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Head & Neck trials Breast trials Dr Helen Earl & Prof Janet Dunn ARTemis: Bevacizumab is a monoclonal antibody which targets vascular endothelial growth factor. It has shown promising antitumour effects when given concurrently with taxane-based chemotherapy. ARTemis is a large phase III randomised study (800 patients) comparing neoadjuvant taxane-based chemotherapy +/Bevacizumab in patients with early stage breast cancer. Mr Hisham Mehenna & Prof Janet Dunn PET-NECK: Current treatment for patients with locally advanced head and neck squamous cell carcinoma is neck dissection before or after chemo-radiotherapy. This often results in high morbidity and mortality. PET-NECK is a phase III randomised trial (560 patients) which is comparing PET-CT guided watch and wait policy versus planned neck dissection for the management of locally advanced head and neck cancer. Persephone: Herceptin® is a monoclonal antibody and is an adjunct treatment to chemotherapy for women with early stage breast cancer who are HER2 receptor positive. The standard duration of Herceptin® is 12 months; however this is not evidence based, and given the cardiac toxicity attributed to this drug, the duration needs to be tested. Persephone is a large phase III study (4000 patients) which will compare 12 months of Herceptin® with 6 months. De-ESCALaTE-HPV: Radiotherapy and cetuximab (Epidermal Growth Factor Receptor-inhibitor) have demonstrated similar efficacy to chemo-radiotherapy in the treatment of oropharangeal squamous cell carcinoma (OPSCC), but is potentially less toxic. De-ESCALaTE is a phase III study comparing cetuximab vs standard chemotherapy for early and late toxicity events in Human papilloma virus positive OPSCC. Cancer Research Myeloma Other trials Prof Mark Drayson & Prof Janet Dunn TEAMM: Approximately 4000 patients a year in the UK are diagnosed with myeloma. Of these, 10% will acquire a serious infection between diagnosis and start of treatment. Of this 10%, 45% will die as a result of infection. This study is investigating the benefit of administering prophylactic antibiotics (Levofloxacin) in a large phase III randomised double-blind study with a sample size of 800 patients. Dr Hugo Ford & Prof Janet Dunn COUGAR-2: This is a phase III randomised study (164 patients) investigating the use of docetaxel in patients with advanced stomach/oesphageal cancer versus symptom control. Dr Pippa Corrie, Prof Janet Dunn Personalised Cancer Medicine Many of our trials involve the collection of various tissue samples for translational research which aims to identify areas that will predict which groups of patients will respond to which treatments. AVAST-M: This is a phase III study (1320 patients) examining the administration of the target drug, Bevacizumab, in addition to surgery in early stage malignant melanoma.