Two new studies show how to enhance effectiveness of cancer immunotherapy

Source: www.news-medical.net Author: Reviewed by Emily Henderson, B.Sc. Two new studies revealed that anti-PD-1 immunotherapy given before surgery was safe and effective for patients with oral-cavity squamous cell carcinoma (OCSCC) and identified potential molecular biomarkers in the blood and tumors of patients that would show how likely it is that someone would respond to immunotherapy. The studies, recently published in Cell Reports Medicine, were a collaborative effort between MUSC Hollings Cancer Center, UCLA Jonsson Comprehensive Cancer Center and Winship Cancer Institute of Emory University. Due to the highly invasive and resistant nature of OCSCC, researchers looked to anti-PD-1 immune checkpoint inhibitors to improve outcomes as this type of immunotherapy has revolutionized the way patients with advanced malignancies are treated. OCSCC, a subset of head and neck cancer, is prevalent in South Carolina due to the history of tobacco use. These cancers oftentimes require complicated surgeries that may be disfiguring, as treatment may involve removing all or a portion of the jawbone and tongue. David Neskey, M.D., a Hollings head and neck cancer specialist and co-senior author of the studies, said 50% of these patients will have a recurrence, and only 60% of patients are alive five years later. "This cancer can impact a patient's ability to talk and breathe," Neskey said. "It can impact a patient's ability to go out to a restaurant or socialize with friends and family. It's one of the reasons so many head and neck cancer doctors are seeking ways to improve outcomes for these patients." [...]

First patient participates in immunotherapy trial despite COVID-19 pandemic

Source: www.news-medical.net Author: UC-San Diego, Reviewed by Emily Henderson, B.Sc Since 2016, Bernard Thurman has undergone traditional treatments, experimental therapies and surgeries to counter the cancer within him, but nothing has successfully eradicated the disease. Earlier this year, the oncologists in Los Angeles who were treating him referred Thurman to a personalized cancer therapy trial being developed at Moores Cancer Center at UC San Diego Health. "Truly, I am running out of options, as far as treatment goes," said Thurman, whose cancer developed in his tonsils and has since spread to his lungs. "The latest immunotherapies, both the FDA-approved and the experimental, were proving ineffective. Obviously, it was time to go in a different direction." Thurman met with Ezra Cohen, MD, associate director for translational science at Moores Cancer Center, in mid-March to discuss an investigational cell therapy that uses a patient's own immune cells -- specifically tumor infiltrating lymphocytes (TIL) -- to seek and destroy their own unique cancer cells. Days after this meeting, COVID-19 swept the country, forcing hospitals to rethink which procedures could continue and which would need to be paused. Because the TIL trial requires that patients be hospitalized, it was put on hold. Thurman was disappointed. "Don't let the pandemic make you decide to put off cancer treatment," said Thurman. "You may or may not get COVID, but cancer will kill you if you don't treat it. So, don't delay it." Knowing the urgency of treatment, Cohen, a head and neck oncologist, suggested an alternative [...]

2020-12-12T09:56:17-07:00December, 2020|Oral Cancer News|

The rise of HPV-related cancers in men

Source: www.tmc.edu Author: Alexandra Becker Scott Courville admired his full beard and round belly in the mirror: He was ready for the upcoming holiday season. It was November 2015 and Courville, who plays Santa Claus in Lafayette, Louisiana, was too excited about his favorite time of year to worry much about the pain developing in his jaw. By February, though, the ache had worsened and was accompanied by new symptoms: white spots on his right tonsil, difficulty swallowing and lumps in his throat. He finally made his way to a walk-in clinic where he was diagnosed with tonsillitis and prescribed antibiotics. “They sent me home and said, ‘In two weeks everything should clear up,’” Courville recalled. But his symptoms only worsened. Courville made an appointment with a local ear, nose and throat (ENT) specialist who also diagnosed Courville with tonsillitis. The doctor prescribed more antibiotics and steroids, but two weeks later there were no improvements. Courville was referred to a dentist—“In case they see something we don’t”—but that, too, was a dead end. Courville’s dentist insisted he return to his ENT, where he ultimately had a CT scan that revealed a mass in his throat. That was June 6, 2016. Two days later, Courville underwent a biopsy. When he awoke from the surgery, his doctor was standing over him. Courville always gets choked up retelling this part of his story. “The hardest part for me is always remembering when the doctor said, ‘I’m sorry, but you’ve got cancer.’” Courville was [...]

Keytruda doubles efficacy of only targeted therapy for head and neck cancer

Source: www.curetoday.com Author: Lauren M. Green The immunotherapy Keytruda (pembrolizumab), in a recent study, proved twice as effective for the treatment of head and neck cancer as Erbitux (cetuximab), the only targeted therapy indicated as a therapy for the disease. The multisite study offers the largest experience to date of how immunotherapy can be deployed in patients with head and neck cancer, and could change the way the disease is treated. The findings were announced May 29 during the annual meeting of the American Society of Clinical Oncology, a gathering of nearly 30,000 oncology professionals taking place in Chicago. Keytruda is an antibody designed to disable the protein PD-1 so it cannot do its job of keeping the immune system in check; this allows T cells to become more active in recognizing and fighting cancer cells. In the study, investigators found that the drug produced broad and durable responses in patients with advanced head and neck cancer. Fifty-six percent of patients in the study experienced some tumor shrinkage with Keytruda, and 86 percent of those patients continued to respond to treatment at data cutoff on March 23, 2015. Keytruda produced an overall response rate (ORR) of 25 percent, and it proved active in both HPV (human papillomavirus)-positive and HPV-negative patients. “The efficacy was remarkable — pembrolizumab seems to be roughly twice as effective, when measured by response, as our only targeted therapy, cetuximab,” said Tanguy Seiwart, an assistant professor of medicine and associate leader of the head and neck cancer [...]

New immunotherapy drug shows promise for advanced head/neck cancer

Source: www.drbicuspid.com Author: DrBicuspid staff A new immunotherapy treatment, MK3475, known as pembrolizumab, from Merck has proved effective in some patients with advanced head and neck, according to the early findings of a study presented at the American Society of Clinical Oncology (ASCO) annual meeting in Chicago. The findings were presented by Tanguy Seiwert, MD, the associate director of the Head and Neck Cancer Program and assistant professor of medicine at the University of Chicago. In the phase IB study, a small number of patients with advanced head and neck cancer were treated with pembrolizumab, an anti-PD-1 antibody. The drug is part of an emerging class of medications that work by blocking the PD-1 protein, which is used by cancer cells to evade the body's immune system. When PD-L1 attaches to its receptor PD-1 on immune cells, tumors are able to hide from the immune system; drugs that target either PD-L1 or PD-1 inhibit this interaction. In the study presented at the ASCO meeting, 56 patients with advanced head and neck cancer whose tumors were assessed as positive for PD-L1 expression were evaluable for treatment response with pembrolizumab; 20 of the patients tested positive for human papillomavirus (HPV). The early findings showed a best overall response rate of 20%, with 29% of patients having stable disease. Similar overall response rates were observed in HPV-positive and HPV-negative patients. Tumor shrinkage was demonstrated in 51% of evaluable patients who had measurable disease with one postbaseline scan. The most common treatment-related adverse events [...]

Strategy to conquer cancer drug resistance uncovered

Source: info.cancerresearchuk.org Author: staff US scientists have identified a way in which cancer cells can become resistant to the cancer drug cetuximab (Erbitux), and suggest that treatments that are already available might be able to overcome this resistance. Researchers from the Dana-Farber Cancer Institute in Boston, US, have been studying why some patients only experience short-term benefits with cetuximab, or none at all. Cetuximab is an antibody that interferes with cancer cell growth. It can be given in combination with chemotherapy to patients with bowel cancer or head and neck cancer. Until now, scientists didn't know why some cancers failed to respond to the drug, or initially responded but then became resistant. The new study, published in Science Translational Medicine, found that in some of the drug-resistant cells, a protein known as ErbB2 (also known as HER2/neu) was sending 'grow' signals. These were bypassing the 'stop growing' signals caused by the drug. Pasi Janne, the study's co-senior author, said: "ErbB2 activates a critical signalling pathway that is not normally blocked by cetuximab, and in this way subverts cetuximab's function. "Because ErbB2 isn't affected by cetuximab, this is an easy way for cancers to become resistant to the drug." The researchers suggest that combining cetuximab with already available ErbB2 inhibitors such as trastuzumab (Herceptin) could produce an effective therapy to tackle cancers that previously showed resistance to cetuximab. Henry Scowcroft, science information manager at Cancer Research UK, said: "Unfortunately, patients's tumours can become resistant to treatment, and understanding why this happens is a major [...]

2011-09-09T05:32:14-07:00September, 2011|Oral Cancer News|

Antibody as ‘smart bomb’ to fight cancer

Source: timesofindia.indiatimes.com Author: staff A joint team of Indian and Australian scientists claims to have achieved a breakthrough by creating an antibody which could be used for developing a "medical smart bomb" that would help seek out and eradicate the root of cancer — the stem cells. The international project is a collaboration between Australia's Deakin University and Indian Institute of Science in Bangalore along with Barwon Health's Andrew Love Cancer Centre and Chem Genex Pharmaceuticals. The team has, in fact, created the world's first RNA aptamer, a chemical antibody that acts like a guided missile to seek out and bind only to cancer stem cells, the Cancer Science journal reported. The aptamer has the potential to deliver drugs directly to the stem cells and to be used to develop a more effective cancer imaging system for early detection of the disease, say the scientists. The Director of Deakin Medical School's Nanomedicine Program , Professor Wei Duan, said that the development of the aptamer had huge implications for the way cancer is detected and then treated. Duan said: "The survival rates for many cancers remain poor, due partly to the inability to detect cancer early. To provide a cure for cancer we must accurately detect and eliminate the cancer stem cells."

2011-02-21T21:56:23-07:00February, 2011|Oral Cancer News|

YM Biosciences reports positive nimotuzumab four-year survival data

Source: www.reuters.com Author: press release YM BioSciences Inc., a life sciences product development company that identifies and advances a diverse portfolio of promising cancer-related products at various stages of development, announced that an oral presentation at the American Society for Therapeutic Radiology and Oncology (ASTRO) 2009 Annual Meeting reported positive 48-month survival data for its EGFR-targeting antibody, nimotuzumab. The "BEST" trial was a randomized four-arm study treating patients with inoperable, locoregionally-advanced, stage III/IVa head and neck cancer with radiation alone, chemoradiation alone, or radiation or chemoradiation in combination with nimotuzumab. These data were a follow-up to 30-month survival data presented at ASCO 2009 and demonstrate that the benefit of adding nimotuzumab to radiation and chemoradiation is durable and persists for several years. "These data are convincing evidence that nimotuzumab is an efficacious and safe drug and highlight its potential in the head and neck cancer indication. In this respect we note that the National Cancer Centre of Singapore has initiated a global Phase III trial with nimotuzumab in the adjuvant setting for head and neck cancer patients," said David Allan, Chairman and CEO of YM BioSciences. "Activity of nimotuzumab in the BEST trial was similar to that demonstrated in separate trials with cetuximab in locally advanced head and neck cancer but there was no evidence that nimotuzumab's activity was accompanied by the advanced toxicities of the class." In the ASTRO presentation, Dr. Lokesh Viswanth, Kidwani Memorial Institute of Oncology, Bangalore, India described that the addition of nimotuzumab to radiotherapy (RT) [...]

2009-11-03T08:17:42-07:00November, 2009|Oral Cancer News|

New cancer treatment shows promise in testing

Source: nytimes.com Author: Nicholas Wade A new method of attacking cancer cells, developed by researchers in Australia, has proved surprisingly effective in animal tests. The method is intended to sidestep two major drawbacks of standard chemotherapy: the treatment’s lack of specificity and the fact that cancer cells often develop resistance. In one striking use of the method, reported online Sunday in Nature Biotechnology, mice were implanted with a human uterine tumor that was highly aggressive and resistant to many drugs. All of the treated animals were free of tumor cells after 70 days of treatment; the untreated mice were dead after a month. The lead researchers, Jennifer A. MacDiarmid and Himanshu Brahmbhatt, say their company, EnGeneIC of suburban Sydney, has achieved a similar outcome in dogs with advanced brain cancer. “We have been treating more than 20 dogs and have spectacular results,” Dr. Brahmbhatt said. “Pretty much every dog has responded and some are in remission.” These experiments have not yet been published. Cancer experts who were not involved with the research say that the new method is of great interest, but that many treatments that work well in laboratory mice turn out to be ineffective in patients. Bert Vogelstein, a leading cancer researcher at Johns Hopkins University, called the method “a creative and promising line of research,” but noted the general odds against success. “Unfortunately our track record shows that far less than 1 percent of our promising approaches actually make the grade in patients,” he said. The EnGeneIC [...]

Go to Top