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Medical Forum / Diseases and Disorders / Cancer / February 2006

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Herceptin: wanting the wonder drug

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Derek Hornby - 03 Feb 2006 13:51 GMT
Those of you in the UK  may be interested in the following:

PANORAMA
SUNDAY 5 FEBRUARY 2006 22:15 GMT BBC ONE
new generation of expensive drugs is revolutionising the treatment of
cancer and throwing the NHS into turmoil. One of those drugs, Herceptin,
has had women marching on Westminster, demanding that it be available on
the NHS within weeks of promising trial data being revealed.

Panorama tells the inside story of the pressure put on a cash strapped
Primary Care Trust to change its mind and fund a hugely expensive drug,
simply, claims its Chairman, "to satisfy the whim of the PM and
Secretary of State".

On the eve of the first ever High Court case that will pit a patient
fighting for Herceptin against her local health chiefs, Panorama talks
exclusively to the patient involved and reveals the results of a
prescription survey carried out among the country's oncologists.

Panorama investigates the rise of patient power and the tough "value for
money" decisions now facing the NHS, and asks whether the "postcode
lottery" of healthcare is being replaced by "who shouts loudest."

http://news.bbc.co.uk/go/em/pn/-/1/hi/programmes/panorama/default.stm
J - 03 Feb 2006 17:39 GMT
> Those of you in the UK  may be interested in the following:
> [...]
>
> http://news.bbc.co.uk/go/em/pn/-/1/hi/programmes/panorama/default.stm

It says :
"might help".
:Pick out the important lines from the following.
http://groups.google.com/group/alt.support.cancer.breast/msg/075c1b72d870494b?hl=en&

http://www.herceptin.com/herceptin/patient/index.jsp
<http://www.bccancer.bc.ca/ABCCA/NewsCentre/2005/Breast+cancer+patients+to+benefi
t+from+breakthrough+therapy.htm
>

<http://www.cbc.ca/story/canada/national/2005/11/17/bc-herceptin-cancer051117.htm
l?print
>

CAlculate the costs of the infusions (staff/resources), state of the art
testing, potential costs of heart or hung damage)/management of same while
on (or off) Herceptin, divide by the # of patients it *will* help, then add
the cost of the medicine per patient and tell us how many lives would be
extended and by how much. (clinical trial results)
vs why someone else's breast cancer won't be helped.

http://www.cancerbacup.org.uk/Treatments/Biologicaltherapies/Monoclonalantibodie
s/Trastuzumab


At the moment it seems that only about one in five women (20%) with breast
cancer have tumours that will be sensitive to trastuzumab. Trastuzumab only
works in people who have high levels of the HER2 protein. It appears to have
little effect in those who don't. /quote/

(since it's not routinely tested for in UK, maybe you have to use BC numbers
or American numbers - of people, costs etc).  Since it seems to help such a
small percentage, I think women waving their arms in protest should have to
pay for their testing themselves or at least, copay.

Once you study the issue and summarize the situation, maybe you could
educate the politicians and the public and newspapers in UK about it.

This is a controversial issue and this is not a breast cancer newsgroup.
Take your results and/or conclusions over to the sci.med.diseases.cancer.
If I have time to look for info to add to yours, I will.
J
PS So far, recently, 2 (possibly 3) with congestive heart failure on the
breast cancer newsgroup.
There's a congestive heart group at ACOR - might want to check there how
many were on Herceptin and how many died (if any of them know).
Derek Hornby - 03 Feb 2006 21:24 GMT
> This is a controversial issue and this is not a breast cancer newsgroup.
> Take your results and/or conclusions over to the sci.med.diseases.cancer.

But it is *support* cancer group.
Anyway  if  someone in the UK was interested  and wants to watch the
Television  program what's the problem.

Remember a a patient  is  fighting for Herceptin, against her local health
chiefs. The BBC  talks exclusively to the patient involved, and reveals the
results of a prescription survey carried out among the country's
oncologists.
Derek
J - 04 Feb 2006 08:16 GMT
> Anyway  if  someone in the UK was interested  and wants to watch the
> Television  program what's the problem.
[quoted text clipped - 3 lines]
> results of a prescription survey carried out among the country's
> oncologists.

Well, you didn't say that and I thought Panorama was the person's name .
(sorry, I should have read that webpage better, but I clicked on the article
instead)
So  Panorama: Sunday at 22:15 GMT BBC One and online
Herceptin: wanting the wonder drug
http://news.bbc.co.uk/1/hi/programmes/panorama/default.stm
Thanks

By the way, someone won court case
http://news.bbc.co.uk/1/hi/england/bristol/4671332.stm
Last Updated: Wednesday, 1 February 2006, 17:00 GMT Her name is Elisabeth

Otherwise: per Charter: If it's more about
medicine......sci.med.diseases.cancer
J
 
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