Chadi’s guest Kashyap Patel (@KashyappatelMd), MD, president of the Community Oncology Alliance (COA), joins the show to give an update on the current initiatives and state of COA and community oncology as a whole. He chronicles his journey to becoming a medical oncologist at a small community center outside of Charlotte (SC) and how he became aware of the pain points of community oncology in the U.S. The conversation moved into the history and initial aim of COA to help community practices prepare to work with and have an identity when facing policymakers, how COA membership dues are put to use, the top five problems facing community oncology today, and why many community practices feel compelled to sell to large health systems. Dr. Patel also shares his vision as the president of COA and what he hopes to accomplish before his term ends.

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Updates from the Community Oncology Alliance with Kashyap Patel

Chadi welcomes back Jack West (@JackWestMD), MD, associate clinical professor and medical oncologist, City of Hope Comprehensive Cancer Center, and Nathan Pennell (@n8pennell), MD, PhD, thoracic medical oncologist, director of the thoracic oncology program and director of clinical research, Cleveland Clinic, to the show. The task was to break down the ADAURA trial again, but to go beyond ADUARA and explore the use of various endpoints in lung cancer and how trials should be optimally designed to assure that patients garner the benefits that they deserve. The trio uses this discussion to contextualize a debate on the FDA lowering vs raising regulation on adjuvant therapies and whether the FDA should simply make drugs available and encourage physicians to use their best clinical judgment when prescribing them. ADAURA is only one study, but there are so many lessons that can be learned from the trial that can benefit current and future trial design.

View Dr. West’s JAMA viewpoint on the ADAURA trial https://jamanetwork.com/journals/jamaoncology/article-abstract/2775933

View Dr. Pennell’s opposing JAMA viewpoint
https://jamanetwork.com/journals/jamaoncology/fullarticle/2775934

Beyond ADAURA: What's Right and What's Wrong With FDA Regulations?

Healthcare Unfiltered is an honest, raw, timely podcast tackling any and all topics in healthcare that affect stakeholders. Dr. Chadi Nabhan uses his dynamic conversational skills to challenge his guests to address controversial and important topics. He also brings on world renowned experts to discuss clinical advances in medicine.

Beyond ADAURA: What's Right and What's Wrong With FDA Regulations?

Healthcare Unfiltered

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