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Rafael Rosell, MD, PhD
Chief, Medical Oncology Service
Scientific Director of Oncology Research
Catala Institute of Oncology
Hospital Germans Trias I Pujol
Barcelona, Spain
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Ramesh K. Ramanathan, MD
Medical Director,
TGen Clinical Research Service
at Scottsdale Health Care
Scottsdale, AZ
Clinical Professor of Medicine,
College of Medicine
University of Arizona
Phoenix, AZ
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CME-Accredited Webcasts, Presentation and Audio Downloads, and
i-Tunes Podcast Downloads
4 case studies with questions from the audience
Using Biomarkers to Maximize Novel Taxane Therapies in Multiple Tumor Types: Case-Based Learning
held during ASCO 2009 as an ancillary event in Orlando, FL on May 30, 2009
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You may participate in any or all of the sessions for CME credit or a Certificate of Attendance after you review the required ACCME (Accreditation Council on Continuing Medical Education) information on this page.
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Menu
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Overview of This CME-Accredited Educational Activity
Your Options for Methods of Participation are:
- View and/or listen to any of the sessions (listed below) via an Adobe Flash Webcast
- Download any presentation
- Download any audio only as MP3s or Podcasts
- Request a DVD-ROM of all sessions
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There are 4 case studies with questions from the audience. Each of these sessions is approximately 20 minutes in length. Sessions can be individually reviewed for credit. You can participate in as few or as many as you desire.
CME-Accredited Educational Activity Dates and Time to Complete
Date of release: July 8, 2009
Date expires (CME credit will not be avaliable): July 8, 2010
Average time to complete each individual session: 20 minutes
Time to complete entire activity: 2 hours
Overview
This independent, continuing medical education (CME) Internet-Based Activity has
been planned and is conducted by the Oncology Learning Center, Inc.,
which is a CME provider accredited by the Accreditation Council for
Continuing Medical Education.
The following four malignancies will each be reviewed as a challenging
clinical case study: breast cancer, non-small cell lung cancer, pancreatic
cancer, and metastatic melanoma. The latest clinical data regarding
the treatment of these tumor types with novel taxane therapies will be
reviewed. The potential to use biomarkers, including those involved in
the bio-distribution of chemotherapy to tumor cells as predictive factors
for response to treatment or to assess the risk of disease progression,
will be discussed.
The format of this Internet-Based Activity is highly interactive and utilizes adult
learning principles. Four medical oncology experts who use biomarkers
and novel taxanes to treat solid malignancies will each present one
challenging clinical case and then engage the audience with a few
patient treatment questions using the Audience Response System
(ARS). Next, the entire faculty will comment on the answers, and the
presenting faculty member for each case will review some additional
data to provide the most up-to-date clinical and scientific information
for clinicians.
Before the Internet-Based Activity begins, a pre-activity educational test consisting
of several patient care, treatment strategy questions with multiple-choice
answers will be asked of the audience to determine the baseline of how
they currently treat their patients with these malignancies. These questions will be asked at the
conclusion of the Internet-Based Activity, and asked yet again of willing
participants three to four months following the symposium to determine
how the Internet-Based Activity has changed their practices.
Educational Needs Statement
Despite the increasing availability of novel or targeted anti-cancer
therapies, the backbone of treatment regimens for most solid tumors
remains chemotherapy. Nevertheless, many cancer patients still fail
to achieve a complete response or a partial response to systemic
treatment. And many patients who achieve an initial response relapse
due to the presence of residual disease.
Molecular biomarkers are becoming increasingly important as predictive
and as prognostic factors to help increase the overall efficacy of systemic
anti-cancer therapy with taxanes and with other chemotherapy agents
for many solid malignancies.
There are several potential biomarkers that may help predict response
to taxane therapy. And at least two different approaches to novel
taxane therapy are being evaluated, liposomal taxane formulations and
a nanopartical, albumin-bound taxane formulation. However, only the
nanoparticle, albumin-bound taxane is available commercially. High
beta-tubulin expression has been linked to resistance to docetaxel. And
high expression of SPARC by the tumor, and expression of caveolin-1 may
enhance the value of nanoparticle, albumin-bound paclitaxel therapy.
Because of the improved efficacy and safety profiles of novel taxane
formulations, clinical trials are ongoing to validate their role for improving
therapy for several solid malignancies including breast cancer, lung
cancer, pancreatic cancer and melanoma. The optimal use of biomarkers
to help maximize the use of novel taxanes in multiple tumor types is an
educational need that is the focus of this symposium.
The following is list of all sessions
| 1a. |
Case Study #1: A previously untreated patient with advanced pancreatic cancer tested for CA 19-9 and SPARC
Ramesh K. Ramanathan, MD
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| 1b. |
Case Study #2: A previously untreated patient with metastatic non-small cell lung cancer of adenocarcinoma histology, tested for
the EGFR mutation, ERCC1, RRM1, and thymidylate synthase
Rafael Rosell, MD, PhD
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Case Study #3: A patient with locally advanced, early-stage breast cancer, tested for ER/PR, HER2, SPARC, the 21 genomic assay panel,
and the 70-gene micro array
Jeffrey R. Infante, MD
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Case Study #4: A patient with unresectable Stage IV metastatic melanoma tested for SPARC
Svetomir N. Markovic, MD, PhD
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Educational Objectives
At the conclusion of all of these enduring materials, you should be able to:
- Determine the optimal role of gene expression profile assays, molecular biomarkers and clinical information in the development of personalized treatment for patients with solid malignancies.
- Explain why novel formulations of taxane-based chemotherapy can overcome barriers to achieving higher response rates and how these novel formulations can enhance the biodistribution of taxane-based chemotherapy and help localize the anti-cancer drugs to the site of the tumor.
- Assess the role of cellular proteins in the biodistribution of taxane-based chemotherapy and evaluate the role of these proteins as predictive biomarkers for the efficacy of novel chemotherapy formulations in personalized regimens.
- Evaluate the impact of dose and dose schedule on the optimal clinical use of taxane-based regimens in the treatment of solid tumors.
- Compare and contrast the clinical efficacy, tolerability and safety of novel taxane formulations with that of conventional solvent-based paclitaxel and docetaxel for the treatment of solid malignancies.
- Evaluate the role of personalized taxane-based therapies in combination regimens for patients with breast cancer and other solid tumors.
Target Audience
Because solid malignancies are treated by a team of specialists, the content is focused on medical oncologists and hematologists/oncologists, but attendance is open to all who care for patients with cancer. New developments in cancer treatment are evolving at a rapid pace. Therefore, scientists also may decide to participate in this educational activity to learn about the newest trends and evidence available. Potential participants may also include researchers, nurses, pharmacists and other members of the interdisciplinary cancer care team.
CME Accreditation & Credit Designation
The Oncology Learning Center is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Oncology Learning Center designates this educational activity for a maximum of 2 AMA PRA Category 1
Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
CME Certificate or Certificate of Participation
The relevant section(s) of the Evaluation Form pertaining to the session(s) of the enduring materials you have viewed or listened to, and the Request for Credit Form must be completed and submitted to the Oncology Learning Center following your participation in the enduring material educational activity to obtain CME credit. Physicians and other participants will be able to print their certificates after they complete these Forms.
Disclosure of Conflicts of Interest
In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards for Commercial Support, educational programs sponsored by the Oncology Learning Center must demonstrate balance, independence, objectivity, and scientific rigor. All faculty, authors, editors, and planning committee members participating in an OLC-sponsored activity are required to disclose any relevant financial interest or other relationship with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services that are discussed in an educational activity. |
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Faculty Disclosures
It is the policy of the Oncology Learning Center, Inc. (OLC) to ensure that all of its educational activities and materials are of the highest quality, and are balanced, objective, independent, free of commercial bias, and planned and developed with scientific rigor with strict adherence to all Accreditation Council for Continuing Medical Education (ACCME) rules and policies. The OLC evaluates all content, faculty and faculty disclosures for any potential conflicts of interest. Should any conflicts of interest be identified these conflicts are resolved in advance of the educational activity by independent peer reviewers who are experts in the subjects of the educational activity.
All faculty and OLC staff participating in the content, planning or implementation of an educational CME activity are required to disclose to the audience of the educational activity any relevant financial relationships or interests and to assist in the resolution of any conflict of interest that may arise from the relationship(s) or interest(s). It is also the policy of the OLC to require all faculty presenters to make a meaningful disclosure to the audience of their discussions of unlabeled or FDA unapproved drugs, products, tests or devices. This information will be available as part of the educational activity and related material.
The following faculty and OLC staff have reported real or potential relevant conflicts of interest and these conflicts have been resolved, prior to this educational activity through a peer-review process by two medical oncologists who have had no affiliation with this educational activity other than the peer review process. This is documented on this page immediately following the financial disclosures below.
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Rafael Rosell, MD, PhD
I have no real or apparent conflicts of interest to report.
Ramesh K. Ramanathan, MD
Contracted Research: Abraxis
I intend to reference unlabeled/unapproved uses of drugs or products in my presentation.
Svetomir N. Markovic, MD, PhD
I have no real or apparent conflicts of interest to report.
Jeffrey R. Infante, MD
I have no real or apparent conflicts of interest to report.
Oncology Learning Center staff
We have no real or apparent conflicts of interest to report.
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Faculty Affiliations
Rafael Rosell, MD, PhD
Chief, Medical Oncology Service
Scientific Director of Oncology Research
Catala Institute of Oncology
Hospital Germans Trias I Pujol
Barcelona, Spain
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Ramesh K. Ramanathan, MD
Medical Director,
TGen Clinical Research Service
at Scottsdale Health Care
Scottsdale, AZ
Clinical Professor of Medicine,
College of Medicine
University of Arizona
Phoenix, AZ
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Svetomir N. Markovic, MD, PhD
Associate Professor of Oncology
Professor of Medicine
Mayo Clinic
Rochester, MN
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Jeffrey R. Infante, MD
Associate Director of Drug Development
Sarah Cannon Research Institute
Nashville, TN
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Peer Review Process of Conflicts of Interest
This educational activity has been independently peer-reviewed.
Disclosure of Unlabeled Uses
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration (FDA). For additional information about approved uses, including approved indications, contraindications, and warnings, please refer to the prescribing information for each product or consult the Physicians’ Desk Reference.
The Oncology Learning Center (OLC) does not recommend the use of any agent outside of the FDA labeled indications. The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the OLC. Please refer to the official FDA prescribing information for each product for discussion of approved indicated, contraindications, and warnings.
Acknowledgement of Supporters
Sincere appreciation is extended to Abraxis Oncology for their generous support of this educational activity

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