Drug trio found to block tumour resistance in pancreatic cancer in mouse models
Playful reactions & headline confusion
- Several readers misread “drug trio” as the Pokémon “Dugtrio” or even “drug cartel,” leading to jokes and references to the “Tetris effect” where games bleed into real life.
- Some found the headline syntactically confusing: “block tumour resistance” was initially read as increasing resistance; others clarified it meant blocking treatment resistance.
“In mice” skepticism and model limits
- Many immediately flagged the study as yet another cancer breakthrough “in mice.”
- Some noted this work is stronger than typical mouse-only studies: it uses orthotopic models and patient-derived xenografts (PDX), but others pointed out PDX lack an intact immune system, missing a key part of cancer biology.
- A commenter dug into the supplement: N=12 mice, many euthanized for non-cancer issues; results are promising but far less absolute than the press release implies.
- Discussion referenced estimates that only ~3–5% of preclinical oncology drugs reach approval and that reproducibility of such studies is about 50%.
Why mouse breakthroughs rarely reach patients
- Clinical research on humans is described as slow, expensive, and high-failure, with many agents dying in phase III when overall survival is measured.
- Even when early trials show promise, scaling to large cohorts takes years; this explains why readers rarely see a headline’s drug in routine care later.
Pancreatic cancer’s particular challenges and progress
- Pancreatic cancer is noted as biologically and anatomically hard to treat and often detected late.
- Some highlight incremental gains: five-year survival roughly doubling in the last decade, with much better outcomes when caught early.
- The study’s triple-inhibition strategy (RAF1, EGFR-family, STAT3) and use of a KRAS-pathway inhibitor are framed as part of a broader, emerging wave of targeted and KRAS-focused therapies.
- Others share stories of late diagnosis, vague symptoms, and limitations of current screening (e.g., routine blood tests, tumor markers).
Ethics, access, and “right to try”
- One camp argues terminal patients with weeks–months to live should be allowed these combinations immediately: “what’s the worst that can happen?”
- Opponents stress quality-of-death issues, risk of agonizing side effects, potential loss of better trial options, and the need for rigorous, powered studies to truly know if and for whom a drug works.
- Existing mechanisms like compassionate use and right-to-try laws are mentioned, but seen as underutilized or constrained.
Quack medicine, regulation, and incentives
- There is tension between preventing exploitation of desperate patients and avoiding “therapeutic neglect.”
- Some argue a hard line on quackery is rational given how easily misinformation spreads and how hard it is to refute; others say legitimate high-risk experimentation has become collateral damage.
- Ideas floated include cost-only access to unapproved drugs for terminal patients and “open source” trial systems, but commenters note funding, liability, and data-quality challenges.
Alternative models and speculative ideas
- Dog cancer trials are suggested as more human-relevant than rodents, though ethically fraught; anecdotes surface of institutional dog experiments.
- Proposals to grow human bodies “without a brain” or use physiologically maintained deceased humans for testing spark debate: most see major technical and ethical barriers; organoids are cited as a more realistic current tool.
Perception of progress in oncology
- Some express fatigue with endless “cancer cured in mice” headlines that never seem to impact care.
- Others, including people with direct clinical or personal experience, counter that outcomes for many cancers have improved dramatically in the last 10–15 years (e.g., immunotherapies, monoclonal antibodies, personalized vaccines), even if the public only sees the hype phase and not the eventual standard-of-care phase.
- Media “science by press release” and click-driven framing are criticized for overselling early-stage work and eroding trust, especially in areas like pancreatic cancer where progress remains slow and highly constrained.