Friday, October 5, 2012

Another magic cure from cancer. Post No 19. Roche and T-DM1

This time positive news regarding breast cancer: Very positive news:
T-DM1, which combines Roche's anti-HER2 antibody Herceptin (trastuzumab) with a chemotherapy payload, is due to reach the market next year and has already been tipped as a major seller for Roche with some analysts predicting peak revenues of up to $3.5bn a year.
The new data from the EMILIA study were presented yesterday at the European Society for Medical Oncology (ESMO) annual meeting, and come from a study involving patients with HER2-positive breast cancer whose disease had progressed despite earlier treatment with Herceptin.
Those treated with T-DM1 (trastuzumab emtansine) lived for 30.9 months on average, compared to 25.1 months for patients treated with capecitabine and GlaxoSmithKline's Tykerb/Tyverb (lapatinib), which is currently the only approved regimen in this setting.
I am very glad that this new drug will be launched next year. I have just a couple questions:
-       T-DM1 was not tested as first-line treatment?
-       T-DM1 was tested as a second-line treatment “involving patients with HER2-positive breast cancer whose disease had progressed despite earlier treatment with Herceptin”
If the answers are “yes” so the potential of T-DM1 is not so big as it should be expected. And T-DM1 is not a really magic bullet. Probably “semi-magic” bullet.

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