New gene-targeted drug offers hope in skin cancer

(Agencies)
Updated: 2009-09-29 09:13

A tourist sunbathes at Illetas beach on the Balearic island of Mallorca June 4, 2008.[Agencies]

BERLIN - Scientists offered new hope in the fight against the most deadly type of skin cancer on Wednesday as an early-stage clinical trial showed an experimental drug dramatically shrank tumors.

Another study also found Roche's established cancer drug Avastin had promise in treating melanoma, but it failed to show a statistically significant improvement in survival.

Paul Chapman from the Memorial Sloan-Kettering Cancer Center in New York said 70 percent of patients with a particular gene mutation saw their tumors shrink when given the new pill, called PLX4032.

"To put that into context, chemotherapy is about 13 to 15 percent, and that's where we have been stuck with conventional treatments," he said at the ECCO-ESMO cancer congress in Berlin.

Of the 27 patients evaluated in the small Phase I study, two responded completely and signs of their disease disappeared.

Preliminary findings with the new drug were first reported in June but the data from more patients have boosted confidence in its prospects.

Chapman and his colleagues are planning a Phase II trial of 90 patients starting at the end of 2009, and a large international Phase III trial involving several hundred patients is planned to start in late 2009 or early 2010.

Alexander Eggermont, president of the European Cancer Organization, described the trial as "simply spectacular" and said it showed the benefits of targeting treatment.

The news would transform melanoma work into "a very exciting field instead of a graveyard," he said.

PLX4032, which Roche is developing with privately-held U.S. biotech company Plexxikon, is the latest in a growing group of gene-targeted drugs that oncologists believe will drive future cancer treatment.

It blocks the activity of the cancer-causing mutation of the BRAF gene involved 50 to 60 percent of melanomas.

Eggermont said findings on BRAF status, which showed the some 40 percent of patients with the unmutated gene had no response to the drug, gave oncologists clearly defined targets.

"We know exactly what we are doing, that is what all the excitement is about," he told reporters.

Malignant melanoma is the most serious type of skin cancer, with about 160,000 new cases diagnosed worldwide each year. It is treatable if caught early, but in patients whose disease has spread it is rarely cured and often kills them within a year.

Previous 1 2 Next Page