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发表于 2009-3-5 09:39:23
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来自: 美国
这部分有几位病人所用的鸡尾酒方案. 麻烦谁翻译一下?
in college, is so intense he makes right turns at traffic lights -- even when his destination is straight ahead -- because he can't bear to stop moving.
In 2005, the red-headed, freckle-faced Sam took six rounds of high-dose chemotherapy, underwent surgery, a stem cell transplant and six months of treatment with Accutane. His immune system shot, his appetite gone -- along with his hair, eyebrows and hearing -- Sam spent 100 nights in the hospital that year.
The Hutchisons clung to hope: The cancers of about 80% of children go into remission. In August 2005, doctors declared Sam in remission.
But in July of 2006, a bone scan showed the cancer was back, in a small spot above his left knee. Neuro-oncologists delivered the grim prognosis: Children with recurrent neuroblastoma rarely live for long -- and there are virtually no survivors.
The Hutchisons were devastated. With nothing to lose, they signed up for a clinical trial of a drug called fenretinide, hoping to buy Sam some time. A little over a month later, a scan revealed two more cancerous lesions on Sam's right hip. Sam was dropped from the trial.
That night, Mr. Hutchison says he couldn't sleep. In the wee hours, he retreated to a storage loft that he had converted into a "war room" jammed with a desktop, three stacks of neuroblastoma books, boxes of vitamins and supplements and plastic tubs overflowing with printouts of his research.
Emptying the files on his desk, Mr. Hutchison began reading again. He found a paper another father had sent him. Physicians at Brown University had reported that a child with neuroblastoma who had contracted a tropical illness called Chagas disease went into remission after being treated with an antibiotic called nifurtimox. In a later lab test, nifurtimox appeared to kill neuroblastoma cells. Bayer AG, the German drug company, marketed the drug in other countries, but it wasn't licensed for sale in the U.S.
Mr. Hutchison phoned one of the paper's authors. The researcher, Giselle Sholler, had just begun experiments with mice and was several years away from human trials. But she agreed to treat Sam on compassionate use, a special provision for experimental treatments when all else has failed.
Back at Rady Children's Hospital in San Diego, the Hutchisons told Sam's oncologist Jennifer Willert of their plan. Although Dr. Sholler would be directing treatment from Vermont, the couple hoped the hospital would monitor Sam's progress. Initially they met with resistance. Dr. Willert says many of her colleagues strongly opposed treating Sam with the drug, arguing he should join another clinical trial instead.
But the Hutchisons were adamant. Dr. Willert agreed to supervise Sam's care, reasoning the antibiotic was unlikely to harm him.
In September 2006, Sam began nifurtimox in combination with two strong chemotherapy drugs, the same combination treatment the patient with Chagas disease had received when she went into remission at Brown.
By November, the cancerous spots on Sam's leg and hip were fainter. The Hutchisons posted Sam's progress online, and soon several other parents were clamoring to use the nifurtimox-chemotherapy combination. Dr. Sholler began a small clinical trial, with the support of a small foundation Mr. Hutchison helped start with another parent.
The Hutchisons were elated with Sam's progress, but feared the cancer could eventually overcome the nifurtimox. They wanted a backup.
Late one night in his war room, Mr. Hutchison stumbled upon Mr. Williams's story online and phoned him. Mr. Williams told Mr. Hutchison he had no "time to get perfect information." Mr. Williams explained his theory of attacking cancer with multiple medicines, saying: "You're going to have to hit it every day with lots of therapies that are relatively low toxicity."
In his loft, Mr. Hutchison re-read several papers highlighting the potential of using high doses of omega-3, a fatty acid found in fish oil, to stop tumor growth. In a magazine, he saw that Mark Puder, assistant professor of surgery at Harvard Medical School, was working with omega-3. He phoned Dr. Puder, who said he had tested the fatty acids in mice with neuroblastoma. The drug didn't extend the mice's lives, but "they looked much better than the other mice," Dr. Puder said.
"If it were your son, would you give him omega-3?" Mr. Hutchison asked. Dr. Puder immediately said yes.
Mr. Hutchison probed for the right dose for his 40-pound son. Dr. Puder said he had no idea, but guessed four to six grams.
These days, Dr. Puder says he devotes two hours each day answering phone calls from patients, many of whom are interested in substances that are still in laboratory testing. Clinical trials are vital to advancing science, he says, but they're slow. "If you have a year to live and there's something in testing that may actually work, why not try it?" he says.
Soon, Mr. Hutchison was gulping down large doses of omega-3. "If I'm going to ask Sam to do this, I have to be willing to do it," he told his wife. Mr. Hutchison swallowed eight large yellow capsules each day.
After taking the omega-3 for two weeks, Mr. Hutchison handed Sam three capsules one morning. Reflecting the intense stress of guesstimating a treatment regimen for one's child, Mr. Hutchison spent that night racing back and forth to his son's room to check on him. He told his wife: "I don't want to be the fool who adds something to the treatment plan that ruins everything."
Creating Sam's treatment regimen consumes much of his father's waking life. Mr. Hutchison sends emails either late at night or early in the morning, arriving at work at 7 a.m. Anxious about his son's illness, Mr. Hutchison phones and emails Sam's doctors so frequently they often joke about it. "I don't think he ever sleeps," Dr. Sholler says.
But the omega-3 seemed to pay off. Within weeks, the Hutchisons say Sam's hair and eyebrows began to grow back and they noticed he had more energy.
Meanwhile, Mr. Hutchison, in frequent touch with other parents online, learned of an extract of a Chinese herb used world-wide to fight malaria that also appears to fight cancer. He discovered that the herb, artemesinin, had been used safely for years. He ordered the medicine on the Internet and began taking five of the pills daily. In January, he added three of the pills to Sam's regimen, upping Sam's daily intake to 20 pills.
Even as Sam's scans were coming back showing the cancerous spots so faint they were barely detectable, Mr. Hutchison continued his hunt, extending his reach to increasingly experimental treatments. James Belanger, a naturopath in Lexington, Mass., and a specialist in finding alternative cancer treatments, cited data from a small clinical trial. He suggested treating Sam with a chemical compound that reduces copper, which tumor cells seem to need to grow. Mr. Hutchison added tetrathiomolybdate, the copper-reducing compound, to Sam's daily treatment.
In October, after the Hutchisons had been shopping for Halloween costumes -- Sam chose the "Incredible Hulk" -- they learned a radiologist's report of his latest scan suggested the cancer might have returned in his right leg. The Hutchisons drove home in silence.
Mr. Hutchison berated himself for not adding more cancer-fighting pills to Sam's daily regimen. He had been digging into research suggesting a mixture of vitamin C and vitamin K3, known as vitamin C:K3, killed cancer cells in a similar way as nifurtimox. He even had ordered boxes of the vitamin mixture and taken it himself, but he had held off giving it to Sam, afraid of adding something new to a drug cocktail that appeared to be effective.
Now, terrified that Sam's cancer was back, Mr. Hutchison added one vitamin C:K3 capsule a day to Sam's treatment regimen.
On a recent afternoon, as Sam sat in front of the television in his living room playing a football game on the computer, Mr. Hutchison interrupted with a box of pills. Pausing the game, Sam downed the pills without hesitation in two gulps of water and resumed play. Soon Sam was exultant.
"I won, I won," he shouted, flashing a big smile and running up the stairs, arms raised.
"That's great," Mr. Hutchison replied, beaming down from his loft.
Then, turning to a visitor, Mr. Hutchison added, softly: "I wish it were that easy in cancer."
Days later, they got good news. The radiologist, re-reading the scan with the Hutchisons, concluded Sam's cancer hadn't returned.
An elated Mr. Hutchison then began questioning his decision to add vitamin C:K3. "I don't want to over-think this thing," he said. But if Sam's cancer wasn't back, he didn't want to risk the vitamin mixture. He decided to stop it until he gets the results of a mouse experiment gauging the effects of vitamin C:K3 with nifurtimox, a test funded by a small foundation Mr. Hutchison and three other parents have launched.
"Playing lab rat with your kid isn't easy," Mr. Hutchison said, tears welling up in his eyes. "This brings me to my knees."
Write to Geeta Anand at geeta.anand@wsj.com2
这部分是几位病人所用的鸡尾酒方案.
Cancer Cocktails
Below are the combinations of medicines taken by Sam Hutchison, Ben Williams and Donlevy Fitzpatrick to fight terminal cancers. Many doctors oppose this approach of combining anti-cancer agents not yet proven safe and effective, but patients with fatal illnesses argue they have nothing to lose.
* * *
Sam Hutchison's Daily Cocktail
To fight neuroblastoma, Sam's dad put together a cocktail of anti-cancer medicines including these.
Nifurtimox, 360 mg -- Antibiotic used to fight tropical illness, in early clinical trial for cancer
Cytoxan*, 25 mg -- Conventional chemotherapy drug
Tetrathiomolybdate, 80 mg -- Used to treat Wilson's disease, in early testing for cancer
Artemesinin, 150 mg -- Anti-malaria medicine, in early testing for cancer
Omega-3, 4 g -- Used to treat cardiovascular disease, in early testing for cancer
Celebrex, 400 mg -- Anti-inflammatory drug, in testing for cancer
*Cytoxan used two weeks on, one week off
* * *
Ben Williams's Cancer Cocktail
Mr. Williams combined these drugs and other supplements in 1995 to successfully beat his brain tumor.
Tamoxifen, 220 mg daily -- Breast cancer drug, in early testing at the time for brain cancer
Verapamil*, 600 mg daily -- Hypertension drug, believed to make chemotherapy more effective
Accutane**, 160 mg daily -- Severe acne medicine, in early testing at the time for brain cancer
Mushroom extract PSK, 3 g daily -- Used against cancer in Japan
Melatonin, 15 mg/night -- Hormone in trials against cancer in Italy
Conventional chemotherapy
*Verapamil used in the week surrounding chemotherapy
**Accutane used in the weeks between chemotherapy
* * *
Donlevy Fitzpatrick's Cocktail
Mr. Fitzpatrick is currently using this combination to drugs to fight his brain cancer
Avastin+ -- Colorectal cancer drug, effective against brain cancer in combination with Irinotecan in early trials
Irinotecan* -- Conventional chemotherapy drug
Temodar**, 100 mg daily -- Oral chemotherapy drug marketed for brain cancer
Thalidomide, 100 mg daily -- FDA approved for treating multiple myeloma, in early testing for brain tumors
Tarceva, 300 mg daily -- FDA approved for advanced non-small cell lung cancer and as a combination therapy to treat advanced pancreatic cancer, in early trials as a combination therapy for brain cancer
*Avastin and Irinotecan infused every other week
**Temodar given 14 days on, 14 days off treatment
Source: Mr. Hutchison, Mr. Williams and Mrs. Fitzpatrick
鸡尾酒法治疗癌症
以下是山姆.哈奇森,本.菲茨帕特里克威廉斯和当勒威.费茨帕特里克治疗
致命的癌症所用的组合的药品。许多医生反对使用这种结合尚未证明安全有效的抗癌药物的做法,但患有致命的疾病的患者认为他们没有什么可失去的。
* * *
山姆.哈奇森每日的鸡尾酒疗法
为治疗神经母细胞瘤,山姆的父亲的鸡尾酒抗癌药物包括这些:
Nifurtimox , 360毫克-抗生素用于抗击热带疾病,早期癌症的临床试验
环磷酰胺* , 25毫克-常规化疗药物
四硫钼酸铵, 80毫克-用于治疗肝豆状核变性疾病,癌症的早期检测
青蒿素, 150毫克-抗疟疾药物,癌症的早期检测
欧美加 - 3 , 4克-用于治疗心血管疾病,在癌症的早期检测
西乐葆, 400毫克-抗发炎药物,在测试癌症
*环磷酰胺使用两周,一周停
* * *
本.威廉姆斯鸡尾酒治疗癌症
威廉斯先生结合这些药物和其他添加剂在1995年成功地治疗了他的脑肿瘤。
他莫昔芬,每日220毫克-乳腺癌的药物,在脑癌早期的测试中,
维拉帕米* , 600毫克每日-高血压药物,相信使化疗更有效
维甲酸** , 160毫克每日-严重痤疮药物,在脑癌的早期测试中
蘑菇提取物的PSK ,每日3克-在日本用来对付癌症
褪黑激素, 15毫克/晚-意大利用此激素抗癌症
常规化疗
*维拉帕米用于化疗前后
**维甲酸用于化疗的中间时间段
* * *
当勒威.费茨帕特里克的鸡尾酒疗法
费茨帕特里克先生目前正在使用此组合治疗他的脑癌
阿瓦斯丁+ -大肠癌的药物,早期试验联合伊立替康有效地治疗脑癌
伊立替康* -常规化疗药物
替莫唑胺** , 100毫克每日-口服化疗药物 作为治疗脑癌的药物销售
酞胺哌啶酮, 100毫克每日- FDA批准用于治疗多发性骨髓瘤,早期检测治疗脑肿瘤
特罗凯, 300毫克每日- FDA批准用于晚期非小细胞肺癌,治疗晚期胰腺癌的组合疗法,在早期试验治疗脑癌组合药物
* Avastin和伊立替康每隔一周注射
**替莫唑胺给予14天, 停14天
来源:哈奇森先生,威廉斯先生和费茨帕特里克夫人
[ 本帖最后由 heping 于 2009-3-5 14:09 编辑 ] |
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