Immuno-oncology coupled with creativity is changing the daily practice of cancer

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On Friday, NPR had a very interesting and inspiring interview with Dr. Siddhartha Mukherjee, oncologist at Columbia University in New York. He has written a new article called The Improvisational Oncologist in this week’s Sunday Magazine of the New York Times. In this article, he focuses on the emergence of immuno-oncology in daily practice, and how to use it optimally within the complexity of managing cancer.

Dr. Mukherjee describes – what I have called it many times – the ‘modern day alchemist’, often changing the treatment approach, trying something radically new in the quest for the ‘holy grail’: curing a patient’s cancer. With modern day scientific advances, the management of cancer has become infinitely more complex than when I was in med school. It has also become much more interesting and challenging at the same time, offering vastly improved outcomes and thereby hope to patients.

It is stories like these, and the inspiring work of 95,000+ cancer treaters we collaborate with at MDOutlook that keeps our team motivated on our quest to advance cancer management by providing oncology intelligence.

Thank you to all, and not in the least our team, to move this forward!
Jan Heybroek
President, MDOutlook

Relevance of Physician Segmentation by Clinical Practice: Metastatic Colorectal Cancer (mCRC)

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MDOutlook® are pleased to share excerpts from a recent MDOutlook’s OncoPulse™: Understanding Patient Pathways for mCRC in Europe. This analysis is based on an on-line survey of European oncologists managing (metastatic) Colorectal Cancer.

OncoPulse Methodology

  • Primary research phase involved European surveys to verified and validated medical oncologists with an identified involvement in mCRC utilizing targeting parameters within the proprietary MDOutlook® global cancer treater panel of 96,000+ oncologists
  • Fielded: late 2015 in 5 major European markets, translated into local languages
  • Research via 25-minute interactive web-based survey instruments, utilizing proven MDOutlook methodology and proprietary technology
  • Response: 125 oncologists with a minimum of 5 mCRC treated within the previous 3 months

Commercialization Considerations: Relevance of Physician Segmentation by Clinical Practice

Reporting and analyzing physicians’ prescribing habits and preferences by line of therapy provides insight into preferred therapies and relevant adoption trends. Yet, taking the analysis to the next level can yield a deeper understanding of the market: segmenting the respondents by clinical practice characteristics in addition to certain demographics offers previously unseen insights.

MDOutlook analysts performed a segmentation study of the treatment of mCRC cancer in the EU5. As one expects, there are differences by country in total use of doublets* in 1st line (*Doublet = FOLFOX or FOLFIRI). Diving a layer deeper, for instance, yields insight that patient volume (high vs. low volume) materially impacts prescribing of different doublets and combinations. Finally, adding practice setting (academic vs. community) as a third criteria yields targeting insights around the specific combination physicians prefer by setting (e.g. academic high volume mCRC treaters).

The key takeaway is that a deeper dive analysis across multiple regions and different identifiable characteristics of prescribers and their practices will lead to more targeted insights around behavior. Thus ultimately leading to more relevant commercialization and communication strategies and tactics.

1st Line Doublet mCRC Patient Share

Conclusions

  • Following on from Head to Head data comparing bevacizumab with EGFR therapy, despite only being eligible for use in around 50% of first line patients, EGFR use is close to or exceeding bevacizumab in the treatment of first line patients in the majority of European countries
  • Large majority of the mCRC patients (~65-90%) in EU5 countries receive doublet in 1st line therapy in combination with a targeted antibody, but understanding how physicians use it differently is critical
  • German physicians use the most doublet overall (87%), but the least doublet alone (5%)
  • Over 20% of 1st line mCRC patients in UK received no targeted antibody – more than twice the rate seen in other countries

Comparison 1st Line Doublet Spain UK

Conclusions

  • In Spain, the distribution of doublet usage (alone or with a biologic agent) in patients between the high and low volume treaters do not show a clinically meaningful difference
  • In the UK, however, the high volume treaters strongly prefer doublet + bevacizumab for their patients while the low volume treaters soundly favor doublet alone for their mCRC patients in 1st line therapy
  • The UK situation appears to reflect the relative complexity of gaining reimbursement for bevacizumab compared to the limited indication that is approved by NICE

Comparison 1st Line Doublet Setting DLD

Conclusions

  • In Germany, a meaningfully higher proportion of mCRC patients in 1st line receive doublet with a biologic in academic high vs academic low treaters
  • However, with the community physicians, the proportion of patients receiving doublet with a biologic agent is not significantly different between the high and low treaters

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For More Information

MDOutlook supports your commercialization efforts with primary research and actionable insights.

Contact us to discuss your oncology intelligence needs at [email protected] or +1.404.496.4136. Thank you!

Submitted by Dr. Robert Stephan, Vice President, Research and Physician Society, and Jan Heybroek, President of MDOutlook. All Rights Reserved ©2016.

Impact of New AML Data on Clinical Practice

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MDOutlook® is pleased to share excerpts from the most recent MDOutlook’s OncoPoll™: Clinical Impact of Recent Data Announcements in the treatment of Acute Myeloid Leukemia (AML).

This research is the newest in a long line of impact studies following major data announcements in cancer. MDOutlook has covered the oncology space since 2008 in more depth and with more focus than most disease intelligence organizations.

This report is based on an on-line survey of US and European oncologists focused on AML.

Key Conclusions: Immediate Impact of New AML Data on Clinical Practice:
• Physicians believe midostaurin will have the greatest importance to their clinical practice with AML, and sorafenib and gilteritinib having slightly less clinical importance
• Midostaurin would be the dominant FLT3 inhibitor integrated into induction therapies for FLT3+ AML, while sorafenib is expected to be integrated into induction protocols as well
• For FLT3+ AML post-transplant maintenance therapy, midostaurin would be widely accepted, but sorafenib would be used by less than half of physician under these circumstances

Access the full complimentary AML OncoPoll report through the link. And contact us to discuss your oncology intelligence needs.

Submitted by Dr. Robert Stephan, Vice President, Research and Physician Society, and Jan Heybroek, President of MDOutlook. All Rights Reserved ©2016. All registered trademarks are the property of their respective owners.

Join our growing team!

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MDOutlook is growing and is looking for qualified Global Medical Analysts to join our enthusiastic team of disease experts. You can access the job posting here.

Direct your resume and cover letter to [email protected] (only candidates; no recruiters please).

We look forward to adding new stars to our team!

Multiple Myeloma: Clinical Adoption of New Data Announcements

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Recently announced advances in the treatment of Multiple Myeloma (MM), for both newly diagnosed and relapsed / refractory patients, have been quickly embraced by oncologists globally.

MDOutlook are pleased to share complimentary highlights from the most recent MDOutlook OncoPoll™: Clinical Impact of Recent Data Announcements in the treatment of Multiple Myeloma. This research is based on an on-line survey of US and European oncologists actively managing MM patients. Access the highlights here. Copies of the full report are available upon request.

If you have any questions or feedback, or want to discuss how MDOutlook can provide deep, customized insight to your specific oncology needs, please let us know.

Oncology Life Cycle Intelligence

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MDoutlook Total Oncology Intelligence

Speak with the cancer and commercialization experts at MDOutlook about answering your critical questions that arise throughout the life cycle of your brand or service. Oncology is an increasingly complex area, because of the rapidly evolving multi-disciplinary approach to disease management and the intricate diagnosis and treatment of this disease.

Our team of MD and PhD medical analysts, MBA-level commercialization experts and support team of data and research analysts has delivered more than 450 cancer intelligence projects since 2008.

Powered by MDOutlook’s proprietary panel of 95,000 verified and profiled cancer treaters, MDOutlook will address your needs:
Early: Disease Landscape, ThoughtLeader Identification
Pre-Launch: Competitive Intelligence, Concept testing, Segmentation
Launch: KPI Tracking, Adoption Drivers and Barriers, Targeting
Maximization: KPI Tracking, Market Expansion, Competitive Intelligence

Review the latest fact sheet on our Oncology Life Cycle Intelligence capabilities here.

Contact us to discuss how MDOutlook can deliver on your oncology intelligence needs.

Oncology Intelligence: Innovative Solutions to Meet Your Complex Issues

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MDoutlook Total Oncology Intelligence Sq

Since 2008, MDOutlook has built the largest panel of verified cancer treaters in the world. Now at over 95,000 members strong, MDOutlook uniquely identifies and targets oncologists and other physicians dedicated to the management of cancer.

MDOutlook offers clients a range of services powered by this proprietary oncology panel to address the needs of clinical, commercial and business development verticals at life science organizations.

Unlock this Total Oncology Intelligence to answer your questions.

Our team brings the experience of over 450 cancer intelligence projects to the bespoke and syndicated insight our clients require. Access the latest fact sheet on our Total Oncology Intelligence capabilities here.

Contact us to discuss how MDOutlook can deliver on your disease intelligence needs.

MDOutlook OncoPoll ASCO-EHA 2015 – CLL and Multiple Myeloma

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MDOutlook is pleased to release the third report on the clinical impact of new data presented at ASCO and EHA 2015. This report includes analyses from 2 studies in hematologic malignancies involving more than 150 oncologists and hematologists with identified focus on Chronic Lymphocytic Leukemia (CLL) and Multiple Myeloma (MM).

Our MD/PhD Disease Analyst Team reports:
CLL

  • Both the HELIOS and Complement 2 clinical trials will impact the CLL treatment landscape
    – Ibrutinib usage is expected to rise by 50% to 110% across all CLL subgroups in the next 6 months
    – Anti-CD20 mAb usage in CLL is slowly shifting from 1st generation rituximab to 2nd / 3rd generation ofatuzumab and obinutuzumab
  • Physicians have very high expectations for the BCL-2 Inhibitor venetoclax in CLL
    – The new PI3K inhibitors duvelisib and TGR-1202 are also positively viewed

Multiple Myeloma

  • The immune-oncology revolution has come to multiple myeloma with 2 new monoclonal antibodies: the anti-CS1 mAb elotuzumab and the anti-CD38 mAb daratumumab
  • Virtually all oncologists would use elotuzumab in at least some of their relapsed / refractory myeloma patients if it were commercially available today
    – 40% of respondents reported they would use it in 60% or more of their patients
    – Overall, ~50-60% of relapsed / refractory myeloma patients would receive it as treatment
  • Carfilzomib (Kd) is expected to become the preferred proteasome inhibitor over bortezomib (Vd) in the therapy of relapsed MM

Download your complimentary copy of the MDOutlook 2015 ASCO-EHA Syndicated CLL and MM OncoPoll Report  through the link.

MDOutlook continues its commitment to all stakeholders involved in the management of cancer to provide meaningful, timely and relevant insight. As in previous years, we work with Oncology Business Review to share this important research with the cancer community. This is MDoutlook’s 8th consecutive year of syndicated research analyzing new data presented at large cancer meetings, and consists of more than 40 reports since 2008.

MDOutlook is disease intelligence redefined. Governed by top ThoughtLeaders and driven by in-house MD and PhD medical experts, MDOutlook® is powered by a proprietary, global cloud-based disease intelligence platform accessing 1M+ multi-disciplinary treaters of complex diseases, including cancer, hematology, auto-immune diseases.

Email or phone (+1.404.496.4136 / 888.3outlook) to discuss how MDOutlook can answer your disease intelligence needs.

MDOutlook OncoPoll ASCO 2015 – GI Cancers

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MDOutlook proudly presents the second study on the clinical impact of new data presented at ASCO 2015. This OncoPoll™ includes analyses from 2 studies in Gastrointestinal Cancers involving more than 160 oncologists.

Our MD/PhD research team reports the following analysis highlights:
Non-CRC GI Cancers

  • Anti-PD-1 antibodies are expected to have a large impact for selected patients with Gastric, Esophageal and Hepatocellular Cancers
  • At current drug costs, only average value is placed on these agents in GI cancers (lower than what is seen for NSCLC)
  • 75% of the respondents expect the PEGH20 addition to have intermediate or high clinical impact on the treatment of pancreatic cancer
  • Regorafenib will be widely used in advanced G/GEJ cancers upon regulatory approval

Metastatic Colorectal Cancer

  • The immune checkpoint inhibitors (anti-PD-1/PD-L1) are going to have a very significant impact on the treatment landscape for MMR-deficient mCRC
    – Over a quarter of mCRC patients with this deficiency are expected to receive this treatment almost immediately
    – Most mCRC patients will now be tested for an MMR deficiency
  • At today’s prices, physicians see good value in using the anti-PD-1/PD-L1 antibodies for mCRC
  • Combining BRAF+/-MEK inhibitors with anti-EGFR antibodies is initially seen to have only a limited impact on the treatment of BRAF-mutated CRC

Download your complimentary copy of the MDOutlook 2015 ASCO Syndicated GI Cancers OncoPoll here.

MDOutlook continues its commitment to all stakeholders involved in the management of cancer to provide meaningful, timely and relevant insight. As in previous years, we work with Oncology Business Review to share this important research with the cancer community.

MDOutlook is disease intelligence redefined. Governed by top ThoughtLeaders and driven by in-house MD and PhD medical experts, MDOutlook® is powered by a proprietary, global cloud-based disease intelligence platform accessing 1M+ multi-disciplinary treaters of complex diseases, including cancer, hematology, auto-immune diseases.

Email or phone (+1.404.496.4136 / 888.3outlook) to discuss how MDOutlook can answer your disease intelligence needs.

MDOutlook OncoPoll ASCO 2015 – NSCLC and Immune Checkpoint Inhibitors

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MDOutlook celebrates its 8th consecutive year of syndicated research gauging the clinical impact of new data presented at ASCO 2015. Building on over 30 analyses since 2008, MDOutlook today releases the first analysis in a new series covering solid and liquid tumors.

This OncoPoll™ focuses on the continued evolution of targeted therapy, and especially on the clinical impact of exciting new updates for Immune Checkpoint Inhibitors. Our most recent research from 125 global oncologists managing NSCLC patients uncovers that:

  • For cases of NSCLC without driver mutations, treatment with the anti-PD-1/PD-L1 antibodies is expected to become the main 2nd line treatment option
  • These anti-PD-1/PD-L1 antibodies WILL be included in the treatment of ALK+ or EGFR-mutated NSCLC, albeit in 1 later line of therapy (primarily starting in 3rd line)
  • Combining the anti-PD-1/PD-L1 antibodies with the anti-CTLA-4 antibody ipilimumab is seen as a promising approach that will further impact treatment paradigms in the future
  • Even at today’s prices, physicians see good value in using the anti-PD-1/PD-L1 antibodies for NSCLC

Download your complimentary copy of the MDOutlook 2015 ASCO Syndicated NSCLC OncoPoll through the link.

MDOutlook continues its commitment to the cancer community to provide meaningful, timely and relevant insight. As in previous years, we work with Oncology Business Review to share this important research widely.

MDOutlook is disease intelligence redefined. Governed by top ThoughtLeaders and driven by in-house MD and PhD medical experts, MDOutlook® is powered by a proprietary, global cloud-based disease intelligence platform accessing 1M+ multi-disciplinary treaters of complex diseases, including cancer, hematology, auto-immune diseases.

Email or phone (+1.404.496.4136 / 888.3outlook) to discuss how MDOutlook can answer your disease intelligence needs.