Precision Medicine Offers Hope for Bile Duct Cancer Patients

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Precision Medicine Offers Hope for Bile Duct Cancer Patients
Bile Duct CancerCholangiocarcinomaPrecision Medicine
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A groundbreaking study in the UK is matching patients' tumors to specific anti-cancer therapies, showing promise for extending life and even achieving remission in some cases.

For the 6,000 people in the UK diagnosed with bile duct cancer each year, the prognosis is bleak. Bile duct cancer, or cholangiocarcinoma, is a rare cancer originating in the bile ducts connecting the liver and gallbladder. While it has symptoms, they are subtle at first and awareness is low. Yellowing of the skin and eyes, known as jaundice, can manifest, accompanied by itchy skin, pale stools, and dark urine, usually in later stages.

If you experience symptoms of bile duct cancer that persist, consult your GP for a liver-function test.Doctors in the UK are striving to revolutionize the lives of individuals battling this deadly disease. A groundbreaking study, showing promising early results, matches a patient's tumor to one or more of seven key medications to effectively combat the cancer. Some patients on these drugs have witnessed their cancer enter remission, while others have seen previously inoperable tumors become suitable for surgery. Doctors predict that this study will establish new standards for treating the disease, which currently claims the majority of patients within a year.The UK arm of this international effort is coordinated by University College London Hospitals (UCLH) and University College London (UCL), where approximately 40 individuals have received treatment thus far. The SAFIR-ABC10 trial is open to patients diagnosed with the three main types of bile duct cancer (intrahepatic, perihilar, or distal cholangiocarcinoma) or gallbladder cancer. Participants will undergo genetic tumor profiling and be offered one or more of seven anti-cancer therapies tailored to their specific tumor. Professor John Bridgewater, a consultant medical oncologist at UCLH and clinical researcher at the UCL Cancer Institute, emphasizes the urgency for innovative treatment options, stating that the current standard of care offers patients only one year of life after treatment initiation. He highlights the potential for this study to significantly improve outcomes for some patients, offering several years, or even more, of good quality life, even if their cancer remains incurable. Professor Bridgewater expresses optimism that the study will demonstrate to both medical professionals and patients the substantial progress being made in treating this type of cancer. While the drugs may extend lives, preliminary work suggests they can also provide long-term remission for five years or more, which, according to Cancer Research UK guidelines, constitutes a cure. He adds that the study's focus on genetic profiling before treatment is crucial, as current NHS tumor genetic profiling is inadequate.Dr. Tayyaba Jiwani, science engagement manager at Cancer Research UK, which is supporting the study, underscores the often-poor outlook for individuals with biliary tract cancers due to late diagnosis and limited treatment options beyond chemotherapy. She emphasizes the pressing need for new treatment avenues and expresses pride in supporting one of the first precision medicine trials for these cancers

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Bile Duct Cancer Cholangiocarcinoma Precision Medicine Cancer Treatment Clinical Trials NHS Genetic Profiling

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