Targeted Signal Modulation in Renal Cell Carcinoma and Prostate Cancer

Summaries of Lectures From a Satellite Symposium Held in Conjunction With the 2008 Genitourinary Cancers Symposium:
A Multidisciplinary Approach; San Francisco, CA; February 14-16, 2008

1 AMA PRA Category 1 Credit

Release date: May 14, 2008
Expiration date: May 14, 2009

 

Table of Contents

The Success of Targeting the Vascular Endothelial Growth Factor Receptor Axis in Renal Cell Carcinoma

Small-Molecule VEGFR Inhibitors: Integrating Multiple Lines of Therapy for Recurrent Renal Cell Carcinoma

Risk Prognostication and Tumorigenesis in Prostate Cancer

Current Approaches to Prevention and Early Intervention in Prostate Cancer

 
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  1. Read the following information before entering the educational activity.
  2. Study the educational activity.
  3. Complete the CME test.
  4. Answer the evaluation questions.
  5. After successful completion of the CME test and evaluation, you will receive your certificate of credit online.
  • Complete the evaluation and CME test by May 14, 2009, to receive your certificate of credit online.
  • CME credit will be granted for only 1 form of participation, either online or via the printed publication.
 
Overview and Purpose

Improved diagnosis and treatment of renal cell carcinoma (RCC) and prostate cancer have been achieved through the delineation of the molecular pathogenesis of these diseases. Patients with RCC can be treated with 3 US Food and Drug Administration–approved vascular endothelial growth factor (VEGF)–targeted agents, and several agents have entered the approval process for the treatment of advanced disease. With the observation of acquired resistance to VEGF-targeted multikinase inhibitors, the optimal sequencing or combination of these agents is being investigated in the metastatic setting. Increased understanding of the molecular basis for acquired resistance to kinase inhibitors further improves clinical trial design and, thus, patient outcome. Although progress has been made in the characterization of the early molecular events in prostate cancer, heterogeneity of disease has complicated identification of ubiquitous targets for therapy. Preclinical research to elucidate molecular events that denote prognosis and provide potential targets for therapy, including chemoprevention, are ongoing. Results from trials evaluating 5α-reductase inhibitors in the prevention of prostate cancer have suggested that this class of drugs might provide long-term patient benefit.

The purpose of this activity is to provide medical oncologists with the latest information regarding targeted therapeutics in the treatment of RCC and the prevention of prostate cancer.

 
Target Audience

This activity is intended for medical oncologists involved in the care of patients with genitourinary malignancies. No specific skills or knowledge other than a basic training in oncology is required for successful participation in this activity.
 
Learning Objectives

Upon completion of this educational activity, you should be able to:
  • Compare available clinical trial results and data from key phase III trials of antiangiogenic agents in the treatment of advanced/metastatic RCC
  • Compare current clinical trial data on second-generation kinase inhibitors of the VEGF pathway that are in clinical development
  • Assess the phenomenon of acquired resistance and diminished efficacy for sequential lines of VEGF-targeted multikinase inhibitors and investigative treatment approaches for overcoming resistance
  • Summarize current research data on molecular elements of risk prognostication and tumorigenesis in prostate cancer
  • Evaluate the effectiveness of 5α-reductase inhibitors in the prevention of prostate cancer
 
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Physicians' Education Resource designates this educational activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

 
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PER Editorial Staff

Erin Grothey, MS (spouse)
Research Funding – sanofi-aventis U.S
Paid Consultant – Amgen, Bristol-Myers Squibb Company, Genentech, Inc., Roche Pharmaceuticals, sanofi-aventis U.S.

Other PER Staff
No relevant relationships to disclose

Satellite Faculty

Eric Jonasch, MD
Research Funding – CTEP, Genentech, Inc., and Pfizer Inc.
Paid Consultant – Genentech, Inc.
Member of Speaker’s Bureau – Bayer Pharmaceuticals Corporation, Onyx Pharmaceuticals, Inc., and Pfizer Inc.

Roberto Pili, MD
Research Funding – Cephalon, Inc. Locus Pharmaceuticals, and Pfizer Inc.
Paid Consultant – Active Biotech, Adnexus Pharmaceuticals, Cerus Corporation, MGI PHARMA, and Syndex Pharmaceuticals

Susan Slovin, MD, PhD
Paid Consultant – Synarc Inc.
Member of Speaker’s Bureau – AstraZeneca, Novartis Pharmaceuticals Corporation, and sanofi-aventis U.S.

William Oh, MD
Research Funding – Bristol-Myers Squibb Company, Celgene Corporation, Genentech, Inc., Roche Pharmaceuticals, and sanofi-aventis U.S.
Paid Consultant – Abbott Laboratories, Abraxis Oncology, Berlex Oncology, Dendreon Corporation, EyeTech Pharmaceuticals, Inc., Genomic Health, Inc., ImClone Systems Incorporated, Novacea, Inc., Roche Pharmaceuticals, and sanofi-aventis U.S.
Member of Speaker’s Bureau – Amgen, AstraZeneca, Eli Lilly and Company, Novartis Pharmaceuticals Corporation,
and sanofi-aventis U.S.

This CME activity might include discussion of investigational and/or unlabeled uses of drugs. If the activity includes discussion of investigational and/or unlabeled uses of a drug, specific information is located on the article page. Please refer to the full prescribing information for each drug discussed in this activity for FDA-approved dosing, indications, and warnings.

 
Commercial Support

An educational grant for this activity was provided by GlaxoSmithKline.

This activity is not sanctioned by, nor a part of, the 2008 Genitourinary Cancers Symposium: A Multidisciplinary Approach.

 
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The views and opinions expressed in this activity are those of the authors and do not necessarily reflect the views of the sponsor, supporter, or publisher. Although great care has been taken in compiling and checking the information given in this activity to ensure accuracy, the authors and Physicians’ Education Resource and its servants or agents shall not be responsible or in any way liable for the continued currency of the information or for any errors, omissions, or inaccuracies in this activity, whether arising from negligence or otherwise howsoever or for any consequences arising therefrom.

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Editor, Targeted Signal Modulation in Renal Cell Carcinoma and Prostate Cancer
Physicians' Education Resource
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