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1 News from American Society of Clinical Oncology Meeting June 2011 (Lung and Skin) Paul Donnellan Consultant Medical Oncologist Galway University Hospitals.

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Presentation on theme: "1 News from American Society of Clinical Oncology Meeting June 2011 (Lung and Skin) Paul Donnellan Consultant Medical Oncologist Galway University Hospitals."— Presentation transcript:

1 1 News from American Society of Clinical Oncology Meeting June 2011 (Lung and Skin) Paul Donnellan Consultant Medical Oncologist Galway University Hospitals

2 Common causes of cancer death in the United States, 2008 Rudin C M et al. Clin Cancer Res 2009;15:5622-5625 ©2009 by American Association for Cancer Research

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4 4 Melanoma: Mortality

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6 Tsao, H. et al. N Engl J Med 2004;351:998-1012 Clinical Images of Pigmented Lesions

7 7 Metastatic Melanoma Young age at onset Dismal prognosis –1yr survival 25%; –2yr survival 10% (Korn et al JCO 2008) Chemotherapy ineffective –Dacarbazine (DTIC) response rates 10% median survival < 8 months Never shown to improve survival

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9 High Dose Interleukin-2 16% respond (6% completely and for median duration 10 yrs) 16% respond (6% completely and for median duration 10 yrs)

10 Immune ERU…

11 . Kirkwood J M et al. JCO 2008;26:3445-3455

12 Kaplan–Meier Curves for Overall Survival and Progression-free Survival in the Intention-to- Treat Population Hodi FS et al. N Engl J Med 2010;363:711-723

13 Intracellular Signaling Pathways in Melanoma Known to Be Important in the Response and Resistance to Targeted Therapy. Smalley KS, Sondak VK. N Engl J Med 2010;363:876- 878.

14 Targeting Treatment to a Specific Variant in the Melanoma Gene. McDermott U et al. N Engl J Med 2011;364:340-350.

15 Best Tumor Response for Each Patient. Chapman PB et al. N Engl J Med 2011. DOI: 10.1056/NEJMoa1103782

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17 McMullan, D. M. et al. N Engl J Med 2006;354:397 A 72-year-old man presented for evaluation of progressive dyspnea and cough

18 Smoking image

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21 Lung Cancer

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23 Tarceva Tablet once a day Few side effects If have the target mutation, the responseto treatment is 5 times higher than withchemotherapy! 55% vs 11%

24 Crizotinib Tablet once a day Targets EML4-ALK (5% on NSCLC) Few side effects Dramatic response in patients who havefailed chemotherapy 90% patients respond Randomised Clinical Trial UCHG


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