ATLANTA (AP) – A treatment that helps the immune system fight deadly blood cancers is showing early signs of promise against some solid tumors, giving hope that this approach could be extended to more common cancers in the future. treatment, called CAR-T therapy, involves genetically modifying some of the patient's own cells to help them recognize and attack cancer. Richard Carlstrand of Long Key, Florida, had more than a year ago for mesothelioma, an aggressive cancer of the lining of the lungs
"We were going into unknown territories" to try this, he said, but now he shows no sign of cancer and "I could not be happier."
Results for his and other cases were discussed Sunday at an American Association for Cancer Research Conference in Atlanta
The first CAR-T therapies were approved in 2017 for some leukemias and lymphomas. After being altered in the lab, the modified immune system cells are returned to the patient through an IV, which puts them right where the cancer is – in the blood
But that approach does not work well if the cells have to
"Solid tumors are notorious for not letting the immune cells enter," and not enough may cause it to have an effect, said Dr. Prasad Adusumilli of the Memorial Sloan Kettering Cancer Center in New York
A major concern is that the proteins on solid tumor cells that these therapies target are also found on normal cells at lower levels, so the therapy might harm them too. 19659009] Adusumilli helped design a new CAR-T to try to avoid these problems and tested it on 19 patients with mesothelioma and two others with lung and breast cancer, respectively, which had spread to the chest lining. About 150,000 patients in the U.S.
The modified cells were injected directly into the chest where the tumors were. A genetic safety switch was added and medicine could be given to destroy the cells if they caused harm
After the treatment, one patient was able to have surgery and radiation, and is doing well 20 months later with no further treatment. Fifteen others were well enough to start on a drug that boosts the immune system in a different way
Eleven of the 15 have been studied long enough to report results. Two had signs of cancer disappear for about a year, though one later relapsed. Six saw their tumors shrink. Three saw their cancer worsen
There were no severe side effects although some patients had temporarily low blood counts and fatigue
Grants from the federal government and foundations paid for the work and a larger study is planned. Sloan Kettering has licensed the treatment for Atara Biotherapeutics and may receive payments from it as may Adusumilli
A second study tested different CAR-T therapy in 10 children and adults with advanced sarcomas – cancers that originate in various soft tissues or bones. Unlike other CAR-Tss that are usually given just once, this one was given multiple times, up to 15 in one patient's case, if there were signs it was helping
"From a single blood draw we make a large amount of the CAR-T cells and then we freeze them "and give them through an IV as needed, said Dr.
Two of the 10 patients had all signs of cancer disappear, one for 17 months and the other for nearly three years, so far. Three others had their disease stabilized. Five worsened despite treatment
Side effects were similar to the other study. "Therapy seems safe" and we have early signs that this treatment approach may help, "Navai said.
Several foundations and charities paid for the work
" These studies show that there may be a path forward in solid tumors "with CAR-T therapies," said Dr. Louis Weiner, director of the Georgetown Lombardi Comprehensive Cancer Center and one of the conference leaders. It may hold promise for some cancers of the stomach, breast, colon, lung and other areas, he said.
Cost is a big issue – current CAR-T therapies are around $ 400,000 but can be made for far less than that in research centers.
Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP
The Associated The Press Health & Science Department receives support from the Howard Hughes Medical Institute's Department of Science Education.
The AP is solely responsible for all content.