ASH Clinical News November 2016 | Page 28

CLINICAL NEWS
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Ibrutinib Submitted to FDA for Treatment of Marginal Zone Lymphoma

The FDA received a supplemental new drug application ( sNDA ) for ibrutinib for the treatment of marginal zone lymphoma ( MZL ). If approved , it could become the first treatment with a specific indication for this rare disease . MZL accounts for 12 percent of all cases of non-Hodgkin lymphoma in adults .
The sNDA is based on data from the international , multicenter , open-label , phase II PCYC-1121-CA trial , which assessed the use of single-agent ibrutinib in patients with MZL – including splenic MZL , nodal MZL , and extranodal MZL – who had received at least one prior therapy .
Patients received 560 mg of ibrutinib orally once daily until progression or unacceptable toxicity . The study ’ s primary endpoint is overall response rate ( ORR ), as determined by an independent review committee . Secondary endpoints include duration of response and overall survival . Outcomes have not yet been reported .
Ibrutinib previously was approved by the FDA for the treatment of patients with mantle cell lymphoma , chronic lymphocytic leukemia / small lymphocytic leukemia , and Waldenström macroglobulinemia .
Source : Janssen press release , September 26 , 2016 .

ASH Releases Statement on Congressional Funding

ASH released a statement from President Charles S . Abrams , MD , congratulating Congress on the passage of a short-term resolution to fund the NIH and other federal programs through December 9 . ASH also applauds the inclusion of emergency supplemental funding for public health emergencies such as Zika virus . However , the Society remains concerned about the ongoing impact that limited funding extensions have on medical advancements that are dependent upon sustained and predictable support .
“ Last year , Congress showed a strong bipartisan commitment to support biomedical research by providing a $ 2 billion increase for NIH in fiscal year ( FY ) 2016 ,” ASH representatives wrote in the news release . “ Yet , if the nation is to continue to accelerate the development of life-changing cures , pioneering treatments , and innovative prevention strategies , it is essential for Congress to maintain this commitment .”
ASH recommended that Congress make passing full and final spending legislation for FY2017 – which includes $ 34.1 billion for NIH – a priority when it reconvenes in November . The Society is committed to working with lawmakers to pass a full FY2017 that ensures that lifesaving biomedical research continues , while promoting public health and safety . ASH also encouraged Congress to recognize “ the amazing progress we can make towards curing cancer by funding the Precision Medicine and National Cancer Moonshot initiatives . … Without congressional
backing , ASH and our collaborative partners in the federal government and academia cannot continue our fight to conquer cancer .”
Source : ASH news release , September 29 , 2016 .

AACR Releases 2016 Cancer Progress Report , Touts Research Outcomes

The American Association for Cancer Research ( AACR ) released its “ Sixth Annual Cancer Progress Report ,” highlighting the achievements and challenges for cancer care and research .
The report lists the development of immunotherapy as “ one of the most exciting advances in cancer care ” – as checkpoint inhibitors have been approved to treat bladder cancer , head and neck cancer , Hodgkin lymphoma , kidney cancer , lung cancer , and melanoma – while also noting that collaborative efforts to accelerate advances in cancer care must remain a priority .
“ The promise of immunotherapy for cancer therapy has never been greater , and the opportunity to make significant progress in this critical area is real ,” said Nancy E . Davidson , MD , president of AACR and director of the University of Pittsburgh Cancer Institute , in a press release discussing the report . “ However , continued progress is going to require a sustained federal commitment to the research agenda .”
Some of the achievements detailed in the report included :
• The U . S . cancer death rate has decreased by 1.5 percent per year since 2003 , largely due to better disease detection and the development of effective treatments .
• From 1991 to 2012 , the U . S . cancer death rate declined by 23 percent , translating into 1.7 million cancer deaths avoided .
• The number of cancer survivors in the United States has increased from 3 million in 1971 to 15.5 million in 2016 . Approximately 112,370 of these survivors are children or adolescents .
• Between August 2015 and July 2016 , the U . S . Food and Drug Administration ’ s ( FDA ) Center for Drug Evaluation and Research approved 40 new drugs to treat cancer as well as 11 new indications for previously approved anticancer therapeutics .
However , the report noted that not all population subgroups , including ethnic minorities , people with low socioeconomic status , older patients , and individuals who live in certain geographic regions , benefit equally from these advances . The economic toll of a cancer diagnosis was also emphasized , as direct medical costs of cancer care in the United States in 2010 were nearly $ 125 billion , with a projected increase to $ 156 billion by 2020 .
Visit cancerprogressreport . org / Pages / default . aspx to view the full report .
Source : American Association for Cancer Research news release , September 20 , 2016 .

FDA Looking to Regulate Stem Cells After Clinics are Caught Marketing Them for Unapproved Procedures

A study published earlier this year in Cell Stem Cell indicated that at least 351 companies in the United States are marketing unapproved stem cell procedures at 570 clinics across the country . In response , the FDA is now waging a nationwide crackdown on stem cell clinics that has some scientists concerned that doing so could hinder research progress in this treatment area .
The FDA has not regulated stem cell therapy , but concerns have increased after procedures at unregulated clinics have left some patients blind or caused others to develop tumors . The FDA proposed regulating cells as they do drugs , meaning clinics would have to go through a costly and rigorous approval process before treating patients .
Those opposed to the FDA regulation are concerned that it might hinder innovation in the area of stem cell transplants , saying that it comes at a time when leading stem cell researchers are excited about new studies showing that the cells appear to be safe and effective in treating a variety of diseases .
Those in favor of new restrictions on these clinics worry that , if the FDA does not act , more patients will seek unregulated care at these for-profit clinics that may not have the expertise to properly prepare and administer stem cell treatments . ●
Sources : Turner L , Knoepfler P . Selling stem cells in the USA : assessing the direct-to-consumer industry . Cell Stem Cell . 2016 ; S1934-5909:30157-6 ; Stat News , September 9 , 2016 .
26 ASH Clinical News November 2016