This CME-certified Web-based enduring activity is based on information presented at a satellite symposium that took place on October 30, 2007 in Los Angeles, California.

Release date: November 2007
Expiration date: November 30, 2008

Estimated time to complete activity: 1.5 hours

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Activity Overview
The heterogeneity of gliomas and the molecular pathophysiology that influences disease progression and tumor aggressiveness contribute to the challenge physicians face in making treatment decisions. The role of current and new molecular targets in glioma with respect to diagnosis, prognosis, and therapeutic intervention will be addressed. Additionally, this activity will provide key clinical considerations about molecular targets to assist radiation oncologists in their daily practice.

Target Audience
This activity has been designed to meet the educational needs of radiation oncologists and other health care professionals involved in the care and treatment of patients with brain cancer.

Learning Objectives
Upon completion of this activity, participants should be better able to:
  • Describe the diagnostic and prognostic significance of molecular markers expressed in patients with glioma
  • Discuss clinical advances in the treatment of patients with newly diagnosed or relapsed/refractory high-grade and low-grade glioma
  • Evaluate clinical data on the appropriate use of chemotherapy and/or radiation therapy for patients with glioma
ACTIVITY CHAIR
Jay S. Loeffler, MD, FACR  View biography
Herman & Joan Suit Professor of Radiation Oncology
Harvard Medical School
Chief, Department of Radiation Oncology
Massachusetts General Hospital
Boston, Massachusetts

FACULTY
Lawrence R. Kleinberg, MD  View biography
Co-Director Stereotactic Radiosurgery
Associate Professor of Radiation Oncology and Neurosurgery
Department of Radiation Oncology and Molecular Radiation Sciences
Johns Hopkins University
Baltimore, Maryland

Dennis C. Shrieve, MD, PhD  View biography
Professor and Chair, Department of Radiation Oncology
Huntsman Cancer Institute
University of Utah School of Medicine
Salt Lake City, Utah

Accreditation Statement
Curatio CME Institute is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Credit Designation
Curatio CME Institute designates this educational activity for a maximum of 1.5 AMA PRA Category 1 CreditsTM. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Physicians should not claim credit for this activity if credit was previously claimed for the symposium on which this Web activity is based.

Method of Participation
There are no fees for participating in this CME activity. To receive credit during the period November 2007 to November 30, 2008, participants must (1) read the learning objectives and disclosure statements, (2) study the educational activity, (3) complete the posttest, and (4) complete the activity evaluation form, including the certificate information section.

You will then be able to print or store your AMA PRA Category 1 Credit certificate for this activity. Please e-mail any questions to cmeinfo@curatiocme.com

Medium
The Internet was selected as the instructional format to accommodate the learning preferences of a significant portion of the target audience.

Disclosure
In accordance with the ACCME’s Standards for Commercial Support, all CME providers are required to disclose to the activity audience the relevant financial relationships of everyone in a position to control content of an educational activity. A relevant financial relationship is a relationship in any amount occurring in the last 12 months with a commercial interest whose products or services are discussed in the CME activity content over which the individual has control. Relationship information appears below:

Jay S. Loeffler, MD, FACR has disclosed no relevant financial relationships.

Lawrence R. Kleinberg, MD has disclosed the following relevant financial relationships:
Research Support: Abbott Labs, Astra-Zeneca

Dr. Kleinberg will discuss the unlabeled or investigational use of a commercial product.

Dennis C. Shrieve, MD, PhD has disclosed no relevant financial relationships.

Curatio CME Institute Staff
Thomas Finnegan, PhD, Medical Writer, has disclosed no relevant financial relationships.

Danielle Hesser, Program Manager, has disclosed no relevant financial relationships.

Barbara Landers, Vice President, Medical Education Programs, has disclosed no relevant financial relationships.

Denise C. LaTemple, PhD, Vice President, Scientific Services, has disclosed no relevant financial relationships.

Brett Mutschler, CME Director, has disclosed no relevant financial relationships.

Jonathan S. Simmons, ELS, Managing Editor, has disclosed no relevant financial relationships.

Disclaimer
The information presented at this activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician regarding diagnosis and treatment of a specific patient’s medical condition.

Unapproved Product Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the US Food and Drug Administration. Curatio CME Institute and Schering-Plough Corporation do not recommend the use of any agent outside the labeled indications.

The opinions expressed in this educational activity are those of the faculty and do not necessarily represent the views of Curatio CME Institute and Schering-Plough Corporation. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.

Generic Name

Trade Name

Approved Use (if any)

Unapproved/
Investigational Use

AG014699

NA

NA

In combination with
temozolomide in patients with malignant melanoma

Cediranib (AZD2171)

RecentinTM

NA

Patients with recurrent glioblastoma

Carmustine,
BCNU

BiCNU®

As palliative therapy as a single agent or in established combination therapy with other approved chemotherapeutic agents in the following: brain tumors (glioblastoma, brainstem glioma, medulloblastoma, astrocytoma, ependymoma, and metastatic brain tumors); multiple myeloma, in combination with prednisone; Hodgkin’s disease, as secondary therapy in combination with other approved drugs in patients who relapse while being treated with primary therapy, or who do not respond to primary therapy; non-Hodgkin’s lymphomas, as secondary therapy in combination with other approved drugs for patients who relapse while being treated with primary therapy, or who do not respond to primary therapy.

In combination with
radiotherapy in patients with metastatic malignant glioma

Cetuximab

 

 

 

Erbitux®

In combination with radiation therapy for the treatment of locally or regionally advanced squamous cell carcinoma of the head and neck. As monotherapy, for the treatment of patients with recurrent or metastatic squamous cell carcinoma of the head and neck for whom prior platinum-based therapy has failed. In combination with irinotecan, for the treatment of EGFR-expressing, metastatic colorectal carcinoma in patients who are refractory to irinotecan-based chemotherapy. As monotherapy, for the treatment of EGFR-expressing, metastatic colorectal carcinoma in patients who are intolerant to irinotecan-based chemotherapy.

In patients with recurrent glioblastoma multiforme

Erlotinib

 

 

 

Tarceva®

As monotherapy, for the treatment of patients with locally advanced or metastatic non–small cell lung cancer after failure of at least 1 prior chemotherapy regimen. In combination with gemcitabine, for the first-line treatment of patients with locally advanced, unresectable, or metastatic pancreatic cancer.

In patients with recurrent glioblastoma multiforme

Gefitinib

Iressa®

As monotherapy, for the continued treatment of patients with locally advanced or metastatic non–small cell lung cancer after failure of both platinum-based and docetaxel chemotherapies who are benefiting or have benefited from Iressa.

In combination with
radiation therapy for patients with newly
diagnosed glioblastoma

Temozolomide

 

 

Temodar®

For the treatment of adult patients with newly diagnosed glioblastoma multiforme concomitantly with radiotherapy and then as maintenance treatment. For the treatment of adult patients with refractory anaplastic astrocytoma.

In combination with AG014699 in patients with malignant melanoma



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