TUESDAY, April 15 (HealthDay News) -- The drug riluzole,
approved in the United States to treat amyotrophic lateral
sclerosis (ALS), slows the growth of highly aggressive melanoma
skin cancer, according to a new study.
A common feature of both melanoma and ALS (also called Lou
Gehrig's disease) is an excess amount of the protein glutamate, a
cellular growth factor or food for cells. Too much glutamate can
overstimulate neurons to the point where they burn out -- a
possible explanation for what happens in ALS, according to
background information in the study. Overproduction of glutamate
causes the growth and expansion of melanoma.
Riluzole (brand name Rilutek) inhibits the release of
glutamate.
In laboratory tests using cultures of human melanoma cell lines,
researchers at Rutgers University and the Cancer Institute of New
Jersey found that riluzole appeared to switch off overproduction of
glutamate and slow the growth rate of the melanoma cells. In tests
on animals, the drug showed the same suppression of melanoma cell
growth.
The researchers then started testing the drug on 11 people with
late-stage (stage 3 or 4) melanoma. The patients in this phase 0
(exploratory, first-in-humans) trial received riluzole for two
weeks.
"Our preliminary results show three solid positive responses in
nine of the patients who had been able to complete the trial to
date," Dr. James Goydos, a surgical oncologist at the Cancer
Institute of New Jersey, said in a prepared statement.
Other patients in the group showed some indications of
responding to the drug, and they'll be reassessed at the end of the
trial.
The research was to be presented April 15 at the annual meeting
of the American Association for Cancer Research, in San Diego.
The findings provide "enough data to show that we should go on
to a more extensive (phase 1/2) trial," Goydos said. He expects it
will begin later this year and include 50 to 100 patients with
stage 4 melanoma.
"I think this drug is going to be extremely important as an
adjunct to surgical treatment of stage 3 or stage 4 melanoma,"
Goydos said. "The challenge is to keep it from recurring, which has
happened in patients on the order of 50 percent. With low toxicity
likely, riluzole could potentially be given for long periods of
time to slow down the metabolic process responsible for the
disease's recurrence."
More information
The U.S. National Cancer Institute has more about
melanoma.