In a small study of patients
with in curable cancer, drinking 8 ounces of grapefruit juice a day
boosted the effect of a drug they were given during the study. Although
some participants had a response, tumours did not disappear after using
the drug, which is mostly used to treat conditions unrelated to cancer.
The
study’s finding was that grapefruit juice might allow using smaller
drug dosages, reducing side effect and costs. Sirolimus (Rapmune) is an
immunosuppressant and not approved as a cancer drug. Its primary use is
to prevent rejection after kidney transplants. It is also used as a
treatment for psoriasis, the researchers noted.
Some
early studies suggest that sirolimus may have tumor-fighting effects.
Derivatives of the drug are used in kidney cancer and breast cancer. The
drug, however, has what is called poor bioavailability, which means the
body can’t use it efficiently. Only about 14 per cent gets absorbed,
aid lead researcher. We thought if we could manipulate it we could
increase the availability, make it easier to take and make it more
effective.
With
grapefruit juice or another drug, the researchers were able to increase
the effectiveness and also lower the dose of sirolimus. This has a wider application beyond 'sirolimus. This
is a proof of principle that grapefruit juice could be used in this
way.This same tactic will work with other cancer drugs and could
dramatically reduce costs.
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