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Scottish university reveals new drug to combat leukaemia


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#1 CallMeLucky

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Posted 08 August 2011 - 11:37 AM

This came up back in March (http://community.lls.org/message/98224), but in the news again

http://www.dailyreco...86908-23328602/

Scottish university reveals new drug to combat leukaemia and it's found in..  Irn-Bru

Aug 8 2011 By Kate Foster

THOUSANDS of cancer patients could be cured by a lifesaving new drug - linked  to Irn-Bru.

The drug is a form of quinine - a bitter flavouring found in the fizzy pop  and tonic water - which is used to treat malaria.

Scottish doctors working on a cure for a common leukaemia have discovered it  kills the most stubborn cancer cells, and believe a cure is now close.

Medics hope the drug, called hydroxychloroquine, could also be effective  against other cancers including those of the breast, lung and bowel.

Last night, scientists leading the research said they are now within sight of  a cure.

Dr Arunima Mukhopadhyay, who has led the laboratory studies, said: "We can  see a cure on the horizon and we are trying to get there. The fact we are using  an anti-malarial drug means we don't have to make a new drug.

"There is a lot of initial data supporting the use of hydroxychloroquine in  cancer treatment.

"There are several trials ongoing with patients who are suffering from other  forms of blood cancer, solid tumours of the prostate and in cancers of the  bowel, kidney, lungs, breast and skin."

The research has been carried out by scientists led by Professor Tessa  Holyoake from the Paul O'Gorman Leukaemia Research Centre at the University of  Glasgow, world leaders in research into chronic myeloid leukaemia (CML).

There are around 500 Scots with the disease and 50 new cases every year.

Most of the sufferers are treated with chemotherapy drugs but must stay on  them for the rest of their lives because the cancer cells cannot be wiped out  entirely.

For some patients, the side-effects of the drugs are intolerable - and for  others the disease returns.

But Dr Mukhopadhyay said hydroxychloroquine has been found to kill the  remaining leukaemia cells, meaning patients could simply take a short course of  the pill and be cured.

She said: "With current treatments for CML, a tiny population of stem cells  remain in the bone marrow which can't be killed.

"This means that patients have to continue on drugs for the rest of their  lives and quite often, if you take them off the drugs, they will get a  relapse."

Trials are now under way in patients and a treatment could be available on  the NHS within a few years.

Hydroxychloroquine works on leukaemia cells in a similar way to how it  combats malaria, by changing the environment within the blood cells they both  need to survive.

In malaria, which is caused by a parasite spread by mosquitoes, the drug  enters the food sac of the parasite through the patient's red blood cells.

It interferes with the way the parasite creates its food supply by  neutralising the acidic environment it needs. The parasite then dies due to a  build-up of lethal toxins.

In leukaemia, the drug enters the patient's white blood cells and interrupts  the way cancer cells remove their damaged products and recycle their building  blocks. Again, it neutralises the acidic environment and the cancer cell  dies.

The drug could also treat breast, lung, bowel and skin cancers - although if  caught early enough these are already successfully cured without the need for  lifelong drugs.

The breakthrough has been hailed by charities, who said it offers cancer  patients new hope.

Tony Gavin, campaign director at the Leukaemia CARE charity, said: "This is  an exciting clinical trial being conducted by a world-class team.

"A positive outcome may have a huge impact on the quality of life of all CML  patients."

'We can see a cure and are trying to get there'


Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#2 helenet

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Posted 08 August 2011 - 12:15 PM

Trey?

Is this more snake oil?



#3 John

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Posted 08 August 2011 - 12:27 PM

Maybe it is, but I'm glad researchers keep trying new things.  When Druker first talked about Imatinib back in the late '90s a bunch of people thought that it might just be snake oil too...

I'm glad he didn't give up!



#4 GerryL

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Posted 09 August 2011 - 01:54 AM

New approach to leukemia chemotherapy -- is a cure in sight?

Published: Wednesday, March 30, 2011 - 21:35 in Health & Medicine

Speaking at the UK National Stem Cell Network conference in York later today (31 March), Professor Tessa Holyoake from the University of Glasgow will discuss a brand new approach to treating chronic myeloid leukaemia (CML) in which a small number of cancer cells persist despite effective therapy thus preventing cure. CML is a type of blood cancer caused by the infamous "Philadelphia Chromosome" genetic abnormality. It is usually treated using a class of drugs called Tyrosine Kinase Inhibitors and in the majority of cases this treatment is successful, with around 90% of patients recovering from the disease. However in the majority of patients a subset of cancer cells - CML stem cells - are resistant to Tyrosine Kinase Inhibitors.

"At the moment we are working with 9 patients who still have low level evidence of CML despite Tyrosine Kinase Inhibitor treatment. They are helping us to test the use, in principle, of a new type of drug that specifically deals with the resistant CML stem cells," said Professor Holyoake.

"The drug we are using in the trial is hydroxychloroquine - a well established antimalarial drug that has been used commonly since the 1950s and is also used in rheumatoid arthritis. This will allow us to test the principle of using similar drugs to treat CML patients.

"Unfortunately hydroxychloroquine may not be suitable for very long term treatment because of side effects. In particular there is a very low risk of temporary or permanent eye problems. In our trial the patients will take the drug for up to 12 months with very close monitoring of their eye health, which will allow us to intervene at the very earliest sign of an adverse effect," Professor Holyoake continued.

The patients in the trial have already taken a Tyrosine Kinase Inhibitor drug for at least a year, which has reduced the number of cancer cells in their blood to a very low level.

Professor Holyoake's team discovered that CML stem cells avoid the impact of Tyrosine Kinase Inhibitor treatments by going into a state called autophagy in response to the drug. This means that they begin to shut down and use nutrients from within the cell to survive in what is effectively suspended animation. In this state the drug cannot kill them and so later they can initiate a resurgence of the disease. Hydroxychloroquine has been shown to kill cells that are undergoing autophagy and the trial is designed to test whether this is a potential route for treatment in patients.

Professor Holyoake concluded "Although hydroxychloroquine probably isn't the final answer for treating resistant CML stem cells, we are aware that there is interest from the pharmaceuticals industry in developing new drugs that target cells undergoing autophagy. We are therefore very hopeful that once we can prove that in principle this approach works, it could lead relatively quickly to a new treatment for patients for whom Tyrosine Kinase Inhibitors don't provide a full cure."



#5 scuba

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Posted 09 August 2011 - 06:49 AM

Gin and Tonic anyone?


Diagnosed 11 May 2011 (100% FiSH, 155% PCR)

with b2a2 BCR-ABL fusion transcript coding for the 210kDa BCR-ABL protein

 

Sprycel: 20 mg per day - taken at lights out with Quercetin and/or Magnesium Taurate

6-8 grams Curcumin C3 complex.

 

2015 PCR: < 0.01% (M.D. Anderson scale)

2016 PCR: < 0.01% (M.D. Anderson scale) 

March        2017 PCR:     0.01% (M.D. Anderson scale)

June          2017 PCR:     "undetected"

September 2017 PCR:     "undetected"


#6 CallMeLucky

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Posted 09 August 2011 - 08:47 AM

I'll drink to that!


Date  -  Lab  -  Scale  -  Drug  -  Dosage MG  - PCR
2010/Jul -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 1.2%
2010/Oct -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.25%
2010/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.367%
2011/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.0081%
2011/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2011/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.00084%
2011/Dec -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Mar -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0.004%
2012/Jun -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Sep -  MSKCC  -  Non-IS  -  Gleevec  - 400 - 0%
2012/Dec -  MSKCC  -  Non-IS  -  Sprycel  - 100 - 0%
2013/Jan -  Quest  -  IS  -  Sprycel  -  50-60-70  - 0%
2013/Mar -  Quest  -  IS  -  Sprycel  -  60-70  - 0%
2013/Apr -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.036%
2013/May -  CUMC  -  Non-IS  -  Sprycel  - 50 - 0.046%
2013/Jun -  Genoptix  -  IS  -  Sprycel  - 50 - 0.0239%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0192%
2013/Jul -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0034%
2013/Oct -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0054%
2014/Jan -  Genoptix  -  IS  -  Sprycel  - 70 - 0.0093%
2014/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.013%
2014/Apr -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0048%
2014/Jul -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2014/Nov -  Genoptix  -  IS  -  Sprycel  - 100 - 0.047%
2014/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2015/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0.0228%
2016/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2016/Dec -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Mar -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Jun -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Sep -  Genoptix  -  IS  -  Sprycel  - 100 - 0%
2017/Dec - Genoptix  -  IS  -  Sprycel  -  100 - 0%
 

 


#7 Trey

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Posted 09 August 2011 - 04:55 PM

Here is the clinical trial website:

http://clinicaltrial...how/NCT01227135

This drug is also called Plaquenil and is taken for Rheumatoid Arthritis, Lupus, Malaria, and some other issues.  So some patients with CML already take this drug.

It seems worthy of study for CML, but as with any such research it has a low probability of success.  But that is how progress is made.



#8 Marnie

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Posted 09 August 2011 - 05:45 PM

I've got some limes. . .anyone out there have the gin??  My PCP suggested that I drink a gin and tonic at night to ease my restless leg syndrome.  I tried if for a little while, but it didn't help.  Then I started using the limes for margaritas because they taste better.  



#9 John

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Posted 10 August 2011 - 02:51 PM

Hey Marnie,

I'm out in Denver and always open to hook up for a cocktail or two...

Just name the time and the place.  ;-)

John



#10 Marnie

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Posted 10 August 2011 - 06:36 PM

Hey, John. .. there was someone else trying to get a Colorado group together, though if I remember right, she was in Steamboat.  There are a bunch of us out here.

I'm crazy busy right now for the next 2 weeks (back at school this week, and tomorrow the kids come).  But maybe sometime in September we could see who else might be interested in a get-together.  I know one other woman in Aurora (we see the same doc, though I will be switching.  She thinks very highly of him, though he hasn't been the right style doc for me).

I should have done a better job of jotting down names of local folks as I learned them.  I know there's a guy down in Centennial (or is that you?).

Marnie



#11 Happycat

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Posted 10 August 2011 - 06:41 PM

Wow, this is quite a coincidence!  My dh consults for my company.  We sell small quantities of drug-like compounds for researchers to use in their in vitro or in vivo assays.  He suggested they start offering hydroxychloroquine a few years ago, originally because of its anti-malarial properties.  I'll have to pass this on to others and see if the researchers have published any studies.  If we can list a link to their papers, it might draw in more researchers.  The more people looking at possible cures for CML, the better for all of us.

This sounds to me like a proof of principle study, from which they would then design other better compounds.  So this might not be a cure per se, but the knowledge gained from it could one day be used to find a cure.

Traci






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