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Letters to the Editor

To the Editors of MEDICC Review: 1. Saurez G, Cabanas R, Zaldívar M, Garnier T, That Nimotuzumab increasingly Iglesias B, Piedra P, et al. Clinical Experience shows promise…demonstrates with Nimotuzumab in Cuban Pediatric Patients Saurez and colleagues recently reported in with Brain Tumors, 2005 to 2007. MEDICC Re- MEDICC Review their experience with Ni- the visible, important view 2009 Summer;11(3):27–33. motuzumab in children with progressive or contribution CIM has made 2. Rivera F, Vega-Villegas M, Lopez-Brea MF, Mar- quez R. Current situation of , Ma- recurrent brain tumors.[1] The authors dem- to global cancer research and tuzumab, Nimotuzumab and . Acta onstrated that Nimotuzumab had a broad childhood cancer control Oncol. 2008;47(1):9–19. safety profile and was well-tolerated in chil- 3. Boland WK, Bebb G. Nimotuzumab: a novel dren with malignant brain tumors, thereby anti-EGFR that retains From a public health perspective, the anti-EGFR activity while minimizing skin toxicity. adding to the expanding global scientific burden of malignant brain tumors in chil- Expert Opin Biol Ther 2009 Sep;9(9):1199–1206. base supporting expanded evaluation and 4. Baselga J, Arteaga CL. Critical Update and testing of this novel anti-EGFR (epidermal dren—the specific focus of Saurez et al.’s Emerging Trends in Epidermal Receptor Targeting in Cancer. J Clin Oncol. 2005 ) monoclonal an- report—is significant. These tumors are the leading cause of cancer death in chil- Apr 10;23(11): 2445–59. tibody.[2] Nimotuzumab was developed 5. Baldwin RT, Preston-Martin S. Epidemiology of by the Centro de Inmunología Molecular dren and the second most common can- Brain Tumors in Childhood–A Review. Toxicol (CIM) in , , and has been cer found in children.[5,6] Further, the Appl Pharmacol. 2004 Sep 1;199(2):118–31. economic burden of childhood cancers, 6. Pollack I. Brain tumors in children. N Engl J Med. identified as a promising therapy for a vari- 1994 Dec 1;331(22):1500–7. ety of cancers.[3] In Saurez et al.’s study, Ni- including brain tumors, to society and on 7. Broader JM. Edward M. Kennedy, Senate Stal- motuzumab represents a targeted molecular families is considerable.[8] That Nimotu- wart, Is Dead at 77. The New York Times. 2009 zumab increasingly shows promise as a Aug 26. therapy for treatment of malignant brain tu- 8. Dockerty JD, Skegg D, Williams SM. Economic mor, a disease for which there are few effec- therapy for pediatric and adult malignan- effects of childhood cancer on families. J Paediatr tive treatment options. Targeted molecular cies on a global scale[9] demonstrates Child. 2003 May–Jun;39(4):254–8. therapies, in many ways, are the vanguard the visible, important contribution CIM has 9. Note that Nimotuzumab is currently approved for marketing in more than 20 countries (see www. of new treatments for some cancers.[4] made to global cancer research and child- ymbiosciences.com) and that recently the US hood cancer control. Department of Treasury has enabled the further The impact of malignant brain tumors is testing and development of Nimotuzumab for Timothy De Ver Dye, PhD treatment of solid tumors in the United States devastating: primary prevention is difficult (“YM Biosciences USA receives clearance from due to uncertain associations with risk fac- Professor, Public Health and Preventive US Treasury Department to extend clinical pro- tors, five-year survival rates are low, and Medicine, Microbiology and Immunology gram for Nimotuzumab,” The Wall Street Journal, progression of disease is quick.[5] Until Director, Center for Research and Evalu- August 10, 2009). recently, few new therapies have shown ation promise in extending duration or quality of State University of New York, Upstate life for those afflicted with malignant brain Medical University tumors.[6] United States Senator Edward Professor (Adjunct), Department of Public Kennedy of Massachusetts recently died Administration of a malignant brain tumor,[7] having been Maxwell School of Syracuse University diagnosed a little over one year earlier. Syracuse, New York USA

Erratum

About the Contributers. MEDICC Review. 2009 Summer;11(3):4.

Leonardo Lami Casaus, MD, PhD, should read: “Leonardo Lami Casaus, MD.” The second sentence in Dr Lami’s biographical sketch should read: “He is currently involved in clinical trials evaluating cancer vaccines developed in Cuba, as well as research on in breast cancer patients and a retrospective study of INOR’s 15-year experience with Hodgkin and non- Hodgkin lymphomas.”

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