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  LeukemiaLinks - Your Link to the Latest Leukemia News  


MARCH 2009 800.955.4572 Email the IRC Forward to a Friend
 

Welcome to LeukemiaLinks, your monthly source of leukemia news, research updates, clinical trials and events sponsored by The Leukemia & Lymphoma Society (LLS). For even more information, regularly visit our Patient Services and Disease Information Web sections.

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Latest Leukemia News

Partially Matched Cord Blood a Good Option for Transplantation in Children
Children in need of myeloablative stem cell transplantation do well with unrelated, partially matched cord blood as an alternative to matched cord blood or bone marrow, according to research.  ::READ MORE NEWS::

LLS Features    ::READ MORE::
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Research Roundup
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IRC Question of the Month   
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Inspirational Stories

Inspirational ImageLearn how individuals touched by blood cancer cope. The LLS LifeMosaic Web feature offers hundreds of inspiring stories by patients and families. Read them or submit your own. This month, read about Sabrina.

Here to Help

For even more information, regularly visit the LLS Web site,
www.LLS.org, where many of our education programs are archived free of charge for convenient access 24/7.

If you haven't found what you're looking for in LeukemiaLinks , please call our Information Resource Center (IRC) to speak with trained information specialists. IRC staff are available Monday through Friday, 9 a.m. to 6 p.m. ET, toll free at (800) 955-4572; email
infocenter@lls.org; or click the "Live Patient Help" button on the www.LLS.org homepage.

 

 

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Commentary
Deborah Banker, Ph.D., shares more news on cancer stem cells.

 


Clinical Trials

We invite you to use our LLS-supported TrialCheck® Web site , a clinical trial search service that offers patients and caregivers immediate access to listings of all leukemia clinical trials. Answer just a few simple questions and a list of available clinical trials related to your cancer will appear in an easy to read list of search results. 

You may also want to visit the National Cancer Institute's Cancer Trials Support Unit, providing resources and information on Phase III cancer treatment trials supported by the National Cancer Institute. :: SELECTED TRIALS::



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Latest Leukemia News

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Bone Marrow Transplant Patients with CML Fare Best with HLA-Identical Sibling Donors
Outcomes of bone marrow transplant for chronic phase chronic myeloid leukemia are best with HLA-identical sibling donors, according to the Journal of Clinical Oncology.

Drilling Down to Eliminate Cancer Disparities
Read about the work of Cheryl L. Willman, M.D., an LLS-funded researcher from New Mexixo.

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LLS Features

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Myelodysplastic Syndromes (MDS): Exploring Current and Emerging Therapies
Register now for this free telephone education program on Thursday, March 26, noon - 1:30 p.m. ET. The guest speaker is Alan F. List, M.D., of H. Lee Moffitt Cancer Center and Research Institute.


Acute Myelogenous Leukemia (AML): Emerging Treatment Approaches
Join this free telephone education program on Wednesday, April 15, noon - 1 p.m. ET. The guest speaker is Judith Karp, M.D., of The Johns Hopkins University. Register online.   

My Personal CML Journey
LLS is proud to offer My Personal CML Journey, an interactive, online video education program. The feature follows the stories and experiences of two chronic myelogenous leukemia (CML) survivors. Learn more.

My Personal Clinical Trials Journey
Participate in this personalized and interactive program that follows the stories and experiences of three cancer survivors who have participated in clinical trials.

Co-Pay Assistance Program Broadens Funding
Qualified patients with chronic myelogenous leukemia can now receive up to $5,000 in assistance from LLS' Co-Pay Assistance Program. The aid helps offset prescription drug co-pays and other insurance-related expenses according to disease diagnosis.

LLS Advocacy
LLS's advocacy team represents the needs of cancer patients and their families in Washington, DC and state capitals throughout the United States. We need your help. Join our Advocates Network and make your voice heard. 

Take Action: Urge Your Representative to Join the Pediatric Cancer Caucus

Find out about updates to COBRA covered by the Recovery Act signed into law on Feb. 17.
 
Patient Services Survey
Please give us your feedback by completing LLS Disease & Treatment Publications - Survey for Patients, Family and Friends.

LLS Blog

Two New Promotions Support LLS's Mission

  • Gap Inc's nationwide Give & Get Program will benefit you with a special 30-percent discount coupon good at all Gap, Old Navy and Banana Republic stores. Five percent of all net sales go to LLS. Click here for details. The program ends today.
  • You can now have an LLS- or TNT-branded VISA credit card, personalized with any image you choose. LLS will receive $50 for each card used plus a percentage of all purchases. Click here for details.


The Leukemia & Lymphoma Society is committed to curing blood cancers and helping patients and their families.
Learn the many ways you can help advance LLS's mission. 
 


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Research Roundup

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Unrelated cord blood and mismatched unrelated volunteer donor transplants, two alternatives in patients who lack an HLA-identical donor  ::READ MORE:: 

A Phase I study of tipifarnib combined with conventional induction and consolidation therapy for previously untreated patients with acute myeloid leukemia aged 60 years and over  ::READ MORE:: 

The physician-patient relationship and quality of life: lessons from chronic lymphocytic leukemia  ::READ MORE::

New therapeutic strategies in acute lymphoblastic leukemia  ::READ MORE::

Cytogenetic and molecular responses to standard-dose imatinib in chronic myeloid leukemia are correlated with Sokal risk scores and duration of therapy but not trough imatinib plasma levels  ::READ MORE::

Allogeneic SCT in refractory or relapsed adult ALL is effective without prior reinduction chemotherapy  ::READ MORE::

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Clinical Trials
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Selected Trials

Phase II/III: Efficacy and Safety Study of StemEx®, to Treat Subjects with High Risk Hematologic Malignancies, Following Myeloablative Therapy  ::READ MORE:: 

A Phase Ib Study of ISF35 in Combination with Chemotherapy (FCR) in Subjects with Relapsed, Refractory and/or 17p- CLL  ::READ MORE:: 

Phase II: Combination of GTI 2040 and Cytarabine in the Treatment of Refractory and Relapsed Acute Myeloid Leukemia  ::READ MORE:: 

Epratuzumab and Combination Chemotherapy in Treating Young Patients with Relapsed Acute Lymphoblastic Leukemia  ::READ MORE:: 

Dasatinib and Vorinostat in Treating Patients with Accelerated Phase or Blastic Phase Chronic Myelogenous Leukemia or Acute Lymphoblastic Leukemia  ::READ MORE:: 

Phase III: Oral Nilotinib in Adults with Chronic Myeloid Leukemia in Blast Crisis Who Are Imatinib Resistant or Intolerant  ::READ MORE:: 

Bevacizumab in Treating Patients with Relapsed or Refractory Chronic Lymphocytic Leukemia  ::READ MORE:: 

Phase II: CPX-351 in Newly Diagnosed Edlerly AML Patients  ::READ MORE::

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IRC Question of the Month: Mouth Sores
Q&A

Q: I am starting chemotherapy for leukemia and I know that painful mouth sores can be a side effect. Is there anything to prevent or treat this?

A: It's great that you're seeking side effects information before starting treatment. Most cancer therapies do affect healthy cells, but side effects can be managed and are usually temporary. Side effects vary, depending on your treatment - discuss the side effects you may experience with your doctor. Together, you can weigh any unwanted effects against the benefits of therapy. Once treatment begins, don't delay to tell your doctor about any side effects you experience and seek help to manage them - don't "tough it out."  

Cells that line the mouth, throat, esophagus, stomach and intestines are sensitive to the effects of chemotherapy and/or radiation therapy. Painful mouth and throat sores called "oral mucositis" can develop as a result of treatment with high-dose chemotherapy and or radiation. Treatment for this side effect is important - to relieve the discomfort or pain it can cause; to ensure that it doesn't interfere with nutrition or oral medication needs; and to manage the risk of infection.  

Drug, mouth care and nutrition approaches are used to prevent or limit the severity of oral mucositis. For some people, treatment includes the drug palifermin (Kepivance®). Palifermin is given intravenously and stimulates the cells lining the mouth and other parts of the digestive tract to grow and develop. Other topical and intravenous agents, are being evaluated for their ability to prevent or treat mucositis.

Mouth care includes use of mouth rinses recommend by the doctor. It's important to avoid mouth washes that contain peroxide or alcohol. Oral mucositis and other side effects of treatment make it a challenge to take in enough calories and protein. Nutrition management is important because both cancer and its treatments increase the body's need for calories and protein.

Nutrition strategies include: 

  • Request pain medication if discomfort is keeping you from eating; soothe your mouth and throat with ice chips (suck, don't chew), Popsicles, ice cream or frozen yogurt.
  • Cook foods until soft or prepare foods in a blender or food processor.
  • Eat high-protein, high-calorie foods to speed healing of the sores or supplement with liquid protein drinks recommended by your doctor; try creamed soups, mashed potatoes, puddings, cooked cereals, served lukewarm or cold.
  • Serve drinks lukewarm or cold and use a straw to bypass mouth sores. Ask you doctor for a complete list of foods and drinks to avoid.

Occasionally, oral mucositis is severe enough to warrant a period of prescribed high-calorie and high-protein supplements with tube or intravenous (IV) feeding until eating and drinking can resume. These forms of therapy may be used to keep patients as healthy and strong as possible during treatment. 

For more information, see Understanding Drug Therapy and Managing Side Effects and Food and Nutrition Facts. Also, see Treatment at www.LLS.org/whattoask for free printable question guides to help you talk to your doctor about side effects and other aspects of treatment.

Please call our Information Resource Center (IRC) to speak with a trained information specialist. IRC staff are available Monday through Friday, 9 a.m. to 6 p.m. ET, toll free at (800) 955-4572. Contact us online or click the "Live Patient Help" button on the www.LLS.org homepage.


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