Using Pharma Drug that Resembles Vegetables

Cancer-Fighting Drug May Work In Prevention And Treatment

PHILADELPHIA

The ABCs of fighting cancer these days include two big words that describe exciting basic concepts. One is anti-angiogenesis, a strategy to stop or prevent the growth of blood vessels needed to nourish a tumor and allow it to spread.

Another approach is chemoprevention-using medication to halt, delay or reverse the development of cancer.

According to new prevention research by Fox Chase Cancer Center cell biologist Margie Clapper, Ph.D., of Harleysville, Pa., and colleagues at Cephalon Inc. in West Chester, Pa., the drug Oltipraz holds the potential to achieve both goals.

A report on the ongoing studies appears in the January 2002 issue of Clinical Cancer Research. Co-authors include Dr. Clapper and Bruce Ruggeri, Ph.D., of Cephalon's Division of Oncology.

Clapper has been studying Oltipraz for more than a decade, concentrating on its ability to raise blood levels of protective "detoxification" enzymes that help ward off cancer. These enzymes resemble antioxidant compounds in broccoli, cabbage and similar vegetables.

In early clinical studies, Clapper worked with Fox Chase medical oncologist Christine Szarka, M.D., to see how well Oltipraz increased protective enzymes among people at high risk of colon cancer. For comparison, some trial participants took dried broccoli tablets instead of the drug. Oltipraz surpassed the dietary approach by a significant measure with few or no side effects. A later study used Oltipraz for people at risk of lung cancer.

Most recently, with support from the Cancer Research Foundation of America, Clapper has focused on individuals with ulcerative colitis, which increases the risk of colon or rectal cancer by 10 times. In studies with laboratory mice, Oltipraz has proved to inhibit colitis-associated colon cancer. This research will form a basis for designing the first trial of a preventive treatment for people with this disease.

The drug's ability to boost protective enzymes and decrease DNA damage from cancer-causing agents was thought to explain its success in halting the development and spread of a variety of tumors in mice and rats.

But in evaluating this laboratory work, Clapper says, "we've seen tumor growth halted without an elevation of detoxification enzymes."

[01/07/2002; ScienceDaily]

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