Cheap antifungal drug may fight cancer: study
WASHINGTON |
WASHINGTON (Reuters) - A common antifungal drug can slow tumors growing in mice and should be investigated as a potentially cheap and easy way to fight cancer in people, researchers reported on Monday.
Although it did not completely wipe out the tumors, the drug called itraconazole may boost the effects of other drugs, the researchers reported in the journal Cancer Cell.
Itraconazole is marketed under the brand name Sporanox by Johnson & Johnson subsidiary Janssen Pharmaceutica, mostly for treating a fungal infection called aspergillus.
The drug affects a so-called cascade of effects through a molecular pathway called Hedgehog, the researchers reported.
The researchers at Stanford University in California were looking for potential cancer drugs. They know that the Hedgehog pathway is involved in the development of cancer, so they looked for drugs that interfere with it.
"There is a fairly broad range of tumors in which this molecular cascade, called the Hedgehog pathway, plays an important role," Stanford's Philip Beachy, who worked on the study, said in a statement.
"The virtue of screening existing drugs is that you already have all the information about dosage and toxicity, and you can move into clinical trials fairly readily."
The researchers looked at 2,400 different drugs in a so-called library of drugs that had either been tested in people or already approved by the Food and Drug Administration, looking at the mechanism of action. The least toxic one they found was itraconazole.
"Itraconazole has been studied for nearly 25 years, and we therefore have a good understanding of its safety and potential side effects," the researchers wrote.
They tested mice and found an oral solution of itraconazole significantly slowed the growth of tumors injected under the skin. Untreated mice grew giant tumors during the same time and were euthanized.
Testing mice this way is far different from the natural development of cancer in people, but the drug should be tested in cancer patients, the researchers said.
"It might be possible with two compounds to achieve a more potent block at even lower drug concentrations," said Beachy. "If so, it's possible that there is a population of patients that can be treated relatively soon."
(Editing by Vicki Allen)
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Sporanox stopped being marketed or prescribed for internal use here in the US back over 10 years ago due to the risk and documented cases of the development of Primary Adult Liver Cancer in those who took this drug internally for the treatment of toenail fungus. My father happened to be one of those who took this drug, and died in April 2001, and likely at least had an acceleration of tumor growth if not direct causality. Unfortunately for us as his family, he had other risk factors in his past life due to other carcinogenic exposures due to military service as a chemical engineer, as well as others due to his involvement in companies who used chemicals for vegetation control in the private sector, and because of this we were unable to sue the pharmaceutical manufacturer who had it on the market for a couple of years. My father’s doctor was so scared that we were going to sue him for even prescribing this drug after he was diagnosed with cancer that he wanted no part of treating my father further after being his doctor for many years.



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