American Home, Merck, Others Step Up Cancer Drug Research
Bloomberg News May 16, 1999, 9:54 p.m. ET
American Home, Merck, Others Step Up Cancer Drug Research
Atlanta, May 16 (Bloomberg) - Drugmakers including American Home Products Corp., Schering-Plough Corp. and Merck & Co., are honing in on the workings of cancer cells in their hunt for new medicines, hoping to imitate the recent successes of much smaller biotechnology companies.
Some of the world's largest pharmaceutical companies are working to make more efficient and safer cancer drugs using knowledge gained in the past 25 years about the workings of cells.
Genentech Inc. already has done this with its breakthrough breast-cancer drug Herceptin, introduced last year. Useful in about three of 10 breast-cancer cases, Herceptin targets specifically a protein found on cancer cells. Older cancer drugs killed any cell in the process of division, hitting all fast- growing tissues, healthy or cancerous.
''Now, every company is taking the philosophy of saying, 'Let's take a look at the biochemistry of cancer and come up with a way to interfere with the cells that is patentable,' '' said Derek Raghavan, a cancer specialist and professor of medicine at the University of Southern California.
Genentech's Herceptin studies last year stole the show at the American Society of Clinical Oncology's annual meeting, one of the world's largest gathering of doctors who specialize in cancer. This year's meeting drew about 20,000 specialists to Atlanta.
At this gathering, hundreds of studies presented this week at the meeting detailed new efforts to stop cancer using recent advances in biology.
Like Genentech, drugmakers are trying to mimic one of the body's best natural weapons against disease, antibodies. American Home, maker of the world's best selling estrogen replacement therapy Premarin and the painkiller Advil, has developed an experimental drug that uses a special antibody to seek out certain leukemia cells. The antibody is attached to a cancer drug. After the antibody attaches to the cancer cells, the drug is absorbed. This is a more precise approach than the older drugs, which blasted all dividing cells.
''It would be great if leukemia cells carried a flag like a pirate ship,'' said Eric Sievers, a researcher at Fred Hutchinson Cancer Research Center in Seattle. ''Leukemia cells are really good at evading our immune system and flying under the radar.''
In a 59-patient study, this experimental drug caused no damage to the kidneys, heart or central nervous system. Patients did not suffer hair loss or mouth ulcers, common side effects of older cancer drugs.
It's too soon to say whether this drug, which American Home is studying with U.K. biotechnology company Celltech Plc, works as well as standard chemotherapy, Sievers said. Research completed so far, though, does indicate the drug works without the harsh side effects of older drugs.
''What's exciting is that this drug is putting people into remission more gently,'' Sievers said.
Merck & Co., Johnson & Johnson and Schering-Plough, meanwhile, are testing drugs that would interfere with a gene that plays a role in tumor growth, Raghavan said.
About 30 percent of cancers are linked to mutations of the gene, according to research Merck presented.
The Ultimate Goal
Other studies highlighted today at the medical conference looked at new ways of fighting cancer, such as gene therapy, and anti-angiogenesis.
Angiogenesis, the rapid generation of blood vessels, is essential to fetal development but plays only a small role in a normal healthy adult. It is key to cancer growth, and by shutting off angiogenesis, doctors hope to starve tumors without causing significant damage to healthy tissues.
Researchers today presented data from a study of a drug made by closely-held Cytran where patients with the AIDS-related skin cancer Kaposi's Sarcoma took nose drops containing an anti- angiogenesis protein. More than 30 percent of patients in the trial had their skin lesions shrunk by the nose drops, and the main side effects were limited to headaches and fatigue, researchers said.
The treatment could one day mean offer a way for patients to control their cancer indefinitely, researchers said.
''That is really the ultimate goal, to make cancer something more like diabetes,'' where careful management can control the disease, said Gill Parkash, a doctor from the University of Southern California School of Medicine, who presented the trials results today.
Cytran's compound is being studied for melanoma and ovarian cancer as well, he said.
And researchers from MD Anderson Cancer Center this morning said they had been able to use gene therapy to inject a ''suicide gene'' into prostate cancer tumors. Injecting the P53 gene triggered higher levels of production of a protein which programs cells to die.
The researchers said they saw evidence that the added levels of protein induced by the gene injections may have led to tumor shrinkage, but said that further study is needed to see if that is the case. The research was sponsored by closely-held Introgen Therapeutics Inc. and No. 1 French drugmaker Rhone-Poulenc.
Proof of Concept
Researchers also are studying why cancer cells remain in an immature state, which lets them grow rampant.
Led by George Demetri of Harvard Medical School, researchers there used Rezulin, a Sankyo Co. diabetes drug sold by Warner- Lambert Co., to see how it could cause maturation of a rare condition, cancer of the fat cells. In a study of 60 patients, Rezulin use did not cause tumors to shrink. The drug, though, did seem to have some effect on causing the tumor cells to differentiate and mature.
Still, people should not look at Rezulin as a means of fighting cancer, Demetri said. ''Proof of concept in oncology doesn't mean that everyone in the country should start getting Rezulin,'' Demetri said. |