http://www.nytimes.com/2001/12/07/business/07RADI.html
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December 7, 2001 Pentagon Presses for a Radiation Drug
By ANDREW POLLACK
As fears of terrorism grow, the drug, known as 5-androstenediol, is
receiving increased scrutiny along with other experimental treatments and
drugs already on the market. The National Cancer Institute, the Department of
Defense and the Department of Energy have invited leading radiation experts
to a workshop in Bethesda, Md., on Dec. 17 and 18 to review approaches for
protecting people from radiation. The drug is a steroid hormone that appears to strengthen the immune
system. It was developed by Dr. Roger M. Loria, a professor at Virginia
Commonwealth University, and rights to it are held by Hollis-Eden
Pharmaceuticals (news/quote)
of San Diego. "This is an area that hasn't gotten a whole lot of attention,"
said Dr. John E. Moulder, professor of radiation oncology at the Medical
College of Wisconsin. "Working on trying to cure patients of cancer gets
you more headlines than working on treating people for nuclear accidents that
you hope will never occur." So far, the Hollis-Eden drug has been tested as a radiation protectant
only in mice. In one test, an injection protected 70 percent of mice from a
level of radiation that killed all the mice in the control group. Dr. Thomas M. Seed, leader for radiation casualty management at the Armed
Forces Radiobiology Research Institute in Bethesda, said the drug was his
institute's leading candidate for something to give to soldiers in advance of
possible radiation exposure. Such a drug would also be useful for civilians,
including people responding to an accident at a nuclear power plant, he said.
Since it would be unethical to expose people to large doses of radiation
to test the drug's effectiveness, Dr. Seed said he hoped the Food and Drug
Administration would approve it under a new rule allowing tests on monkeys or
other animals. American officials have said there is little evidence that Osama bin Laden
has obtained nuclear weapons. But some experts have said terrorists might try
to make a so-called radiological bomb by combining conventional explosives
with radioactive material like spent nuclear fuel. Hollis-Eden has been testing a drug similar to androstenediol as a
treatment for AIDS, the idea being to stimulate the patient's own immune
system to fight the virus. For defense use, the drug is aimed mainly at preventing death from intense
radiation in the short term by restoring various kinds of infection- fighting
immune system cells. Radiation can kill the immune system, leaving victims
vulnerable to potentially fatal infections. Some radiation experts were cautious, saying the Pentagon, hoping to have
soldiers function in a nuclear war, had tried many such compounds without
success. In some cases the protection afforded was not enough, and some drugs
seemed to protect animals but caused bad side effects in people. The Hollis-Eden drug could have other problems, too. It needs to be
injected, which can take time in an emergency. And it would probably not be
possible to know of exposure in advance of a terrorist attack. In addition, Dr. Fred Mettler, chairman of radiology at the University of
New Mexico, said that just solving the immune system problems might not be
enough because people could still die months later from other types of
radiation-induced damage, such as to the lungs. Dr. David J. Grdina, professor of radiation oncology at the University of
Chicago, said it was more important to develop drugs that protect people
against cancer from radiation than against the immediate lethal effects. More
people are likely to be exposed to sublethal doses of radiation while
cleaning up or standing guard at the site of a radioactive attack than might
be exposed to lethal doses in the attack itself, he said. The Nuclear Regulatory Commission is moving toward stockpiling millions of
potassium iodide pills to prevent thyroid cancer in those exposed to
radioactive iodide if a nuclear power plant was attacked. Dr. Grdina is trying to use a drug called amifostine to prevent cancer from
radiation. The drug, sold as Ethyol by MedImmune Inc. (news/quote)
of Gaithersburg, Md., is already approved to protect the salivary glands from
radiation therapy used to treat head and neck cancer. Dr. Moulder has found that two drugs for high blood pressure, ACE (news/quote)
inhibitors and A2 blockers, protect animals from the kidney failure and lung
damage that can occur months after radiation. |
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