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CANCER: IS THIS DRUG THE CURE?
DAILY MAIL (London)
June 17, 2001

A DRUG made from tree bark is being combined with radiation therapy to cure
cancer, experts revealed yesterday. The 'double whammy' has proved 85 per
cent effective in laboratory trials.

Last night the treatment was being hailed as a breakthrough in the battle
against the disease which kills 133,000 Britons every year.

British experts who made the discovery are already talking of a 'long-term
cure' for many common types of cancer after seeing astonishing results in a
laboratory experiment involving human tumours grown in mice.

The dual treatment could be available to patients within five years.

Dr Barbara Pedley of the Cancer Research Campaign said last night: 'We are
excited by these results. Our trial shows that the combination can give a
complete cure.'

The tests covered all the major forms of cancer which produce solid tumours,
including bowel, breast, liver and lung.

The drug, called combretastatin, works by destroying the developing blood
vessels which tumours generate to supply themselves. Used on its own,
however, it leaves a 'rim' of cancerous cells at the edge, allowing the
disease to return.

Radiation therapy completes the attack on the tumour by ensuring all the
leftover cells are killed off. Antibodies with radioactive 'warheads' home in
on the disease cells and destroy them.

The advance is part of a new generation

of 'targeted' cancer therapies. Combretastatin, which is derived from the
bark of an African bush willow, leaves normal blood vessels untouched.

The dramatic success story came in a study by the Royal Free Hospital and
University College Medical School in London, and the Gray Laboratory Cancer
Research Trust. The results were published in the journal Cancer Research.

The scientists found that human tumours grown in mice disappeared completely
in 85 per cent of cases after the combination of drug treat-ment and
radiotherapy.

The animals were still free of the disease almost a year afterwards.

Dr Pedley, head of tumour biology at the CRC's targeting and imaging group at
the Royal Free Hospital, said: 'This combination can produce long-term cures.

'Although we have been mainly looking at colorectal cancer, it works on a
very wide range of cancers - all the solid tumours - which includes breast
cancer.'

She said scientists believed the outer tumour cells may rely on the body's
normal blood vessels, which is why combretastatin could not kill them.

Experts now hope to start human trials of the combination therapy as the next
stage.

Worldwide tests involving cancer patients are expected to begin next year.

About 200 patients with a variety of different cancers would be recruited to
centres in the UK and around the world.

If the trials achieve a similar success rate as those with the mice, they
would pave the way for the treatment to become widely available, possibly
within five years.

Experts say it should work against many common forms of cancer.

Dr Lesley Walker, director of cancer information at the Cancer Research
Campaign, said: 'This good news confirms what we have been saying all along -
that treatments that directly target cancers and spare normal tissue will be
the therapies of the future.

'As well as improving the effectiveness of treatment, this combination should
greatly reduce side-effects for the patient.'

More than 220,000 people are diagnosed with cancer each year in Britain.

The latest findings back up early clinical trials involving 34 patients from
London who experienced massive tumour shrinkage after taking combretastatin.

They were carried out by Professor Gordon Rustin, director of medical
oncology at Mount Vernon Hospital in Middlesex.

He said yesterday: 'The results from the trial in mice are very exciting
because we are actually seeing a cure, which is very unusual.'

Combretastatin achieved similar results in trials involving 60 patients in
the U.S.




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