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HOW DOES ONCONASE COMPARE WITH ANGIOSTATIN/ENDOSTATIN? There has been considerable discussion in the news media this week about the anti-cancer potential of two promising anti-angiogenic agents, angiostatin and endostatin. Although no human clinical trials have been performed with these drugs, medical and science writers have placed EntreMed, the drugs' manufacturer, in the spotlight as the company with a potential cancer cure. Alfacell Corporation, on the other hand, receives no media attention; though its flagship product, Onconase, exhibits similar anti-angiogenic properties, and has demonstrated significant anti-cancer activity in humans. Moreover, the scope of Onconase's therapeutic value extends beyond the sphere of cancer. In fact, the universal and ubiquitous nature of RNA in living systems offers an array of opportunities for Onconase as a therapeutic agent. By virtue of its ribonuclease (RNase) character, Onconase has the potential to destroy living systems that are offensive to human life. Besides its proven anti-cancer activity, Onconase has demonstrated anti-viral activity; and it may have potential as both an anti-bacterial and anti-parasitic agent as well. Here I present facts about Onconase and Angiostatin/Endostatin. I will leave it to the reader to weigh the evidence and formulate a judgment about Onconase's therapeutic value.
HOW DO ANGIOSTATIN AND ENDOSTATIN WORK? Angiostatin and endostatin block tumor angiogenesis, a tumor's ability to produce new blood vessels. Since anti-angiogenic activity suppresses the growth of a tumor's nutrient filled blood supply, the tumor starves and its development is inhibited. In fact, the tumor may shrink and disappear. Indeed, Dr. Judah Folkman has eradicated tumors in mice with these drugs, and the mice appear to have been "cured" of their cancers. So, some medical and science editors have prematurely extrapolated these results to humans, and claim these two agents may "cure" cancer in humans. Unfortunately, angiostatin and endostatin have not entered human clinical trials, and there is no evidence to suggest that the results seen in mice will be replicated in humans. Moreover, the drug cocktail is not presently being produced in quantity, and may not be available for human testing until the end of this year. So, it would be unconscionable for us to draw conclusions about this cocktail's efficacy in humans.
ONCONASE'S PROPERTIES COMPARE FAVORABLY WITH ANGIOSTATIN/ENDOSTATIN
1) In a study of mice bearing the aggressive M109 Madison carcinoma researchers stated this observation about Onconase treated mice, "There has been no evidence in any surviving mice, at any time, of the onset of ascites or solid tumors. The 12 survivors of this study appear to have been cured." (See "Striking Increase of Survival of Mice Bearing M109 Madison Carcinoma Treated With A Novel Protein From Amphibian Embryos," Journal of the National Cancer Institute, vol. 82, No. 2, January 17, 1990, pg. 151.) 2) Moreover, Onconase has demonstrated anti-angiogenic activity; the same activity observed with angiostatin and endostatin. (See EXHIBIT #1 below.) 3) Onconase exhibited a consistent and reversible clinical toxicity pattern in Phase I clinical trials. It did not induce most of the toxicities usually associated with other chemotherapeutic agents such as alopecia (hair loss) and myelosuppression (bone marrow suppression). A study of the clinical symptoms demonstrated that peripheral edema (i.e. swelling of the appendages due to water retention) and asthenia (i.e. weakness and fatigue) were the two main side effects of Onconase treatment. When compared with conventional chemotherapy, Onconase exhibits an extremely favorable toxicity profile. So, the quality of a cancer patient's life improves significantly with Onconase treatment. 4) Onconase is in Phase III human clinical trials for pancreatic cancer and malignant mesothelioma. In fact, it is approaching the conclusion of phase III testing, and is being prepared for a NDA (New Drug Application). The likelihood of Alfacell receiving FDA marketing approval for Onconase next year is excellent. 5) Onconase's Phase II human clinical trial data of pancreatic adenocarcinoma patients are very impressive. As of October 1995 one human patient had achieved a complete remission from pancreatic cancer, and was cancer free for more than 3.5 years after entering the clinical trial. Seven patients achieved stabilization of their previously progressive disease. The median survival time for these seven patients was 575+ days (greater than 1.5 years). All surviving patients entered the trial study with Stage IV disease. This means their cancer had spread to distant sites. By contrast, the median survival rate for most newly diagnosed pancreatic cancer patients is only 90 days. (See EXHIBIT #2 below) NOTE: Tamoxifen alone has absolutely no effect on pancreatic adenocarcinoma. (See "Clinical trial of tamoxifen in patients with irresectable pancreatic adenocarcinoma," British Journal of Surgery, 80(3):384-386, March 1993.) 6) The Phase II clinical trial of Onconase as a single agent in patients with malignant mesothelioma (MM) has demonstrated similar results. Most malignant mesothelioma patients die of their disease within 6-12 months of diagnosis. However, the median survival time for patients treated with Onconase was 24.7 months (greater than 2 years) from date of diagnosis. (See "The use of Onconase for Patients with Advanced Malignant Mesothelioma," (Meeting Abstract) Fourth International Mesothelioma Conference, University of Pennsylvania, Philadelphia, PA, May 13-15, 1997.) 7) Onconase has an extremely broad scope of biological activity. Since it is a ribonuclease (RNase), it may act as an anti-viral and anti-bacterial agent also. In fact, the National Institutes of Health have demonstrated that Onconase is active against the HIV-1 virus, the causative agent of AIDS. (See EXHIBITS 3 & 4 below.)
CONCLUSION Angiostatin and endostatin are unproven anti-cancer therapeutics, and months away from entering human clinical testing. Onconase; however, has proven that it can dramatically improve the lives of cancer patients. So, we ought to ask ourselves this simple question; why should seriously ill cancer patients be forced to pin their hopes on tomorrow's dream, when they can embrace the reality of Onconase today? Our responsibility to humanity is obvious. We ought to make Onconase available to everyone stricken with cancer. |