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      Thursday, March 23, 2023
      News & Perspective Drugs & Diseases CME & Education Academy Video Decision Point
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      CME / ABIM MOC

      Emerging Pathways in Advanced Cholangiocarcinoma

      • Authors: Milind Javle, MD; Tin-Yun Tang, MD; Arndt Vogel, MD; Rachna Shroff, MD, MS
      • CME / ABIM MOC Released: 3/11/2022
      • THIS ACTIVITY HAS EXPIRED
      • Valid for credit through: 3/11/2023
      Start Activity

      Target Audience and Goal Statement

      This activity is intended for oncologists, gastroenterologists, pathologists, and other healthcare providers caring for patients with cholangiocarcinoma (CCA)

      The goal of this activity is for learners to better understand biomarker testing in patients with CCA, mechanisms of action (MOAs) of emerging treatment pathways, and the efficacy and safety of new agents.

      Upon completion of this activity, participants will:

      • Have increased knowledge regarding the
        • Biomarker expression within CCA
        • MOAs of novel agents in CCA
      • Have greater competence related to
        • Testing for biomarkers within CCA
      • Demonstrate greater confidence in their ability to
        • Understand the side effects of targeted therapies used to manage CCA

      Disclosures

      Medscape, LLC requires every individual in a position to control educational content to disclose all financial relationships with ineligible companies that have occurred within the past 24 months. Ineligible companies are organizations whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

      All relevant financial relationships for anyone with the ability to control the content of this educational activity are listed below and have been mitigated according to Medscape policies. Others involved in the planning of this activity have no relevant financial relationships.

      Faculty

      • Milind Javle, MD

        Department of Gastrointestinal Medical Oncology
        Division of Cancer Medicine
        The University of Texas
        MD Anderson Cancer Center
        Houston, Texas, United States

        Disclosures

        Disclosure: Milind Javle, MD, has the following relevant financial relationships:
        Advisor or consultant for: AstraZeneca; Bristol Myers Squibb; EMD Serono; Meclun; Taiho; TransThera; QED
        Speaker or a member of a speakers bureau for: Agios; Incyte Corporation; QED
        Grants for clinical research from: Agios; Aslan; AstraZeneca; Basilea; EMD Serono; Eli Lilly; Incyte Corporation; Merck; Novartis; QED
        Other: Steering committee: Incyte Corporation; NuCana; PCI

      • Tin-Yun Tang, MD

        Hematology/Oncology Fellow
        The University of Texas
        MD Anderson Cancer Center
        Houston, Texas, United States

        Disclosures

        Disclosure: Tin-Yun Tang, MD, has the following relevant financial relationships:
        Stocks, stock options, or bonds from: Invitae, Editas, UniQure

      • Arndt Vogel, MD

        Professor
        Medical School Hannover
        Hannover, Germany

        Disclosures

        Disclosure: Arndt Vogel, MD, has the following relevant financial relationships:
        Advisor or consultant for: AstraZeneca; Bayer; Bristol Meyers Squibb; BTG; Eisai; GlaxoSmithKline; Imaging Equipment Ltd (AAA); Incyte Corporation; Ipsen; Lilly; Merck; Merck Sharp & Dohme; Novartis; Pierre Fabre; Roche; Sanofi; Servier; Sirtex; Terumo
        Speaker or a member of a speakers bureau for: AstraZeneca; Bayer; Bristol Myers Squibb; BTG; Eisai; GlaxoSmithKline; Imaging Equipment Ltd (AAA); Incyte Corporation; Ipsen; Lilly; Merck; Merck Sharp & Dohme; Novartis; Pierre Fabre; Roche; Sanofi; Servier; Sirtex; Terumo
        Grants for clinical research from: Servier

      • Rachna Shroff, MD, MS

        Associate Professor, Medicine
        College of Medicine Tucson
        Chief, Section of GI Medical Oncology
        Director, UACC Clinical Trials Office
        Associate Dean, Clinical and Translational Research
        The University of Arizona Health Sciences
        Tucson, Arizona, United States

        Disclosures

        Disclosure: Rachna Shroff, MD, MS, has the following relevant financial relationships:
        Advisor or consultant for: AstraZeneca, Boehringer Ingelheim, Clovis, Genentech, Incyte Corporation, Merck, QED, Servier, Taiho, Zymeworks
        Speaker or a member of a speakers bureau for: Servier
        Grants for clinical research from: Bayer, Bristol Myers Squibb, Exelixis, IMV Inc., LOXO, Novocure, NUCANA, QED, Rafael Pharm, SeaGen Inc., formerly Seattle Genetics, Inc., Taiho

      Editors

      • Davecia Ragoonath Cameron, MS

        Medical Education Director, Medscape, LLC

        Disclosures

        Disclosure: Davecia Ragoonath Cameron, MS, has disclosed no relevant financial relationships.

      • Jenny Engelmoer, PhD

        Medical Education Director, Medscape, LLC

        Disclosures

        Disclosure: Jenny Engelmoer, PhD, has disclosed no relevant financial relationships.

      Compliance Reviewer

      • Amanda Jett, PharmD, BCACP

        Associate Director, Accreditation and Compliance, Medscape, LLC

        Disclosures

        Amanda Jett, PharmD, BCACP has disclosed no relevant financial relationships.

      Peer Reviewer

      This activity has been peer reviewed and the reviewer has disclosed no relevant financial relationships.

      Accreditation Statements



      In support of improving patient care, Medscape, LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

        For Physicians

      • Medscape, LLC designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™ . Physicians should claim only the credit commensurate with the extent of their participation in the activity.

        Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit. Aggregate participant data will be shared with commercial supporters of this activity.

        Contact This Provider

      For questions regarding the content of this activity, contact the accredited provider for this CME/CE activity noted above. For technical assistance, contact [email protected]

      Instructions for Participation and Credit

      There are no fees for participating in or receiving credit for this online educational activity. For information on applicability and acceptance of continuing education credit for this activity, please consult your professional licensing board.

      This activity is designed to be completed within the time designated on the title page; physicians should claim only those credits that reflect the time actually spent in the activity. To successfully earn credit, participants must complete the activity online during the valid credit period that is noted on the title page. To receive AMA PRA Category 1 Credit™, you must receive a minimum score of 70% on the post-test.

      Follow these steps to earn CME/CE credit*:

      1. Read about the target audience, learning objectives, and author disclosures.
      2. Study the educational content online or print it out.
      3. Online, choose the best answer to each test question. To receive a certificate, you must receive a passing score as designated at the top of the test. We encourage you to complete the Activity Evaluation to provide feedback for future programming.

      You may now view or print the certificate from your CME/CE Tracker. You may print the certificate, but you cannot alter it. Credits will be tallied in your CME/CE Tracker and archived for 6 years; at any point within this time period, you can print out the tally as well as the certificates from the CME/CE Tracker.

      *The credit that you receive is based on your user profile.

      From Medscape Education Oncology
      CME / ABIM MOC

      Emerging Pathways in Advanced Cholangiocarcinoma

      Authors: Milind Javle, MD; Tin-Yun Tang, MD; Arndt Vogel, MD; Rachna Shroff, MD, MSFaculty and Disclosures
      THIS ACTIVITY HAS EXPIRED

      CME / ABIM MOC Released: 3/11/2022

      Valid for credit through: 3/11/2023

      processing....

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      44. Liu PCC, et al. INCB054828 (pemigatinib), a potent and selective inhibitor of fibroblast growth factor receptors 1, 2, and 3, displays activity against genetically defined tumor models. PLoS One. 2020;15:e0231877.
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      46. Abou-Alfa GK, et al. Pemigatinib for previously treated locally advanced/metastatic cholangiocarcinoma (CCA): update of FIGHT-202. J Clin Oncol. 2021;39(suppl):4086.
      47. Javle M, et al. Infigratinib (BGJ398) in previously treated patients with advanced or metastatic cholangiocarcinoma with FGFR2 fusions or rearrangements: mature results from a multicentre, open-label, single-arm, phase 2 study. Lancet Gastroenterol Hepatol. 2021;6:803-815.
      48. Sootome H, et al. Futibatinib is a novel irreversible FGFR 1-4 inhibitor that shows selective antitumor activity against FGFR-deregulated tumors. Cancer Res. 2020;80:4986-4997.
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      50. Goyal L, et al. Primary results of phase 2 FOENIX-CCA2: the irreversible FGFR1-4 inhibitor futibatinib in intrahepatic cholangiocarcinoma (iCCA) with FGFR2 fusions/rearrangements. Cancer Res. 2021;81:13 (Abs CT010).
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      53. Abou-Alfa GK, et al. Ivosidenib in IDH1-mutant, chemotherapy-refractory cholangiocarcinoma (ClarIDHy): a multicentre, randomised, double-blind, placebo-controlled, phase 3 study. Lancet Oncol. 2020;21:796-807.
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      CME / ABIM MOC Information

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