Jewel Samadder

21 posts

Jewel Samadder

Jewel Samadder

@J_Samadder

가입일 Mayıs 2018
3 팔로잉49 팔로워
Jewel Samadder
Jewel Samadder@J_Samadder·
#CGAjc Thank you everyone for participating. I know we are all working together to better the lives of our hereditary cancer patients. Medical trials will be an important option to consider for our patients. twitter.com/SoniaKupfer/st…
Sonia Kupfer@SoniaKupfer

#cgajc Jewel, I wanted to congratulate you on your important work and clinical trials. We finally have a medical option for FAP patients with advanced duodenal disease. Still questions to be answered but already a game-changer.

English
0
0
2
0
Jewel Samadder
Jewel Samadder@J_Samadder·
Personally I think important to combine with COX inhibition (ie. sulindac). The new trial is testing if erlotinib alone is effective at a lower dose (50mg per day). The data will show the answer. #CGAjc twitter.com/SoniaKupfer/st…
Sonia Kupfer@SoniaKupfer

#CGAjc Do you think erlotinib would be effective on its own or is it a combined effect with COX inhibition? Is there any way to predict who will be more likely to respond?

English
0
0
1
0
Jewel Samadder
Jewel Samadder@J_Samadder·
That would be ideal. We are planning to recuit 50 patients and have just started as of January 2018. 3 patients enrolled so far. Likely at least 12-18 months away from completion. #CGAjc twitter.com/SoniaKupfer/st…
Sonia Kupfer@SoniaKupfer

#cgajc When do you anticipate completing the current erlotinib trial? Will be interesting to see if same efficacy but less rash. Would be ideal.

English
0
0
3
0
Jewel Samadder
Jewel Samadder@J_Samadder·
idiopathic pulmonary fibrosis is a very rare complication of erlotinib. Case reportable almost. We did not see any in our trial. Would not worry about IPF in practice, rash is day to day issue. #CGAjc twitter.com/SoniaKupfer/st…
Sonia Kupfer@SoniaKupfer

#cgajc Any concerns about pulmonary toxicity with erlotinib longer term? Someone mentioned this as a concern for polyposis indication. Don't remember this being a problem in your trial. @CGAIGC

English
0
0
2
0
Jewel Samadder
Jewel Samadder@J_Samadder·
At the baseline endoscopy we only sampled one polyp to confirm Spigelman stage which requires histology. Otherwise leave polyps in place for 6 months to monitor effect of the drug. #CGAjc twitter.com/DocStanich/sta…
English
1
0
0
0
Jewel Samadder
Jewel Samadder@J_Samadder·
Insurance is the sticking point. I got two patients covered by sending them through Oncology who prescribed the drug. The other option is the NCI clinical trial ongoing which pays for the drugs. #CGAjc twitter.com/SoniaKupfer/st…
Sonia Kupfer@SoniaKupfer

#CGAjc Coming to the jc a bit late but I wanted to ask Jewel about insurance coverage. I've had trouble getting coverage for erlotinib. Any advice? @CGAIGC

English
0
0
1
0
Jewel Samadder
Jewel Samadder@J_Samadder·
Anyone can prescribe erlotinib, as it is an oral chemotherapy. I have always used an oncology partner to prescribe/monitor these patients with me as they have the nursing resources to follow the patients. Would dose at 50 per day with sulindac.#CGAjc twitter.com/DocStanich/sta…
English
0
0
0
0
Jewel Samadder
Jewel Samadder@J_Samadder·
Great question. Hopefully some GI docs can chime in. Problem is that endoscopic therapies including EMR, ESD, APC are all limited and potentially hazardous in causing a perforation. Chemoprevention is the future. #CGAjc twitter.com/gcleslieb/stat…
Leslie Bucheit@gcleslieb

.@J_Samadder many who do not specialize *specifically* in polyposis may be unfamiliar w/ new therapies (incl. those in trials). What are potential benefits/risks vs current, better known treatments? #CGAjc #GCchat

English
0
1
1
0
Jewel Samadder
Jewel Samadder@J_Samadder·
Also remember that oncology patients on erlotinib are on nearly 5 times the dose of this drug. Current clinical trial through NCI is using a lower dose of erlotinib (50mg) to see if better tolerability. #CGAjc twitter.com/DocStanich/sta…
English
1
0
2
0
Jewel Samadder
Jewel Samadder@J_Samadder·
#CGAJC. Thanks Pete for the question. Though the % of patients with a rash was high (80%), they were all Grade 1 and 2. They could be treated with steroid cream and oral clindmycyin (since the rash is believe to have a bacterial component). #CGA twitter.com/DocStanich/sta…
English
0
0
1
0