 gene has proved effective against drug-resistant cancers in certain animal models of follicular lymphoma and colon cancer, the company said.
Cancer Care, Inc. Sponsors Make-Up Clinics for Chemo Patients
April 1st 1995NEW YORK--Ten women, some of them in wigs, some without eyebrows or eyelashes, sat around a conference table spread with make-up. They were at a free "Improve Your Appearance" clinic at Cancer Care, Inc., where a cosmetician was demonstrating how make-up can improve the special beauty problems that come with chemotherapy.
$2 Billion Budget for NCI Proposed
April 1st 1995WASHINGTON--President Clinton proposed an FY 1996 budget of $1.994 billion for the National Cancer Institute. This marks an increase of $78 million over FY 1995. The proposed 1996 appropriation for the National Institutes of Health is $11.793 billion, a 4% increase over the current year.
Reduced Dose Zofran Appears Effective as Pediatric Antiemetic
April 1st 1995ALBUQUERQUE--Oncologists and pharmacists at the University of New Mexico initially turned to reduced-dose ondansetron (Zofran) for their pediatric leukemia patients for sheer expediency--most of the children were receiving their
AIDS Funding Shifts to the Laboratory
April 1st 1995WASHINGTON--William Paul, MD, director of the NIH Office of AIDS Research, has announced that AIDS funding will begin to shift away from clinical research toward investigator-initiated laboratory research. He said that continuation of past policies will result in only "slow, fitful progress."
Project on Death Is Funding Programs to Improve the Care of the Dying
April 1st 1995NEW YORK--An international foundation headquartered in New York City hopes to trigger a national debate about death and dying in the United States. The Project on Death in America will be funded by the Open Society Institute, one of the Soros Foundations.
CDC Releases Draft of Guidelines for HIV Testing in Pregnanc
April 1st 1995WASHINGTON--Since the first case of AIDS appeared in the United States in 1981, 60,000 women have been diagnosed with the disease, 14,000 of them (25% of the total number of women) in 1994 alone. HIV in women is increasing at the rate of 17% a year, and one in four new cases in 1994 occurred in women under the age of 20.
Consumer Reps Join ODAC Meetings
April 1st 1995ROCKVILLE, Md--In February, as part of an FDA pilot program, representatives of consumer groups sat at the table during an Oncologic Drugs Advisory Committee (ODAC) meeting. The ad hoc representatives from the Treatment Action Group, a New York organization representing people with AIDS, and the National Breast Cancer Coalition participated in the discussions of New Drug Applications but did not have a vote.
Radiologists Cite Studies to Support Regular Mammography Screening of Women Under 50
April 1st 1995CHICAGO--A pair of large-scale clinical investigations reported at the annual meeting of the Radiological Society of North America is renewing the controversy over the need to perform mammography in young women.
Cancer Gaining on Heart Disease in Some Parts of the World
April 1st 1995WASHINGTON--According to the National Center for Health Statistics (NCHS), cancer now rivals or surpasses heart disease as the leading cause of death in several European countries and parts of Asia and Latin America. The new report is the most comprehensive look at international death rates ever undertaken by the NCHS. It compares age-adjusted death rates from 41 industrialized countries from 1955 through 1991.
Book Review: Cancer Therapy in the Twenty-First Century. I. Molecular and Immunologic Approaches
April 1st 1995The first volume of Cancer Therapy in the Twenty-First Century provides background information on some of the molecular and immunologic approaches that are becoming increasingly important in the diagnosis and management of cancer
New Single-Cell Test May Prove Useful in Screening of Drugs
April 1st 1995STANFORD, Calif--A new single-cell biological sensor system may someday allow rapid screening of cancer agents for biofunctional activity (see illustration on page 1). The test could be used, for example, to identify compounds that bind to or block receptors for biomolecules such as growth factors or other cytokines, or to highlight potentially harmful metabolites.
Don't Assume That Mental Symptoms Are Due to Opioids
April 1st 1995MILAN, Italy--Opioids are not usually the cause of organic brain syndromes (most often delirium and hallucinations) in patients with chronic cancer pain, when other common medical conditions that develop in advanced cancer are considered,
Breast Cancer Gene Patent Resolved
April 1st 1995WASHINGTON--The National Institutes of Health, University of Utah, and Myriad Genetics, Inc. have resolved issues involving patenting of the BRCA1 breast cancer gene by agreeing that scientists from all three institutions should be named as joint inventors in current patent applications. The agreement also ensures that exclusive, worldwide commercial rights are retained by Myriad and its licensees, Eli Lilly and Company and Hybritech Incorporated.
Receptagen to Develop 'Growth Blocker' Monoclonal Antibody
April 1st 1995SEATTLE--Receptagen Ltd. has begun formal clinical development of its first "growth blocker" drug, based on promising laboratory studies. The agent, a monoclonal antibody that blocks the B12 carrier protein trans-cobalamin II, triggered apoptosis in cancer cells by depleting vitamin B12, an essential enzyme co-factor for cell proliferation, said Receptagen president A. Charles Morgan Jr., PhD.
Trials Need to Be 10 Times Larger: Peto
April 1st 1995PARIS, France--A treatment that even modestly improves survival may be important, but most cancer trials are too small to detect such differences, Professor Richard Peto, of Oxford's ICRF Clinical Trial Service Unit, said at the Fifth International
Major Research Institutions Said to Neglect Nutrition
April 1st 1995TARRYTOWN, NY--America's major medical research institutions are failing to conduct the nutritional research needed to make a major public health impact on cancer and other diseases, says Peter Greenwald, MD, director of the division of cancer prevention and control at the National Cancer Institute.
Zofran Approved for Prevention of RT Emesis
April 1st 1995RESEARCH TRIANGLE PARK, NC--Zofran Tablets (ondansetron), from Cerenex Pharmaceuticals, Division of Glaxo Inc., has received FDA approval for a new indication--the prevention of radiation-induced nausea and vomiting. The oral agent, a 5-HT3 antagonist, is currently marketed for prevention of emesis in cancer patients receiving moderately emetogenic chemotherapy.
ODAC Recommends Accelerated Approval of Liposomal Doxorubicin for Kaposi's Sarcoma
April 1st 1995ROCKVILLE, Md--After hours of heated debate, the FDA's Oncologic Drugs Advisory Committee (ODAC) decided there was sufficient evidence of efficacy to recommend approval of DOX-SL (pegylated liposomal doxorubicin) for the treatment of AIDS-related Kaposi's sarcoma (KS) in patients who have failed first-line treatment or who cannot tolerate other treatment. The potential benefits of the drug generally outweigh the risks, the committee said.
AIDS Drug Task Force Hears Progress Report on Protease Inhibitors
April 1st 1995BETHESDA, Md--Whaijen Soo, MD, vice president for virology, Hoffmann-La Roche, told the National Task Force on AIDS Drug Development that the company's protease inhibitor, saquinavir (Invirase), is now ready for phase III trials