The growing role for cfHPV-DNA testing in OPSCC therapeutic development

Source: www.biopharmadive.com Author: Sysmex Inostics,sponsored content Human papillomavirus (HPV) plays a key role in the development of oropharyngeal squamous cell carcinoma (OPSCC). Approximately 80% of all OPSCC cases in the U.S. are associated with HPV.1 In fact, the incidence of HPV-associated OPSCC in men has surpassed that of cervical cancer in women, making OPSCC the most common cancer caused by HPV in the U.S.2 As pharmaceutical companies seek to develop targeted therapeutics for HPV-associated cancers, access to robust biomarkers can prove invaluable for drug development. cfHPV-DNA in plasma meets this need and represents an attractive biomarker for grading treatment response and recurrence surveillance. Here, we’ll discuss the growing role for cfHPV-DNA as a biomarker in developing novel therapeutics targeting HPV-associated OPSCC and how HPV-SEQ — a quantitative, ultrasensitive test for cfHPV-DNA — can be leveraged during development for such therapies. The rise of cfHPV-DNA as a biomarker for HPV-associated OPSCC It has long been known that HPV-associated oropharyngeal cancers shed HPV-DNA into the circulatory system. However, drug developers now have an opportunity to not only detect but also quantify cfHPV-DNA in plasma to assess the effectiveness of therapeutics during development. “With real-time insights, you can get a very keen sense of how the tumor is responding to intervention during a clinical trial, including de-escalation clinical trials,” explained Nishant Agrawal, MD, co-director, head and neck surgical oncology at University of Chicago Medicine. “In the past, measuring responses has taken months or even years. But with cfHPV-DNA testing, you can do it [...]

Early findings suggest clinical and lab-based approach critical to tracking head and neck cancer recurrence

Source: medicalxpress.com Author: Anna Megdell, University of Michigan Early findings of two studies from the University of Michigan Rogel Cancer Center shed light on new ways to anticipate recurrence in HPV-positive head and neck cancer sooner. The papers, published in Cancer and Oral Oncology, offer clinical and technological perspectives on how to measure if recurrence is happening earlier than current blood tests allow, and provide a framework for a new, more sensitive blood test that could help in this monitoring. "When metastatic head and neck cancer returns, it impacts their quality of life and can be disfiguring, interfering with the ability to talk, swallow, and even breathe," said Paul Swiecicki, M.D., associate medical director for the Oncology Clinical Trials Support Unit at Rogel. "As of now, there's no test to monitor for its recurrence except watching for symptoms or potentially using a blood test which may not detect cancer until shortly before it clinically recurs." The paper in Cancer aims to identify different clinical ways that providers can more strategically track for recurrence. To do this, Swiecicki and his team needed to first understand what patient population was at the highest risk to then figure out an appropriate monitoring pattern. The team examined 450 patients with metastatic head and neck cancer, including people with HPV-positive and HPV-negative cancer. HPV-positive cancer is caused by the human papillomavirus and is increasingly more common in head and neck cancer patients. The team identified some predictors of when recurrences would happen, and to what [...]

2023-09-08T05:39:02-07:00September, 2023|Oral Cancer News|

Interdisciplinary group focuses on developing personalized oral cancer vaccine

Source: web.musc.edu Author: Leslie Cantu Jason Newman, M.D., Angela Yoon, D.D.S., and Shikhar Mehrotra, Ph.D., are working together on a project to develop a personalized vaccine to prevent oral cancer from returning. Photo by Clif Rhodes Interdisciplinary innovation is a hallmark of MUSC Hollings Cancer Center, and it doesn’t get much more interdisciplinary than this – three people, one each with an M.D., a D.D.S., and a Ph.D., working together to develop a new type of personalized vaccine to prevent oral cancer recurrence. “The amazing thing to me is that Jason Newman and I started on the same day at MUSC, which was March 1 of last year. He came from UPenn. I came from Columbia, and Shikhar has been at MUSC forever. It's just three different people who never knew each other before that time, and then we somehow got together and the synergy was there,” said Angela Yoon, D.D.S. Yoon, a professor in the James B. Edwards College of Dental Medicine who focuses on cancer biomarkers and immunomodulatory therapy, is leading the effort in collaboration with the two professors from the College of Medicine: Jason Newman, M.D., Head and Neck Cancer Division director, and Shikhar Mehrotra, Ph.D., scientific director of the Center for Cellular Therapy. They’re getting their project started using funding provided by Hollings. Periodically, Hollings awards funds to MUSC departments as a way to reinvest in faculty members who are conducting cancer research. Participating in clinical trials and on scientific committees and writing new [...]

New classification method for HPV-associated head and neck cancers

Source: www.techexplorist.com Author: Vidya Nagalwade Over the past few decades, the number of cases of head and neck squamous cell carcinoma (HNSCC) related to the human papillomavirus (HPV+) has risen significantly and is still rising. The human papillomavirus (HPV) has been linked to an increase in cancer of the throat and tonsils, which is projected to become the most common form of head and neck cancer by 2030. Identifying the right patients with HPV-related cancers is a major challenge in reducing treatment intensity. A new study identifies a subclass of HPV+ head and neck squamous cell carcinomas (HNSCC). It shows that treatment depends on the tumor type. The data show two distinct subtypes of HPV+ HNSCC, each with its features and treatment responses. The researchers examined data from 104 HPV+ HNSCC tumors and two publically available sources to find gene expression patterns that might reliably distinguish distinct tumor types. Among the 22 modules tested, one accurately classified HPV+ HNSCC tumors based on a different gene expression pattern. The NFKB classifier accurately predicted a favorable result in patients treated in the ECOG-ACRIN Cancer Research Group trial E1308, even with low-dosage radiation. Barbara Burtness, a Professor of Medicine at Yale School of Medicine, said, “This discovery opens new opportunities for treatment personalization, as we can now better understand the distinct requirements for tumor development in each subclass.” The findings have significant clinical implications. Clinicians treating HPV+ HNSCC are constantly looking for biomarkers that can be used to determine treatment intensity. The new [...]

Scents and sense-abilities: using bug brainpower to smell cancer

Source: www.the-scientist.com Author: Iris Kulbatski, PhD There are millions of sensory worlds that humans cannot perceive. Fathoming what it is like to be a wild thing is beyond the limited resolution of human senses. For example, insects live in a world of smell, decoding the subtle chemical nuances of scent that waft across their antennae. In the case of locusts—the migratory swarming form of certain asocial grasshoppers—their sense of smell is intimately tied to their physical and communal transformation. Certain environmental conditions trigger locusts to molt and secrete pheromones that attract more locusts.1,2 After shedding their old body and solitary existence, billions of locusts aggregate in devastating swarms that eclipse the sun and plague humans. This dramatic body and lifestyle makeover depends on their exquisite ability to detect and differentiate subtle odors.3 Recently, Debajit Saha, an assistant professor of biomedical engineering at Michigan State University, and his team tapped into the odor-sensing circuitry of the locust brain to detect the scent signatures of human oral cancers. Saha previously used locusts for sniffing out bombs,4 making the transition to cancer detection an interesting one. “Cancer changes [cellular] metabolism and those changes are reflected in exhaled breath,” Saha said. Known as volatile organic compounds (VOCs), these unique chemical signatures are promising biomarkers of disease—if scientists can detect them. Other researchers are engineering artificial sensors—also known as electronic noses—to identify cancer, but their sensitivity, specificity, and speed are still limited compared to creatures that inhabit a sensory landscape of smell. Saha’s team is [...]

2022-12-13T09:10:26-07:00December, 2022|Oral Cancer News|

How MRI and CT predict flap failure after head and neck reconstructive cancer surgery

Author: Noah Fromson Source: labblog.uofmhealth.org A composite picture from MR perfusion of a free flap demonstrating measurements made within the flap. Credit: Michigan Medicine When a patient with head and neck cancer has surgery to remove it, they often need reconstructive surgery in the form of a “free flap”, which is skin and tissue taken from a different part of the body and connected to the blood vessels of the wound in need of repair. This free flap method, called microvascular reconstruction, carries around a 10-40% risk of wound complications, with 10% of cases requiring another surgery. A Michigan Medicine study finds that early postoperative CT scans and MRIs can help predict whether a flap will fail, which could allow surgeons to intervene earlier. The results are published in the American Journal of Neuroradiology. “All patients who have this procedure can be investigated with non-invasive post-operative CT or MRI perfusion, and these two methods show a lot of promise as accurate biomarkers of predicting free flap viability,” said Ashok Srinivasan, M.D., FACR, senior author of the paper and neuroradiologist at University of Michigan Health. “By seeing how much blood is flowing in and out of the tissue, we may be able to predict if the flap will succeed and if the patient can be discharged earlier, or it may be able to tell us sooner that surgical intervention is needed to repair the flap. Radiologists have used CT and MRI perfusion with contrast to look at blood perfusion [...]

Two markers help predict head and neck cancer prognosis

Source: labblog.uofmhealth.org Author: news release, University of Michigan Health Rogel Cancer Center A new study from the University of Michigan Health Rogel Cancer Center finds circulating tumor DNA, or ctDNA, levels can predict as early as two weeks after starting treatment which patients are likely to have good outcomes. At the same time, specialized MRI and PET scans two weeks after starting chemoradiation also correlated with outcomes. “Rates of throat cancer have steadily increased in recent years, driven by HPV infections, fueling the need for biomarkers to help guide treatment decisions, especially for locally advanced disease,” said senior study author J. Chad Brenner, Ph.D., associate professor of otolaryngology at Michigan Medicine. “Quantitative imaging of metabolism, local blood volume density and cell density from PET and MRI scans have shown both prognostic value in predicting treatment outcome as well as utility in selecting patients for additional focal radiation treatment,” said study author Yue Cao, Ph.D., professor of radiation oncology and radiology at Michigan Medicine. The researchers conducted a randomized trial of patients with stage 3 oropharyngeal squamous cell carcinoma. In total, 93 patients had imaging and 34 also had blood tests before starting chemoradiation and again at two, four and seven weeks after treatment. The study found that HPV ctDNA clearance at two weeks, but not at four weeks, predicted outcomes. The metabolism, local blood density and cell density before radiation therapy or at two weeks after starting treatment predicted outcomes as well. These early predictor biomarkers could help determine which [...]

2021-11-17T07:43:52-07:00November, 2021|Oral Cancer News|

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." [...]

Cancer Cell Map Initiative reveals protein interactions that drive cancer

Source: www.scienceboard.net Author: Leah Sherwood, The Science Advisory Board assistant editor A research group has mapped previously unknown interactions between proteins that drive cancer, thereby revealing potential new biomarkers and drug targets. The findings were published in a trio of papers in Science on October 1. The research is the work of the Cancer Cell Map Initiative (CCMI), a multi-institution research program founded in 2015 at the University of California, San Diego (UCSD) and San Francisco (UCSF) campuses. From the gene level to the protein level The CCMI approach seeks to gain a more expansive view of the activity underlying cancer by zooming in from the gene level to the protein level, which is far more detailed. "This is an entirely new way to do cancer research," Nevan Krogan, PhD, director of UCSF's Quantitative Biosciences Institute and co-senior author of the papers, said in a statement. "We realized we need another way to look at cancer that takes it a step beyond DNA." Genes contain instructions for building proteins, which then interact with other proteins. When gene mutations cause disruptions, they are reflected in the interactions among protein complexes that regulate activities in the body or turn individual functions on or off. For example, if a gene mutation results in misshapen protein, it may not interact correctly with other proteins, causing a loss of function that, in some cases, can lead to cancer. "We're elevating the conversation about cancer from individual genes to proteins, allowing us to look at how [...]

New cancer treatments may be on the horizon – thanks to success in mRNA vaccine trial

Source: www.goodnewsnetwork.org Author: Andy Corbley A personalized, mRNA vaccine, given to patients with particular kinds of aggressive cancers could leverage the immune system of the patient to kill the cancer on its own, and in doing so usher in a new epoch of cancer treatment. Messenger RNA (ribonucleic acid) vaccines were what sparked the COVID-19 vaccine drives, as Pfizer and Moderna adapted the technology to create an emergency treatment to train the body to fight off the viral spike protein. What most of us won’t know however, is that the mRNA vaccines were originally in development for aggressive cancer types. Molly Cassidy, a mother studying for the Arizona Bar exam, is living proof that while the approach isn’t a panacea, it can clear away some of the most dreadful and fast cancers we know of. After being diagnosed with head and neck cancer, she underwent surgery and chemotherapy. However it was only ten days after finishing chemo that she found a marble-like bump on her collarbone from the cancer’s swift return. Later examinations found it had spread from her ear all the way to her lungs, and she was told to get her affairs in order. Cassidy was told she was eligible to join a clinical trial at the University of Arizona, testing an mRNA vaccine personalized to the cancer mutations of the host. By 27 weeks, Cassidy had received nine vaccine doses paired with an immunotherapy drug, and her CT scans were clear: the cancer had left her body. [...]

2021-09-07T05:46:03-07:00September, 2021|Oral Cancer News|
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