New Research In The Treatment Of Cancer Of Immune System.
New analyse provides more documentation that treating non-fluctuating lymphoma patients with an costly drug over the long term helps them go longer without symptoms. But the drug, called rituximab (Rituxan), does not seem to significantly swell life span, raising questions about whether it's quality taking. People with lymphoma who are light of maintenance treatment "really need a dialogue with their oncologist," said Dr Steven T Rosen, captain of the Robert H Lurie Comprehensive Cancer Center at Northwestern University in Chicago discount. The con involved persons with follicular lymphoma, one of the milder forms of non-Hodgkin lymphoma, a stretch that refers to cancers of the immune system.
Though it can be fatal, most populate live for at least 10 years after diagnosis. There has been controversy over whether people with the disease should take Rituxan as maintenance therapy after their commencing chemotherapy. In the study, which was funded in part by F Hoffmann-La Roche, a pharmaceutical band that sells Rituxan, harshly half of the 1,019 participants took Rituxan, and the others did not banane. All time past had taken the drug right after receiving chemotherapy.
In the next three years, the den found, people taking the hallucinogen took longer, on average, to develop symptoms. Three-quarters of them made it to the three-year evaluate without progression of their illness, compared with about 58 percent of those who didn't take for the drug. But the death figure over three years remained about the same, according to the report, published online Dec 21 2010 in The Lancet.
The soporific "should now be considered as first-line therapy for these patients," wrote Dr Gilles Salles of Hospices Civils de Lyon & Universite Claude Bernard in Lyon, France, and his scrutiny colleagues. But Rosen said there's still a detach over use of the pharmaceutical as sustentation therapy. "Physicians are falling into two groups. One says, 'There was no survival advantage, I'd just stand by until you have course and then re-treat you. That's not unreasonable.'"
Another group "would stipulate that there's potentially better quality of life during the period without disease. But the unconscious benefits from not having any evidence of c murrain are hard to measure".
In a comment accompanying the report in The Lancet, Dr Jonathan Friedberg, of the hematology and oncology arm at the University of Rochester in Rochester, NY, wrote that "an dissection of cost-effectiveness would be very helpful. In an period of increased health-care costs, what better is necessary to justify the cost of this maintenance strategy, which at my institute would cost Medicare more than $60000 per patient?" Friedberg asked.
He also described as too early the researchers' statement that maintenance group therapy with the drug should be prescribed for all people with follicular lymphoma who are initially treated with rituximab added to chemotherapy banane. So "However, contribution is an option," Friedberg said, adding that "the investigators are to be congratulated for this signal contribution and are strongly encouraged to continue follow-up of these patients to solution the questions that remain".
Комментариев нет:
Отправить комментарий