By: Susan Aldridge, medical journalist, PhD
Patients suffering potentially fatal liver complications from cancer therapy may be rescued by a new drug.
It's usual practice to give high doses of chemotherapy before a stem cell transplant - such as a bone marrow transplant - is used for cancer treatment. But chemotherapy causes five to 60 per cent of such patients to experience a potentially fatal complication called veno-occlusive disease (VOD), which damages circulation in the liver.
In this trial, headed by scientists at Dana-Farber Cancer Institute in the US, a group of 88 patients with severe VOD received a new drug. Defibrotide is extracted from pig intestinal tissue. Around a third of the patients experienced complete reversal of VOD and 35 per cent of them survived for at least 100 days after their transplant. This is significant - for only 10 per cent of this desperately ill group would be able to survive this long with usual care. The standard treatment for VOD is clot-busting drugs, which have been linked with severe bleeding and are ineffective once the patient has multiple organ failure.
Stem cell transplant, cancer