CE Disclosures and Faculty Information

• TARGET AUDIENCE
  This activity is intended for medical oncologists, oncology fellows, oncology nurses and other healthcare providers involved in the treatment of breast cancer.
  
  OVERVIEW OF ACTIVITY
  Breast cancer remains the most frequently diagnosed cancer in women, and in 2016 in the United States alone the disease culminated in an estimated 246,660 new cases and 40,890 deaths. The current clinical management of breast cancer is multidisciplinary and includes surgical resection of local disease with or without radiation therapy and the treatment of systemic disease with cytotoxic chemotherapy, endocrine therapy, biologic therapy or combinations of these approaches. The indications for and utility of these local and systemic treatment options are largely based on a number of prognostic and predictive risk factors present in the patient or her tumor at the time of diagnosis. While the diagnosis and treatment of breast cancer is still in many ways more advanced than that of other solid cancers, challenging issues in the basic management of this disease continue to require refinement. Many areas of controversy persist within the academic and community settings despite several consensus- and evidence-based treatment guidelines that aim to assist clinicians in making breast cancer management decisions in a dynamic clinical and research environment. To provide clinicians with therapeutic strategies to address the disparate needs of patients with breast cancer, this program will present the perspectives of clinical investigators on key challenges and controversies to address the existing management uncertainties of clinician learners and help keep them up to date in a continuously evolving therapeutic landscape.
  
  LEARNING OBJECTIVES
  

  • Review faculty recommendations for the selection and use of evidence-based neoadjuvant treatment regimens for patients with early breast cancer, and consider this information when caring for such patients.
  • Compare and contrast faculty preferences on the use of genomic assays as tools to assist in neoadjuvant treatment decision-making.
  • Evaluate the importance of residual tumor size in faculty preferences for the administration of additional chemotherapy to patients with residual disease after neoadjuvant chemotherapy.
  • Assess approaches considered by the faculty for the management of the axilla —sentinel lymph node biopsy or axillary lymph node dissection — in patients with invasive breast cancer and axillary adenopathy who experience clinical responses to neoadjuvant chemotherapy.

  ACCREDITATION STATEMENT
  Research To Practice is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
  
  CME credit is no longer available for this issue
  
  CREDIT DESIGNATION STATEMENT
  
  CME credit is no longer available for this issue
  
  AMERICAN BOARD OF INTERNAL MEDICINE (ABIM) — MAINTENANCE OF CERTIFICATION (MOC)
  
  CME credit is no longer available for this issue
  
  HOW TO USE THIS CME ACTIVITY
  This CME activity consists of a text component. This CME activity consists of a video component.
  
  CME credit is no longer available for this issue

  CONTENT VALIDATION AND DISCLOSURES
  Research To Practice (RTP) is committed to providing its participants with high-quality, unbiased and state-of-the-art education. We assess conflicts of interest with faculty, planners and managers of CME activities. Conflicts of interest are identified and resolved through a conflict of interest resolution process. In addition, all activity content is reviewed by both a member of the RTP scientific staff and an external, independent physician reviewer for fair balance, scientific objectivity of studies referenced and patient care recommendations.

  FACULTY — The following faculty (and their spouses/partners) reported relevant conflicts of interest, which have been resolved through a conflict of interest resolution process:

  Sarat Chandarlapaty, MD, PhD
  Medical Oncologist
  Memorial Sloan Kettering Cancer Center
  New York, New York
  
  Consulting Agreements: Agendia Inc, AstraZeneca Pharmaceuticals LP, Chugai Pharmaceutical Co Ltd, MacroGenics Inc, Sermonix Pharmaceuticals; Contracted Research: Lilly, Novartis Pharmaceuticals Corporation.
  
  William J Gradishar, MD
  Betsy Bramsen Professor of Breast Oncology and Professor of Medicine
  Deputy Director, Clinical Network
  Robert H Lurie Comprehensive Cancer Center of Northwestern University
  Director, Maggie Daley Center for Women’s Cancer Care
  Deputy Chief, Division of Hematology/Oncology
  Northwestern University Feinberg School of Medicine
  Chicago, Illinois
  
  No financial interests or affiliations to disclose.
  
  Kathy D Miller, MD
  Co-Director, IU Simon Cancer Center Breast Cancer Program
  Ballvé-Lantero Scholar in Oncology
  Professor of Medicine, Division of Hematology/Oncology
  The Indiana University Melvin and Bren Simon Cancer Center
  Indianapolis, Indiana
  
  Contracted Research: Astellas Pharma Global Development Inc, Genentech BioOncology, Medivation Inc, Merrimack Pharmaceuticals Inc, Novartis Pharmaceuticals Corporation, Pfizer Inc, Taiho Oncology Inc; Data Monitoring Committee: ImClone Systems, a wholly owned subsidiary of Eli Lilly and Company, Merck.
  
  Ruth M O’Regan, MD
  Professor of Medicine
  Chief, Division of Hematology/Oncology
  University of Wisconsin Carbone Cancer Center
  Madison, Wisconsin
  
  Advisory Committee: bioTheranostics Inc, Lilly, Pfizer Inc; Contracted Research: Novartis Pharmaceuticals Corporation, Pfizer Inc.
  
  Lee S Schwartzberg, MD
  Medical Director, The West Clinic
  Clinical Professor of Medicine
  University of Tennessee School of Medicine
  Memphis, Tennessee
  
  Consulting Agreements: Amgen Inc, Bristol-Myers Squibb Company, Genomic Health Inc, Pfizer Inc, Spectrum Pharmaceuticals Inc; Speakers Bureau: Genentech BioOncology.
  
  Melinda L Telli, MD
  Assistant Professor of Medicine
  Stanford University School of Medicine
  Stanford, California
  
  Advisory Committee: Tesaro Inc, Vertex Pharmaceuticals Incorporated; Consulting Agreement: AstraZeneca Pharmaceuticals LP; Contracted Research: Abbott Laboratories, Calithera Biosciences, Genentech BioOncology, Medivation Inc, OncoSec Medical, PharmaMar, Vertex Pharmaceuticals Incorporated.
  
  Sarah M Tolaney, MD, MPH
  Department of Medical Oncology
  Dana-Farber Cancer Institute
  Assistant Professor in Medicine
  Harvard Medical School
  Boston, Massachusetts
  
  Contracted Research: Genentech BioOncology, Lilly, Merck, Novartis Pharmaceuticals Corporation, Pfizer Inc.
  
  Denise A Yardley, MD
  Senior Investigator, Breast Cancer Research
  Sarah Cannon Research Institute 
  Tennessee Oncology PLLC
  Nashville, Tennessee
  
  Advisory Committee: Novartis Pharmaceuticals Corporation; Speakers Bureau: Eisai Inc, Genentech BioOncology.
  
  

  EDITOR — Dr Love is president and CEO of Research To Practice, which receives funds in the form of educational grants to develop CME activities from the following commercial interests: AbbVie Inc, Acerta Pharma, Agendia Inc, Amgen Inc, Ariad Pharmaceuticals Inc, Array BioPharma Inc, Astellas Pharma Global Development Inc, AstraZeneca Pharmaceuticals LP, Baxalta Inc, Bayer HealthCare Pharmaceuticals, Biodesix Inc, bioTheranostics Inc, Boehringer Ingelheim Pharmaceuticals Inc, Boston Biomedical Pharma Inc, Bristol-Myers Squibb Company, Celgene Corporation, Clovis Oncology, CTI BioPharma Corp, Daiichi Sankyo Inc, Dendreon Pharmaceuticals Inc, Eisai Inc, Exelixis Inc, Foundation Medicine, Genentech BioOncology, Genomic Health Inc, Gilead Sciences Inc, Halozyme Therapeutics, ImmunoGen Inc, Incyte Corporation, Infinity Pharmaceuticals Inc, Janssen Biotech Inc, Jazz Pharmaceuticals Inc, Lilly, Medivation Inc, Merck, Merrimack Pharmaceuticals Inc, Myriad Genetic Laboratories Inc, NanoString Technologies, Natera Inc, Novartis Pharmaceuticals Corporation, Novocure, Onyx Pharmaceuticals, an Amgen subsidiary, Pharmacyclics LLC, an AbbVie Company, Prometheus Laboratories Inc, Regeneron Pharmaceuticals, Sanofi, Seattle Genetics, Sigma-Tau Pharmaceuticals Inc, Sirtex Medical Ltd, Spectrum Pharmaceuticals Inc, Taiho Oncology Inc, Takeda Oncology, Tesaro Inc, Teva Oncology, Tokai Pharmaceuticals Inc and VisionGate Inc.  

  RESEARCH TO PRACTICE STAFF AND EXTERNAL REVIEWERS — The scientific staff and reviewers for Research To Practice have no relevant conflicts of interest to disclose.

  This educational activity contains discussion of published and/or investigational uses of agents that are not indicated by the Food and Drug Administration. Research To Practice does not recommend the use of any agent outside of the labeled indications. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications and warnings. The opinions expressed are those of the presenters and are not to be construed as those of the publisher or grantors.

  This activity is supported by educational grants from Celgene Corporation, Genentech BioOncology, Genomic Health Inc, Lilly and Novartis Pharmaceuticals Corporation.

  Hardware/Software Requirements:
  A high-speed Internet connection
  A monitor set to 1280 x 1024 pixels or more
  Internet Explorer 7 or later, Firefox 3.0 or later, Chrome, Safari 3.0 or later
  Adobe Flash Player 10.2 plug-in or later
  Adobe Acrobat Reader
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  Last review date: January 2017
  Expiration date: January 2018