Showing posts with label metastasis. Show all posts
Showing posts with label metastasis. Show all posts

Saturday, March 9, 2013

Synta announces results from Ganetespib Phase 2b trial on NSCLC

Published on September 29, 2012 at 5:14 AM 

Synta Pharmaceuticals Corp. (NASDAQ: SNTA) today announced results from an interim analysis of the Phase 2b portion of the GALAXY trial, a global, randomized, multi-center Phase 2b/3 study designed to evaluate the efficacy and safety of the Company's lead Hsp90 inhibitor, ganetespib, as second-line treatment for advanced non-small cell lung cancer (NSCLC). The results showed good tolerability for the combination of ganetespib (G) and docetaxel (D), as well as meaningful improvements in overall survival (OS) in adenocarcinoma patients receiving docetaxel plus ganetespib compared to those receiving docetaxel alone. The results were presented by Suresh Ramalingam, MD, Professor, Hematology & Medical Oncology, and Director, Translational Thoracic Malignancies Program, of the Winship Cancer Institute of Emory University, in a poster session at the European Society for Medical Oncology 2012 Congress in Vienna, Austria. A copy of the poster is available at http://www.syntapharma.com/documents/Ganetespib_GALAXY_ESMO_2012_Poster.pdf.
The GALAXY trial is based on a two-stage, operationally adaptive design. The first-stage, randomized, open-label, 240-patient Phase 2b portion of the trial is enrolling Stage IIIB/IV NSCLC patients who have progressed following one prior line of therapy, and is designed to identify the patient population, defined by biomarker or other disease characteristic, for advancement into the Phase 3 portion of the trial.
An interim analysis was planned for when approximately 80% of the target 240 adenocarcinoma patients had been enrolled. A total of 187 patients were enrolled at the time of analysis, of which 172 patients had been entered into the clinical database at the time of data cutoff.
"The preliminary results from GALAXY indicate that the addition of ganetespib to docetaxel is well tolerated and may improve outcomes in patients compared to docetaxel alone," said Dr. Ramalingam, a Principal Investigator of the study. "This includes promising improvements in survival seen across the broad adenocarcinoma population as well as in key predefined patient populations. A well-tolerated combination regimen that extends survival associated with salvage therapy in NSCLC will meet a much awaited need to improve the current standard of care."
Targeting the dependence of cancer cell growth and proliferation pathways on the Hsp90 chaperone represents a new way to interrupt cancer cell signaling and reduce tumor aggressiveness. Hsp90 inhibition by ganetespib simultaneously inhibits multiple critical cancer-promoting pathways, including pathways responsible for tumor metastasis, angiogenesis, and resistance to conventional therapies.
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Sunday, February 17, 2013

GENES INVOLVED IN THE  6th LAW.
REPROGRAMMING OR MESENCHYMALIZATION.
=======================================

1. MET
---------------It is center to cancer preparing for Metastasis.
Once the initial cause of cancer have hit the cell, and the cancer cell wants to migrate because of several reasons such as stress in that location, lack of Oxygen or nutrients, the cancer cell is ready to find another location to increase its chance of survival.  Most cancer develop within the lining of ducts of tube like part of the organs (Bowel, breast ducts,  pancreatic duct, endometrial cancer etc) therefore they are epithelial.  But epithelial cell do not migrate well, they are  tied up to neighboring cell to make somewhat of a seal.  That is they use plenty of adhesion molecule to anchor down the basal membrane and the immediately surrounding cell.   To start moving, they have to rejuvenate and try to re-acquire the early version that brought them there in the first place.  They came from MESENCHYMAL cells.  AND THE DOOR TO GO FROM MESENCHYMAL TO EPITHELIAL CELL PASS THROUGH MET!  MET IS THE REVOLVING DOOR.   IT IS ONLY THROUGH MET THAT METASTASIS CAN OCCUR, ESTAHLISH ITSELF, AND STABILIZE IN NEW LOCATIONS.    REMEMBER MET CAN AMPLIFY VEGF FOR NEW BLOOD SUPPLY TO THE NEW TUMOR LOCATION!
TO FIND OUT MORE, Please go to:




Review Series

Biomarkers for epithelial-mesenchymal transitions

Michael Zeisberg1 and Eric G. Neilson2
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c-RET
c-ROS
2. c-MYC
Role of Rho-GTPase
PARAXIS
Resistance to EGFR
Oct 4
Klf4
SOX 2  Vs SOX 9(in Chorndrosarcoma)
Nanog
E-cadeherin,
syndecan-1
Claudins
B-catenin
Occludin-1 (Zo-1)
Other EpCam
Crumbs
homolog-3
Snails (Slug)
Zeb
-----------
FSP-1
SRC
RAS
fos
HSP47
Fibrobalaste transcrition site
CBF-A
Carg Box Binding Factor
-----------
TGF beta
NT-3
Sonic Hedgehop
alpha 5 beta 1 Integrin
----------------------
alpha SMA stress fibers,
DDR2
------------------------
cell spindle shape
AXL
---------------------------
Collagen, Vimentin, laminin, fibronectin