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Although the evidence of prolonged
longevity is slight, the U.S. Food and Drug Administration on Thursday
ruled a new immune system treatment for advanced prostate cancer is safe
and effective enough to be sold. (File Photo)
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BEIJING,
March 30 (Xinhuanet) -- Although the evidence of prolonged longevity is slight,
the U.S. Food and Drug Administration on Thursday ruled a new immune system
treatment for advanced prostate cancer is safe and effective enough to be
sold.
Many experts said they were uneasy about backing
Provenge, a vaccine-like treatment, because it showed only slight
evidence it prolongs the lives of men with the disease. But most agreed to
recommend approval anyway because of the scant options available to
patients, many of whom are facing a terminal illness.
"I wish we all could have voted 'maybe' on this, but
I don't think we can," said Farshid Guilak, Ph.D., a professor of surgery at
Duke University who was a member of the panel.
Biotech firm Dendreaon Corp makes Provenge and
claims the treatment is the first cellular therapy against cancer. To
undergo treatment, patients have immune cells removed and treated with immune
agents.
The cells are then reintroduced into the body with
chemical programming that, in theory, allows them to mount an immune response
against cancer cells.
Men with advanced prostate cancer often undergo
hormone treatment used to block the action of testosterone and related hormones.
The treatment can cause disturbing side effects, including breast enlargement
and sexual dysfunction.
A pair of studies suggested Provenge may slow by one
to two weeks the progression of prostate cancer in men who have cancer that does
not respond to hormone treatment.
Men who used the treatment also showed some evidence
of living longer than those who took a placebo. In one trial, men who got active
treatment lived an average of 3.3 months longer. In another, they lived four and
a half months longer.
Experts criticized the studies for enrolling only
roughly 100 to 130 patients, a relatively small number that can limit
scientists' ability to interpret results.
But most said they support Provenge anyway, given the
limited choices for men with advanced disease.
"If we can buy them a couple of minutes or a couple
of months or a couple of years, then it's our obligation to do that," said
Robert J. Samuels, a member of the panel who said he was diagnosed with prostate
cancer 13 years ago. "We understand it's a risk. But it's a risk most of us are
willing to take."
Federal regulations compel the FDA to make a decision
on the treatment by May 15. The agency isn't forced to follow advisory
panels¡¯recommendations, but it usually does.
(Agencies)