› Forums › General Melanoma Community › Metastatic Melanoma Patients may benefit from Pan Beta Blockers (with Immunoteraphy)
- This topic has 11 replies, 4 voices, and was last updated 7 years ago by
Sam33.
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- April 21, 2018 at 4:22 pm
Hello everyone,
I found a very interesting article and after sharing it with my oncologist, she added a medium dose beta blocker2 (pan beta blocker) (Propranolol) while i am having immunoteraphy. Pan beta blockers has almost no side effects and the potential benefit with immunoteraphy is really incredible.
Summary of the article is: Although there was little difference in how long patients taking beta one–selective blockers or no beta blockers lived, the results indicated that patients taking pan beta blockers lived significantly longer. Approximately 70% of patients receiving pan beta blockers were still alive compared to about 25% of those taking beta one–selective blockers or no beta blockers at 5 years post-immunotherapy.
Full article: Metastatic Melanoma Patients May Benefit From Beta Blockers | Cancer Network
I hope they can find the reason of the correlation and develop a new drug from that.
Best,
Sam
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- April 21, 2018 at 6:29 pm
Hey, Sam. Interesting post!! Hope it helps. Ironically, I just put up a post that addressed propranolol use in melanoma peeps ~ along with some other unique items!!! Here's the link if you're interested:
I wish you my best! celeste
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- April 22, 2018 at 6:56 pm
Unfortunately, the 2014 study failed to show any benefit when beta blockers were given to real live melanoma peeps.
Where it was noted that: "Beta-blockers were prescribed after malignant melanoma diagnosis to 20.2% of 242 patients who died from malignant melanoma and 20.3% of 886 matched controls. Contrary to some previous studies, beta-blocker usage after malignant melanoma diagnosis was not associated with reduced risk of death from melanoma in the UK population based study."
However, the second study I note, with data published in December of 2017:
"…researchers state that they saw improved OS in melanoma peeps who were simultaneously given immunotherapy, as was the case for more poor little melanoma affected mice. They do point out that the effect was greater when melanoma peeps (or maybe they mean the mice…it's not clear) were also given high dose IL-2 with their anti-PD-1/beta blocker cocktail!"
Similar to the info Ed shared below. Hope that makes it clearer. I wish you my best. Celeste
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- April 23, 2018 at 10:45 am
Thank you for correcting me about the 2014 study. Last week, i have just diagnosed with stage 4c (both lungs and bones) and i am in emergency mode that decrease my concentration.
There is a study in Denmark in 2011 that found positive correlation with beta blockers and survival time of melanoma patients (without using immunoteraphy). My MD Anderson Melanoma reseracher friend found that article. Here is the link: β-Blockers and survival among Danish patients with malignant melanoma: a population-based cohort study. – PubMed – NCBI
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- April 23, 2018 at 1:55 pm
Link doesn't work, please try it again.
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- April 23, 2018 at 2:00 pm
Sorry, it worked on the third try, here is the actual study link.https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3652234/
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- April 23, 2018 at 2:53 pm
Hi Sam did you read the actual study after the link to PubMed that you put up? If you have, I would bring your attention to two things, first the # of stage 4 patients in the data on table 1 was 1.3% for within 90 days and 3.6% for those outside of 90 days which are non very representive of advanced melanoma patients. Second things I would bring your attention to is this is a retrospective look back at medical records of the Danish population covering a very long period of time with no correlation to modern advancement in treating melanoma like check point inhibitors or targeted therapy and if you spend some time looking at table 1 it shows a higher death rate in stage 4 for those who were on ITT bolocker use and in the greater than 90 day prior to diagnosis group, more than 50% of patients had not staging or unknown staging. I am not sure that any medical oncologist would be caught using this data as evidence to give pan beta blockers. We all look for the golden goose when faced with this shitty disease, but remember and have some faith in the process of research. In the field of melanoma oncology many new and promising trials of new combinations are being run. I wouldn't jump on every article that gets written as the next great thing and start using what they are researching, since so many like Pembro+Ido don't always work out. Best Wishes!!!Ed
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- April 21, 2018 at 7:46 pm
Hi Sam, this topic has come up on a few melanoma forums after the Penn State article about the retrospective study they did. Based on the study which you have to buy to read which is always lovely when putting out articles with various claims. Now this is what I got out of the article, it was based on patients starting back around 2006 with around 95 who had both some type of immunotherapy drug (IL2,Ipi, some Pd-1) and were on a pan beta blocker. Based on that data which didn't give much data on the population of patients they found a link, which might be the next great thing or not, just think Pembro +Ido inhibitor trial that just failed. So they next did mouse not " rat" research which showed if you give IL2+PD-1+ Pan Beta blocker the mice did better than just Pd-1 mouse patient. So like the list that Celeste has on her blog, maybe a hit or not, I think some human trials are in the works but not started yet. Was it your family doctor or your MD Anderson oncologist that put you on the drug?
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- April 22, 2018 at 2:01 pm
Hi Ed. Both my MD Anderson oncologist and my local (I am living in Istanbul now) (ex-MD Anderson) oncologist. Furthermore, i discussed this article with MD Anderson- Melanoma Reserach professor (my friend) and she is also very surprised and decided to start a research about it.
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