The natural history of biochemical recurrence after surgery

It has been well understood for years that biochemical recurrence (BCR) after radical prostatectomy does not always translate into systemic progression or necessarily lead to prostate cancer metastasis and death. The “natural history” of BCR is actually very variable.

CMS proposes Medicare coverage for Provenge

The Centers for Medicare and Medicaid Services (CMS) proposed yesterday that there is sufficient and adequate evidence to conclude that the use of autologous cellular immunotherapy treatment — sipuleucel-T (Provenge®) – improves health outcomes for Medicare beneficiaries

Prostate cancer screening lowers risk for metastatic disease

According to a presentation by Schröder at the European Urology Association meeting in Vienna recently, (yet another) reanalysis of data from the European Randomized Study of Screening for Prostate Cancer (ERSCP) has shown that regular PSA testing significantly reduced risk for metastatic prostate cancer.

Prostate cancer treatment in southwestern Georgia: race and a rural environment

A new study just published in Urology seems to confirm facts that have previously been identified in earlier studies of how men elect to get treated for localized prostate cancer in parts of the USA with a high proportion of African American residents and relatively low income levels.

PSA testing in men over 70 years of age — some perspective

A new report in the Journal of Clinical Oncology suggests that — at least between 2000 and 2005 — “excessive PSA screening in elderly men with limited life expectancies” was a significant problem, and may remain so today.

Understanding better how genetic variation may affect prostate cancer risk

Previous research using so-called “genome-wide association studies” or GWAS have suggested that there may be as many as 30 different inherited prostate cancer genetic risk variants. What we don’t know much about yet is the relationships between specific genetic risk variants and the clinical outcomes of patients carrying those variants.

The new finasteride challenge study

A new clinical trial being run by some of the investigators who originally coordinated the Prostate Cancer Prevention Trial is investigating whether a brief period of finasteride therapy (“finasteride challenge”) can help to distinuish between patients at serious risk for prostate cancer and those who don’t even need a biopsy.

Cisplatin as second-line chemotherapy for docetaxel-refractory prostate cancer

An Italian research team has published data from a small Phase II clinical trial suggesting that cisplatin + prednisone has activity in the treatment of men with castration-resistant prostate cancer (CRPC) who have already progressed after treatment with a docetaxel-based chemotherapy regimen.

How to get really bad investment advice

As we get closer to the annual meeting of the American Society of Clinical Oncology (ASCO) — to be held at the beginning of June — the investor community is beginning its annual frenzy of speculation about exactly what new information will be presented at the meeting about development stage and marketed drugs.

Degarelix as second-line ADT in men not responsive to LHRH agonist therapy

First-line androgen deprivation therapy (ADT) for a man with metastatic prostate cancer has long been been either surgical or medical castration. In the case of medical castatration, the form of medication most commonly used since the mid to late 1980s has been an LHRH agonist (e.g., leuprolide acetate).

US FDA approves ipilimumab

The U.S. Food & Drug Administration today approved ipilimumab (brand name  Yervoy®) for the treatment of patients with metastatic melanoma (an aggressive form of skin cancer).

6 months of neoadjuvant ADT doubles survival when given with radiation therapy

A new article in Lancet Oncology has reported that a mere 6 months of neoadjuvant hormone therapy, when combined with radiation therapy, cuts the risk of dying from locally advanced prostate cancer by 50 percent compared to radiation alone at 10 years of follow-up.

“The pros and and cons of prostate cancer treatment options”

The Johns Hopkins Health Alerts yesterday issued a new summary of the up- and the downsides of the four “standard” treatments for localized prostate cancer: active surveillance, radical surgery, external beam radiation therapy, and brachytherapy (with permanent seed implantation).

European clinical trials register finally goes live

The European Medicines Agency (EMA) has announced the launch of the EU Clinical Trials Register. This trial register will allow residents of the 27 EU member states, as well as Iceland, Liechtenstein, and Norway, to more easily find data about clinical trials of therapies for the management of prostate cancer (including new drugs).

A slight decrease in the use of PSA testing since early 2009

Apparently, in the USA,  there has been a small decrease in the incidence of PSA testing since the publication of data from the Prostate, Lung, Colorectal and Ovarian Cancer (PLCO) and European Randomized Study of Screening for Prostate Cancer (ERSCP) trials back in March 2009.

Follow

Get every new post delivered to your Inbox.

Join 249 other followers