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Investigational genetic screen may predict chemotherapy responders. (Ovarian Cancer).

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| January 01, 2003 | Zoler, Mitchel L. | COPYRIGHT 2003 International Medical News Group. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group. (Hide copyright information)Copyright

BALTIMORE -- A genetic screen for two metabolic enzymes identified women with ovarian cancer who did not respond to treatment with paclitaxel in a preliminary study with 41 patients.

This is the first time that a genetic screen for metabolic enzymes has distinguished patients who respond to cancer chemotherapy drugs from patients who are unable to respond to the drugs, Dr. J. Fernando Arena said at the annual meeting of the American Society of Human Genetics.

If the genetic screen is further refined and validated, it has the potential to identify early on those ovarian cancer patients who won't respond to standard therapy, thereby avoiding a time-consuming course of ineffective treatment, Dr. Arena, said.

The standard, first-line regimen for chemotherapy of epithelial, ovarian cancer is a combination regimen of paclitaxel and carboplatin. About 65% of women respond to the regimen.

Applying the genetic screen to a group of 41 patients identified a group of non-responders, of whom 60% failed to respond to the regimen, and a group of responders, of whom 96% responded, said Dr. Arena, director of translational research at the Familial Ovarian/Breast Cancer Center of the University of Miami.

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