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Vol. I, No. 2ThanksgivingNov. 17th, 2000

Health & Medicine

 

Vital Signs:  News Bits on the Medical Frontier

  • Alternative Medicine & the Treatment of Cancer
    In an October press release, the National Center for Complementary and Alternative Medicine (NCCAM), part of the National Institutes of Health (NIH), announced its plans to establish two specialized centers to conduct basic and clinical research on complementary and alternative medicine (CAM) therapies for cancer.  The research awards, totaling some $8 million each over a five-year period, will go to Johns Hopkins University in Baltimore, and the University of Pennsylvania in Philadelphia.  

    The release noted that recent surveys show the majority of patients who undergo treatment for cancer also use some form of complementary or alternative medicine, such as herbs, vitamins, or meditation.  But, warned Dr. Stephen E. Straus, NCCAM Director, "These approaches have not yet been proven effective. Moreover, some herbs may cause harmful interactions with other drugs used as standard treatment by cancer patients."

    The Johns Hopkins Center for Cancer Complementary Medicine, headed by Adrian S. Dobs, M.D. plans four research projects:  Project 1 will examine anti-oxidant effects of herbs in cancer cells.  Project 2 will use established animal models to investigate different aspects of pain in cancer patients. Project 3 will investigate the safety and efficacy of a popular mixture of Chinese herbal medications in men with prostate cancer.  Project 4 will examine the effects of prayer on disease recurrence, immune and neuroendocrine function in African American women with breast cancer.

    At Pennsylvania, Stephen R. Thom, M.D., Ph.D., who heads the University's Specialized Center of Research in Hyperbaric Oxygen Therapy -- an emerging medical specialty that uses oxygen at greater than-atmospheric pressures to treat a variety of disorders -- four projects designed to examine mechanisms of action, safety and clinical efficacy of hyperbaric oxygen therapy for the treatment of head and neck tumors will be conducted.  Project 1 will evaluate treatment outcomes for patients who have undergone laryngectomy.  Project 2 will examine the effects of hyperbaric oxygen on growth of blood vessels and tumors.  Project 3 will characterize the effects of hyperbaric oxygen on cell adhesion and growth of metastatic tumor cells in the lung.  And Project 4 will test the effects of elevated oxygen pressures on cellular levels of nitric oxide.

  • New Med for GERD [Gastro-Esophogeal Reflux Disease] ...
    Anyone who suffers from GERD knows the pain & discomfort that comes with it.  They also know what the usual treatment regimen was -- Prilosec [gen. Omeprazole SA] and sometimes, at least until recently, when it was pulled from the market because of severe side-effects, Propulcid [gen. Cisapride].  Yet, while Prilosec has been shown to be very effective, it is also very expensive, costing well in excess of $200/month for a typical dosage.

    We have no indication yet about costs, but there's a new medication that made it through the FDA pipeline last August for the Rx of GERD -- Aciphex (Rabeprazole Sodium) Delayed-Release Tablets, from Eisai.  Aciphex, like other proton pump inhibtors [PPI's], is indicated not simply for the treatment of GERD, but for "healing."  In a posting by the FDA's Center for Drug Evaluation & Research, indications for the use of Aciphex include:  "1) healing of erosive or ulcerative gastroesophageal reflux disease (GERD); 2) maintenance of healing of erosive or ulcerative GERD; 3) healing of duodenal ulcer; [and] 4) treatment of pathological hypersecretory conditions, including Zollinger-Ellison Syndrome."  In addition, unlike some PPI's, Aciphex is a once-a-day medication.

    While the relative effectiveness of Aciphex as compared with other proton pump inhibitors is still a question, one outcome might well be a reduction in the cost of all such drugs.  That in itself can come as some relief to those suffering from GERD, particularly if they are without insurance or face a continual co-pay as a percentage of costs.

  • Treatment for ALS and Other Neurological Disorders on the Horizon
    Research at the Johns Hopkins Center for ALS [amyotrophic lateral sclerosis] has proved promising for the eventual treatment of ALS and other neurological disorders.  On November 5th, the Medical Schools' Office of Communication and Public Affairs released the following info:

Scientists at Johns Hopkins report they’ve restored movement to newly paralyzed rodents by injecting stem cells into the animals’ spinal fluid. ... The researchers introduced neural stem cells into the spinal fluid of mice and rats paralyzed by an animal virus that specifically attacks motor neurons. Normally, animals infected with Sindbis virus permanently lose the ability to move their limbs, as neurons leading from the spinal cord to muscles deteriorate. They drag legs and feet behind them. Fifty percent of the stem-cell treated rodents, however, recovered the ability to place the soles of one or both of their hind feet on the ground.

Researchers caution, however, not to expect treatments to become available in the immediate future.  "Under the best research circumstances," said researcher Jeffrey Rothstein, M.D., Ph.D., "stem cells could be used in early clinical trials within two years."

The on-line release, which can be read in its entirety {click here} also invited patients with interested in the clinical applications of this work to visit a Hopkins web site at http://hopkins.med.jhu.edu/neurologicaldisease.html.

 

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DownStreet Magazine is a registered trademark of Fern Hill Services.
Lou Colasanti, Editor & Laura Wisniewski, Associate Editor
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