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    Drug Combo May Fight Prostate Cancer

    Thalidomide Plus Avastin Shows Promise for Treatment of Advanced Prostate Cancer
    By
    WebMD Health News

    Feb. 18, 2008 (San Francisco) -- A drug cocktail that starves tumors of their blood supply shows promise for the treatment of men with advanced prostate cancer.

    A combination of Avastin and thalidomide -- both of which cut off the growth of new blood vessels that feed tumors, but in different ways -- appears to pack a more potent punch than Avastin alone, researchers report.

    Avastin was the first of a new kind of cancer therapy that works by choking off the blood supply to a tumor, a process called anti-angiogenesis. It's already approved for use in fighting colon and lung cancer.

    Avastin blocks a chemical signal called vascular endothelial growth factor, or VEGF. VEGF binds to certain cells to stimulate new blood vessel formation.

    Many people have heard of thalidomide. Its use in treating sickness during pregnancy in the 1960s resulted in birth defects. The birth defects were caused because thalidomide changes the growth and development of new blood vessels, including those in developing babies.

    But thalidomide also blocks the action of another chemical signal that spurs the growth of new blood vessels that feed tumors. This one's called fibroblast growth factor.

    "We reasoned that combining two different anti-angiogenesis drugs that work by two different pathways to get to the same goal would result in improved antitumor activity," says researcher Yangmin Ning, MD, a researcher with the National Cancer Institute.

    Combination Treatment for Prostate Cancer

    Ning and colleagues studied 60 men with prostate cancer that had spread to other parts of the body. They were all given an anticancer cocktail that contained Avastin, thalidomide, and the chemotherapy drug Taxotere.

    Taxotere, which is given with the steroid prednisone, is a standard treatment for men with advanced prostate cancer.

    The findings were presented at the 2008 Genitourinary Cancers Symposium, which is co-sponsored by the American Society of Clinical Oncology (ASCO) and two other cancer care organizations.

    Results showed that 90% of men improved on the drug cocktail, as measured by a PSA drop of 50% or more.

    PSA, or prostate-specific antigen, is a protein produced by cells in the prostate. High PSA levels can signal cancer; men with a faster PSA drop after treatment tend to have better outcomes. The National Cancer Institute says a reduction in PSA of 50% or more after treatment is a sign that the patient is responding to the treatment.

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