Scottish Daily Mail

Gambling on a cure for cancer

- BY BEN GRIFFITHS

CANCER r emains one of the major causes of death in the developed world. One in four people are expected to die from the disease, and half of us must face up to suffering from some form of cancer during our lives.

Yet hopes for a cure – or at least a better chance of recovery – have emerged from an American cancer conference.

Hailed as a once-in-a-generation advance in treatment, so- called immunother­apies aim to harness the patient’s own immune system to help fight cancer.

It is good news for patients. The developmen­ts also have the potential to give a major boost to Britain’s quoted pharmaceut­ical companies. And it couldn’t have come at a better time for FTSE 100-listed Astra-Zeneca.

A central plank of the company’s strategy is to develop novel combinatio­ns of drugs that target the escape mechanisms cancers use to evade the body’s immune system.

Oncology – cancer treatment – is a key therapeuti­c area in which Astra has expertise and which it hopes could transform the business.

By 2020 the group is aiming to bring six new cancer medicines to patients, focusing on ovarian, lung, breast and blood cancers.

Last year when Astra was fighting off a predatory £69bn bid from US rival Pfizer, chief executive Pascal Soriot warned that one of the costs of combining the two firms could be delays to its developmen­t pipeline of potential cancer treatments.

Since the deal collapsed, inves- tors have been waiting for Astra’s share price to come nearer to the £ 55- a- share Pfizer offer. Soriot remains under pressure to justify the board’s rejection of the deal.

Immunother­apy, therefore, could be the answer.

Decision Resources Group analyst Khurram Nawaz said: ‘Cancer immunother­apy is one of the most exciting fields of research in oncology, and successful drug developmen­t in this space offers a highly lucrative opportunit­y for drug developers.’

Among Astra’s stable i s the MEDI4736 immunother­apy drug developed by Med-Immune, the firm’s global biologics research and developmen­t arm.

City analysts have described MEDI4736 as ‘ the great white hope’ of cancer treatments.

The company is working with US pharmaceut­icals group Eli Lilly on clinical trials to test MEDI4736 in combinatio­n with ramuciruma­b as a treatment for patients with solid tumours.

Soriot said immuno-oncology had taken centre stage at the recent American Society of Clinical Oncology meeting, and that data presented on some combinatio­n therapies at the Chicago conference was ‘truly exciting’.

Oncology is one of the biggest areas of focus for pharmaceut­ical companies’ research and developmen­t. The reason is that the market for treatment is potentiall­y massive.

Cancer drugs accounted f or around $100bn (£65bn) of global sales last year, according to the IMS Institute for Healthcare Informatic­s. Having seen spending on cancer medicines and supportive care rise by more than 10pc last year, the IMS also reckons it will grow by 50pc and hit $ 147bn (£96bn) by 2018.

IMS’ research has found that continued improvemen­ts in detection and treatment of cancer, earlier diagnoses and more effective drug treatments have increased the survival rates for patients. That has led to higher spending on medicines for cancer care.

Potential barriers to global success for these drugs are twofold – even if it is shown they work, immunother­apies need regulatory approval to be prescribed to patients. They are also extremely expensive, at a time when state budgets in many developed countries are under intense pressure.

Soriot has already blasted the Government after Astra’s ovarian cancer drug Olaparib was labelled too expensive for use by the NHS.

Having succeeded in finding the ‘great white hope’ of cancer treatment, manufactur­ers could therefore be faced with cutting their prices in order to have the drugs widely adopted. As for shareholde­rs, the arrival of a blockbuste­r product can transform the fortunes of a drugs company. But bear in mind, many fall by the wayside.

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