7:00 PM Dr Love
Introduction and meeting overview
Module I: Management of Advanced NSCLC
Topic: Phase III randomized clinical trial data sets on the use of antibodies (bevacizumab, cetuximab) as first-line therapy in advanced NSCLC
Agree, disagree or in between?
In the near future, lung cancer tumor specimens will be routinely assayed for expression of EGFR by FISH, the presence of EGFR mutations and K-ras status just as estrogen receptor and HER2 are now routinely assayed in breast cancer.
7:15 PM Group discussion
Topic: Treatment algorithm for patients who meet eligibility criteria for ECOG-E4599 or AVAiL trials (chemotherapy with bevacizumab) and those who do not
Agree, disagree or in between?
Cost, reimbursement and regulatory issues aside, the optimal first-line therapy for patients with tumors that do not have EGFR mutations and are not eligible for E4599 is chemotherapy with cetuximab.
7:40 PM Group discussion
Review of chat room questions
Topic: Initial treatment for patients with EGFR TK domain mutations or clinical features predictive of sensitivity to EGFR TKIs
Agree, disagree or in between?
Patients with EGFR TK domain mutations or clinical features predictive of sensitivity to erlotinib should be offered erlotinib or an erlotinib-based regimen as initial therapy for metastatic or recurrent disease.
8:15 PM Group discussion
Module II: Management of Stage III Disease
Topic: Management of Stage IIIB NSCLC
Agree, disagree or in between?
Biologic agents do not have a current routine role in the management of Stage IIIB NSCLC, but there is an urgent need to evaluate in clinical trials both bevacizumab and cetuximab administered concurrently with chemoradiation therapy.
8:40 PM Group discussion
Module III: Adjuvant Therapy of NSCLC
Topic: Current adjuvant clinical trials incorporating biologic therapy
Agree, disagree or in between?
If biologic therapy is found to be effective in adjuvant therapy of NSCLC, it will likely be proven more effective if administered for a prolonged or indefinite period, as is the case with imatinib in GIST.
9:05 PM Group discussion
Review of adittional chat room questions
