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Thursday 16 November 2017

Yippee! Another Wonder Drug, this time for Breast Cancer! But does it stand up to media hype? And is there a better alternative?

The avalanche of new wonder drugs never seems to cease. There are only two other things seem to match the sheer numbers of these announcements:

  • the rise of the diseases these drugs are supposed to treat
  • and the profits of the pharmaceutical industry
Still, lets take a look at the two new wonder treatments for advance breast cancer. As I often do, I have used the BBC News feature to describe how they act as advertising agents for the drug company, Pfizer. They always regurgitate the press release, unquestioned and unexamined, as do the rest of our 'free' news organisations!

The BBC described them as 'breakthrough', 'life-changing' drugs, as usual. The news story is that they have now been approved for use in the NHS by NICE, which is not a surprise as they are funded by the pharmaceutical industry, and by people who have worked, or will work in the industry. The drugs are called palbociclib and ribociclib.

Palbociclib was approved in the USA in February 2015, Ribociclib in 2017. Apparently, these breakthrough drugs slow down advanced breast cancer to about 10 months, and can delay the need for chemotherapy. Even if the terms 'breakthrough' and 'life-changing' are supported by these claims is questionable, but certainly they come at a cost. The BBC reported that just one cycle of palbociclib, 21 capsules, £2,950, and for 63 tablets of ribociclib, the price is the same.

To support the case for the drugs the BBC used a patient who had used the drug (without using the word 'anacdotal'), the head of oncology at Pfizer UK, and a professor of molecular oncology from the Institute of Cancer Research, who was also a consultant medical oncologist, and the Professor who led the clinical trials. The latter said that "these drugs have allowed women to live a normal life for longer".

As usual, no-one from outside the conventional medical establishment was asked to comment. And on the Today programme, no questions were asked about the side effects of the drug. The Drug.com website has produced these for both palbociclib and for ribociclib, at least those currently accepted, these being drug used sparingly over a short period, and with very few patients. For palbociclib they include:

  • body aches or pain
  • ear congestion
  • fever
  • headache
  • loss of voice
  • painful or difficult urination
  • swelling or inflammation of the mouth
  • trouble breathing
  • ulcers, sores, or white spots in the mouth
  • unusual bleeding or bruising
  • unusual tiredness or weakness
  • Anxiety
  • chest pain
  • dizziness or lightheadedness
  • fainting
  • fast heartbeat
  • sudden shortness of breath or troubled breathing

As usual, our mainstream media does not believe that patients are entitled to know about these. It is difficult to know how patients can make an 'informed choice' about whether to take these drugs, or other pharmaceutical drugs, without this knowledge. The only side effect mentioned was from the patient who had tried the drug "You get slight fatigue from it, but it was manageable..." was all she said, perhaps someone who had a better than normal experience of the drug, and perhaps someone put forward by the drug company for this very reason.

I would predict that in time the adverse drug reactions will be far worse that those already known. This has been the history of every pharmaceutical drug, and there is no reason to think that these drugs will be any different.

Breast cancer patients require treatment. And there is safer, and more effective treatment (providing a life expectancy gain far in excess of 10 months). It is homeopathy. I have written about it many times before, although this one was criticised for being 'anacdotal (something convention medicine does not do, of course)! First, cancer is often the end result, the 'side effects' of pharmaceutical drugs taken for other conditions. So to avoid cancer it is sensible to avoid these drugs. But in addition there is research evidence to confirm over 200 years of clinical outcomes, that homeopathy is an effective treatment for cancer. Yet the media is not interest, of course. So although Homeopathy might be able to provide effective treatment for cancer, including breast cancer, this is not considered to be a medical 'breakthrough', it is not considered to be 'life changing'.

But, of course, it is!