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Thread: New Platinum Drug?

  1. #1
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    New Platinum Drug?

    Just came across this article and wanted to share:

    http://www.medicalnewstoday.com/articles/247863.php

    Do any of the research experts have a perspective on this? Sounds promising.
    Husband Shaun diagnosed March 2010. AFP 4571, HCG 3340.
    6cm x 6cm x 8cm retroperitoneal mass + 1cm nodule in right lung.
    Stage IIIb, Intermediate Risk.
    Left I/O March 9/10: 75% EC, 20% Teratoma, 5% Yolk Sac + Seminoma.
    3xBEP + 1xEP March 15 - May 21/10: markers normal.
    Bilateral RPLND July 28/10: 9.5 x 7 x 4.5cm mass, teratoma only.
    Chylous Ascites Aug/Sep.
    November 2012 All Clear
    Continuously monitoring 0.9 x 1.7cm omental nodule (possible fat necrosis)

    www.teamshaun.wordpress.com

  2. #2
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    Thanks for the link, Jules! I've downloaded the article and I will read it tonight (after I make a pharmacology test that includes them knowing about the other platinums ).

    T
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  3. #3
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    Oh man, I would incorporate this compound into your exam. I have a soft spot for transition metal chemistry.
    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
    11.22.06 -Dx the day before Thanksgiving
    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! Final follow-up: 07/2014.
    Please support my fundraising efforts for the 2013 Austin LIVESTRONG Half Marathon!


  4. #4
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    Hahaha, Fed ... you are such a chemist!

    This is the only platinum question I have, let's see if you can get it right:

    Which of the following is a good combination of drugs, as determined by following the governing guidelines of chemotherapy combinations (note: assume they have efficacy in the target cancer)?
    a. Bleomycin, paclitaxel, and vinblastine
    b. Cisplatin, oxaliplatin, and gemcitabine
    c. Mercaptopurine, 6-TG, vinblastine
    d. Bleomycin, paclitaxel, fluorouracil
    e. None of the above

    (and ugh, can I say how much I don't like squeezing a full semester of pharmacology into 4 weeks for a remediation? And I only have to deal with 1/2 of it ...)
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  5. #5
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    Quote Originally Posted by CancerSux View Post
    This is the only platinum question I have, let's see if you can get it right:

    Which of the following is a good combination of drugs, as determined by following the governing guidelines of chemotherapy combinations (note: assume they have efficacy in the target cancer)?
    a. Bleomycin, paclitaxel, and vinblastine
    b. Cisplatin, oxaliplatin, and gemcitabine
    c. Mercaptopurine, 6-TG, vinblastine
    d. Bleomycin, paclitaxel, fluorouracil
    e. None of the above
    Let's see...
    a. Paclitaxel stabilizes microtubules and vinblastine inhibits their formation. For all intents and purposes, these are opposite actions. Combination makes no sense.
    b. Two platinum drugs at the same time sounds redundant, so no go with this one.
    c. Mercaptopurine and 6-TG have a similar mode of action. Redundant.
    d. All of these work differently: bleo whacks DNA via a Fe dependent mechanism catalyzed by O2, paclitaxel see (a) above, and fluorouracil inhibits thymidylate synthase. Since this is the most "complementary" mix, I pick d.
    Quote Originally Posted by CancerSux View Post
    (and ugh, can I say how much I don't like squeezing a full semester of pharmacology into 4 weeks for a remediation? And I only have to deal with 1/2 of it ...)
    When I was in grad school I took a 4-week crash course in immunology. Not worthwhile to crunch a semester's worth of work into 4 weeks.
    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
    11.22.06 -Dx the day before Thanksgiving
    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! Final follow-up: 07/2014.
    Please support my fundraising efforts for the 2013 Austin LIVESTRONG Half Marathon!


  6. #6
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    Quote Originally Posted by Fed View Post
    I pick d.
    Ding, ding, ding! And the prize goes to Fed (as it should)

    Quote Originally Posted by Fed View Post
    When I was in grad school I took a 4-week crash course in immunology. Not worthwhile to crunch a semester's worth of work into 4 weeks.
    These are 4 PharmD students who are re-taking a semester's worth of material in 4 weeks in order to better their understanding/grade and be allowed to advance into their clinical year. It is a new remediation policy the school is trying (if one class makes the difference between a student advancing or repeating a whole year, then they are allowed to repeat the course in the summer), but they haven't worked out the policy very well yet.

    As for the article, Jules - it is an exciting molecule! When I read the paper, what actually jumped out to me the most was the activity in NTera testicular cancer cells (that is a chorio cell line, right Fed?) with a log-greater activity than any other type of cancer cell line, and 4-fold greater activity than cisplatin. This compound is in the WAY early stages (still needs mouse efficacy data), but really promising. I'm interested (and may contact them) to see if it is active in general platinum-resistant TC cells since it works via a new mechanism. Thanks for pointing out the paper!

    T
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  7. #7
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    Quote Originally Posted by CancerSux View Post
    When I read the paper, what actually jumped out to me the most was the activity in NTera testicular cancer cells (that is a chorio cell line, right Fed?)
    NTERA-2 cells are actually embryonal carcinoma cells. We use them in the lab to study differentiation processes because they are about as close as we want to get to stem cell biology (plus, they have wild type p53 and boatloads of HDMX).
    Quote Originally Posted by CancerSux View Post
    I'm interested (and may contact them) to see if it is active in general platinum-resistant TC cells since it works via a new mechanism.
    That would be fascinating given the structure of the compound.
    Last edited by Fed; 07-24-12 at 09:14 AM.
    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
    11.22.06 -Dx the day before Thanksgiving
    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! Final follow-up: 07/2014.
    Please support my fundraising efforts for the 2013 Austin LIVESTRONG Half Marathon!


  8. #8
    How long does it usually take from animal testing to clinical use?

  9. #9
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    Hard to make a real estimate because it depends on economics too, but 5-10 years is a safe timeline. As far as I can tell, this agent is in laboratory studies (not animals yet), but it is following the same timeline as a related platinum, picoplatin, which is in clinical trials currently.
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  10. #10
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    Tracy and Fed, I thought we had made the rule very clear: if you are going to post extremely educational posts involving scientific material, then you need to place a warning before hand!

    After reading this thread, I looked up from my monitor and said out loud, "my brain hurts..."

    I'm glad you super smart people exist!

    Diagnosed 4/17/08
    Right orchiectomy 4/18/08
    Pure choriocarcinoma; HCG 715,000; lungs, lymphnodes, liver, and random other places
    4X VIP chemo at IU with Dr. Einhorn 4/25/08-7/4/08
    HCG down to 7.2 10/28/08
    HCG back up to 198 12/29/08
    1 X PVB 1/2/09-1/6/09
    2 X HDC w/ stem cell rescue 2/4/09-3/14/09
    Follow-up with Dr. Einhorn 4/22/09
    HCG 1.2
    3 rounds, 21 days, twice daily, VP-16 50mg 4/24/09-7/10/09

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  11. #11
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    Quote Originally Posted by TC Destroyer View Post
    Tracy and Fed, I thought we had made the rule very clear: if you are going to post extremely educational posts involving scientific material, then you need to place a warning before hand!

    After reading this thread, I looked up from my monitor and said out loud, "my brain hurts..."

    I'm glad you super smart people exist!
    Yeah, my brain is spinning too after Fed's explanation... but I agree, I would have chosen D... I always choose D when my head is spinning in front of an exam.... and coincidentally that is also the mark that comes back .... glad to have smart folks(geeks/nerds/squints) aboard too ... they're the coolest.
    Best,

    Zsolt


    Friendship is born at that moment when one person says to another; "What! You too? I thought I was the only one." - C.S Lewis

    “Experience: that most brutal of teachers. But you learn, my God do you learn.” - C.S. Lewis


    Mass found 11/20/08
    Left I/O 11/25/08
    Pathology: Seminoma, Stage 1
    Surveillance: All Clear since

  12. #12
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    Quote Originally Posted by Aegean View Post
    Yeah, my brain is spinning too after Fed's explanation..
    I see your challenge, and will step up my brain spinning capabilities
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  13. #13
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    Quote Originally Posted by CancerSux View Post
    I see your challenge, and will step up my brain spinning capabilities
    Hmm... may be too late... may be my new normal... huh?!? What were we talking about???
    Best,

    Zsolt


    Friendship is born at that moment when one person says to another; "What! You too? I thought I was the only one." - C.S Lewis

    “Experience: that most brutal of teachers. But you learn, my God do you learn.” - C.S. Lewis


    Mass found 11/20/08
    Left I/O 11/25/08
    Pathology: Seminoma, Stage 1
    Surveillance: All Clear since

  14. #14
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    Quote Originally Posted by Aegean View Post
    What were we talking about???

    You said Fed's post had your brain spinning, but not mine, so clearly I need to"up" the nerditude.
    Last edited by CancerSux; 07-26-12 at 11:05 AM.
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  15. #15
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    Quote Originally Posted by CancerSux View Post

    You said Fed's post had your brain spinning, but not mine, so clearly I need to"up" the nerditude.D
    That's because I understand multiple choice and have a 20% chance of getting it correct just by guessing... I have no friggin' clue what he said. Oh, and you ride a motorcycle, and he doesn't... so you lose some geek/squint points... but then again geek is now the new cool.... oh I am so confused...
    Best,

    Zsolt


    Friendship is born at that moment when one person says to another; "What! You too? I thought I was the only one." - C.S Lewis

    “Experience: that most brutal of teachers. But you learn, my God do you learn.” - C.S. Lewis


    Mass found 11/20/08
    Left I/O 11/25/08
    Pathology: Seminoma, Stage 1
    Surveillance: All Clear since

  16. #16
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    Well, I AM cooler than Fed (motorcycle riding, butt-kicking, etc) , but I still take your challenge to geek-it-up (even though you maintain no challenge was issued ... to use Fed's term, vide supre), so here is the question of the week:

    ___________ is a centrally acting spasmolytic with activity at the α2 adrenoreceptor in the spinal cord, thus inhibiting glutaminergic neurons NT release.
    a. Diazepam
    b. Tizanidine
    c. Cyclobenzaprine
    d. Baclofen
    e. Dantrolene

    So - Ha!
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  17. #17
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    Quote Originally Posted by CancerSux View Post
    Well, I AM cooler than Fed (motorcycle riding, butt-kicking, etc)
    Oh really? If guided by Zsolt's definition:
    Quote Originally Posted by Aegean View Post
    [...] but then again geek is now the new cool.
    then I'm way ahead of you, and I don't need a motorcycle to prove it .
    Quote Originally Posted by Aegean View Post
    I have no friggin' clue what he said.
    Then ask! That's what we're here for (lol).
    Quote Originally Posted by CancerSux View Post
    ___________ is a centrally acting spasmolytic with activity at the α2 adrenoreceptor in the spinal cord, thus inhibiting glutaminergic neurons NT release.
    a. Diazepam
    b. Tizanidine
    c. Cyclobenzaprine
    d. Baclofen
    e. Dantrolene
    I pick B.
    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
    11.22.06 -Dx the day before Thanksgiving
    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! Final follow-up: 07/2014.
    Please support my fundraising efforts for the 2013 Austin LIVESTRONG Half Marathon!


  18. #18
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    Quote Originally Posted by Fed View Post
    Oh really? If guided by Zsolt's definition ...then I'm way ahead of you, and I don't need a motorcycle to prove it .
    No - I am a geek AND I ride a motorcycle (some days) AND I teach butt-kicking, so I am winning or do those just all cancel each other out?

    Quote Originally Posted by Fed View Post
    I pick B.
    Did you cheat? *sigh* You are right.

    End of geeking rampage for now.
    Last edited by CancerSux; 07-26-12 at 12:58 PM.
    Tracy
    Cancer pharmacologist, caregiver blog here

    Wife to Kel, dx 12/30/11 Stage IIIc (poor) embyronal, AFP 13700, 10x11 cm retroperitoneal mass, 1 cm^2 lung met
    Left I/O 12/31/10.
    4xBEP 1-4/11, AFP=22, 5*7 RP mass, tx failed
    1.5 x VeIP 5-6/11; tx failed, AFP/b-hCG rising
    Salvage RPLND @Indy 6/29/11, metastatic mixed germ cell tumor with yolk sac, seminoma and teratoma
    Remission! AFP steady since 9/2011; 1.5 years ALL CLEAR

  19. #19
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    Quote Originally Posted by CancerSux View Post
    No - I am a geek AND I ride a motorcycle (some days) AND I teach butt-kicking, so I am winning or do those just all cancel each other out?
    I think there are many gradations to cool. I think what makes you cool (in addition to being an ass-kicking, motorcycle riding, cancer pharmacology geek) is the tattoo .

    Quote Originally Posted by CancerSux View Post
    Did you cheat? *sigh* You are right.
    I refrained from giving an explanation because I know it makes Zsolt's head spin .

    The only reason I knew this is because when I was a postdoc at Harvard, I and my colleagues designed a course on the molecular basis of disease, and my task was to put together the lectures on CNS drugs.
    "Life moves pretty fast; if you don't stop and look around once in a while, you could miss it." -Ferris Bueller
    11.22.06 -Dx the day before Thanksgiving
    12.09.06 -Rt I/O; 100% seminoma, multifocal; Stage I-A; Surveillance; Six years out! Final follow-up: 07/2014.
    Please support my fundraising efforts for the 2013 Austin LIVESTRONG Half Marathon!


  20. #20
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    Quote Originally Posted by Fed View Post
    Then ask! That's what we're here for (lol)..
    Yeah, I shudder to think of the dissertation. Just some Mod rib poking.

    You're both cooler than being cool! (to borrow from Outkast)
    Best,

    Zsolt


    Friendship is born at that moment when one person says to another; "What! You too? I thought I was the only one." - C.S Lewis

    “Experience: that most brutal of teachers. But you learn, my God do you learn.” - C.S. Lewis


    Mass found 11/20/08
    Left I/O 11/25/08
    Pathology: Seminoma, Stage 1
    Surveillance: All Clear since

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