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Re: Xolair and cancer

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A booklet given to me by my doctor and put out by Xolair manufacturers states

that " In clinical studies, 0.5% of patients receiving XOLAIR developed cancer,

compared with 0.2% of patients receiving placebo injections. Several different

types were seen. Please discuss this information with your doctor. " That is 5

in 1,000 vs 2 in 1,000.

Clinical trials are double-blind, so neither the patient nor the tester knows

who is getting the medicine vs the placebo.

You have to decide if the benefit of the medicine is worth the very small

increased danger of getting cancer.

Carol

My doctor told me that cancer patients were used during the trials and that

is why cancer came up as a side effect.... Sharon

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I've seen the same information you're describing, Carol. But I did do

a search after someone else on this website said that the numerical

differences seen during the initial study were not statistically

significant and I found the statement from a Federal Drug

Administration committee saying exactly that.

The clinical study I'll be participating in is different from the

clinical trials that are done to get new drugs approved. This study

will not be double-blind, in fact will not have a blind arm at all,

meaning all patients who want Xolair will receive Xolair only, never a

placebo. The purpose as described to me is for the company that makes

Xolair, Genentech, to see over a very long time (years) in a very

large number of patients (much larger than the original cliical

trials) whether there is any increase in number of cases of cancer

compared to the general population. The numbers and time course in the

study would make any differences seen more statistically valid than

the original clinical trials. I don't know yet where the comparison

group of people not on Xolair is coming from. I'm guessing Genentech

wants to prove the safety of Xolair even more conclusively, to

decrease the chance of a successful lawsuit by someone on Xolair who

happens to develop cancer - sorry to be such a cynic, but that kind of

stuff is what motivates some studies by pharmaceutical companies.

Patients will not receive Xolair free - it still has to be paid for by

Medicare or other insurance or the patient.

Cancer patients would not have been used in the clinical trial but

perhaps your doctor meant that the patients who were diagnosed with

cancer during the study may have had unsuspected cancer (without

symptoms) when the study started, with symptoms only appearing as the

study progressed but not really because of Xolair itself.

Thanks to everyone for your input.

Fran

>

> A booklet given to me by my doctor and put out by Xolair

manufacturers states that " In clinical studies, 0.5% of patients

receiving XOLAIR developed cancer, compared with 0.2% of patients

receiving placebo injections. Several different types were seen.

Please discuss this information with your doctor. " That is 5 in 1,000

vs 2 in 1,000.

> Clinical trials are double-blind, so neither the patient nor the

tester knows who is getting the medicine vs the placebo.

> You have to decide if the benefit of the medicine is worth the very

small increased danger of getting cancer.

> Carol

>

> My doctor told me that cancer patients were used during the trials

and that

> is why cancer came up as a side effect.... Sharon

>

>

>

>

>

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Fran,

Glad to hear Genentech continues to practice responsible science. If

you don't mind, please keep the group posted on anything you learn

from the study that you're participating in.

Take care,

Addy

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Just a side note with regard to using cancer patients for the study.

I was asked to participate in the long term study of the

relationship between Xolair and cancer. One of the screening

questions was if you have had ANY cancer ever diagnosed. I had a

couple places of basel cell on my chest; therefore, I could not

participate in the study.

I guess a lot would depend on the honesty of the participant, and

whether they know if they even had cancer prior to dtarting Xolair.

Whether to take Xolair, or not, was a no brainer for me. I was able

to reduce the number and dosage of other medications, and feel

significantly better on Xolair. The cancer question came out after I

had been on Xolair for quite awhile due to participating in approval

studies.

IMHO, the side effets of corticosteroids is more to worry about than

the side effects of Xolair...at this point in time.

JF

>

> I've seen the same information you're describing, Carol. But I did

do

> a search after someone else on this website said that the numerical

> differences seen during the initial study were not statistically

> significant and I found the statement from a Federal Drug

> Administration committee saying exactly that.

>

> The clinical study I'll be participating in is different from the

> clinical trials that are done to get new drugs approved. This study

> will not be double-blind, in fact will not have a blind arm at all,

> meaning all patients who want Xolair will receive Xolair only,

never a

> placebo. The purpose as described to me is for the company that

makes

> Xolair, Genentech, to see over a very long time (years) in a very

> large number of patients (much larger than the original cliical

> trials) whether there is any increase in number of cases of cancer

> compared to the general population. The numbers and time course in

the

> study would make any differences seen more statistically valid than

> the original clinical trials. I don't know yet where the comparison

> group of people not on Xolair is coming from. I'm guessing

Genentech

> wants to prove the safety of Xolair even more conclusively, to

> decrease the chance of a successful lawsuit by someone on Xolair

who

> happens to develop cancer - sorry to be such a cynic, but that

kind of

> stuff is what motivates some studies by pharmaceutical companies.

>

> Patients will not receive Xolair free - it still has to be paid

for by

> Medicare or other insurance or the patient.

>

> Cancer patients would not have been used in the clinical trial but

> perhaps your doctor meant that the patients who were diagnosed with

> cancer during the study may have had unsuspected cancer (without

> symptoms) when the study started, with symptoms only appearing as

the

> study progressed but not really because of Xolair itself.

>

> Thanks to everyone for your input.

> Fran

>

>

>

>

>

> --- In , " Carol Corley " <mybouvs@m...>

wrote:

> >

> > A booklet given to me by my doctor and put out by Xolair

> manufacturers states that " In clinical studies, 0.5% of patients

> receiving XOLAIR developed cancer, compared with 0.2% of patients

> receiving placebo injections. Several different types were seen.

> Please discuss this information with your doctor. " That is 5 in

1,000

> vs 2 in 1,000.

> > Clinical trials are double-blind, so neither the patient nor the

> tester knows who is getting the medicine vs the placebo.

> > You have to decide if the benefit of the medicine is worth the

very

> small increased danger of getting cancer.

> > Carol

> >

> > My doctor told me that cancer patients were used during the

trials

> and that

> > is why cancer came up as a side effect.... Sharon

> >

> >

> >

> >

> >

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I hope they're also excluding people in the control group who've had a few

basal cells.

Meryl

Just a side note with regard to using cancer patients for the study.

I was asked to participate in the long term study of the

relationship between Xolair and cancer. One of the screening

questions was if you have had ANY cancer ever diagnosed. I had a

couple places of basel cell on my chest; therefore, I could not

participate in the study.

I guess a lot would depend on the honesty of the participant, and

whether they know if they even had cancer prior to dtarting Xolair.

Whether to take Xolair, or not, was a no brainer for me. I was able

to reduce the number and dosage of other medications, and feel

significantly better on Xolair. The cancer question came out after I

had been on Xolair for quite awhile due to participating in approval

studies.

IMHO, the side effets of corticosteroids is more to worry about than

the side effects of Xolair...at this point in time.

JF

>

> I've seen the same information you're describing, Carol. But I did

do

> a search after someone else on this website said that the numerical

> differences seen during the initial study were not statistically

> significant and I found the statement from a Federal Drug

> Administration committee saying exactly that.

>

> The clinical study I'll be participating in is different from the

> clinical trials that are done to get new drugs approved. This study

> will not be double-blind, in fact will not have a blind arm at all,

> meaning all patients who want Xolair will receive Xolair only,

never a

> placebo. The purpose as described to me is for the company that

makes

> Xolair, Genentech, to see over a very long time (years) in a very

> large number of patients (much larger than the original cliical

> trials) whether there is any increase in number of cases of cancer

> compared to the general population. The numbers and time course in

the

> study would make any differences seen more statistically valid than

> the original clinical trials. I don't know yet where the comparison

> group of people not on Xolair is coming from. I'm guessing

Genentech

> wants to prove the safety of Xolair even more conclusively, to

> decrease the chance of a successful lawsuit by someone on Xolair

who

> happens to develop cancer - sorry to be such a cynic, but that

kind of

> stuff is what motivates some studies by pharmaceutical companies.

>

> Patients will not receive Xolair free - it still has to be paid

for by

> Medicare or other insurance or the patient.

>

> Cancer patients would not have been used in the clinical trial but

> perhaps your doctor meant that the patients who were diagnosed with

> cancer during the study may have had unsuspected cancer (without

> symptoms) when the study started, with symptoms only appearing as

the

> study progressed but not really because of Xolair itself.

>

> Thanks to everyone for your input.

> Fran

>

>

>

>

>

> --- In , " Carol Corley " <mybouvs@m...>

wrote:

> >

> > A booklet given to me by my doctor and put out by Xolair

> manufacturers states that " In clinical studies, 0.5% of patients

> receiving XOLAIR developed cancer, compared with 0.2% of patients

> receiving placebo injections. Several different types were seen.

> Please discuss this information with your doctor. " That is 5 in

1,000

> vs 2 in 1,000.

> > Clinical trials are double-blind, so neither the patient nor the

> tester knows who is getting the medicine vs the placebo.

> > You have to decide if the benefit of the medicine is worth the

very

> small increased danger of getting cancer.

> > Carol

> >

> > My doctor told me that cancer patients were used during the

trials

> and that

> > is why cancer came up as a side effect.... Sharon

> >

> >

> >

> >

> >

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Will do -

Fran

-- In , " pyle456 " <coachmac@w...> wrote:

>

> Fran,

>

> Glad to hear Genentech continues to practice responsible science. If

> you don't mind, please keep the group posted on anything you learn

> from the study that you're participating in.

>

> Take care,

>

> Addy

>

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