Wonder Drug! Maybe?

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How many patients need to be "cured" of a disease to send a stock up more than 22%? Apparently just two.

That's right, two. A couple, a pair, dos, deux. However you say it, it's a mighty small number.

The euphoria, which waned a little as Medarex (Nasdaq: MEDX) ended up just 12.5%, came from a Mayo Clinic report that two prostate cancer patients in a clinical trial testing the company's cancer drug ipilimumab had become cancer-free.

The report wasn't the full results of a clinical trial. It wasn't published in a peer-reviewed journal. It was published in Discovery Edge, which, as far as I can tell, is a self-published magazine for the hospital to promote itself to potential donors. There's nothing wrong with that -- I get a glossy look-how-great-we-are magazine from my alma mater too -- but let's not confuse incidental reports with a full-fledged clinical trial.

According to ClinicalTrials.gov, the phase 2 clinical trial is still recruiting patients -- although one has to think this news will fill it up fast -- and the full results from 54 treated patients aren't expected until June of next year.

That being said, there is reason to be cautiously optimistic. Helping a patient with advanced prostate cancer become free from the disease is pretty darn impressive; sanofi-aventis' (NYSE: SNY) Taxotere and Dendreon's (Nasdaq: DNDN) Provenge extend survival by a few months on average. Some patients on Provenge have reportedly lived for years, but I don’t know of any reports that they've become cancer-free.

Medarex has royalty-bearing licenses for its antibody technology with a few companies, including Johnson & Johnson (NYSE: JNJ) and Novartis (NYSE: NVS), but ipilimumab, which it'll market with Bristol-Myers Squibb (NYSE: BMY), is the company's most advanced internally developed drug. Ipilimumab hit a snag last year when the FDA decided that the companies needed to run a longer trial before submitting the data to approve ipilimumab for melanoma.

The reports in prostate cancer patients should give investors a little hope that the melanoma trial will be successful, but keep in mind that each cancer type is different and melanoma is about as difficult to treat as they come.

Be optimistic, Fools, just don't go all in. There's a lot that can go wrong between now and when the drug gets approved.

But feel free to go all in on this Foolishness:

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Fool contributor Brian Orelli, Ph.D., doesn't own shares of any company mentioned in this article. Johnson & Johnson is a Motley Fool Income Investor recommendation. Novartis is a Global Gains recommendation. The Fool has a disclosure policy.

Comments from our Foolish Readers

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  • Report this Comment On June 23, 2009, at 4:19 PM, tredleon wrote:

    You make the statement that you are not aware of any Provenge patients that have become "cancer free". This is one of the most fascinating aspects of the Provenge hype - not only is there no evidence of any "cures", but at the end of the study period of ~ 60 months, the same % of patients were alive in each arm of the study. Take a look at the Kaplan-Meier (sp?) curve in the company's presentation (I think it is page 6 or 7) - at the end of the graph the placebo and Provenge-treated lines merge together. What this means is that the same percentage of patients from each group (~10%) survived to this point. Only one analyst mentioned this "anamoly" in the call and DNDN's management just waived it off saying eventually all the patients pass away or something to that effect. But the reality is that Provenge only provides a minor benefit to patients, which doesn't match the hype surrounding the drug. I would guess that within a year or two, another vaccine or treatment will leave Provenge in the dust bin.

  • Report this Comment On June 23, 2009, at 5:31 PM, mddoc123 wrote:

    Drs Kwon and Blute should be congratulated. Not for a great advance in prostate cancer treatment, but for attracting such a wide degree of coverage for what is complete hype. Talk about anecdotes--2 patients! Kwon is quoted saying they saw a "startling" result and that they were 'running in the halls'--kind of a eureka moment, i guess. I know things are kind of slow in Rochester, MN, but this is complete BS! What about all the others in the study or the other 3 that were operated on? And every one of the patients got hormonal therapy which is known to shrink the prostate. And not even the 2 patients they reported were complete responders. They provide no details--how long were/are the patients on hormonal therapy, how long between treatment and surgery, etc? I looked up their ASCO abstract--it didn't even get accepted for presentation--I guess the clinical/scientific review was a lot more rigorous than Vanity Fair. This is classic, shameless hype. What must their medical colleagues think!

  • Report this Comment On June 23, 2009, at 6:32 PM, youareadillhole wrote:

    mddoc123 thanks for being such an optimist! I hope you are a Urologist since you seem to know so much about the prostate! Did you know they can treat an enlarged prostate with a laser? MD123 maybe you need to put some faith that MEDAREX is onto something.

  • Report this Comment On June 24, 2009, at 10:57 AM, mddoc123 wrote:

    I'm all for trials to find better treatments; I'm a survivor myself. But I prefer fact and reality to hype. I think patients and the public should expect the facts from researchers, not shameless self-promotion. If you prefer fantasy to reality when it comes to your health and survival, by all means, that's your choice. Not everybody is so naive; most prefer the truth.

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