Oncobesity News Posts

US breast cancer deaths fall but younger women increasingly diagnosed – study 

Report shows significantly improved survival rates but a steep increase in disease among women younger than 50A new report from the American Cancer Society (ACS) finds that breast cancer deaths have dropped dramatically since 1989, averting more than 517,900 probable deaths.However, the report also reveals younger women are increasingly diagnosed with the disease, a worrying finding that mirrors a rise in colorectal and pancreatic cancers. Continue reading…

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3 More Benefits GLP-1 Drugs Like Ozempic May Provide in Addition to Weight Loss

New research suggests GLP-1 medications like Ozempic may help lower several health risks in addition to treating type 2 diabetes and obesity. Igor Alecsander/Getty Images

GLP-1 medications are most often used to treat type 2 diabetes and obesity.

However, new research has found that they may have other applications.

They may help lower the risk of opioid overdose as well as early death.

They might also help reduce the symptoms of hidradenitis suppurativa, a chronic skin condition.

GLP-1 drugs like Ozempic, Wegovy, Mounjaro, and Zepbound have gained popularity in recent years due to their ability to help manage type 2 diabetes and aid with weight loss.

However, researchers are finding other promising applications for these drugs as well.

From protecting against heart attacks and strokes to lowering the risk of developing severe COVID-19, a number of new studies suggest GLP-1s could help prevent and treat several conditions, including brand-new research that has linked them with three additional health benefits: treating the chronic skin condition hidradenitis suppurativa (HS), lowing the risk of an opioid overdose, and reducing the risk of early death.

Semaglutide linked with reduced risk of opioid overdose

A September 25, 2024, study published in JAMA Network Open found an association between semaglutide use and a significantly lower risk of opioid overdose over the course of one year.

Semaglutide is the active ingredient in Ozempic and Wegovy.

According to Dr. Ramit Singh Sambyal, a General Physician associated with ClinicSpots who was not involved in the study, this could be because of how GLP-1 agonists like semaglutide impact the brain’s reward and appetite pathways.

“GLP-1 affects areas of the brain involved in regulating food intake and cravings such as the hypothalamus and the mesolimbic reward system,” he said. “These same areas are also involved in addiction-related behaviors.”

Sambyal went on to explain that modulating the brain’s reward system could theoretically reduce people’s cravings and make addictive drugs like opioids less rewarding.

“If true, this could help people with opioid use disorder by reducing the desire to misuse opioids or by making them less appealing overall,” he said.

Fewer episodes of hidradenitis suppurativa linked with semaglutide use

Another potential area of risk reduction is the chronic inflammatory skin condition hidradenitis suppurativa (HS).

New research presented at the European Academy of Dermatology and Venereology (EADV) Congress 2024, held September 25-28 in Amsterdam, found that patients receiving semaglutide had fewer HS flare-ups, going from having them about once every 8.5 weeks to once every 12 weeks.

Also, their C-reactive protein, a marker for inflammation, dropped significantly, going from 7.8 to 6.9.

Sambyal said that GLP-1 receptor agonists’ anti-inflammatory effects might explain why they can help manage HS.

He also believes that their ability to improve insulin sensitivity and reduce systemic inflammation could potentially reduce the chronic inflammation that contributes to the painful nodules seen in HS.

“Since inflammation is a driving factor in many chronic conditions, including autoimmune diseases, the anti-inflammatory properties of GLP-1 drugs may extend to skin conditions like HS, even though direct evidence is still limited,” said Sambyal.

Lower risk of early death associated with GLP-1 drugs

Additionally, GLP-1 drugs could help reduce people’s risk of early death.

According to an August 30, 2024 study published in the Journal of the American College of Cardiology, patients treated with semaglutide had lower rates of death from any cause.

Death rates were driven by both cardiovascular and non-cardiovascular causes, according to the authors, however, non-cardiovascular deaths were mainly because of fewer people dying from infections.

“The suggestion that GLP-1 drugs might lower the risk of early death could be linked to the broad range of benefits they offer for overall metabolic health,” said Sambyal. “These drugs improve glycemic control, reduce body weight, and lower blood pressure—three major factors that influence long-term health and mortality risk.”

Sambyal added that even in people without diabetes, improving these factors could reduce the risk of cardiovascular diseases.

“Theoretically, if GLP-1 receptor agonists can help people maintain a healthier metabolic profile over the long term,” he said, “it might explain why some early studies have found an association with reduced mortality.”

Sambyal further noted that GLP-1 drugs can improve heart health directly.

“These drugs have been shown to have cardioprotective effects, including reducing inflammation in blood vessels and improving endothelial function,” he said, explaining that this could lower people’s risk of heart disease even if they don’t have diabetes.

Learn more about how to get GLP-1 medications like Ozempic, Wegovy, Mounjaro, and Zepbound from vetted and trusted online sources here:

How to Get Ozempic: Everything You Need to Know

Where to Buy Ozempic Online

How to Get Wegovy for Weight Loss In Person and Online

How to Get a Wegovy Prescription Online

How to Get Zepbound: What We Know So Far

Where to Buy Zepbound Online

How to Get Mounjaro (Tirzepatide)

Where to Buy Mounjaro (Tirzepatide) Online

Other potential health benefits of GLP-1 agonists

Jana Abelovska, Superintendent Pharmacist at Click Pharmacy, added that, in addition to these three recent studies, scientists are “discovering a slew of other benefits.”

There’s some evidence that people had a lower risk of cognitive problems as well as being less likely to be addicted to nicotine, she said.

“Although this link is not yet fully understood, it means that the drug may be useful in preventing cognitive decline in later life, as well as helping people give up smoking,” said Abelovsak.

Additionally, there is ongoing research looking at whether semaglutide could be used to treat Alzheimer’s disease, which is thought to be linked with brain inflammation.

Abelovska further noted that semaglutide might be a potential treatment for chronic kidney disease.

“[P}eople taking it were less likely to need dialysis or lose kidney function,” she said

Finally, Abelovsia pointed to a study that found that semaglutide reduced the risk of 10 different types of cancer in people who were taking the drug for diabetes.

Takeaway

GLP-1 drugs like Ozempic and Wegovy are most often used to treat type 2 diabetes and obesity.

However, recent research indicates that they might also benefit health in other ways, such as reducing people’s risk for opioid overdose, lowering the inflammation associated with hdradenitis suppurative, and preventing early death.

Other promising applications that scientists are looking at include reducing the risk of cognitive problems, helping people to stop smoking, treating chronic kidney disease, and lowering the risk of several types of cancer.

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Beyonce’s Dad, Mathew Knowles, Details His Journey to Become a Breast Cancer Survivor 

Beyonce’s father, Mathew Knowles, is sharing the details of his breast cancer journey to help raise awareness about the early signs he noticed, the importance of screenings, and how he prioritized his health after diagnosis. Photography by Keer Orr and Veronica Hill for Point & Click Photography

Beyonce’s father is opening up about his journey with breast cancer.

Mathew Knowles wants men to know they can get breast cancer, too.

He is working to raise awareness about breast cancer gene mutations and the importance of screening.

With superstar daughters like Beyonce and Solange, Mathew Knowles may be one of the most famous dads in the U.S. However, he is also a music executive, entrepreneur, motivational speaker, and breast cancer survivor.

In 2019, after noticing bloody discharge from his nipples, he sought medical attention. His doctor ordered a mammogram, ultrasound, and a biopsy, which led to a stage 1A breast cancer diagnosis.

About 1 out of every 100 breast cancers diagnosed in the United States is discovered in a man.

“There’s an amount of shame sometimes that men have with male breast cancer, but the more you talk about it, the more I find, the more you are open, it loses its power. For me, it does, so I talk about it,” Knowles told Healthline.

How Mathew Knowles’ breast cancer was treated

Knowles’ treatment involved a mastectomy.

Because men have a small amount of breast tissue, they typically need to have the entire breast removed to be treated with cancer in the breast, said Maria Castaldi, MD, Director of Breast Health Services at NYC Health and Hospitals.

“However, if the tumor is small enough, men may have the option of breast conservation and only removing the cancerous part of the breast. This option of partial breast removal, though, requires radiation after surgery,” she told Healthline.

Knowles did not require radiation after his mastectomy. Around the time he had surgery, he also underwent genetic testing, which revealed he carries the BRCA2 gene mutation.

What is the BRCA2 gene mutation?

Castaldi explained that everyone has the tumor suppressor genes BRCA1 and BRCA2, which are important in fighting cancer.

“When a person has a mutation in one of these genes, the genes are prevented from working normally. BRCA tests determine if a person has a mutation in the gene, and if so, then it raises a person’s risk for breast and other cancers,” she said.

While 13% of women in the general population will develop breast cancer in their lifetime, more than 60% of women who carry BRCA1 or BRCA2 gene mutations will.

“If a man has a BRCA2 mutation, they have a 6% absolute risk of having breast cancer in his lifetime. This is 100 times higher than the general male population,” Wassim McHayleh, MD, medical oncologist and clinical program director for the Breast Cancer Program at the AdventHealth Cancer Institute, told Healthline.

Men who inherit a BRCA1 or BRCA2gene mutation also have a higher risk of developing prostate and pancreatic cancer.

Why Knowles receiving genetic testing may help Beyonce, too

The children of people with BRCA1 or BRCA2 gene mutations have a 50% chance of inheriting it from their parents. Knowles knew of several family members who died of breast cancer on his mother’s side, including his aunt and her two daughters. On his father’s side, four of his uncles died of prostate cancer. 

Because men can inherit a BRCA defective gene from either their father or mother, Castaldi said it is important to know of close relatives, men or women, who have cancer at a young age, or female relatives who have ovarian cancer.

“These details are a significant part of family history for men and could be an indication that a man should undergo BRCA testing,” she said. “Once you are aware of a possible mutation, you can work with your physician to develop a cancer risk management assessment program for certain screening tests.”

With such a strong familial connection for Knowles, he was happy to be able to share genetic knowledge with his family.

“It’s critical. I wouldn’t want my kids or my wife or my brother, sister, not to be informed,” said Knowles. “That’s the beauty about genetic testing…it gives you the information, and it allows you to share that information with the people you love.”

To spread awareness about genetic testing, he partnered with AstraZeneca and its BeBRCAware campaign, which aims to educate people about the importance of genetic testing, understanding family history and risks for breast, prostate and other cancers, and how the presence of an inherited BRCA mutation can help inform your care.

Knowledge is power for Knowles

July marked five years since Knowles was diagnosed with breast cancer. He has not had any recurrences since.

“I’m very grateful. That’s kind of the benchmark that you can kind of breathe,” he said.

However, he is proactive in prioritizing his health. After his diagnosis, Knowles lost 30 pounds, changed his diet, and continues to exercise regularly. He also takes screening seriously. Each year he gets a mammogram and MRIs of his prostate and has his PSA levels tested for prostate cancer.

He says fear of knowing may be why some men and women don’t get screening tests done.

“I’m just the opposite because I worked 20 years in diagnostic imaging. I understand the earlier you find something, the better the results,” said Knowles. “I understand that and in our lifetime, something might happen. None of us are going to live to be 200 years old. I’d much rather find it early than find it at a later stage.”

In fact, Castaldi pointed out that breast cancer in men has traditionally been reported to have a worse prognosis than breast cancer in women based on later stage at diagnosis as well as older age commonly observed in men with breast cancer.

“Lack of early detection and disparities in treatment were believed to be responsible for worse outcomes,” she said.

For men who are at higher risk of getting breast cancer, McHayleh said they can perform monthly self-breast examines starting at age 35, a clinical breast examination once a year, mammography at age 50 or 10 years before the age of the earliest known male family member who had breast cancer.

Regarding prostate cancer, he said screening should start at age 40.

“[If] there is a strong family history, genetic counseling is indicated with appropriate genetic testing,” he said. “Early detection allows cancer diagnosis at early stage with a much higher cure rate.”

Knowles hopes men take this to heart. Although he has talked about female breast cancer for decades due to his work selling mammography equipment in the 1980s, he said this era requires expanding on that message.

“Now I’m talking more or equally about male breast cancer and prostate,” he said. “I have a platform…I want to use this platform to save lives, and [I’m] grateful that I have it.”

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Basketball stars open up about impact of breast cancer in their lives 

WNBA’s Kahleah Cooper and NBA’s Donovan Clingan open up about how they have been personally impacted by breast cancer. Dr. Susan Domchek speaks on the importance of genetic testing for prevention and early detection and TODAY’s Jill Martin shares her own journey and how it inspired her to team up her clothing brand with the NBA and WNBA to raise awareness.

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Aspirin vs Placebo as Adjuvant Therapy for Breast Cancer—Reply 

In Reply Alliance A011502, a randomized trial of aspirin 300 mg daily compared with placebo among 3020 survivors of high-risk nonmetastatic breast cancer, was terminated early due to lack of benefit from aspirin. Dr Thorat and colleagues note that for some cancers (eg, colorectal cancer) and different settings (eg, primary prevention), the time course of benefit can differ. However, in the adjuvant setting, it would still be most appropriate to use the standard stopping rules applied to adjuvant treatments such as hormonal therapy for hormone receptor–positive cancers, which, as Thorat and colleagues point out, can have a more indolent course with late recurrences. In our trial, the futility bound was crossed with a numerically worse hazard ratio for invasive disease–free survival (hazard ratio, 1.27; 95% CI, 0.99-1.63; P = .06), making it unlikely that a benefit would have been observed with further follow-up.

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Aspirin vs Placebo as Adjuvant Therapy for Breast Cancer 

To the Editor The Alliance A011502 trial was stopped early for futility at a median duration of just over 1.5 years and a follow-up of less than 3 years. The mechanisms of action and optimal dose associated with aspirin’s cancer-preventive effect remain an area of active research. Trials such as Add-Aspirin and CaPP3 (ISRCTN16261285) are comparing different doses of aspirin in both the adjuvant setting and among individuals with Lynch syndrome. However, prior data make clear that aspirin’s beneficial effect on cancer incidence and mortality does not emerge until at least 5 to 10 years of follow-up and likely persists for at least 10 years after cessation of use. These unique features of aspirin’s preventive effects are particularly relevant for malignancies with a low risk of early events and deaths, such as hormone receptor–positive breast cancer, in which the annual hazards of recurrence are low but remain stable during a prolonged period, up to 20 years. The eligibility criteria of this trial were revised according to this rationale. Almost 90% of the participants in the Alliance A011502 trial were women with hormone receptor–positive breast cancer. Therefore, the number of events accrued at the early-stoppage decision likely represented only a fraction of events that would be expected in the long term. In this context, we suggest that the futility therefore should not have been based on typical statistical criteria but rather should have also considered the unique pharmacology of aspirin and the natural history of breast cancer, for which longer follow-up, as originally planned, would have been more informative.

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Overall Survival with Pembrolizumab in Early-Stage Triple-Negative Breast Cancer 

1. The 5-year OS rate for pembrolizumab vs placebo was 86.1% vs 81.7% with HR 0.51 (significant). 2. Immune-mediated adverse events grade 3 or higher occurred in 13.0% with pembrolizumab vs 1.5% with placebo. Evidence Rating Level: 1 (Excellent) Study Rundown: Triple-negative breast cancer (TNBC) is an aggressive subtype that lacks key therapeutic targets, leading
The post Overall Survival with Pembrolizumab in Early-Stage Triple-Negative Breast Cancer first appeared on 2 Minute Medicine. Source: 2 Minute Medicine

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#VisualAbstract: Pembrolizumab Increases Survival in Early-Stage Triple-Negative Breast Cancer 

Click here to read this study in NEJM. ©2024 2 Minute Medicine, Inc. All rights reserved. No works may be reproduced without expressed written consent from 2 Minute Medicine, Inc. Inquire about licensing here. No article should be construed as medical advice and is not intended as such by the authors or by 2 Minute Medicine, Inc.
The post #VisualAbstract: Pembrolizumab Increases Survival in Early-Stage Triple-Negative Breast Cancer first appeared on 2 Minute Medicine. Source: 2 Minute Medicine

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