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Medical Forum / Diseases and Disorders / Cancer / March 2004

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p53 question

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Richy G - 26 Mar 2004 10:01 GMT
Hi,

my father was diagnosed with cholangiocarcinoma, he is now
medicated with gemzar an cisplatin with a lousy response forecast.

I often read about the gene defect of tumorsupressor gene p53
and the new treatment from China with Gendicine.
My question now is: are there different p53 defects or is it always
the same? So is it possible for Gendicine to fight every kind of
tumor as long its reliant to this p53 defect?
(Given that Gendicine will work at all, and the tumor will respond)

Are there any studies with Gendicine and chemotherapy simultaneous?

tia
Richy
J - 27 Mar 2004 02:50 GMT
> my father was diagnosed with cholangiocarcinoma, he is now
> medicated with gemzar an cisplatin with a lousy response forecast.
[quoted text clipped - 10 lines]
> tia
> Richy

Hi Richy,
I'm afraid this is too complex for me and perhaps beyond the scope of
this newsgroup but I've found the following to perhaps start your
searching

http://www.chinadaily.com.cn/english/doc/2004-03/09/content_314161.htm
This new injectable medication, uses an adenoviral vector and p53 tumor
suppressor gene. It is a new treatment for head and neck cancer, also
called squamous cell carcinoma (HNSCC).
Gendicine was used in clinical trials on patients with late-stage HNSCC.
After eight weeks of therapy involving one injection per week, about 64
per cent of patients' tumors experienced complete regression and 32 per
cent experienced partial regression. In combination with chemo- and
radiotherapy, Gendicine improved treatment efficacy more than 3-fold.
To date there are more than 700 gene therapy medicines in clinical trial
but Genedicine is the only one with approval to commercialize

<http://www.hhmi.org/cgi-bin/askascientist/highlight.pl?kw=&file=answers%2Fgeneti
cs%2Fans_023.html
>

http://www3.cancer.gov/intra/LHC/p53ref.htm

http://www.newscientist.com/news/news.jsp?id=ns99994420
Many tumours arise after the mutation or inactivation of p53, and in
cancers of this type restoring the protein should kill the tumour cells.
This approach has already been tried in the US, with mixed results.

Here's some links to clinical trial searches
http://www.trialscentral.org/
http://www.clinicaltrials.gov/
http://ccr.ncifcrf.gov/trials/patients/

There are perhaps others  cholangiocarcinoma who check this newsgroup's
subject lines for posts, so if you want to gete their attention, please
post again with the type of cancer in the subject line.

Meantime, keep in touch and let us know how you and your father are
doing.
If we can be of assist in any other way, we'll sure try to
Best,
J
 
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