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Tuesday, 13 May, 2008



Gastrointestinal Cancer

Hot Topic
Vitamin C in a fatty stomach may encourage cancer growth
According to a new study in Gut journal, fat inside the upper stomach may cause vitamin C to promote cancer-causing reactions rather than protect against them as previously found.
Sept 12, 2007


Keeping you up to date with the latest clinical trial information

Stomach Cancer

CASE STUDY: Recurrent Hypoglycaemia in a Patient with Metastatic Pancreatic Carcinoma


A 79-y-old man presented with obstructive jaundice in July 2001 and was diagnosed with carcinoma of the head of the pancreas. Download PDF

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Neoadjuvant Chemoradiation for Pancreatic Cancer


Pancreatic adenocarcinoma is one of the great challenges to oncologic physicians and surgeons. Download PDF

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Updates and Controversies in the Adjuvant Treatment of Pancreas Cancer


There were approximately 31,860 new cases of pancreatic carcinoma diagnosed in 2004. Download PDF

Changes in Muscle Tissue in Patients With Pancreatic Cancer
This pilot study is evaluating changes in muscle tissue in patients with pancreatic cancer.

OBJECTIVES:
  • Demonstrate a decrease/increase of fat-free mass (FFM) by 10% from baseline, based on tumor progression/regression, within each patient with inoperable locally advanced or metastatic pancreatic carcinoma
  • Determine the correlation between changes in FFM and 6-month survival
  • Confirm the frequency of lymphocytopenia in patients with inoperable locally advanced or metastatic pancreatic carcinoma
  • Demonstrate an interaction between pretreatment total lymphocyte count, treatment response, and 6-month survival in patients with inoperable locally advanced or metastatic pancreatic carcinoma
  • Collect adjuvant information, such as weight, body mass index, age, ECOG performance status, gait speed, concomitant medications, CA19-9, and total lymphocyte count, in these patients


TMS for the Treatment of Pancreatic Cancer Pain
This is a phase II study that aims to investigate prospectively a new therapy for a cohort of patients with chronic pain attributed to pancreatic cancer. The justification of this study is that the pain is the most important factor for the quality of life of these patients and rTMS has been shown to be significantly associated with pain improvement in patients with abdominal pain due to chronic pancreatitis.
Plevitrexed Shows Promising Efficacy and Tolerability in a Phase I/II study

Data published at gastrointestinal cancers symposium

London, UK, 22 January 2007: BTG plc (LSE: BGC), the medical innovations company, today announces the successful outcome of a Phase I/II study of plevitrexed, a selective inhibitor of thymidylate synthase targeting gastric, pancreatic and ovarian cancer. The study, presented at the ASCO 2007 Gastrointestinal Cancers Symposium 1 in Orlando, Florida on 19 January, was designed to investigate the efficacy, safety and tolerability of plevitrexed in patients with advanced and/or metastatic gastric cancer.

Of the 28 patients who were evaluable for response at the recommended dose level of 130 mg/m 2 taken into the Phase II part of the study, five patients had a partial response (17.9% response rate) and a further 15 patients (53.6%) had stable disease giving an overall disease control rate of 71.4%. One patient on the lower dose of 65 mg/m 2 had a complete response and an additional five patients who received the higher dose of 165 mg/m 2 had stable disease.

The use of nutritional supplements improved the dosing consistency and allowed for greater dose intensity. Only 30.6% of patients required dose interruptions or modifications compared with 61.8% of patients in a previous plevitrexed study 2. The maximum tolerated dose doubled to 130 mg/m 2 and was given more consistently than in the previous study and with fewer missed doses, but no increase in grade 3/4 neutropenia was observed.

Guidelines Watch
A round up of the latest Clinical Guidelines from the National Guideline Clearinghouse (NGC)

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2008 ASCO Annual Meeting
30 May -  03 Jun 2008
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30 May -  03 Jun 2008
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