Two years after she underwent a mastectomy and
chemotherapy, Barbara Bradfield's aggressive breast
cancer had recurred and spread to her lungs. The outlook
was grim. Then she took part in Genentech's clinical
trials for a new drug. Five years later she remains
cancer-free. Her-2
is the biography of Herceptin, the drug that provoked
dramatic responses in Barbara Bradfield and other women
in the trials and that offers promise for hundreds of
thousands of breast cancer patients. Unlike chemotherapy
or radiation, Herceptin has no disabling side effects.
It works by inactivating Her-2/neu--a protein that makes
cancer cells grow especially quickly-- produced by a
gene found in 25 to 30 percent of all breast tumors.
Herceptin caused some patients' cancers to disappear
completely; in others, it slowed the progression of the
disease and gave the women months or years they wouldn't
otherwise have had. Herceptin is the first treatment
targeted at a gene defect that gives rise to cancer. It
marks the beginning of a new era of treatment for all
kinds of
cancers. Robert
Bazell presents a riveting account of how Herceptin was
born. Her-2 is a story of dramatic discoveries and
strong personalities, showing the combination of
scientific investigation, money, politics, ego,
corporate decisions, patient activism, and luck involved
in moving this groundbreaking drug from the lab to a
patient's bedside. Bazell's deft portraits introduce us
to the remarkable people instrumental in Herceptin's
history, including Dr. Dennis Slamon, the driven UCLA
oncologist who played the primary role in developing the
treatment; Lily Tartikoff, wife of television executive
Brandon Tartikoff, who tapped into Hollywood money and
glamour to help fund Slamon's research; and Marti
Nelson, who inspired the activists who lobbied for a
"compassionate use" program that would allow women
outside the clinical trials to have access to the
limited supplies of Herceptin prior to FDA approval of
the drug. And throughout there are the stories of the
heroic women with advanced breast cancer who volunteered
for the trials, risking what time they had left on an
unproven treatment. Meticulously researched, written
with clarity and compassion, Her-2 is masterly reporting
on cutting-edge science. From the Hardcover
edition.
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