Tag Archives: National Cancer Institute

Big Government Opens Big Database For Cancer Research

By Dan Munro, Contributor

For those of us without degrees in molecular biology, the idea of “personalized medicine” – or PM – can often seem like a vague and distant concept. In this case, the Wikipedia definition of PM is pretty good: Personalized medicine or PM is a medical model that proposes the customization of healthcare – with medical decisions, practices, and/or products being tailored to the individual patient. The use of genetic information has played a major role in certain aspects of personalized medicine, and the term was even first coined in the context of genetics (though it has since broadened to encompass all sorts of personalization measures). To distinguish from the sense in which medicine has always been inherently “personal” to each patient, PM commonly denotes the use of some kind of technology or discovery enabling a level of personalization not previously feasible or practical. Wikipedia.org Definition of Personalized Medicine According to a press release posted on the American Association for Cancer Research website (here), the National Cancer Institute marked a major milestone earlier this week with the public release of the world’s largest database of cancer related genetic variations. “To date, this is the largest database worldwide, containing 6 billion data points that connect drugs with genomic variants for the whole human genome across cell lines from nine tissues of origin, including breast, ovary, prostate, colon, lung, kidney, brain, blood, and skin. We are making this data set public for the greater community to use and analyze. This comes at a great time, because genomic medicine is becoming a reality, and I am very hopeful this valuable information will change the way we use drugs for precision medicine.” Yves Pommier, M.D., Ph.D., Chief of the Laboratory of Molecular Pharmacology at the National Cancer Institute in Bethesda, MD Also from the AACR release was this additional insight: Pommier and colleagues conducted whole-exome sequencing of the NCI-60 human cancer cell line panel, which is a collection of 60 human cancer cell lines, and generated a comprehensive list of cancer-specific genetic variations. Preliminary studies conducted by the researchers indicate that the extensive data set has the potential to dramatically enhance understanding of the relationships between specific cancer-related genetic variations and drug response, which will accelerate the drug development process. The data generated in this study provide means to identify new determinants of response and mechanisms of resistance to drugs, and offer opportunities to target genomic defects and overcome acquired resistance, according to Pommier. To enable this, the researchers are making these data available to all researchers via two database portals, called the CellMiner database and the Ingenuity systems database. While the ability to sequence human genomes has been relatively rapid and increasingly cost-effective, the ability to make sense of the data being created can often take months or even years. …read more

Source: FULL ARTICLE at Forbes Latest

Top-Line Data Show Exact Sciences' Cologuard Test Demonstrates 92 Percent Sensitivity in the Detecti

By Business Wirevia The Motley Fool

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Top-Line Data Show Exact Sciences’ Cologuard Test Demonstrates 92 Percent Sensitivity in the Detection of Colorectal Cancer

All endpoints achieved in 10,000-patient trial of non-invasive, convenient DNA-based screening test for colorectal cancer and pre-cancerous polyps

MADISON, Wis.–(BUSINESS WIRE)– Exact Sciences Corp. (NAS: EXAS) today announced that preliminary analysis shows that the company’s Cologuard colorectal cancer screening test met or exceeded all primary and secondary endpoints of its recently completed DeeP-C pivotal clinical trial. The clinical trial evaluated the test’s use for the detection of colorectal cancer and pre-cancerous polyps.

Senior Research Associate Tanya Quint loads one of the instruments used to run Exact Sciences’ Cologuard test at the company’s headquarters in Madison, Wis. (Photo: Business Wire)

Preliminary, top-line data show that Cologuard demonstrated 92 percent sensitivity for the detection of colorectal cancer and 42 percent sensitivity for the detection of pre-cancerous polyps, including 66 percent sensitivity for polyps equal to or greater than 2 centimeters. The test achieved a specificity of 87 percent during the trial.

Sensitivity measures a test’s ability to correctly identify positive results. It is the percentage of patients who were determined by colonoscopy to have pre-cancerous polyps or cancer who had a positive Cologuard test result. Specificity measures a test’s ability to correctly identify negative results. It is the percentage of patients who were determined by colonoscopy not to have pre-cancerous polyps or cancer who had a negative Cologuard test result.

According to the Journal of the National Cancer Institute, colorectal cancer is often considered the most preventable, yet least prevented cancer. But nearly 50 percent of those age 50 and older have not been screened as recommended. As a result, colorectal cancer is the second leading cause of cancer death in the United States.

The company’s pivotal DeeP-C trial included 10,000 patients between the ages of 50 and 84 who were at average risk for colorectal cancer. Enrollment was conducted at 90 sites to gain a broad demographic sampling of patients. The study is one of the most extensive colorectal cancer screening studies ever conducted in the United States. It compared the performance of the Cologuard test to colonoscopy and fecal immunochemical testing or FIT.

“The DeeP-C trial evaluated Cologuard’s ability to detect both pre-cancerous polyps and cancer in a large, average-risk patient population,” said principal study

From: http://www.dailyfinance.com/2013/04/18/top-line-data-show-exact-sciences-cologuard-test-d/

Groundbreaking Clinical Trial Research on Genetic Basis of Children's Health Powered by Cloud Techno

By Business Wirevia The Motley Fool

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Groundbreaking Clinical Trial Research on Genetic Basis of Children’s Health Powered by Cloud Technology from Medidata and Digital Infuzion

Translational Research Institute at Inova Utilizing Joint Solution to Support Unique Clinical Study of Infants and Their Genomic Profile

NEW YORK–(BUSINESS WIRE)– Inova Translational Medicine Institute, a not-for-profit research initiative bringing personalized medicine to the public, has chosen a joint solution by Medidata Solutions (NAS: MDSO) and Digital Infuzion to support a unique observational study involving the correlation between a child’s genetic profile, their development and their long-term health. Together, Medidata and Digital Infuzion will deliver a web-based portal and cloud technology for collecting patient data, reviewing study progress and providing subjects with access to surveys and study information.

In a unique combination of genomics and clinical research, Inova is studying 2,500 families to analyze and predict the relationship between genetics and childhood developmental issues. The study will follow the infants for the first 1,000 days, starting in utero, and identify any health and development issues. By comparing these with the genetic profile of each family (child, mother and father), Inova hopes to identify specific genomic information associated with the medical issues, ultimately leading to new treatment and prevention pathways.

  • “We needed not only a sophisticated research design, but also the appropriate technology in order to conduct this unique investigation of genetics and infant health,” said John Niederhuber, MD, Inova EVP, CEO of the Inova Translational Medicine Institute and former director of the National Cancer Institute. “The clinical technology from Medidata and Digital Infuzion, both companies with strong reputations for supporting life science research with innovation, will allow for the smooth collaboration of the research team as well as the full participation of the parents in this study.”

The joint solution will bring together Medidata Rave®—the industry-leading system for capturing, managing and reporting clinical research data—with Digital Infuzion’s N of 1™ Health Research Platform—a technology service that provides tools for physicians and other care team members to collect, monitor and report on data and medical knowledge related to observational research, chronic disease and patient outcomes. Through a computer single sign-on, researchers will enter data about subject health, monitor participants and track study progress. Participating parents will complete surveys every six months via the portal and will have access to study updates and a library of materials …read more

Source: FULL ARTICLE at DailyFinance

Four Cancer Discoveries That You Need To Know About

By Jennifer Cohen, Contributor

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The bad news is that almost all of us know someone who has had cancer, with more than 12 million Americans getting the disease each year, according to the National Cancer Institute. The good news is that the latest research is getting us closer than ever to finding out what causes the “c” word; how to cure the dreaded disease; and how to prevent getting it in the first place. Check out the latest cancer news to help protect yourself. …read more
Source: FULL ARTICLE at Forbes Latest

Breast Cancer Patients Should Avoid High-Fat Dairy Products

Patients who have suffered from breast cancer should avoid consuming high-fat dairy products in order to improve their long-term survival. The study, carried out by Kaiser Permanente researchers and published in the Journal of the National Cancer Institute, is one of the first of its kind to identify a link between high fat dairy consumption and poorer breast cancer survival… …read more
Source: FULL ARTICLE at Medical News Today

A World Without Cancer: Is Prevention the Cure?

By Max Macaluso, Ph.D., The Motley Fool

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In the following interview, Dr. Margaret I. Cuomo, author of the book A World Without Cancer, discusses the importance of cancer prevention with Motley Fool health care analyst Max Macaluso. A transcript is provided below the video (run time: 19:38).

Max Macaluso: Hi, welcome to The Motley Fool. I’m Max Macaluso, and I’m joined today by Dr. Margaret Cuomo. Thank you for joining us.

Margaret Cuomo: It’s a pleasure to be here, thank you.

Macaluso: Dr. Cuomo is the author of the new book, A World Without Cancer, and she’s also the daughter of our former Governor Cuomo, and the sister of our current Governor Cuomo.

Cuomo: Yes.

Macaluso: Dr. Cuomo, I’d like to start with a general question. What inspired you to write the book now?

Cuomo: That’s a very good question. It’s been about 40 years — actually more than 40 years — since 1971, when the war on cancer was declared by President Richard Nixon. In that time, we’ve spent over $90 billion on cancer research, and yet we are still seeing cancer incidence rates rise.

We haven’t come as far as you’d think we should have, for that amount of time and money spent, so I said to myself, with all the horrific effects of cancer on the lives of my patients, friends, and family, it was time to delve into the subject and give it a fresh perspective.

Macaluso: In your book you talk a lot about the misconceptions of cancer prevention. What do you think the top misconception is today?

Cuomo: I think most people, even people who are quite knowledgeable, think that cancer is an inevitability. “No matter what I do, I’m going to get cancer. Either I’ll inherit it, or I’ll grow old enough and I’ll get cancer just because I’ve grown old.”

That’s clearly not the case. We know that over 50% of all cancers are preventable. Attention to diet, exercise, limiting alcohol, ending smoking, protecting our skin from the sun, and taking vitamin D all contribute to a cancer-free life and the environmental toxins that are in our midst can be eliminated, or at least limited so that they don’t raise our risk of cancer.

Macaluso: Do you think the government is spending enough money on cancer prevention today?

Cuomo: Another very good question. Believe it or not, only 2% of the $5 billion budget of the National Cancer Institute is devoted to cancer prevention and control. The rest of it, $3.3 billion, is devoted to cancer treatment and research into the mechanism of cancer.

While that is important work, it is unbalanced to have very little attention on prevention, which the NCI itself has said is one of our most effective strategies against cancer. Why not devote more time and attention to it?

Macaluso: What are some of the specific things we’re not paying enough attention to when it comes to prevention? Let’s start with diet.

Cuomo: OK, diet. You know the old expression, “You are what you eat.” To a …read more
Source: FULL ARTICLE at DailyFinance

Tackling Cancer: Prostate Cancer's Biggest Current and Upcoming Players

By Sean Williams, The Motley Fool

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As I commented last week, cancer statistics are both staggering and disappointing. Although cancer deaths per 100,000 people have been on the downswing since 1991 thanks to access to more effective medications and better awareness about the negative health effects of smoking, there is still a lot of research and progress yet to achieve. My focus in this 12-week series is to bring to light both the need for continued research in these fields, as well as highlight ways you can profit from the biggest current and upcoming players in each field.

The skinny on prostate cancer
To start off, we’re going to take a look at prostate cancer, the cancer most expected to be diagnosed in 2013, with 238,590 projected cases, according to the National Cancer Institute. Considering that prostate cancer is expected to be attributed to 28% of all male cancer deaths this year, it’s an area of intense ongoing research.

So far we’ve seen incredible improvement in the underlying data, but we’re nowhere near the desired result as of yet. Data from the American Cancer Society (link opens PDF) demonstrates that better detection and medication has moved the five-year survival rate in the 1975-1977 time period from just 68% to a figure approaching 100% in the 2002-2008 period. Even long-term survival rates are strong based on the most recent data, with 10-year and 15-year survival rates of 98% and 93%, respectively. Understandably, there’s some margin of error to these figures, but it nonetheless shows marked improvement in detection and treatment of the disease.

Most cases of prostate cancer are caught in a localized, non-metastasized state, which makes it often more easily treatable than other cancers and leads to the increased survival rate figures that ACS has noted in recent years. Although there’s no specific one-size-fits-all treatment for prostate cancer, hormonal therapy, radiation, chemotherapy, surgery, or a combination of these four treatments, is often used. In cases where smaller or less aggressive tumors are present, sometimes even a watch-and-wait approach is taken. 

Let’s have a look at some of the biggest players in prostate cancer, as well as some of the upcoming therapies that could revolutionize treatment potential.

Where investment dollars are headed
The real investment dollars in prostate cancer are being spent on the advanced or metastatic stages of the disease where the patient has stopped responding to the first-line hormone and chemotherapy medications. Prior to 2004, only docetaxel had been shown to improve overall median survival in advanced stages of the disease; now metastatic-resistant prostate cancer suffers have hope in the following four medications:

  • Zytiga — Developed by Johnson & Johnson , Zytiga is an oral medication that was approved in April 2011 to be used in combination with prednisone as a second-line advanced prostate cancer treatment. The pill targets a protein that plays an important role in producing testosterone, a hormone shown to cause prostate cancer tumor growth. Zytiga practically eliminates all testosterone production …read more
    Source: FULL ARTICLE at DailyFinance

Breast Cancer Diagnosis Linked To PTSD Risk

Twenty-three percent of women who are newly diagnosed with breast cancer have PTSD (post-traumatic stress disorder) symptoms, researchers from the Herbert Irving Comprehensive Cancer Center (HICCC) at New York-Presbyterian/Columbia University Medical Center reported in the Journal of the National Cancer Institute …read more
Source: FULL ARTICLE at Medical News Today