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The New Clinical Immunotherapy Trial Targets Common
Mesothelioma Proteins
T cells attack cancer cells
A biotech company that specializes in innovative cancer
therapy has opened clinical trials to examine immunotherapy drugs that target
proteins found in approximately 90 percent of malignant mesothelioma tumors.
This is one of the first clinical trials to specifically
study the patient population characterized by the expression of this protein.
The goal is known as VISTA, a surface protein that blocks
the immune system from working properly and allows mesothelioma to grow.
This drug is labeled CA-170, an orally available molecule
and the only anti-VISTA drug currently being studied in cancer clinical trials.
And the potential can be enormous.
"The hope is by inhibiting VISTA - which is very
prominent in mesothelioma - it will inhibit cancer growth and will also allow
the immune system to attack cancer better," Dr. Robert Martell, head of
Research and Development at Curis Inc., told the Mesothelioma Center at
Asbestos.com. "The goal is for patients to control this cancer."
Cohort
Kohothelioma Part of a Greater Study
A larger
study of CA-170 - looking at solid tumors and other advanced lymphomas - has
been active since 2016, but these drugs target different proteins.
A
mesothelioma cohort in a larger study was added only recently. The first
patient registered earlier this year.
"What
we have seen so far [with other cancers] is very good security. This drug is
well tolerated, without significant toxicity, "Martell said. "We have
also seen clear signs of tumor shrinkage. We have a number of patients who
experience tumor shrinkage. "
VISTA is
unique because it is expressed in immune cells and mesothelioma tumor cells,
according to Martell.
It has been
identified as a potential resistance mechanism, limiting the effectiveness of
other treatments that work with some cancers but not mesothelioma.
CA-170 has
demonstrated the ability to inhibit VISTA and PD-L1, other immune system
inhibitors that have been effectively targeted at other malignancies, including
non-small cell lung cancer.
Hopefully
Helping Keytruda Works Better
Previous
research has also suggested the presence of VISTA in mesothelioma tumors is one
reason that Keytruda's immunotherapy drugs work well only for a small
percentage of mesothelioma patients.
The
flexibility of CA-170 might solve the problem.
"VISTA
is very expressed in mesothelioma, which indicates that tumor growth may depend
on it. And our drugs target VISTA. That's why we think our medicine might have
a chance to work well, "he said." Obviously we don't know, in the
end, what will happen, but the hope is to control cancer. "
Unfortunately,
the search for effective treatments for mesothelioma has frustrated the medical
community for years.
Approximately
50 percent of those diagnosed with pleural mesothelioma last more than one
year. An estimated 10 percent live within five years or more after diagnosis.
The FDA has
not approved a new treatment for mesothelioma since 2004 when a combination of
Alimta (pemetrexed) and cisplatin chemotherapy became the standard of care.
Immunotherapy
drugs have shown hope - and work - with other cancers, but mesothelioma patients
have not been this lucky.
Effective
care has been difficult to understand.
CA-170 is
the latest label - and potentially the most promising - to enter the clinical
trial phase.
Asbestos news patriotnews.com |
Mags
Portman, Pioneer of HIV Prevention, Died of Mesothelioma at the age of 44
Mags Portman
Mags
Portman, a trail pioneer in the United Kingdom in the struggle to prevent and
control HIV, died Wednesday after a two-year battle with mesothelioma.
He is 44
years old.
Portman was
praised for triggering a significant reduction in HIV diagnosis throughout the
UK by his work as a researcher, doctor and vocal advocate.
He received
international recognition for his work as an HIV consultant at the Mortimer
Market Center, London, a progressive sexual health clinic that made PrEP (PrEP)
a reality in the UK.
Portman
played a key role in the 2014 study at The Royal London Hospital which proved
the efficacy of the Truvada drug, which is part of PrEP and the fight against
HIV in the UK.
He is a
leader in educating activists and caregivers about the life saving potential of
PrEP.
When the
National Health Service suspends Truvada's approval, Portman works tirelessly
in connecting patients and doctors with online resources and providing access
to generic and affordable medicines.
"We
feel sad because we lost Dr. Mags Portman, who is a hero and inspiration for
the HIV / AIDS advocacy community, "wrote the Elton John AIDS Foundation
on the charity Twitter account. "Its legacy - proves the efficacy of PrEP
and makes it far more accessible internationally - continues in the life it
helped save."
Mesothelioma
UK, a national charity group, shared their condolences on Twitter.
The Battle
of the Chronic Mesothelioma in the Blog
Portman was
diagnosed in January 2017 with pleural mesothelioma, a rare and aggressive
cancer caused almost exclusively by asbestos exposure.
Portman
noted much of his quarrel with mesothelioma in a blog titled "Not Doing
Things By Half," which he started a month after diagnosis.
"I
decided on the title of the blog after my mother reflected," Well, since
you were a baby, you never did anything in half, "he said at first."
And I think he's right. Sad, it looks like the cancer is similar. I don't do it
half! Mesothelioma is a cancer that is challenging to say the least, and this
will be my story. "
During the
following two years, he wrote on a variety of topics, including family and his
ongoing travel, work and care.
He wrote
about first-line treatment with Alimta chemotherapy (pemetrexed) and
second-line treatment with Navelbine (vinorelbine).
Portman
wrote about his involvement in clinical trials and described his experience
using Keytruda (pembrolizumab), an immunotherapy drug that was only slightly
successful in combating mesothelioma.
He tried
natural therapies like Madagascar Periwinkle, an alternative medicine based on
plants. Portman consulted several times with a mesothelioma specialist Dr. Dean
Fennell, chair of thoracic oncology at the University of Leicester who opened the
first molecular stratification study for mesothelioma.
Asbestos news rt.com |
Unfortunately,
very few have survived for a long time.
Portman
died at a hospital facility in his hometown of Leeds. His last blog post was in
October.
"The
HIV community is very sad about the loss of our Mags," said Deborah Gold,
CEO of the National AIDS Trust. "He works to ensure that those at risk of
being confident in the security of their PrEP supply. Through his actions,
countless people who will have, do not have HIV. "
Disease
Related to Asbestos is Still a Problem in England
Mesothelioma
continues to be a problem in the UK, despite the prohibition of all use of
asbestos and products containing asbestos since 1999.
The
National Health Service estimates that 2,700 people are still diagnosed with
mesothelioma every year, making it one of the highest incidence rates, per
capita, in the world.
The
continuing problem often comes from the use of asbestos which is still present
in old construction throughout the country, including homes, schools and
hospitals.
A recent
study, driven by freedom of information requests by the British Broadcasting
Corporation, found nine out of every 10 hospitals in the UK had asbestos
somewhere in the building.
Mesothelioma
UK has 24 nurse specialists across the country rotating through hospitals. They
provide expertise in the care and support of mesothelioma patients.
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