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Perspective
Volume 356:2445-2448 June 14, 2007 Number 24
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Weighing the Hazards of Erythropoiesis Stimulation in Patients with Cancer
Fadlo R. Khuri, M.D.

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On May 10, 2007, the Food and Drug Administration (FDA) convened a meeting of its Oncology Drug Advisory Committee to discuss concerns about risks associated with the erythropoiesis-stimulating agents (ESAs) used to treat anemia caused by chemotherapy. The principal ESAs under scrutiny were epoetin alfa (Procrit, Eprex, and Epogen) and darbepoetin alfa (Aranesp), and the risks — actual or potential — were thromboembolic disease, promotion of tumor growth, and decreased survival. The actual risk of thromboembolic events was shown in two phase 3 clinical trials, reported in the Journal in 2006, that unequivocally showed an increased risk of death or . . . [Full Text of this Article]


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Dr. Khuri is a professor and the section head of hematology and medical oncology at the Emory Winship Cancer Institute, Atlanta.

An interview with James Doroshow, director of the Division of Cancer Treatment and Diagnosis at the National Cancer Institute, can be heard at www.nejm.org.


Related Letters:

Erythropoietins in Oncology
Lattanzi S. C., Khuri F. R.
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N Engl J Med 2007; 357:1262-1263, Sep 20, 2007. Correspondence

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