New Study for Chemo Treatments

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New Study for Chemo Treatments

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  • erickcarpenter
    erickcarpenter Member Posts: 79
    edited April 2008

    and unfortunately, it sounds to me like horrible news for many women..

    http://www.msnbc.msn.com/id/19048185/

    Treating many to help few
    The UCLA research questions that treatment.

    Slamon played a key role in the discovery and development of the hugely successful breast cancer drug Herceptin. Herceptin, which changed the way the disease is treated, specifically targets a gene called Her-2 that is overexpressed in 20 percent to 25 percent of breast cancers (a gene is overexpressed when its effect becomes excessive in the body). Herceptin's success proved that breast cancer is not one disease, but many, with each benefiting from a tailored treatment.

     
    In this latest study, Slamon looked at a more recently discovered gene called Topoll-2, which is sometimes, but not always, overexpressed along with Her-2. Anthracyclines stop breast cancer because they target Topoll-2.

    Slamon examined tissue samples from more than 2,000 women who took part in seven clinical trials.

    His analysis showed that anthracyclines work only in women who overexpress the Topoll-2 gene. Such women account for 8 percent of breast cancer cases.

    The anthracyclines - with all their side effects - have almost no effect in 92 percent of breast cancer cases. 

    "It seems apparent that we are treating patients who don't need the drug to get at that group who have a huge benefit," Slamon told me. "And now we need to direct our therapy and target it more specifically."

  • mkl48
    mkl48 Member Posts: 350
    edited April 2008

    Eric,

    This not really news. It was reported one year ago as your link notes. But it does reflect the problems of changing treatment when the NCI institutions demand very high levels of proof before rejecting what to many is tx as a result of carefully controlled double blind studies in which the new treatment is superior to the previous.This year the efficacy of taxol for ER+, Her- women was also questioned. Now the oncs have a real problem. Their arsenal is getting rather bare. Two of the AIs are similar so there may be 4- Tamox,Femara-Arimidex,Aromasin and Falsadex-sp. It took years for doctors to move to lumpectomy even when the results were in.Beth

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