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                                                                                                 U.S. NEWS Thursday 17 May 2018





























            Shorter drug treatment OK for many breast cancer patients



            Many women with a com-       whose growth is aided by a  the disease. Only 4 percent  be changed.  Doctors also
            mon  and  aggressive  form  faulty HER2 gene, as 15 per-  on  the  shorter  treatment  want  to  see  results  pub-
            of  breast  cancer  that  is  cent to 20 percent of cases  dropped  out  due  to  heart  lished,  and  to  study  them
            treated   with   Herceptin  are.  It  was  later  approved  problems  versus  8  percent  to  see  if  certain  groups  of
            can get by with six months  for treatment of those can-   of those treated for a year.  women need longer treat-
            of  the  drug  instead  of  the  cers  in  earlier  stages,  too,  "It's great news" for patients,  ment.  Herceptin  is  given
            usual  12,  greatly  reducing  based on studies that had  said  the  study  leader,  Dr.  through  an  IV  every  three
            the  risk  of  heart  damage  tested  it  in  patients  for  12  Helena Earl of the University  weeks;  a  year  of  it  costs
            it sometimes can cause, a  months.  That  guess,  that  of  Cambridge  in  England.  $34,000  to  $40,000  in  Eng-
            study suggests.              the  drug  should  be  taken  Earl  has  consulted  for  Her-  land  and  about  $70,000
            It's good news, but it comes  for  a  year,  became  the  ceptin's maker, Roche. The  in the U.S. In December, a
            nearly  two  decades  after  standard of care.            company  had  no  role  in  copycat competitor known
            the  drug  first  went  on  the  But  the  drug  can  hurt  the  the study.            as  a  biosimilar  was  ap-
            market and many patients  heart's ability to pump. That  "There's  no  reason  to  not  proved  in  the  U.S.  and  al-
            have suffered that side ef-  often  eases  if  treatment  is  immediately change prac-  ready is used in some other
            fect.                        stopped  but  the  damage  tice.  The  findings  are  per-  countries.  Dr.  Harold  Burst-
            The  study  was  done  in  can  be  permanent  and  suasive,"  said  Dr.  Richard  ein, a breast cancer expert
            the  United  Kingdom  and  lead to heart failure.         Schilsky,  chief  medical  of-  at Dana-Farber Cancer In-
            funded by UK government  Some studies tested shorter  ficer  for  the  oncology  so-   stitute in Boston, said short-  This  undated  image  made
                                                                                                                                available  by  F.  Hoffmann-
            grants.  Results  were  re-  use,  but  results  conflicted.  ciety.  Most  of  Herceptin's  er treatment may increase   La Roche shows a vial of the
            leased  Wednesday  by  the  The new study is the largest  cancer-fighting     benefit  access to the drug in coun-  company's  Herceptin  medi-
            American  Society  of  Clini-  so  far,  and  involved  more  seems to come in the early  tries  where  many  women   cation.  According  to  a  study
            cal  Oncology  and  will  be  than  4,000  women  with  months of use, he said.        can't afford it now, but that   released on Wednesday, May
            presented  at  the  group's  early-stage  cancers  who  Others  said  that  because  in the U.S., "my guess is that   16, 2018, many women with a
            meeting next month.          were  given  usual  chemo-   so few women have died or  people will continue to aim    common and aggressive form
            Herceptin      transformed  therapy  plus  Herceptin  for  relapsed after being treat-  for a year of treatment" be-  of breast cancer that is treated
                                                                                                                                with Herceptin can get by with
            care of a dreaded disease  either six or 12 months.       ed with the drug, longer fol-  cause of lingering concerns   six months of the drug instead
            when  it  was  approved  in  After  four  years,  about  90  lowup  may  be  needed  to  that longer use is better, as   of the usual 12, greatly reduc-
            1998  for  women  with  ad-  percent  of  both  groups  make sure the findings hold  a  smaller,  previous  study   ing the risk of heart damage it
            vanced  breast  cancers  were alive without signs of  up before guidelines should  suggested.q                      can cause.

            Cleanup underway a day after powerful storms pound Northeast



                                         rain  and  marble-sized  hail,  ity  customers  in  New  York  without power for days."  derstorms  created  a  small
                                         leaving  at  least  four  peo-  were  without  power  mid-  The  storms  downed  trees  weather-generated  tsuna-
                                         ple  dead  and  more  than  day Wednesday.                and power lines across the  mi off the New Jersey coast.
                                         200,000  homes  and  busi-   In  Connecticut,  the  state's  region.  Several  lightning  Known as a meteotsunami,
                                         nesses without power.        two major utilities reported  strikes  led  to  structure  fires  it resulted in fluctuating wa-
                                         Connecticut  officials  said  88,500  customers  without  in  New  Jersey  and  Massa-  ter  levels  for  several  hours.
                                         two  people  in  New  Fair-  electricity  Wednesday  af-  chusetts.  Weather  officials  But there were no reports of
                                         field  and  Danbury  were  ternoon, down from a high  confirmed  two  tornadoes  damage  from  the  abnor-
            Chris Fletcher,left, and his wife   killed  Tuesday  in  separate  of  120,000  outages.  Gov.  in  Putnam  County,  an  EF2  mally high tides reported in
            Noel  survey  the  storm  dam-
            age to their home in Cheshire   accidents  when  trees  fell  Dannel  Malloy  said  dam-  with peak winds of 110 mph  areas from Perth Amboy in
            with a Cheshire volunteer fire-  on  their  trucks,  including  age  was  being  assessed  and an EF1 with peak winds  New  Jersey  to  Delaware's
            fighter  on  Wednesday,  May   a  woman  whose  3-year-   across the state for possible  of  100  mph.  New  York's  Fenwick Island.
            16, 2018.                    old  child  escaped  injury.  disaster  declarations,  with  Central Hudson Gas & Elec-  Roads  in  many  towns
                                         In  New  York,  falling  trees  the most hard-hit areas be-  tric Corp. reported 78 mph  were impassible and some
            NEW YORK (AP) — Residents  in  Newburgh  claimed  the  ing  in  southwestern  Con-     wind gusts on Tuesday and  schools  canceled  classes
            in  the  Northeast  cleaned  lives of an 11-year-old girl in  necticut. "There is a tremen-  about  1,000  lighting  strikes  on Wednesday due to the
            up Wednesday, a day after  a parked car and a wom-        dous amount of damage,"  per hour.                        damage. Airlines also can-
            powerful  storms  pounded  an who was driving.            he  said.  "I  think  there  are  The  National  Weather  Ser-  celed  and  delayed  flights
            the  region  with  torrential  More  than  157,000  util-  going to be a lot of people  vice  said  the  strong  thun-  in and out of the region.q
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