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New drug can destroy form of cancer, negating need for surgery

 August 20, 2023

A recent research trial hints that a new drug combined with other treatments might eradicate certain bowel cancers, negating the need for surgical intervention.

In a groundbreaking development, a new immunotherapy drug called durvalumab, has shown particular promise in addressing some types of gastrointestinal cancers, as the Daily Mail reported.

Understanding the revolutionary drug

Durvalumab's potential emerges most forcefully when paired with both radiotherapy and chemotherapy.

This potent combination can effectively target cancers located in the lower region of the bowel, specifically rectal cancer.

Historically, surgery involving the creation of a stoma, an external waste pouch, has been the standard solution for roughly half of the diagnosed cases.

Stomas, though medically vital, expose patients to various challenges. The risk of infection, skin irritation, and other distressing complications increase, thereby significantly affecting the patient's quality of life.

Early results show promise

However, durvalumab has demonstrated such efficacy in certain cases that surgery often becomes redundant.

A trial, named PRIME-RT, which involved 42 participants from five .UK.-based hospitals, is currently in progress.

Although a comprehensive data set from this trial is still forthcoming, preliminary results have sparked optimism in the medical community.

A noteworthy testimony to durvalumab's potential is that of Paul Cusick, a 75-year-old patient.

Cusick, a police community support officer, was diagnosed with rectal cancer early this year. Sharing his experience, he said:

I’ve been healthy all my life so getting the diagnosis was a real shock. I’m obviously delighted that the cancer appears to have completely disappeared and I don’t have to have an operation. I didn’t really have any serious side-effects, so the experience has been really good. I’m now looking forward to getting back on the beat in Bolton later this year.

Doctors voice their optimism

Part of the PRIME-RT trial's intention was to utilize the drug in conjunction with other treatments to reduce tumor size, simplifying surgical removal.

However, recent scans for patients like Paul reveal no detectable cancer presence. Expressing his views on these findings, Professor Mark Saunders, a consultant clinical oncologist at The Christie hospital in Manchester, which oversees the trial, mentioned:

We’ve had quite a number of patients who now don’t need surgery, which is very promising, but we have to follow them up for a little while longer.

Durvalumab in other studies

Durvalumab isn't a completely new entry in cancer treatment.

A U.S. study involving 14 patients last year reported that the drug eradicated rectal tumors in all participants diagnosed with a specific cancer type.

Furthermore, durvalumab's efficacy isn't limited to bowel cancers alone.

The drug has already been prescribed for specific lung cancer types and has shown promising results against endometrial and stomach cancers as well.

Conclusion

  • A trial suggests that durvalumab, in combination with other treatments, may eliminate the need for surgery in some bowel cancer patients.
  • Risks associated with surgical interventions, such as stomas, may be avoidable with this treatment.
  • Preliminary results from the PRIME-RT trial, involving 42 participants, have generated optimism.
  • Paul Cusick's experience highlights the potential positive impact on patients' lives.
  • The Christie hospital in Manchester is keenly monitoring the ongoing trial and its results.
  • Durvalumab's scope isn't limited to bowel cancers; it has demonstrated efficacy against other cancer types in various studies.