THOMAS A. MARSLAND, MD

GAINESVILLE, FL

Research Active
Internal Medicine - Hematology & Oncology NPI registered 21+ years 15 publications 1981 – 2015 NPI: 1477558716
NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsLung NeoplasmsAntibodies, MonoclonalCarcinoma, Non-Small-Cell LungBreast NeoplasmsDisease-Free SurvivalNeoplasm MetastasisAntibodies, Monoclonal, HumanizedSurvival AnalysisDeoxycytidineBevacizumabProbabilityQuinazolinesErlotinib Hydrochloride

Practice Location

1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003

Phone: (352) 265-0111

What does THOMAS MARSLAND research?

Dr. Marsland studies cancer treatment strategies, specifically looking at how combinations of drugs can affect patient outcomes in advanced lung and breast cancers. For example, he has researched therapies that combine bevacizumab, erlotinib, trastuzumab, and gemcitabine. His work also extends to understanding how circulating tumor cells in the bloodstream can help doctors track disease progression and adjust treatments accordingly. Overall, his goal is to find effective treatment protocols that can enhance patient survival and quality of life while managing side effects.

Key findings

  • In a trial involving 743 patients, the combination of bevacizumab and erlotinib improved the duration without disease progression to 4.8 months compared to 3.7 months for bevacizumab alone, though overall survival was similar at 14.4 months versus 13.3 months.
  • Measuring circulating tumor cells helped doctors make better treatment decisions in metastatic breast cancer, allowing timely changes based on patient response.
  • Among 64 women with HER2-positive metastatic breast cancer, 38% showed a positive response to the combination of trastuzumab and gemcitabine, with an average survival time of 14.7 months.

Frequently asked questions

Does Dr. Marsland study lung cancer?
Yes, Dr. Marsland focuses on advanced non-small-cell lung cancer, researching the effectiveness of various combination therapies.
What treatments has Dr. Marsland researched for breast cancer?
He has researched the effectiveness of combining trastuzumab and gemcitabine in women with HER2-positive metastatic breast cancer.
Is Dr. Marsland's work relevant to patients with advanced cancer?
Yes, his research is directly relevant as it aims to improve treatment options and outcomes for patients with advanced lung and breast cancers.
How does Dr. Marsland's research help doctors?
His findings help doctors make informed decisions about treatment plans, especially by integrating new methods like monitoring circulating tumor cells.

Publications in plain English

Admission versus observation: clinically impactful or just a reimbursement shell game?

2015

Journal of oncology practice

Marsland T

PubMed

Circulating tumor cell data: integration with imaging and serum tumor markers for metastatic breast cancer patient management.

2014

Case reports in oncology

Marsland T, Schuur ER

Plain English
This study looked at how measuring circulating tumor cells (CTCs) in the blood could help manage metastatic breast cancer in a 47-year-old woman. The researchers found that CTC levels provided valuable information that guided doctors in making timely treatment changes, such as switching therapies when the cancer worsened and stopping treatment to allow recovery when improvements were seen. This approach improved patient care by using CTC data alongside other tests to better understand the patient's condition and make informed decisions. Who this helps: This helps breast cancer patients and their doctors make more effective treatment choices.

PubMed

Biomarker analyses from a randomized, placebo-controlled, phase IIIb trial comparing bevacizumab with or without erlotinib as maintenance therapy for the treatment of advanced non-small-cell lung cancer (ATLAS).

2014

Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer

Kabbinavar F, Fehrenbacher L, Hainsworth J, Kasubhai S, Kressel B +9 more

Plain English
This study looked at whether a combination treatment of bevacizumab with erlotinib worked better than bevacizumab with a placebo for patients with advanced non-small-cell lung cancer after initial chemotherapy. The findings showed that patients receiving the combination therapy had a longer period without disease progression, averaging 4.4 months compared to 3.7 months for the placebo group. While the combination therapy showed benefits for certain patient groups, such as those with specific genetic markers, it did not improve overall survival. Who this helps: This research benefits patients with advanced non-small-cell lung cancer, particularly those with certain genetic profiles.

PubMed

The NCI Community Oncology Research Program: what every clinician needs to know.

2013

American Society of Clinical Oncology educational book. American Society of Clinical Oncology. Annual Meeting

McCaskill-Stevens W, Lyss AP, Good M, Marsland T, Lilenbaum R

Plain English
The study looks at a new program called the NCI Community Oncology Research Program (NCORP), which aims to improve cancer care in local communities by combining existing programs to better support research on cancer treatment and prevention. The program will also focus on understanding and reducing differences in cancer care among different groups of people. By gathering insights from community cancer care experts, the program will help identify what resources are needed to improve cancer research and treatment in these settings. Who this helps: This benefits patients and doctors in community settings, especially those facing disparities in cancer care.

PubMed

ATLAS: randomized, double-blind, placebo-controlled, phase IIIB trial comparing bevacizumab therapy with or without erlotinib, after completion of chemotherapy, with bevacizumab for first-line treatment of advanced non-small-cell lung cancer.

2013

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

Johnson BE, Kabbinavar F, Fehrenbacher L, Hainsworth J, Kasubhai S +10 more

Plain English
This study looked at whether adding a drug called erlotinib to the existing treatment of bevacizumab improves outcomes for patients with advanced non-small-cell lung cancer after they finish chemotherapy. It involved 743 patients and found that the combination treatment led to a longer period without disease progression (4.8 months) compared to bevacizumab alone (3.7 months), but there was no significant difference in overall survival (14.4 months versus 13.3 months). Although the combined treatment showed some improvement in controlling the cancer, it also caused more side effects, so it won't become a new standard treatment. Who this helps: This information helps doctors decide on the best treatment plans for lung cancer patients.

PubMed

Perspective on...the new PSA screening recommendations.

2011

Oncology (Williston Park, N.Y.)

Marsland T, Arena F, Yeilding A, Glodé M, Ellis L +10 more

PubMed

Reducing cancer costs and improving quality through collaboration with payers: a proposal from the Florida society of clinical oncology.

2010

Journal of oncology practice

Marsland T, Robbins G, Marks A, Cassell R, Philips DG +1 more

Plain English
This study looked at how a collaboration between Florida's oncologists and insurance companies could lower cancer treatment costs while maintaining high-quality care for patients. The research highlighted concerns that a new spending reduction program by a major insurance provider could restrict the services and treatment options that cancer patients receive, potentially harming their care. It matters because if costs are cut without proper planning, patients may not get the best possible treatment. Who this helps: This helps cancer patients in Florida.

PubMed

News and Notes From the 2009 Carrier Advisory Committee Meeting: Medical Necessity, Off-Label Chemotherapy, and More.

2009

Journal of oncology practice

McAneny B, Marsland T, King K

Plain English
This paper discusses a meeting where experts talked about important topics related to cancer treatment. They focused on whether insurance should cover anticancer drugs used in ways not officially approved (called off-label uses) and the need for oral anti-nausea medications compared to those given through an IV. These discussions are crucial because they can affect patient access to necessary treatments and how they manage side effects. Who this helps: This helps cancer patients and their doctors.

PubMed

Phase II study of trastuzumab plus gemcitabine in chemotherapy-pretreated patients with metastatic breast cancer.

2004

Clinical breast cancer

O'Shaughnessy JA, Vukelja S, Marsland T, Kimmel G, Ratnam S +1 more

Plain English
In this study, researchers tested the combination of two drugs, trastuzumab and gemcitabine, in 64 women with HER2-positive metastatic breast cancer who had already undergone chemotherapy. They found that 38% of all participants responded positively to the treatment, with a higher response rate of 44% among those with strong HER2 expression. The average survival time for these patients was 14.7 months, and the treatment was generally well tolerated with no serious heart problems. Who this helps: This benefits women with HER2-positive metastatic breast cancer who have already received chemotherapy.

PubMed

Phase II trial of gemcitabine plus trastuzumab in metastatic breast cancer patients previously treated with chemotherapy: preliminary results.

2002

Clinical breast cancer

O'Shaughnessy J, Vukelja SJ, Marsland T, Kimmel G, Ratnam S +1 more

Plain English
This study examined the effects of combining two drugs, gemcitabine and trastuzumab, in 38 women with advanced breast cancer who had already undergone up to three previous treatments. The results showed that 32% of the patients experienced a noticeable reduction in their tumors, with this improvement lasting for about 8.6 months on average. Additionally, patients lived for about 10.2 months after starting this treatment, which is promising given their difficult-to-treat condition. Who this helps: This helps women with metastatic breast cancer who have limited treatment options.

PubMed

Maternal screening strategy more effective than risk-based approaches for preventing group B streptococcal disease in neonates.

2002

The Journal of family practice

Marsland T, King V

PubMed

Is once- or twice-a-day enoxaparin as effective as unfractionated heparin for the treatment of venous thromboembolism (VTE)?

2001

The Journal of family practice

Marsland T, Newton W

PubMed

Genetic, physical, and phenotypic characterization of the Del(13)Svea36H mouse.

2001

Mammalian genome : official journal of the International Mammalian Genome Society

Arkell RM, Cadman M, Marsland T, Southwell A, Thaung C +7 more

Plain English
Researchers studied a specific genetic deletion in mice called Del(13)Svea36H to understand its effects on development and gene functions. They found that mouse embryos with this deletion do not survive past early development, while those that do survive show various serious health issues, such as being smaller in size, having eye problems, and facial deformities, with about 25% of carriers dying before they reach adulthood. This research helps scientists understand genetic disorders and the potential risks associated with similar deletions in humans. Who this helps: Patients with genetic disorders and their doctors.

PubMed

A YAC-based physical map of the mouse genome.

1999

Nature genetics

Nusbaum C, Slonim DK, Harris KL, Birren BW, Steen RG +37 more

Plain English
Researchers created a detailed map of the mouse genome, identifying nearly 10,000 specific locations across the genome spaced about 300,000 base pairs apart. This map covers about 92% of the mouse genome and includes information from chromosome X, which has 619 specific locations. This mapping tool is important because it will make it easier to study and understand genetic mutations in mice, a key model for human health research. Who this helps: This benefits scientists and researchers working in genetics and biomedical research.

PubMed

Control of intraperitoneal haemorrhage with antifibrinolytic therapy in a patient with ovarian carcinoma.

1981

Thrombosis and haemostasis

Marsland T, Griffin T, Ansell J, Hunter R

PubMed

Frequent Co-Authors

Fairooz Kabbinavar Louis Fehrenbacher John Hainsworth Saifuddin Kasubhai Bruce Kressel Taral Patel Mark Rubin Leonard White James Chih-Hsin Yang Vincent Miller

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.