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Good Day FRiends, Thought this might be of some interest and may have been posted previously. file:///C|/windows/temp/nscomm40/tmp/tmp1/edt1.htm God Bless You, marty auslanderTitle: Internet Home - American Association for Cancer Research (AACR) New Drug Achieves Surprisingly Strong Results in Chronic Myelogenous
Research Results from AACR 91st Annual Meeting
SAN FRANCISCO, April 1, 2000 - A novel approach in treating chronic
myelogenous
leukemia (CML) was presented at the 91st Annual Meeting of the
American Association
for Cancer Research (AACR), where results from a phase I study
of a new drug --
STI571 -- produced complete responses in CML patients resistant
to interferon. CML
accounts for 4,500-5,000 new cancer cases in the United States
every year, with average
survival only 4-6 years after diagnosis.
At present, the standard treatment for CML is bone marrow transplantation
(BMT),
which has a high cure rate, but is limited to about one-third
of patients due to patient
profiles and histocompatibility (donor matching) issues. When
BMT is not feasible,
interferon is the only other treatment option.
Pioneering research conducted in 1979 proved that a group of proteins
called activated
tyrosine kinases could cause cancer. This Nobel-winning research
was led by a team that
included Harold Varmus, the past director of the National Institutes
of Health. Since then,
scientists have targeted this group of enzymes and considerably
expanded the breadth of
knowledge about them. Bcr-Abl, a protein-tyrosine kinase found
in 95 percent of patients
with CML, is now thought to be a probable driving factor in the
development of the
disease. (When blood cells that contain Bcr-Abl are transplanted
into mice, the mice
develop leukemia.)
STI571, a compound developed by researchers at Novartis Pharma
AG, Basel,
Switzerland, showed potent activity against Bcr-Abl in laboratory
studies. In the Phase I
clinical trial reported on at the AACR meeting, patients received
escalating doses of
STI571. According to researchers, complete responses were achieved
at daily doses of
300 mg, with minimal side effects in 31/31 of the patients treated.
The responding patients
remain free of disease after a median follow-up of 8-10 months,
according to Brian J.
Druker, M.D., associate professor of medicine, Oregon Health
Sciences University,
Portland, OR. However, Dr. Druker cautioned that "if we look
closely in their bone
marrows, we can still see evidence of the leukemia. We are continuing
all patients on
treatment and need to follow them to determine the long-term
benefits and side effects of
this new treatment." Side effects from STI571 have been minimal.
"These results are surprisingly strong for a Phase I study, which
tests safety and patient
tolerance of a new treatment and, as in this case, usually involves
patients who have tried
other therapies without success. In these circumstances, significant
responses are not
expected," said Dr. Druker.
Novartis has initiated a 20-center, international Phase II study
of STI571 for CML
patients and is close to meeting a recruitment goal of 600-1,000
patients.
Researchers are examining STI571's effect against other protein-kinase
inhibitors. The
compound has already demonstrated inhibitory activity against
receptors for
platelet-derived growth factor (PDGF), which may be involved
in glioblastoma, (a rare
brain tumor), and c-Kit (associated with gastrointestinal stromal
tumors), may also play a
role in small cell lung cancer.
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Founded in 1907, the American Association for Cancer Research
(AACR) is a
professional organization of more than 15,000 laboratory and
clinical scientists engaged in
cancer research in the United States, Canada, and more than 60
other countries. Working
to prevent and cure cancer, AACR's principal activities include
scientific communications;
education and training of young scientists; public education;
scientific meetings for the
presentation and discussion of discoveries in the cancer field;
international programs; and
the publication of four major peer-reviewed scientific journals
(Cancer Research,
Clinical Cancer Research, Cell Growth & Differentiation,
and Cancer
Epidemiology, Biomarkers & Prevention).
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"STI571: Targeting Protein-Tyrosine Kinases in a Mechanism-Based
Approach
to the Development of New Cancer Therapies" (Abstract# 3887)
Elisabeth Buchdunger, Ch. Stiles, and B. Druker
Poster Session: Tuesday, April 4, 11:30 a.m. - 2:30 p.m., Exhibit
Hall B-C, Section 15
News Briefing: Tuesday, April 4, 10:15 a.m. - 11:00 a.m. (PDT)
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