UPDATE: Experimental Roche Breast-Cancer Drug Slows Tumor Growth -Study
03 Junho 2012 - 2:28PM
Dow Jones News
A study involving an experimental cancer drug being developed by
Roche Holding (RHHBY, ROG.VX) showed it delayed disease progression
in women with a specific type of breast cancer compared to
conventional therapy.
The study involved a drug currently dubbed T-DM1, or trastuzumab
emtansine, which combines Roche's cancer drug Herceptin with a
chemotherapy drug in a medicine designed to be delivered directly
to the cancer cell. Traditional chemotherapy drugs are designed to
kill cancer, but they also affect healthy cells in the body.
Details from the study are scheduled to be presented Sunday at
the American Society of Clinical Oncology's annual meeting on
Sunday. Roche announced top-line data in March.
The study involved about 1,000 women with HER2-positive breast
cancer who had been previously treated with Herceptin and a
traditional chemotherapy drug. About half of the women were then
treated with T-DM1 and the other half were treated with a
combination of Xeloda, another Roche drug, and GlaxoSmithKline
PLC's (GSK, GSK.LN) Tykerb. The drugs were administered every three
weeks until the disease progressed or patients experienced
unmanageable side-effects. The medicines are designed to treat
women who test positive for the HER2 protein, a type believed to
account for 20% to 25% of all breast-cancer cases.
"This is a completely new way of treating HER2-positive breast
cancer," said Kimberly Blackwell, the study's lead researcher and a
professor of medicine at Duke University.
The study was designed to measure progression-free survival,
which is a measurement of the time from the start of treatment
until the disease gets worse or the patient dies, and overall
survival, which is a measurement of time from the start of
treatment until death. So far patients in the study have been
followed for about two years.
The median progression-free survival for patients receiving
T-DM1 was 9.6 months, compared to 6.4 months in the group receiving
Xeloda and Tykerb, a difference considered statistically
significant.
The median overall survival two years after starting treatment
was 23.3 months for Xeloda and Tykerb and had not been reached for
patients in the T-DM1 group. Patients in the study are still being
followed. At the two-year mark, 65.4% of T-DM1 patients were alive,
compared to 47.5% of patients receiving Xeloda and Tykerb,
researchers said.
The study showed more patients in the T-DM1 group had elevations
in liver function tests and a blood disorder known as
thrombocytopenia. More patients in the Xeloda and Tykerb group had
dose reductions, diarrhea, vomiting and a condition called
hand-foot syndrome which is redness, swelling and pain on the hands
or feet.
Roche said it expects to file an application with the U.S. Food
and Drug Administration and other regulators for T-DM1 by the end
of the year.
Dr. Louis Weiner, the director of Georgetown University's
Lombardi Comprehensive Cancer Center, who was asked to review the
study by ASCO said "It looks like it is a useful regimen and looks
like it will have powerful impacts on survival."
The technology that linked Herceptin with emtansine, which is a
more powerful drug than traditional chemotherapy drug, was
developed by ImmunoGen Inc. (IMGN) The company has its own drugs in
development and is working with other companies including Bayer AG
(BAYRY, BAYN.XE), Eli Lilly & Co. (LLY), Novartis AG (NVS,
NOVN.VX) and Sanofi (SNY) to develop other combination cancer drugs
that link antibodies designed to directly target the cancer cell
with strong chemotherapy drugs.
-By Jennifer Corbett Dooren, Dow Jones Newswires; 202-862-9294;
Jennifer.Corbett-Dooren@dowjones.com
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