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1. Biologie
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It appears
that many of the mutations that happen early on during cancer
development are in genes that have proved to be extremely difficult to
hit with targeted therapies, such as a gene called Ras. Although our
scientists and others around the world are working hard on these
‘undruggable’ targets, they’re not there yet.
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"It’s only the
tip of the iceberg but I’m optimistic that we’ll one day be able to use
evolutionary theory to outsmart many cancers, using carefully
orchestrated combinations of drugs, and therapies that harness the
body’s immune system, at key time points.
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4.2 Dép., diag. & prono. - Génome
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Study in
Science Translational Medicine Confirms that Many Genetic Alterations
Identified by Tumor-Only Sequencing are ‘False Positives’
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Nearly half of
all cancer patients undergoing next-generation genetic tests could
receive misleading results that guide them and their physicians toward
improper treatment.
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"What we found
is, you essentially get a lot of inaccurate information," says Dr.
Victor Velculescu, a professor of oncology and pathology and co-director
of cancer biology at the Johns Hopkins Kimmel Cancer Center.
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Nearly half of
all cancer patients undergoing next-generation genetic tests could
receive misleading results that guide them and their physicians toward
improper treatment.
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The findings,
published in the journal Science Translational Medicine, call into
question the accuracy of increasingly popular tests that look for
mutations within tumors that drive cancer growth.
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5. Traitements
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With
additional design considerations to facilitate passage through the cell
membrane, compounds of this sort could become the basis of new drugs for
targeting and inhibiting abnormal protein molecules in living cells.
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5.10 Traitements - Essais
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Specifically,
the WHO says companies should update information already provided to
trial registries and submit findings for publication in peer-reviewed
journals within 12 months of finishing studies. The agency also says
companies should ensure there is so-called ‘open access’ publication,
which refers to freely available access. Moreover, the WHO adds that
results from past studies should also be disclosed.
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The WHO
statement is a step in the right direction, although it needs to be
backed up with more teeth. We now have the technology to make all
clinical trial results transparent and accessible. This has the power to
dramatically improve the science of medicine. The ethical imperative to
do so seems clear.
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5.12 Immunothérapies
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“This combination therapy induces an intratumoral ‘cytokine storm’ and extensive lymphocyte infiltration.”
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5.2 Pharma
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Detailed
efficacy and safety results from PALOMA-3 will be submitted for
presentation at the American Society of Clinical Oncology (ASCO) 2015
Annual Meeting.
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ISI Group
analyst Mark Schoenebaum told investors today the new info will not do
much to boost its sales estimates because most patients will receive
Ibrance as a first-line treatment. It does, however, "add to what
already appears a strong early launch."
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“We are
disappointed for prostate cancer patients. Ipsen remains strongly
committed to oncology. We are grateful to the clinicians, caregivers,
patients and their families who were involved in this study."
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In this
clinical study, median PFS was improved by 71% in the group receiving
ofatumumab plus chlorambucil compared to the chlorambucil alone group
(22.4 months vs 13.1 months, respectively; HR 0.57 [95% CI 0.45, 0.72];
p<0.0001).
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Yet Jefferies
analysts argue it is effectively ahead of rivals when it comes to the
big commercial opportunity of combining immuno-oncology drugs in lung
cancer.
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Pfizer said
the Phase 3 study, called Paloma 3, was halted after an independent data
monitoring board determined that Ibrance, also known as palbociclib,
had proven its effectiveness among patients with advanced disease who
had previously been treated with anti-estrogen drugs.
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5.2.1 Pharma - Partenariats
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As part of the
collaboration, CRT and Medivir will conduct a two-year research
programme to optimize and develop small molecules targeting the cell
surface protein ADAM8, which has been linked to tumour survival, cell
invasion and metastasis.
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5.3 Traitements - FDA, EMA,...
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Tremelimumab
is a fully human monoclonal antibody, which stimulates the immune system
to destroy cancer cells through binding to the protein CTLA-4,
expressed on the surface of activated T-lymphocytes.
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5.4 Traitements - Economie
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The Innocrin
drug targets an enzyme called CYP17 lyase, which is required for
androgen production and is a validated target in prostate cancer that
doesn’t respond to hormone-blocking drugs.
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The company
received fast-track designation for Xilonix from the FDA, and currently
has Phase III clinical trials ongoing in the U.S. in Europe for
colorectal cancer.
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Aduro's cancer
immunotherapy platform tinkers with listeria, a common bacteria, to
express proteins found on specific types of tumor cells. The
re-engineered listeria is supposed to prime a patient's immune system to
identify and kill the targeted cancer cells.
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5.9 AACR
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If you cannot
attend AACR in person (or even if you are) we will posting video
interviews and articles right here on Behind the Bench. Also be sure to
follow our activity on Twitter using the hashtag #AACR15.
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New preclinical and clinical data evaluating innovative compounds in drug development.
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6. Lutte contre les cancers
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Genome-based
technologies will be used to analyse tumour samples and predict likely
responses to treatment in over 2,000 newly-diagnosed bowel cancer
patients
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-Ing. Dr.
Zlatko Trajanoski, Director of the Innsbruck Division of Bioinformatics,
is coordinating the APERIM “Advanced bioinformatics platform for
PERsonalised cancer IMmunotherapy” project.
-Prof Trajanoski from Innsbruck Biocenter is the only Austrian project
coordinator in the “Personalising health and care” funding pool.
Bioinformatics methods permit the evaluation and processing of the
specific information on the molecular fundamentals of individual
tumours, which in turn forms the basis for personalised cancer
immunotherapy.
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6.10 Politiques
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Clinton emphasized rapid advances in human genomics, and how those will benefit cancer patients.
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6.6 Publications
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Noriyuki
Takai, a gynecologic cancer researcher in Japan, has notched one more
retraction — bringing the total to eight — due to figures that were
“processed inappropriately” and did “not accurately report the original
data.”
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6.7 DMP, Big Data & applis
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If only as a
thought exercise, it’s worth at least considering what it would mean if
the careful study of phenotype, and the resulting integration with
genetic data doesn’t turn out to be as useful as we presently anticipate
– what if the expected clinically informative, biologically-based
subgroups don’t emerge?
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In his
commentary, published April 15, Dr. Mark A. Rubin, director of the
Institute for Precision Medicine, posits that searchable databases that
compile information from a wide range of medical centers would allow
researchers and clinicians to look for patterns and trends in cancer
across a large patient population.
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The report
estimates the size of the market for the EMR hospital and EMR physician
markets and reviews usage trends among hospitals and physicians. It also
forecasts the market to 2018.
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6.9 Controverses
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Lab notebooks could determine who was first to invent a revolutionary gene-editing technology.
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