Early access to novel drug for Hodgkin lymphoma patients is in the works

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When we hear promising results of a new treatment, especially one that provides a new therapy option to patients who otherwise don't have any, we want to share that news with our readers. However, we do know that for a majority of patients, that news can't come soon enough. While the data may be promising, often patients are only able to get access to an investigational drug through a clinical trial, which may be limited to a single cancer center on the other side of the country. And it may be years until that agent is available to them as an approved drug. But for Hodgkin lymphoma patients who have relapsed after an autologous stem cell transplant, there is hopeful news that brentuximab (SGN-35), a novel agent targets the CD30 antigen on the surface of Hodgkin lymphoma cells, could be available via an early access program early next year. Seattle Genetics, the manufacturer of the drug, announced the program today, which coincided with a press conference releasing results of a phase 2 trial with brentuximab. Although a date hasn't been given for the program's launch, CEO of Seattle Genetics Clay Seigall projected it could be early next year. This is in addition to Seattle Genetics submitting the drug to the FDA for approval in the next few months--not only for Hodgkin lymphoma patients after transplant failure, but also for relapsed/refractory anaplastic large cell lymphoma, a rare but aggressive type of non-Hodgkin lymphoma.Dr. Robert Chen, at City of Hope in California, will be presenting his study results tomorrow at a session during the annual meeting of the American Society of Hematology. Some of the study results were presented at today's ASH press conference, including data showing 34 percent of patients had a complete remission with the drug. And after one year, the median duration of remission has not yet been reached--meaning that after one year, more than half of patients in complete remission have yet to relapse. Tumor shrinkage occurred in 94 percent of patients, with the response lasting a median of 29 weeks. More data will be available after tomorrow morning's formal presentation. Brentuximab is administered as a 30-minute infusion and is not combined with other treatments, which limits its toxicity. However, about half of the patients in the trial developed peripheral neuropathy, which results in a stinging pain or numbness in the hands or feet. In most patients, the side effect went away once the drug was continued or treatment completed. Other common side effects included fatigue, nausea, upper respiratory tract infection and diarrhea. For more information about brentuximab, watch for additional ASH coverage in the Winter issue of CURE and an upcoming issue of CURExtra (you can sign up for the e-newsletter here).

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For patients with cancer, the ongoing chemotherapy shortage may cause some anxiety as they wonder how they will receive their drugs. However, measuring drugs “down to the minutiae of the milligrams” helped patients receive the drugs they needed, said Alison Tray. Tray is an advanced oncology certified nurse practitioner and current vice president of ambulatory operations at Rutgers Cancer Institute in New Jersey.  If patients are concerned about getting their cancer drugs, Tray noted that having “an open conversation” between patients and providers is key.  “As a provider and a nurse myself, having that conversation, that reassurance and sharing the information is a two-way conversation,” she said. “So just knowing that we're taking care of you, we're going to make sure that you receive the care that you need is the key takeaway.” In June 2023, many patients were unable to receive certain chemotherapy drugs, such as carboplatin and cisplatin because of an ongoing shortage. By October 2023, experts saw an improvement, although the “ongoing crisis” remained.  READ MORE: Patients With Lung Cancer Face Unmet Needs During Drug Shortages “We’re really proud of the work that we could do and achieve that through a critical drug shortage,” Tray said. “None of our patients missed a dose of chemotherapy and we were able to provide that for them.” Tray sat down with CURE® during the 49th Annual Oncology Nursing Society Annual Congress to discuss the ongoing chemo shortage and how patients and care teams approached these challenges. Transcript: Particularly at Hartford HealthCare, when we established this infrastructure, our goal was to make sure that every patient would get the treatment that they need and require, utilizing the data that we have from ASCO guidelines to ensure that we're getting the optimal high-quality standard of care in a timely fashion that we didn't have to delay therapies. So, we were able to do that by going down to the minutiae of the milligrams on hand, particularly when we had a lot of critical drug shortages. So it was really creating that process to really ensure that every patient would get the treatment that they needed. For more news on cancer updates, research and education, don’t forget to subscribe to CURE®’s newsletters here.
Yuliya P.L Linhares, MD, an expert on CLL
Yuliya P.L Linhares, MD, and Josie Montegaard, MSN, AGPCNP-BC, experts on CLL
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