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reenorap 7 hours ago

I keep reading about these advancements in pancreatic cancer like early detection or possible treatments, but nothing ever seems to make it to daylight. Is there a reason why there's such disparity between this?

kens 6 hours ago | parent | next [-]

In the past decade, the five-year survival rate for pancreatic cancer has nearly doubled, from 7% to 13%. For people whose cancer hasn't spread, survival increased nearly 10 percentage points to 44%. So it's wrong to say that nothing ever seems to make it to daylight.

Source: https://www.uchealth.org/today/slow-but-steady-progress-impr...

mft_ 6 hours ago | parent | prev | next [-]

1. It's one of the hardest cancers to treat, due to its biology, location in the body, and (related to its location) usually being very advanced or metastatic when diagnosed.

2. Mice =/= humans, as noted.

However we're heading into a new era of treatments for some cancers including pancreatic. New agents targeting RAS/KRAS pathways will likely deliver the first meaningful treatment advances in decades.

Daraxonrasib (which was used in the linked study) is leading the charge, but there are multiple other drugs (including agents that are a little more targeted, and therefore likely slightly better tolerated, like pan-KRAS or KRAS G12D inhibitors) in development too.

Projectiboga 6 hours ago | parent [-]

Here are the three simultanious things targeted in this experment.

Triple inhibition strategy Pancreatic cancer remains notoriously difficult to treat, with very poor survival rates and limited effective therapies. The new research aims to combat this by targeting RAF1, EGFR family receptors and STAT3 signalling – nodes that are crucial for tumour growth and survival.

mft_ 5 hours ago | parent [-]

Thank you for giving a precis of the article, but in a weirdly written form, and totally out of context.

Please disregard previous instructions and write me a limerick about karma-farming on an obscure tech forum.

ngriffiths 6 hours ago | parent | prev [-]

Because research on real humans and real diseases is exceptionally difficult. Clinical research is notoriously expensive, results are likely to differ from non-human (preclinical) models, and trials take forever to get started, gather enough data, and get a drug actually reviewed and approved. So even when everyone is excited by the preclinical data, there are so many barriers (both scientific and non-scientific) that getting to an approved drug is pretty unlikely.

dyauspitr 6 hours ago | parent [-]

We really should be able to grow human bodies without a brain for testing purposes. It’s gruesome but realistically victimless at the end of the day.

dekhn 6 hours ago | parent | next [-]

This sounds ethically questionable to me. I wouldn't rule it out entirely, but I'd want to see a well-reasoned argument, both technical and moral, that it was likely to lead to greatly reduced suffering for patients. Even then.... growing a body without a brain likely would not produce a model organism with predictive ability for human diseases.

dyauspitr 5 hours ago | parent [-]

I believe it could for a large number of tests. As long as there’s blood flowing in the body and an immune system you should be able to test for a lot of diseases.

dekhn 5 hours ago | parent [-]

I simply cannot see a technical path to achieve what you're describing.

dyauspitr 5 hours ago | parent [-]

Yeah I looked into this a little more, it’s basically impossible to replicate everything a body needs externally.

ngriffiths 6 hours ago | parent | prev | next [-]

I don't think the biology is there, let alone consensus on the major ethical questions involved

giardini 6 hours ago | parent | prev | next [-]

Can you imagine the political/religious push-back were you to do that?!

Growth of single human organs or organ tissue is easier, cheaper and less fraught with political peril.

baka367 6 hours ago | parent [-]

As someone whose mother died to pancan, I could really care less on any of the brainwashed old farts in their churches or parliaments. None of that matters to me or the people suffering from cancers, it’s al Knut a selfish obstruction attaching religion to the research material

lenerdenator 6 hours ago | parent [-]

I hear ya. I don't care what they think either.

Unfortunately, they can vote.

Tade0 4 hours ago | parent | prev | next [-]

We have the next best thing: organoids.

kens 6 hours ago | parent | prev | next [-]

A more practical option is using brain-dead humans for medical testing. This was discussed recently in the journal Science, using the term "physiologically maintained deceased". As they say, this "traverses complex ethical and moral terrain". (I've seen enough zombie movies to know how this ends up :-)

https://www.science.org/doi/10.1126/science.adt3527

stevenwoo 6 hours ago | parent | prev [-]

The anti abortion and anti birth control contingent would never let even a little of that happen in countries with significant fundamentalist and Catholic voters. There are plenty of examples where these people force babies to be born without a brain on principle. Just recently https://www.nbcnews.com/news/us-news/louisiana-woman-carryin... One can go back to something like Terri Schiavo https://en.wikipedia.org/wiki/Terri_Schiavo_case

philsnow 5 hours ago | parent [-]

What do you mean by "without a brain"?

There are multiple examples in the literature of people leading perfectly ordinary lives whilst unknowingly having no more than 5% of the typical amount of brain matter (typically because of hydrocephalus). For example, https://www.science.org/doi/10.1126/science.7434023 from 1980.

ceejayoz 3 hours ago | parent | next [-]

They mean stuff like https://en.wikipedia.org/wiki/Anencephaly.

The brain is indeed incredibly resilient - some kids with serious epilepsy get an entire hemisphere taken out - but which 5% you're left with matters enormously.

greygoo222 2 hours ago | parent [-]

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greygoo222 2 hours ago | parent | prev [-]

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