Adapted from the December 2005 edition of CancerWire:
Nutritional Supplement Reported to Help Cancer Patients Undergoing First Clinical Trial was the subject of the May 2005 edition of CancerWire. The referenced supplement, Poly-MVA, was developed by Dr. Merrill Garnett, who spent over 20 years in search of a non-toxic formulation that could be used to support more orthodox treatments. [The active complex in Poly-MVA, palladium lipoic acid complex, is frequently abbreviated LAPd; Lipoic Acid Palladium.] Over the last several years a growing number of cancer patients, many with advanced, metastatic disease, have used it as a nutritional supplement. Many claim that they have derived a benefit.
James W. Forsythe M.D., H.M.D., a board certified oncologist and homeopathic physician, oversaw the first clinical study of LAPd as an adjuvant for Stage IV cancer patients. Dr. Forsythe's clinical trial began enrolling patients in January, 2004 (23 months ago). This is an independent study which has an IRB (Investigational Review Board) approval pending in the state of Nevada. CancerWire spoke with Dr. Forsythe to obtain an update regarding his clinical results.
A total of 207 Stage IV cancer patients were enrolled in the study. Some chose to take the LAPd alone while others followed the recommended protocol for the study -- taking the LAPd in addition to some form of conventional therapy (low dose chemotherapy). It should be noted that all patients with metastatic (Stage IV) disease are in danger of dying at any time. In fact an appallingly small percentage of conventionally treated cancer patients survive longer than 18 months after the disease has metastasized.
72 of the 207 patients in Dr. Forsythe's study unfortunately could not be saved, and 43 chose to discontinue within 1-2 months of enrollment. Thus there are a total of 92 evaluable patients remaining in the study at the time of this report. While the reported response rates do not include the 43 patients who left the study, it is very important to note that Dr. Forsythe's reported response rate calculations have factored in the 72 patients who died. *[See NOTE below]
There has been an overall response rate of 56% for patients who followed the recommended protocol and 50% for patients who chose to take LAPd alone. Among the 92 evaluable patients remaining in the study, none are currently experiencing a progression of disease. Every evaluable patient falls into one of the following three categories: Complete Remission (CR), Partial Remission (PR), Stable Disease (SD). The safety profile was reported as excellent. To say that these response rates compare favorably with response rates for Stage IV cancer patients who receive conventional therapy alone would be a gross understatement.
*NOTE: When patients who are enrolled in a study do not survive (die during the study period), it is quite common for clinical investigators to remove those patients from their data and report on the surviving patients only -- specfically, those patients who survive and continue to participate in the study. This rather deceptive practice of "fudging the numbers" is disingenuous at best and blatantly misleading at worst. Investigators whose reported data include only those patients who survive are clearly attempting to make the response rates appear to be much better than they actually are. The December 2005 edition of CancerWire stated that Dr. Forsythe's reported response rates would be lower if they included the 72 patients who died. We are quite sure that this editorial error was an innocent oversight and that there was no deliberate intention on the part of CancerWire editors to mislead their readers. The fact is that Dr. Forsythe's report does include those 72 patients. Thus Dr. Forsythe's reported response rates are entirely accurate -- there has been no attempt to "fudge" the numbers in any way.