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Physicians' Education Resource designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Refining and Personalizing Treatment for Non–Small-Cell Lung Cancer

Summaries of Selected Lectures From the Ninth International Lung Cancer Congress
Koloa, HI
June 18-21, 2008

Release Date: November 3, 2008
Expiration Date: November 3, 2009

Publication Overview

Author

PER Editorial Staff

Overview and Purpose

Over 200,000 new cases of lung cancer are projected for 2008, and lung cancer is the leading cause of cancer-related death in the United States.The development of new therapeutic agents for lung cancer has been the focus of numerous clinical efforts. Agents that target signaling pathways resulting in tumor growth and vascularization have demonstrated efficacy in metastatic non–small-cell lung cancer (NSCLC), particularly agents that inhibit signaling through the epidermal growth factor (EGF) and vascular endothelial growth factor (VEGF) axes. Anti–EGF receptor (EGFR), anti-VEGF, and anti–VEGF receptor (VEGFR) approaches are now being investigated in early-stage and locally advanced NSCLC. Another major advance in lung cancer treatment is the recognition of diferent subtypes of NSCLC, raising the possibility of customizing therapy according to patient and tumor characteristics.

The purpose of this activity is to update physicians on the use of targeted agents in and personalized approaches to the treatment of NSCLC.

Target Audience

This activity is intended for medical oncologists involved in the care of patients with non–small-cell lung cancer. No specific skills or knowledge other than a basic training in oncology is required for successful participation in this activity.

Learning Objectives

Upon completion of this educational activity, you should be able to:

  • Assess clinical data on EGFR-targeted agents in patients with NSCLC
  • Discuss the efficacy and safety of adding a monoclonal antibody targeting VEGF to chemotherapy for patients with metastatic NSCLC
  • Appraise clinical trials evaluating small-molecule tyrosine kinase inhibitors targeting VEGFRs in NSCLC
  • Discuss the class-effect toxicities noted with antiangiogenic agents in cancer therapy
  • Discuss the efficacy of therapeutic options for the treatment of NSCLC in select patient subpopulations

Instructions for Participation

  1. Read the following information before entering the educational activity.
  2. Complete the Pretest
  3. Study the educational activity.
  4. Complete the CME test.
  5. Answer the evaluation questions.
  6. After successful completion of the CME test and evaluation, you will receive your certificate of credit online.

CME credit will be granted for only 1 form of participation, either online or via the printed publication.

Read all of the conditions in the Activity Terms box below. You must accept the Activity Terms in order to continue:

Disclosure Policy

It is the policy of Physicians’ Education Resource to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. As an organization accredited by the Accreditation Council for Continuing Medical Education (ACCME), Physicians’ Education Resource requires everyone who is in a position to control the content of an educational activity, including spouses/partners, to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as financial relationships in any amount occurring within the past 12 months that create a conflict of interest. Physicians’ Education Resource has implemented a mechanism to identify and resolve all conflicts of interest prior to the activity.

PER Editorial Staff
No relevant relationships to disclose

Satellite Faculty

Alex Adjei, MD, PhD
Research Funding – Eli Lilly and Company; Genentech, Inc.; GlaxoSmithKline

David Gandara, MD
Research Funding – Bristol-Myers Squibb Company, Eli Lilly and Company
Paid Consultant – AstraZeneca; Bayer Pharmaceuticals Corporation; Genentech, Inc.; Pfizer Inc.; sanofi-aventis U.S.

Glenwood Goss, MD
Research Funding AstraZeneca
Paid Consultant AstraZeneca, Bristol-Myers Squibb Company, Pfizer Inc., Roche Pharmaceuticals

Roy Herbst, MD, PhD
Research Funding Amgen; AstraZeneca; Bristol-Myers Squibb Company; Genentech, Inc.
Paid Consultant Amgen; AstraZeneca; Bristol-Myers Squibb Company; Genentech, Inc.
Speaker’s Bureau Eli Lilly and Company

Thomas Lynch, MD
Paid Consultant Bristol-Myers Squibb Company; Eli Lilly and Company; Genentech, Inc.; Merck & Co., Inc.; OSI Pharmaceuticals; Roche Pharmaceuticals; sanofi-aventis U.S.

This CME activity might include discussion of investigational and/or unlabeled uses of drugs. If the activity includes discussion of investigational and/or unlabeled uses of a drug, specific information is located on the title page. Please refer to the full prescribing information for each drug discussed in this newsletter for FDA-approved dosing, indications, and warnings.

Commercial Support
An educational grant for this activity was provided by Genentech BioOncology.

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Illustration

Both intrinsic changes leading to dysregulated growth and metastatic behavior in a precancerous cell and extrinsic factors in the microenvironment contribute to the development of tumors. Interactions between tumor cells and the extracellular matrix, as well as with other cell types, can influence the behavior of tumor cells. Consequently, these cell-matrix and cell-cell interactions provide additional potential targets for cancer therapy. Intratumoral angiogenesis is key to continued malignant growth, and the targeting of this process with antibodies to vascular endothelial growth factor was among the first proofs of concept of this approach. Additional targets in the tumor microenvironment include fibroblasts, which can influence the behavior of precancerous cells, and inflammatory cells, which generate cytokines and proteases that further stimulate tumor cells.

Disclaimer

The views and opinions expressed in this activity are those of the authors and do not necessarily reflect the views of the sponsor, supporter, or publisher. Although great care has been taken in compiling and checking the information given in this activity to ensure accuracy, the authors and Physicians’ Education Resource and its servants or agents shall not be responsible or in any way liable for the continued currency of the information or for any errors, omissions, or inaccuracies in this activity, whether arising from negligence or otherwise howsoever or for any consequences arising therefrom.

Please consult full prescribing information for any drugs or procedures discussed within.

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©Copyright 2008 by Physicians’ Education Resource. No material may be reproduced in whole or in part, in any form, without written permission from the publisher.

All correspondence should be directed to:
Editor, Refining and Personalizing Treatment for Non–Small-Cell Lung Cancer
Physicians’ Education Resource
3500 Maple Ave.
Suite 700
Dallas, TX 75219
Phone: (214) 367–3456
Fax: (214) 367–3304
E–mail: editor@pergrouplp.com