Breast Cancer - Clinical Study of Abraxane
Main Category: Breast CancerArticle Date: 07 Apr 2005 - 1:00 PDT
'Breast Cancer - Clinical Study of Abraxane'
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American Pharmaceutical Partners Announces Initiation of a Clinical Study of Abraxane in the Most Widely Used Combination Chemotherapy Regimen of Paclitaxel and Herceptin in HER2-Positive Breast Cancer Patients.
- Study to be Conducted by ION, the Largest Network of Community Oncologists
- ABRAXANE to be Administered Weekly in Combination with Herceptin as First-Line Therapy in Metastatic Breast Cancer
American Pharmaceutical Partners, Inc (Nasdaq: APPX) today announced that American BioScience, Inc. has initiated enrollment in a Phase II study of ABRAXANE(TM) administered weekly in combination with Herceptin in first-line treatment of metastatic breast cancer. The study will be conducted by International Oncology Network (ION), the nation's premier, and largest, network of community-based oncologists and will include 20 ION sites.
The open-label, non-randomized study will include 70 patients with locally advanced or metastatic breast cancer and will be led by principal investigator Barry C. Mirtsching, M.D., Director of the Center for Oncology Research & Treatment, Medical City Dallas Hospital, Dallas, TX.
All patients will receive ABRAXANE at a dose of 125mg/m2 by a 30-minute IV infusion once a week for weeks 1-3 in each 4-week cycle of treatment; the HER2-positive patients will, in addition, receive Herceptin(R), which is regularly used in the treatment of these patients. The primary study endpoint is response rate (RR) and the secondary study endpoints are time to tumor progression (TTP), overall survival (OS) and toxicities. Approximately 30% of all metastatic breast cancer patients are HER2-positive.
Dr. Mirtsching said, "We look forward to studying ABRAXANE in previously untreated metastatic breast cancer patients, using a weekly dosing regimen, and combining it with Herceptin in HER2-positive patients."
Jeffrey Scott, M.D., president and national medical director of ION, said, "ABRAXANE has demonstrated superiority over Taxol(R) in terms of response rate, time to tumor progression and survival. The combination of ABRAXANE with Herceptin in the absence of steroid premedication is an important addition to the armamentarium that oncologists use to treat patients with breast cancer."
ABRAXANE(TM) was launched on February 7, 2005 by Abraxis Oncology, the proprietary division of APP after having received FDA approval in January. ABRAXANE is indicated for the treatment of breast cancer after failure of combination chemotherapy for metastatic disease or relapse within 6 months of adjuvant chemotherapy. Prior therapy should have included an anthracycline unless clinically contraindicated.
International Oncology Network (ION) has become the nation's premier -- and largest -- network of community-based oncologists. Members are committed to helping promote quality cancer care where patients need it the most -- close to home -- in their own communities. By bringing clinical research, educational symposia, information systems, and other innovative services to the local oncology community, ION provides tools to physicians that can help maintain a level of expertise so needed in the rapidly changing environment of oncologic treatment options. ION members range from solo practitioners to some of the country's largest and most renowned private practices -- all committed to improving the quality of patient care in their own communities. For more information, visit http://www.iononline.com.
About American Pharmaceutical Partners
American Pharmaceutical Partners, Inc. is a specialty drug company that develops, manufactures and markets injectable pharmaceutical products, focusing on the oncology, anti-infective and critical care markets. Abraxis Oncology, the proprietary division of APP, is devoted entirely to developing and promoting innovative, next-generation cancer therapies such as ABRAXANE(TM), recently launched for the treatment of metastatic breast cancer.
For more information, visit APP's website at http://www.appdrugs.com and http://www.abraxisoncology.com.
This press release contains forward-looking statements within the "safe harbor" provisions of the Private Securities Litigation Reform Act of 1995. All statements included or incorporated by reference in this press release, other than statements that are purely historical, are forward-looking statements. The words "may," "will," "should," "could," "expect," "plan," "anticipate," "believe," "estimate," "predict," "continue," and similar expressions identify forward-looking statements. Forward-looking statements also include the assumptions underlying or relating to any forward-looking statements.
Because these forward-looking statements involve risks and uncertainties, there are important factors that could cause actual results to differ materially from those in the forward-looking statements. These factors include, without limitation, the timing of and costs associated with the ongoing launch of ABRAXANE(TM), the market adoption and demand of ABRAXANE, that the actual results achieved in further Phase II and III trials for ABRAXANE may or may not be consistent with results achieved to date, the difficulty in predicting the timing or outcome of other product research and development efforts, potential product characteristics and indications, marketing approvals and launches of other products, the impact of pharmaceutical industry regulation, the impact of competitive products and pricing, the availability and pricing of ingredients used in the manufacture of pharmaceutical products, the ability to successfully manufacture products in a time-sensitive and cost effective manner, the acceptance and demand of new pharmaceutical products, the impact of patents and other proprietary rights held by competitors and other third parties. Additional relevant information concerning risks can be found in the Company's Form 10-K for the year ended December 31, 2003 and other documents filed by the Company with the Securities and Exchange Commission.
The forward-looking statements in this press release reflect the Company's judgment as of the date of this press release. The Company disclaims any intent or obligation to update these forward-looking statements.
Herceptin is a registered trademark of Genentech, Inc.
TAXOL is a registered trademark of Bristol-Myers Squibb Company
American Pharmaceutical Partners, Inc.
http://www.appdrugs.com
http://www.abraxisoncology.com
Visit our breast cancer section for the latest news on this subject.
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Clinical Effectiveness Of Abraxane?
posted by Gregory D. Pawelski on 4 May 2007 at 11:27 pmAbraxane (a taxane) is a new form of Taxol. Abraxane combines the drug paclitaxel with Albumin, a protein found in human blood. Taxol combines paclitaxel with Cremophor, a combination of castor oil and alcohol. The delivery mechanism is different, however, they are basically the same drug.
Despite its effectiveness, paclitaxel has some drawbacks. Paclitaxel targets the fastest-growing cells, but it isn't specific to cancer cells. It also kills hair cells and cells in the stomach lining, leading to hair loss and nausea that are associated with chemotherapy. It is possible for many patients to be resistant to it, and also to develop a tolerance, limiting the drug's ability to fight future occurrences of cancer.
Patients taking Taxol receive a steroid and an antihistamine to reduce the risk that Cremophor will cause harsh allergic reactions. Patients taking Abraxane do not need to take a steroid or antihistamine, and can be given at higher doses than Taxol. However, more of the women on Abraxane had numbness and tingling in their hands and feet. And more suffered nausea and vomiting, diarrhea, muscle and joint pain and anemia.
Some taxane-induced side effects are so common, and in some instances so severe, that patients and their physicians may delay treatment, reduce the dose or discontinue therapy altogether. While medications designed to prevent or treat nausea, vomiting and decreased white blood cell counts are available, there are currently no treatments for other serious taxane-induced side effects, particularly nerve damage.
Despite the broad antitumor activity of taxanes, their clinical usefulness has been limited by common side effects such as painful nerve damage, reduction of white blood cell counts, liver damage, allergic reactions, nausea and vomiting, and other toxicities (Bionumerik).
According to clinical trials, although it does shrink tumors in more patients, Abraxane does not help patients live longer than the older treatments. Dr. Ramaswamy Govindan, a Washington University professor who was co-author of a December 2006 article in the Annals of Oncology about Abraxane and other, as-yet- unapproved Cremophor-free versions of Taxol, said that none of the new drugs had shown significant advantages over the older medicine. In general, the novel formulations so far have not stood out as distinctly superior.
Shrinking tumors is a totally inadequate measure of the effectiveness of a drug. German investigators, using the CellSearch system, shown that Taxol produced the greatest degree of tumor shrinkage, but also the greatest release of circulating tumor cells, beginning the most life-threatening aspect of cancer, metastasis. With cells remaining in the circulation, this observation corresponds with results found in patients that tumor response does not mean increased survival (Oncol News Int'l, Vol 14, #5, May '05).
Then add in the price shock of the drug! Charging $4,200 a dose for a new version of an old cancer drug. Two studies have documented a clear association between reimbursement to oncologists for the chemotherapy and the regimens which oncologists select for their cancer patients. In other words, oncologists tended to base their treatment decisions on which regimen provided the greatest financial remuneration to the oncologist (Jacobson, M.,O'Malley, A.J., Earle, C.C., et al. Health Affairs 25(2):437-443, 2006) and (Patterns of Care: 2005,Vol 2,Issue 1).
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