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New prostate cancer ‘wonder drug’ not so wonderful after all

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Cabozantinib helps cancer sufferers live an extra month or two, but then so do the older drugs for the condition, say researchers from the Medical University of Vienna.

The results were surprising, say the researchers, especially as the drug had performed so well in earlier trials. Those early trials had shown the drug slows the progress of prostate cancer and improves the quality of life of the sufferer – but these were tests on small groups of patients.

Those benefits disappeared when the drug was tested on more than a thousand prostate cancer patients.

The FDA approved the new drug on the basis of the earlier trials, which involved 330 patients. Tested against an existing drug, it doubled the life expectancy of the sufferer – from 3.8 months to 7.4 months – although 40 per cent of those taking it complained of serious adverse reactions, including abdominal pains, diarrhea, nausea and pleural effusion (excess fluid around the lungs).

(Source: Journal of Clinical Oncology, 2016; doi: 10.1200/JCO.2016.68.0439)

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