BEIJING, Oct. 11 (Xinhuanet) -- Taxol, a widely used
chemotherapy drug, is useless in treating the most common form of breast cancer
and helps far fewer patients than previously believed, said a study in
Thursday's New England Journal of Medicine.
The study reanalyzed a research done in the 1990s,
using modern genetic tools that were not available at that time.
"The days of 'one size fits all' therapy for patients
with breast cancer are coming to an end," Dr. Anne Moore of Weill Cornell
Medical College wrote in an editorial in the journal.
In the study, paclitaxel, sold as Taxol by New
York-based Bristol-Myers Squibb Co. , did the most good for women who had
overactive HER-2 genes. These women were about 40 percent less likely to have a
recurrence if they received Taxol.
However, the drug did not significantly
help women whose tumors were HER-2 negative and were being helped to grow by
estrogen. This is the most common form of the disease.
If further study provides the same results, over
20,000 women each year in the United States alone might be spared the side
effects of this drug or similar ones without significantly raising the risk
their cancer will return.
That would be roughly half of all breast cancer
patients who get chemo now.
"We want to make sure these data are correct before
withholding it (Taxol) from some patients ... the stakes are high," said the
lead researcher, Dr. Daniel Hayes of the University of Michigan. "On the other
hand, we don't want to keep a therapy that doesn't work."
The new study was funded by the federal government
and a breast cancer foundation. Several researchers consult for Bristol-Myers
Squibb.
"We should have done this a long time ago, but the
tools were lacking and researchers now have the advantage of longer follow-up of
these women," said co-author, Donald Berry of the University of Texas M.D.
Anderson Cancer Center.
Berry was reanalyzing another earlier Taxol study,
and Moore urged other scientists to do the same.
With more evidence, "we can begin to use the biology
of the cancer to decide whether the chemotherapy will work" before subjecting
women to it, Hayes said.
(Agenices)