Consideration and resumptive conclusions.
Thus, the results of 1st phase of the clinical trials of domestically produced
immunobiological, antitumoral "Normogen" drug showed a series of interesting
properties of the drug that had been developed by Kazakhstan researchers.
It is necessary to note that abovementioned properties of the drug were
predetermined by absolutely knew approach both at theoretical substantiation
of the mechanism of "Normogen" preparation action and at practical creation
of drug manufacturing technology and development it to the drug formulation.
The great advantage of the "Normogen" preparation is its high safety, absoluty
absence of toxicity. All revealed adverse reactions are connected with
reaction of the recipient organism to introduction of an alien protein.
The same reactions are observed at use of most protein immunomodulatory preparations and drugs
on the base of specific antibodies.
The most unusual property of the new preparation is, most of all, polypotency,
that is, its capability to affect on different oncological diseases, which
have different localizations. Besides, the preparation turned to be very
effective at multiple combined forms of primary cancer. No one of the know
immunomodulatory or target preparations, which are used in practical
oncology, has the same property of polypotency.
Antitumor activity of the "Normogen" preparation was studied at patients
with different kinds of cancer, and, moreover, the positive effect of
treatment was registered at patients, who had not been specially
selected or had not been immunohistochemically typed for presence of the
oncomarkers or other target protein-antigens on cell membrane surfaces of
the tumor cells.
It is registered, that the use of the "Normogen" preparation improves
hematological parameters, reduce the number of leucocytes-supressors,
improve ratio CD4/CD8, in favor of leucocytes helpers with improvement
immunological status of the organism.
It is necessary to note that the "Normogen" preparation shows the
cytolysing activity in the presence of functionally active complement.
This predetermines the necessity of periodical inspection of complement
quantity and functional activity in the serum of the patients during the
treatment and, if it is necessary, correction of complement parameters
by introduction of fresh frozen plasma.
SUMMARY
1. The "Normogen" drug is a safe medical preparation. The spectrum of the
adverse reactions (fever, temperature rise, tachycardia) is the same as
those observed at application of known immunomodulatory preparations and
monoclonal antibodies. The intensity of the adverse reactions does not
depend on the one-time dose and is the same both at 100 mg dose and at 1000
mg dose;
2. Of the two regimens of the "Normogen" preparation application (daily
and 3 times a week), the preferable one is the regimen of daily introduction
of the drug with total course dose exceeding 5000 mg;
3. The subjective effect of therapy with the "Normogen" preparation is
registered at 66.7% and expressed in better feelings, improvement of
appetite, and significant reduction of full disappearance of the aches.
The parameters of the vital quality that had 1st degree raised in 1.2
times and, as a result, the number of the patients that had the vital
quality of 2 or 3 (in 1.9 and 1.2 times respectively) reduced.
4. The study of the objective effect at monotherapy with the "Normogen"
preparation showed that 1 patient (6.67%) had a partial effect (reduction
of metastasis and lymphatic nodes more than by 50%) was registered in one
case (6.67%) of testicle cancer that was expressed in the reduction
of the lymph nodes in a retroperitoneal space.
Four patients (26.67%) had a stabilization of the process with positive
dynamics (with degree of 30-40%) expressed in reduction of the lymphostasis
in limbs, reduction of peritoneal lymphatic nodes, registered at
roentgenological and CT investigations. 6 patients (40%) were registered
to have stabilization of the oncology process without dynamical
shifts. 4 patients (26.66%) were registered to have progress of the
disease during the treatment.
5. The therapy with the "Normogen" preparation has positive influence on
the hemoglobin content, number of erythrocytes, leucocytes, segmented
neutrofils, trombocytes, and also on parameters of humoral and cell immunity.
On the basis of the above listed positive results of the performed
investigation, in the scale of the 1st phase of clinical investigations,
RGKP Kazakh Oncology and Radiology Research Institute recommends:
- to carry out the 2nd phase of the clinical trials of the "Normogen" preparation.