‘Is the mint in my toothpaste locally grown?’ The secret source of everyday bathroom products

2019-10-29T08:01:00

(BPT) – Farm-to-table is all the rage when it comes to dining. But did you know you can make the same kind of connection to the ingredients found in products along the drug store aisle?

Minty-Fresh Toothpaste

You wake up in the morning, head to the bathroom and begin brushing your teeth. It’s something you do twice daily, but you probably haven’t stopped to think that there are real family farmers behind the minty nurdle (yep, that’s what it’s called) of toothpaste on your brush.

Real American mint, grown by American farmers and their families, has been the not-so-secret ingredient to Colgate’s success for the past 150 years. Farmers like the Schutte Family of Airway Farms in Washington and others across the Pacific Northwest and American Midwest have been instrumental in ensuring a consistent, minty taste. The toothpaste maker buys more American mint than any other oral care company and then turns to its Flavor and Procurement Team to expertly blend the locally sourced mint to create the signature “Colgate taste” in many of its toothpaste products.

Relaxing Lavender Soap

The shower is an easy place to go on autopilot too, grabbing shampoo, conditioner or soap without considering how those fresh scents got into the bottle.

Take lavender, for example. It may conjure images of the south of France when you see that little purple flower on a bottle of body wash, but the real story is even closer to home.

Sequim, Washington, is part of the largest producing region of lavender in the U.S. (and commonly known as the Lavender Capital of North America), and has created an entirely new industry based on the dozens of lavender farms spread across the area. The town jump-started their economy after reviving their agricultural roots in the late 20th century and, today, products from the region include soaps, candles, lotions and even ice cream. So while you’re rinsing and repeating, you can feel good knowing that you could be helping sustain an entire flower-fueled community.

Exfoliating Honey Scrubs

Another American industry that your bathroom may have a role in sustaining is honey! While it certainly has its place in the culinary world, any products that include beeswax or honey, such as shampoo or lip balm, play a role in the $4.7 billion industry that created more than 22,000 jobs in 2017, according to the University of California’s Division of Agriculture and Natural Resources. Home to much more than herds of buffalo, North Dakota is actually the top honey-producing state in the nation. In 2017 alone, the state’s beekeepers produced more than 33 million pounds of honey.

In a busy world, it can be easy to lose sight of the people and places that make each of our mornings possible and more pleasurable. But pause for a moment to consider the individuals behind the products, the jobs you help create, and your role in the national economy, every time you pick your product from that drug store shelf.


Tip or Treat: Ways to keep teeth healthy through Halloween

2019-10-29T17:01:01

(BPT) – There’s nothing spooky about it — everyone loves Halloween treats. But did you know that you may have ‘candy thieves’ in your house? Parents of trick-or-treaters are the culprits as they are just as guilty when it comes to enjoying candy. According to a recent survey* from ARM & HAMMER(TM) Spinbrush(TM), two-thirds of parents admitted to sneaking candy from their children’s Halloween stash, and 63% confessed to purposely buying extra candy for trick-or-treaters, just to make sure they’d be able to enjoy some leftovers.

Despite their indulgence, 8 in 10 parents surveyed said that they worried about oral health and cavities in the days following Halloween, for both themselves and their children.

To help parents and their kids keep their teeth healthy while enjoying their Halloween treats, ARM & HAMMER Spinbrush expert Dr. Derek Wallin, DDS offers his tips:

1. Be Thoughtful

Halloween is one of our favorite excuses for indulging in sweet treats like candy – even dentists are guilty of this! While this can be unavoidable, there is such a thing as good versus bad candy, so it is best to be thoughtful, and limit intake or choose carefully. Chewy and sticky sweets, like gummies and taffy, are the worst for you, because they can get stuck in between teeth and under your gums, where it’s hard to reach. I recommend opting for chocolate or sugar-free candies to minimize sugar and plaque buildup. Regardless of the type of treats you choose, remember to eat them in moderation and practice proper oral care.

2. Choose Wisely

We all have different needs and preferences when it comes to oral care, but everyone needs the essential tools to keep teeth healthy and strong. I recommend ARM & HAMMER Spinbrush as a perfect option for the whole family! The Pro White and Pro Clean adult brushes have a dual-action technology with a spinning head that cleans and polishes teeth, while the up and down movement of the brush bristles scrub away plaque from hard to reach areas. The kids’ battery-powered toothbrushes have smaller, soft-bristle power heads to fit smaller mouths, and come in characters, like PAW Patrol, Vampirina and Jurassic World – which all make brushing more fun! Visit ArmandHammer.com to see the latest Spinbrushes for both kids and their parents.

3. Two-Minute Rule…

Keeping a routine can be tough during times when we’re prone to get a little candy crazy, or after late nights when all we want to do is head straight for bed. However, consistency is key, even with oral hygiene, and instilling habits early on is the best way to go. Lead by example and enforce a brushing routine with yourself and your kids. I tell my patients to follow the two-minute rule for how long you should brush your teeth and gums. To pass the time and make the activity fun for kids, watch a fun video or listen to their favorite song.

4…and Two-a-Days

In addition to the two-minute rule, I always recommend brushing your teeth in the morning and at night. If you and your kids have breakfast in the morning, it is best to brush shortly after eating. In the evening, it is important to always brush your teeth before going to bed because “sugar-bugs,” or cavity-causing bacteria that live in our mouths, can cause a lot of damage while we sleep. You can also brush throughout the day but as a guide, make sure you and your family brush at least twice a day!

5. A Waiting Game

Lastly, people know that they need to take care of their teeth and gums, but the “how” and “why” of good oral care can often be a mystery. For example, it is good to wait on brushing after eating because your mouth has a higher acidity level, and it can be even higher when you eat more of the “bad” candy. Plus, making a habit of brushing while teeth are more acidic can wear down and dissolve enamel quickly. So, before you run to the sink, wait 30 minutes after eating and swish with a mouthful of water to reduce the acid buildup and help minimize damage.


Which apps help employees most? 3 tips for growing businesses

2019-10-29T11:01:00

(BPT) – For many businesses in our increasingly technical world, future success will depend on how well they can take advantage of digital tools such as apps.

These days, it’s all about finding and optimizing the right apps, which may explain why app usage has grown so much in recent years. In fact, 81% of workers worldwide are using more apps now than they did five years ago, reports a recent Slack and GlobalWebIndex study.

Many of the apps most valuable to businesses are those that can step in to make work processes simpler, more productive and more collaborative. As you shop around for the tools that can help your business grow and function more efficiently, consider looking for the following capabilities.

  1. Improve communication. Workers are the heart and soul of your organization, and keeping them clued in to what’s going on company-wide is key to keeping them engaged, supported and empowered. That’s why many organizations are moving beyond email to an efficient workplace collaboration software like Slack. The digital workplace connects you to the people and tools you work with every day, no matter where you are or what you do. In Slack, teamwork and communication happen in channels. This new way of working enables teams to establish a single place for the sharing of messages, tools and files. Channel content can be organized by team, project or whatever else is relevant to the users. Chatbooks, a company that creates photo books, for example, uses Slack channels across remote teams in different time zones to manage marching orders, product quality control, and speedy customer support.
  2. Create transparency. Today’s employees, particularly millennials, highly prioritize trust and transparency in their dealings with companies and organizations. To truly feel aligned and engaged, they must feel empowered to make decisions; however, that’s hard to achieve when they don’t have the information and resources they need. If you want everyone on your team to be able to find, access and share that crucial information, you need to have the right system in place. Using Google Drive to create a “digital home” for all important documents is an easy and convenient way to ensure that happens.
  3. Get organized. It’s hard to focus when computer desktops are packed with multiple notes, files and calendars that get clogged up easily. That’s where Trello can step in to help users visualize and organize workloads. The project management tool has been a boon for Seattle-based ice cream company Molly Moon’s, which integrates Trello with Slack so shop managers across branches can collaborate on day-to-day issues.

“Modern work is more technologically driven than ever before, resulting in a fast-paced workplace and increased pressure with heightened demands,” comments Jason Mander, chief research officer at GlobalWebIndex. “While apps and other tech tools help workers become more productive and collaborative, it’s about providing better versions of them, not more, and carefully selecting consolidated solutions.”

Optimizing technology can be a boost to your business, but bombarding workers with too much technology (just for technology’s sake) can backfire by making them feel overwhelmed. Tools like Google Drive, Slack and Trello can help by letting employees decide how and when they wish to receive notifications and engage, so they face minimal interruptions and are able to remain productive and efficient.


Take the Scare out of Making Halloween Dinner with $0 Delivery Fee All Week Long

2019-10-29T14:01:00

Whether it’s throwing together DIY ghost costumes, speeding to the store for some last minute trick-or-treat candy, or cleaning up your front lawn after a third TP attack, Halloween is a busy time of year. It’s a season for carving pumpkins — not carving out time to make dinner — which is why it’s no surprise that Halloween is among the most popular days for food delivery.
Don’t want to argue with the family over which toppings to order, or worry about your food being delivered in time for the party on such a busy night? McDelivery with Uber Eats® offers a convenient Halloween option that arrives at your front door in an average of 30 minutes or less. As an extra treat, take advantage of a $0 delivery fee from Oct. 26 – Nov. 1.
As if free delivery wasn’t enough to brighten up the spooky holiday, McDelivery with Uber Eats is adding a new layer of excitement to holiday dinnertime and delivering happy with Halloween-inspired menu hacks. By combining delivery favorites with items you already have at home — such as pumpkin seeds or candy corn — it’s never been easier to create fun, themed treats.
“We know people are looking for quick dinner options on Halloween, and we also know they don’t want to sacrifice any of the fall holiday fun. That’s why we’re delivering a bit of creativity along with our craveable favorites this year,” said McDonald’s Chef Chad Schafer. “Our team tested a variety of creations in our kitchens to brew up these delicious and spooky treats. We can’t wait to deliver the Halloween fun straight to customers’ doors this season!”
Follow the below how to’s for the most convenient and fun Halloween meals that make dinnertime a frightful delight all Halloweek long — no tricks, just treats!
How to Make Cauldron Sauce:
What You’ll Need:
Tangy barbecue sauce
Creamy ranch sauce
Chicken McNuggets®
Small bowl
How to Hack:
Swirl your Barbecue and Ranch Sauces together in a bowl and dig your Chicken McNuggets into the potion for a burst of new flavor.
How to Make Fry Fangs:
What You’ll Need:
French Fries
Ketchup
How to Hack:
Dip two French Fries into ketchup, then hang the fries from your mouth for edible vampire fangs.
How to Make Caramel Chiller Thriller:
What You’ll Need:
Apple Slices
Hot Caramel Sundae
How to Hack:
Use your fresh Apple Slices to scoop up caramel-y soft serve goodness from your sundae for the perfect taste of fall.
How to Make Itsy Bitsy Burger:
What You’ll Need:
Cheeseburger
French fries
Ketchup
Pumpkin seeds
How to Hack:
• Place eight French Fries under the bun of your cheeseburger (or any other McDonald’s sandwich!) to create spider legs. Stick two pumpkin seeds on top of the bun for the eyes and use your ketchup to draw a spiderweb on the burger paper.
How to Make Trick-or-Treat McFlurry®:
What You’ll Need:
McFlurry of your choice
Halloween candy from your trick-or-treating haul
How to Hack:
Stir your best fun size Halloween candy into a delicious McFlurry for a one-of-a-kind treat.

(BPT) –


5 Daily Hacks to Live More Sustainably

2019-10-29T09:05:01

(BPT) – Climate change may be one of the most daunting issues of our time, but small actions do add up to a positive difference. While complex problems demand complex solutions, one thing is simple: every individual can reduce their own water and carbon footprint through small behavior changes. Here are five easy life hacks to reduce your environmental impact every day.

1. Turn off the faucet:

Believe it or not, 42% of American adults admit to leaving the faucet on when brushing their teeth, according to an October 2017 Google Survey conducted by Red Fuse communications. Just brushing for two minutes in the morning with the water running can waste up to 64 cups of water, according to U.S. Environmental Protection Agency. The Colgate “Save Water” campaign has a reminder on every box of toothpaste to help people drop this habit, preventing this precious resource from literally going down the drain.

2. Abandon your straw:

From those to-go coffee lids to our lunchtime salad bowls, it seems like everything involves plastic. BBC Earth estimates that 12.7 million tons of plastic end up in the world’s oceans every year, creating one of the biggest ecological issues of our time. One easy way you can help? Forgo plastic straws entirely or, if you can’t do without it, buy a reusable one.

3. Celebrate “Meatless Mondays”:

You might be thinking, can substituting a veggie patty for a burger actually help save the planet? In short, yes! The United Nations’ 2018 Intergovernmental Panel on Climate Change cited livestock production as a major contributor to global warming, creating more greenhouse gases than all the planes, trains and automobiles in the world. Researchers at Penn State found that you can reduce your CO2 footprint by almost one full ton per year by celebrating Meatless Monday. So fire up the grill and bring your sustainable appetite.

4. Take public transportation:

Skipping rush hour traffic has more benefits than just reducing stress. According to the Federal Transit Administration, transit systems such as subways and metros produce an average of 76% fewer greenhouse gas emissions per passenger than commuting solo in a car. Added bonus — you can finally finish that book you’ve been meaning to read for months.

5. Reduce food waste:

You’re not only hurting your wallet when groceries go to waste — rotten food produces harmful methane gas, which is 32 times more potent than CO2. Make sure you know your expiration dates and don’t be afraid to pick up less choice vegetables in the produce aisle to save them from the dumpster. Remember, ugly veggies can still make sexy soup.



Who are the most dangerous celebrities to search for online?

2019-10-29T08:01:00

(BPT) – From TV shows to movies, theater and more, everyone has favorite celebrities. You probably have spent time online searching to find out more about what these celebrities are up to and their most recent projects. While there are endless options to feed your need for celebrity news, the problem is some of these sites are run by cybercriminals waiting to install malware to those who visit in an attempt to steal personal information and passwords.

Is searching for some celebrities more dangerous than others? Yes, according to the recent research by McAfee. The study found actress Alexis Bledel, best known for her role as Rory Gilmore in network television’s “Gilmore Girls,” tops the list of most dangerous celebrities to search for online. For the thirteenth year, McAfee researched which famous individuals generate the riskiest results that could potentially expose their fans to malicious websites and viruses.

Trailing Bledel at No. 2 is Late Late Night talk show host James Corden, followed by “Game of Thrones” star Sophie Turner (No. 3), actress Anna Kendrick (No. 4), “Us” leading lady Lupita Nyong’o (No. 5), SNL and talk show star Jimmy Fallon (No. 6), martial arts master Jackie Chan (No. 7), rappers and musicians Lil Wayne (No. 8) and Nicki Minaj (No. 9), and finally Marvel actress Tessa Thompson (No. 10).

Celeb surfing and beyond: How to stay safe online

Whether you’re searching for celebrity information or something else, there are a few smart steps you should take to keep yourself and your devices safe from malicious attempts:

Be careful what you click: Users looking for a sneak peek of “Star Wars: Rise of Skywalker” starring Lupita Nyong’o should be cautious and only stream and download directly from a reliable source. For this and any other movie or TV show, the safest thing to do is to wait for the official release instead of visiting a third-party website that could contain malware.

Refrain from using illegal streaming sites: Many illegal streaming sites are riddled with malware or adware disguised as pirated video files. Do yourself a favor and stream the show from a reputable source.

Protect yourself with a cybersecurity solution: Celeb surf until your heart’s content with a comprehensive security solution that can help protect you from malware, phishing attacks and other threats.

Use a web reputation tool: Use a web reputation tool on all devices in order to receive alerts when you’re about to go to a malicious website so you can click with care.

Use parental control software: Kids are also fans of celebrities, so ensure that limits are set for your child on the devices they use and utilize parental control software to help minimize exposure to potentially malicious or inappropriate websites.

“Consumers may not be fully aware that the searches they conduct pose risk, nor may they understand the detrimental effects that can occur when personal information is compromised in exchange for access to their favorite celebrities, movies, TV shows or music,” said Gary Davis, chief consumer security evangelist at McAfee. “Criminals use deceptive websites to dupe unsuspecting consumers into accessing malicious files or content. It is essential that consumers learn to protect their digital lives from lurking cybercriminals by thinking twice before they click on suspicious links or download content.”


10 essential laundry organization and maintenance tips

2019-10-29T05:01:01

(BPT) – Professional organizer Lisa Jacobs of Imagine It Done emphasizes the importance of creating strategies in the home for practical, efficient living. The laundry room is one of the easiest places to begin when trying to improve your organization at home. To help keep you on the right track she put together the 10 most important laundry organization and machine maintenance tips to help you care for your clothing, linens and towels beautifully.

1. Jacobs’ business motto is: “An organized space is an organized mind is an organized life!” To that end, group your laundry room supplies in uniformed organizational bins with correct labels for visual peace of mind and to keep your items categorized.

2. Invest in the installation of a utility rack to house mops, brooms and bulkier cleaning items. This system is especially great for small spaces and an efficient way to avoid clutter on the floor and in corners where they are typically stored.

3. Wall racks and brackets with a variety of sized baskets mounted on the wall or inside a door create more storage and organization for laundry and household cleaning supplies.

4. Pesky allergens can linger in your clothing and bedding, aggravating allergy sufferers. Invest in a washing machine that is certified by the experts to nearly eliminate allergens like LG TurboWash 360. For a consistent clean, avoid moisture buildup in the washer by wiping excess water from the rubber gasket.

5. Installing a mounted drying rack on your wall is a perfect system to hang and dry your delicates, keeping them organized in, and contained to, the laundry area.

6. Install a shelf directly over the washer/dryer for your detergents and supplies and never place laundry liquids directly on top of machines. Heat and movement with plastic containers may cause spillage and spoil the liquids. Front-load washers and dryers are best for freeing up space because you can put shelving right over them.

7. Imagine It Done recommends using HE “free and clear” detergents to safely clean clothes and linens. And to clean clothes fast, the new LG TurboWash 360 washer can tackle large loads in less than 30 minutes without sacrificing performance.

8. For the best results in washing clothing, linens and towels, separate whites from colors and run in separate cycles. Follow the same rules for towels and linens; wash separately.

9. If you are in the market for a new appliance, make sure you do your research first. Reputable organizations like Consumer Reports and American Customer Satisfaction Index (ACSI) come out with yearly reports on customer reliability and satisfaction for appliance brands. These reports are based off consumer feedback and experience to help inform buyers on the best brands. LG home appliances took home the highest 2019 rankings in laundry for the second year in a row, according to ACSI’s data.

10. In the spirit of living functionally and creating strategies in the home for efficient living, the business recommends investing in appliances like LG’s newest line, which features advanced TurboWash technologies. Appliances like these save you time and money in the long run with their shorter wash times and energy-saving capabilities — a true win-win. Be sure to take time and get to know your appliances; read your manual carefully before operating for optimum results.


Active Prostate Cancer Patient Shares His Treatment Journey

2019-10-28T08:01:00

(BPT) – Throughout his 71 years, Ray Park has lived a full and active life. He spent 34 years serving in the United States Air Force, and in his off-time, kept busy playing golf, going on vacations and spending time with his family, including his wife of 46 years, Nancy.

On February 1, 2005, Ray retired from his job, and looked forward to continuing his active lifestyle. However, within two weeks, Ray was diagnosed with prostate cancer.

The diagnosis came as a shock. “I didn’t expect to have cancer,” he said. “My only reaction was that I wanted the cancer that was in my body, out. I had just retired. I had just started what I thought was a new chapter in my life, and it was worrisome.”

He began his treatment journey with surgery, which appeared to be working. As time passed, however, his prostate-specific antigen (PSA) level increased, signifying the disease was advancing.1 At this point, Ray’s doctor recommended radiation, which provided the same results. When the third treatment — hormone therapy — also failed, his doctor suggested he see a specialist.

Ray’s specialist explained his cancer had become non-metastatic castration-resistant (nmCRPC), which meant that it continued to progress despite hormone suppressive therapy.2 He suggested Ray participate in a clinical trial for a new medication that may help men living with this type of prostate cancer.

Experience with a New Treatment

NUBEQA® (darolutamide) was approved in July 2019 by the U.S. Food and Drug Administration (FDA). It is a prescription medicine used to treat men with prostate cancer that has not spread to other parts of the body and no longer responds to a medical or surgical treatment that lowers testosterone.3

It is not known if NUBEQA is safe and effective in women and children. NUBEQA can harm unborn babies and cause loss of pregnancy. Men with female partners who may become pregnant should use birth control (contraception) during treatment and for 1 week after the last dose of NUBEQA.3

At first, Ray was hesitant given that his disease kept on progressing. However, he remained hopeful and with his wife in mind, he agreed to begin the trial.

Four months after treatment began, Ray went in for a check-up. “I remember how nervous Nancy and myself were going back for the four-month checkup.”

After completing the numerous scans and tests, the nurse came in to tell Ray about his positive results. “The elation that we felt. Maybe this is what is going to contain my cancer and keep it from spreading,” said Ray.

Ray cherishes every moment as he continues to spend time with his wife and granddaughter.

“This study has really given him so much hope, and he’s very optimistic about his future,” said Nancy. “He cherishes every day.”

This is the story of one cancer patient’s experience with NUBEQA. Not all patient experiences will be the same.

INDICATION

NUBEQA® (darolutamide) tablets is a prescription medicine used to treat men with prostate cancer that has not spread to other parts of the body and no longer responds to a medical or surgical treatment that lowers testosterone.

IMPORTANT SAFETY INFORMATION

It is not known if NUBEQA is safe and effective in women and children. NUBEQA can harm unborn babies and cause loss of pregnancy. Men with female partners who may become pregnant should use birth control (contraception) during treatment and for 1 week after the last dose of NUBEQA.

Before taking NUBEQA, tell your healthcare provider about all your medical conditions, including if you:

· have kidney or liver problems

· are pregnant or plan to become pregnant. NUBEQA can cause harm to your unborn baby and loss of pregnancy (miscarriage).

· have a partner who may become pregnant. Males who have female partners who may become pregnant should use effective birth control (contraception) during treatment and for 1 week after the last dose of NUBEQA. Talk with your healthcare provider about birth control methods.

· are breastfeeding or plan to breastfeed. It is not known if NUBEQA passes into breast milk.

Tell your healthcare provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. NUBEQA may affect the way other medicines work and other medicines may affect how NUBEQA works.

You should not start or stop any medicine without talking to your healthcare provider that prescribed NUBEQA.

Most common side effects of NUBEQA include:

· Feeling more tired than usual

· Arm, leg, hand or foot pain

· Rash

· Decreased white blood cells (neutropenia)

· Changes in tests that determine how your liver works (liver function tests)

NUBEQA may cause fertility problems in males, which may affect the ability to father children. Talk to your healthcare provider if you have concerns about fertility.

These are not all the possible side effects of NUBEQA. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088 or www.fda.gov/medwatch.

For important risk and use information about Nubeqa, please see the full Prescribing Information.

©2019 Bayer. All rights reserved. BAYER, the Bayer Cross and NUBEQA® are registered trademarks of Bayer.

References

  1. Prostate Cancer Science Writers Guide. Whippany, NJ: Bayer HealthCare Pharmaceuticals, November 2017.
  2. Bayer in Prostate Cancer Fact Sheet Template. Whippany, NJ: Bayer Healthcare Pharmaceuticals, November 2018.
  3. Nubeqa® (darolutamide) tablets [Prescribing Information]. Whippany, NJ: Bayer HealthCare Pharmaceuticals, July 2019.


Should I Test My Tumor? Why Biomarker Testing is Important for Cancer Treatment

2019-10-28T09:01:00

(BPT) – A new medicine approved by the U.S. Food and Drug Administration (FDA) is part of an exciting evolution in the way doctors treat cancer. Traditionally, cancer is treated based on where it starts in the body, but now doctors can treat some cancers based on specific genetic rearrangements, or biomarkers, that cause the cancer to grow – regardless of the organ or tissue from which it originates. This is known as tumor-agnostic treatment.1

Biomarker testing is different from genetic testing, which looks for traits inherited from your mother or father found in every cell of your body and then determines if you have higher risk of developing cancer or other diseases. Biomarker testing, however, is done after a cancer diagnosis to find genetic changes that occur in the tumor itself and can help doctors make treatment decisions.2,3

For example, biomarker testing can identify a genetic rearrangement called neurotrophic tyrosine receptor kinase (NTRK) gene fusions, which can be found in certain advanced solid tumors, including common cancers like breast and colorectal cancers as well as rare tumor types. Rates of NTRK vary based on the type of cancer, occurring in less than 1 percent of colorectal cancer cases and up to 100 percent of some rare salivary gland cancers.4 If a person’s tumor is found to be NTRK gene fusion-positive, they may be eligible to receive a targeted medicine such as Rozlytrek™ (entrectinib), which was recently approved by the FDA.

“Rozlytrek is the most recent advance in tumor-agnostic medicine, which is providing personalized treatment options that target the unique genetic makeup of each person’s cancer,” said Dr. Robert Doebele, Associate Professor of Medicine, Division of Medical Oncology, University of Colorado. “Through biomarker testing, we can potentially unlock information that can have an important impact on determining their options for treatment.”

Here is what you need to know about biomarker testing:

What is biomarker testing?

Biomarker testing identifies changes within your cancer cells that cause your tumor to grow. In addition to NTRK, there are other biomarkers, such as ROS1, ALK, BRAF, EGFR, HER2, PD-L1 and many more, that testing may reveal and that can be matched to different medicines. Tests either search for biomarkers one at a time or can identify a wide range at once.

Who should have biomarker testing?

Anyone diagnosed with an advanced cancer should ask their doctor about biomarker testing. It is the only way to identify if you could potentially benefit from certain medicines, so it is a critical part of the conversation that takes place with your care team to find the right treatment.

It’s important to note that not everyone who gets tested will have tumors that have an identifiable biomarker that can be targeted with a medicine. However, the test may reveal potential treatment options that are available based on your specific cancer.

When should I have a conversation about biomarker testing with my doctor?

It’s best to talk to your doctor about biomarker testing as soon as you learn you have advanced cancer. If your doctor thinks testing is right for you, testing will be done as soon as possible following your diagnosis and prior to treatment.

Where does biomarker testing take place?

Depending on the location of your tumor and type of test, biomarker testing can be done at a doctor’s office, hospital or testing facility.

How is biomarker testing done?

A healthcare professional, such as your doctor, will collect a small sample from your tumor and send the sample to a lab. A laboratory technician will scan your tumor’s genetic information to find any biomarkers and communicate the findings to your doctor, who will share the results with you and help you to understand what they mean for decisions around your treatment.

Rozlytrek™ U.S. Indication (pronounced roz lye’ trek)

Rozlytrek is a prescription medicine used to treat:

  • Adults with non-small cell lung cancer (NSCLC) that has spread to other parts of the body and is caused by an abnormal ROS1 gene
  • Adults and children 12 years and older with solid tumors (cancer) that:
    • are caused by certain abnormal NTRK genes and
    • have spread or if surgery to remove their cancer is likely to cause severe complications, and
    • there is no satisfactory alternative treatment option or the cancer grew or spread on other treatment

It is not known if Rozlytrek is safe and effective for use in children less than 12 years of age.

Rozlytrek was approved in NTRK gene fusion-positive solid tumors through a faster FDA review process based on the percentage of patients whose tumor size shrank or disappeared after treatment and how long that response lasted. There are ongoing studies to confirm benefit of Rozlytrek for this use.

Important Safety Information

Rozlytrek may cause serious side effects, including:

  • Congestive heart failure. Rozlytrek may cause congestive heart failure or make the congestive heart failure that a patient already has worse. Patients should tell their healthcare provider right away if they have any of the following signs and symptoms of congestive heart failure:
    • persistent coughing or wheezing
    • trouble breathing when lying down
    • sudden weight gain
    • increasing shortness of breath
    • tiredness, weakness, or fatigue
    • swelling in ankles, feet, or legs
  • Central nervous system (CNS) effects. Rozlytrek may cause dizziness, changes in mood, or may affect how a patient thinks and cause confusion, hallucinations, and problems with concentration, attention, memory, and sleep. Patients should tell their healthcare provider right away if they have any of these symptoms.
  • Bone fractures. Rozlytrek may increase the risk of bone fractures. Bone fractures may happen with or without a fall or other injury. Patients should tell their healthcare provider if they have pain, changes in movement, or bone abnormalities.
  • Liver problems (hepatotoxicity). A healthcare provider will do blood tests to check a patient’s liver function during treatment with Rozlytrek. Patients should tell their healthcare provider right away if they develop symptoms of liver problems including: loss of appetite, nausea or vomiting, or pain on the upper right side of the stomach area. A healthcare provider may temporarily stop treatment, decrease the dose, or permanently stop Rozlytrek if a patient develops liver problems with Rozlytrek.
  • Increased uric acid level in the blood (hyperuricemia). Rozlytrek may cause an excess of uric acid in the blood. A healthcare provider may do tests before and during a patient’s treatment with Rozlytrek to check the uric acid level in the blood. A healthcare provider may prescribe medications if a patient has high blood uric acid levels.
  • Changes in the electrical activity of the heart called QT prolongation. QT prolongation can cause irregular heartbeats that can be life-threatening. A healthcare provider will do tests before and during treatment with Rozlytrek to check the electrical activity of the heart and body salts (electrolytes). Patients should tell their healthcare provider right away if they feel faint, lightheaded, dizzy, or feel their heart beating irregularly or fast while taking Rozlytrek. These may be symptoms related to QT prolongation.
  • Vision problems. Rozlytrek may cause vision problems. Healthcare providers may stop Rozlytrek and refer to an eye specialist if a patient develops severe vision problems during treatment with Rozlytrek. Patients should tell their healthcare provider right away if they have any loss of vision or any change in vision, including:
    • double vision
    • blurry vision
    • new or increased floaters
    • seeing flashes of light
    • light hurting the eyes

Before taking Rozlytrek, patients should tell their healthcare provider about all their medical conditions, including if they:

  • have liver or kidney problems.
  • have any heart problems, including a condition called long QT syndrome.
  • have nervous system (neurological) problems.
  • have or have had eye or vision problems.
  • are pregnant or plan to become pregnant. Rozlytrek can harm an unborn baby. Patients should tell their healthcare provider right away if they become pregnant during treatment with Rozlytrek or think they may be pregnant.
    • If patients are able to become pregnant, their healthcare provider will do a pregnancy test before they start treatment with Rozlytrek.
    • Females who are able to become pregnant should use effective birth control during treatment with Rozlytrek and for at least 5 weeks after the final dose.
    • Males who have female partners that are able to become pregnant should use effective birth control during treatment with Rozlytrek and for 3 months after the final dose.
  • are breastfeeding or plan to breastfeed. It is not known if Rozlytrek passes into breast milk. Do not breastfeed during treatment with Rozlytrek and for 7 days after the final dose of Rozlytrek. Patients should talk to their healthcare provider about the best way to feed their baby during this time.

Patients should tell their healthcare provider about all the medicines they take, including prescription and over-the-counter medicines, vitamins, or herbal supplements.

Certain other medicines may affect how Rozlytrek works causing side effects. Patients should know the medicines they take. Patients should keep a list of them to show to their healthcare provider and pharmacist when they get a new medicine.

The most common side effects of Rozlytrek include:

  • tiredness
  • constipation
  • change in taste
  • swelling
  • dizziness
  • diarrhea
  • nausea
  • abnormal touch sensation
  • shortness of breath
  • muscle pain
  • confusion, mental status changes, memory problems, and hallucinations
  • weight gain
  • cough
  • vomiting
  • fever
  • joint pain
  • vision changes

These are not all the possible side effects of Rozlytrek. For more information, patients should ask their healthcare provider or pharmacist.

Patients should call their doctor for medical advice about side effects.

Report side effects to the FDA at (800) FDA-1088 or www.fda.gov/medwatch. Report side effects to Genentech at (888) 835-2555.

Please see http://www.Rozlytrek.com for the full Prescribing Information, including Patient Information.

References

1 Flaherty KT, Le DT, Lemery S. Tissue-Agnostic Drug Development. Am Soc Clin Oncol Educ Book. 2017;37:222-230. doi: 10.14694/EDBK_173855. Accessed April 2019.

2 National Comprehensive Cancer Network; Biomarker Testing; [internet] https://www.nccn.org/patients/resources/life_with_cancer/treatment/biomarker_testing.aspx. Accessed May 2019.

3 National Institute of Health, Genetics Home Reference; What is Genetic Testing; [internet] https://ghr.nlm.nih.gov/primer/testing/genetictesting. Accessed May 2019.

4 Amatu A, Sartore-Bianchi A, Siena S. ESMO Open. 2016;1(2):e000023. PMID: 27843590