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Medical Professionals Version - National Cancer Centre Singapore

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PAGE A4<br />

In Focus<br />

SALUBRIS<br />

July / August 2009<br />

NCCS TEAM IS GETTING THE<br />

ANSWERS FOR LIVER CANCER<br />

The NCCS team has come up with a modality to test drug<br />

combinations in laboratories and today their work has found<br />

its way to the patients who are on clinical trials. At the onset<br />

of this trial, a biopsy of the tumour from the patient was first<br />

taken and implanted into a mouse. The mouse underwent<br />

treatment with the use of one drug and its progress was<br />

monitored. Subsequently, other drugs were administered<br />

until the desired result was obtained.<br />

Thus far, the team has tested a combination of two drugs, both of which are produced by two different giant pharmaceutical companies, for liver<br />

cancer. The combination of two drugs was found to be more effective than the use of one drug. Based on this discovery, a Phase I clinical trial<br />

testing on liver cancer patients for this two-drug combination was conducted. Twenty-seven patients participated in this trial and the results were<br />

encouraging, with complete shrinkage of the tumour in a few patients. A Phase II trial will be launched on some 59 patients later this year.<br />

The team behind this timely<br />

discovery comprises of Adjunct<br />

Professor Huynh Hung from<br />

the NCCS Humphrey Oei Institute of<br />

<strong>Cancer</strong> research (Division of Cellular<br />

and Molecular Research) and clinician<br />

investigators Dr Toh Han Chong, Head<br />

of the Department of <strong>Medical</strong> Oncology<br />

and Dr Choo Su Pin, Consultant for the<br />

Department of <strong>Medical</strong> Oncology.<br />

Professor Hui Kam Man, Director, Division<br />

of Cellular and Molecular Research at<br />

NCCS said: “We could not have achieved<br />

this without the financial support from the<br />

<strong>Singapore</strong> Millennium Fund, the <strong>National</strong><br />

<strong>Medical</strong> Research Fund and the <strong>Singapore</strong><br />

<strong>Cancer</strong> Syndicate. They could see the<br />

significance of our project and gave us the<br />

necessary funding to make this a reality.”<br />

The team’s success has prompted more<br />

drug companies to come together and<br />

use NCCS as a platform to best their drug<br />

combinations. More clinical trials are in<br />

the works.<br />

However, exemplary treatment<br />

methods are futile if patients are late<br />

in seeking medical attention. Majority<br />

of liver cancer fatalities could have<br />

been prevented with early detection.<br />

Thus, for NCCS’s 2nd Liver <strong>Cancer</strong><br />

Awareness Campaign in September<br />

this year, great emphasis was placed<br />

on raising public awareness and<br />

encouraging more people to do<br />

health screenings.<br />

To reach out to more households,<br />

public forums will be held at the Paya<br />

Lebar Kovan Community <strong>Centre</strong> on 12<br />

and 13 September 2009. The forums<br />

will be presented in English and<br />

Mandarin. All attendees are entitled<br />

to free goodie bags and vouchers for<br />

free Hepatitis screenings at SingHealth<br />

Polyclinics. Madam Cynthia Phua,<br />

MP for Aljunied GRC, who will be<br />

launching the LiCAM campaign urged<br />

the public to go for regular medical<br />

screenings, their best defense against<br />

the disease.<br />

The campaign will focus on information<br />

on the latest treatment methods and<br />

care for liver cancer patients, the risk of<br />

Hepatitis and how to avoid contracting<br />

fatty liver. Fatty liver is a condition that is<br />

likely to become more common among<br />

affluent <strong>Singapore</strong>ans.<br />

It is expedited when fat accumulates in<br />

Hepatocytes, or tiny sacs of liver cells.<br />

Although fatty liver is a benign condition,<br />

it can give rise to a wide spectrum of<br />

liver diseases, lead to inflammation and<br />

scarring of the liver and eventually, liver<br />

cancer if left undetected. The campaign is<br />

sponsored by Bayer Healthcare.<br />

Dr Tan Yu Meng, Deputy Head and Senior<br />

Consultant, Department of Surgical<br />

Oncology, NCCS and Surgical Director,<br />

Liver Transplant Programme, SGH, who<br />

spearheads the Liver <strong>Cancer</strong> Awareness<br />

Month Committee said, “Early detection<br />

is the best solution for liver cancer<br />

as often by the time the patients are<br />

brought to our attention it is too late for<br />

treatment. Hence, we hope to raise public<br />

awareness so that they will come forward<br />

and take advantage of the free screening.”<br />

With greater public<br />

awareness and improved<br />

cancer treatments, liver<br />

cancer patients may<br />

look ahead with lighter<br />

hearts as NCCS brings its<br />

research work from the<br />

bench to the bedside.

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