Virologist successfully treats her ow... - Fight Prostate Ca...

Fight Prostate Cancer

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Virologist successfully treats her own cancer with an oncolytic therapy. And I say...chapeau!

Maxone73 profile image
23 Replies

I’m not sure how you see it, but for me, the ethical concern doesn’t apply in this case. She’s a virologist, guided by a team of oncologists, so I don’t see how a reasonable person would consider doing something similar without the same scientific background and context!

But check her our here:

nature.com/articles/d41586-...

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Maxone73 profile image
Maxone73
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23 Replies
NickJoy profile image
NickJoy

I've been watching this group but nothing specific to prostate yet:tiltbio.com/pipeline/

Maxone73 profile image
Maxone73 in reply toNickJoy

Yes, solid tumors usually include prostate so I think TILT-123 could be tested on PCa as well. Also Imugene was working on something for solid tumors, but now they seem focused on cholangiocarcinoma (they had a complete remission for over 24 months in phase 1)

Maxone73 profile image
Maxone73 in reply toNickJoy

And now that I think about it, cancer seems to hate bacteria :-P so there are companies that are developing platforms for genetically modified bacteria to treat cancer and create an immune response.

NickJoy profile image
NickJoy in reply toMaxone73

I wish they would hurry things along!

Maxone73 profile image
Maxone73 in reply toNickJoy

Yes, rate of discovery increased exponentially, clinical trials are safer and safer, but still they require a long time. At the end of the day China will take over as I think they take 5 years only to get from discovery to commercialized drug.

NickJoy profile image
NickJoy in reply toMaxone73

Agreed but I find it difficult to monitor their results.

Maxone73 profile image
Maxone73 in reply toNickJoy

chictr.org.cn/searchprojEN.... we must also consider that many major US and EU pharma companies are opening their own plants and research centers in China

Maxone73 profile image
Maxone73 in reply toNickJoy

"Phase II clinical trial of lopinavir/ritonavir in patients with castration-resistant prostate cancer" , chinese pragamatism, focus on repurposing and on fields that are not yet exploited so we can have a fight...in fact they seem to be very good at DNA/RNA manipulation and as you can see from the title above, they move fast also with repurposing. I wonder if I could find the results of phase 1 of that trial!

Maxone73 profile image
Maxone73 in reply toMaxone73

ok, got it:

The study also explored cabazitaxel, which is supposed to have a lower affinity for P-gp [44]. Although preclinical studies suggested cabazitaxel’s potency in P-gp-associated resistant cell lines, the study confirmed that cabazitaxel is indeed a P-gp substrate. Increased P-gp expression was identified as a driver of cabazitaxel resistance, and knocking down ABCB1 restored sensitivity. Combining cabazitaxel with ritonavir showed the same synergistic effects in docetaxel-resistant cell lines as seen with docetaxel. Overall, the study demonstrates that ritonavir reverses resistance to both docetaxel and cabazitaxel in prostate cancer cell lines by inhibiting P-gp-mediated drug efflux [39].

The use of ritonavir as a booster for taxane anticancer drugs has been explored in clinical trials. Several doses of new solid formulations of docetaxel ModraDoc001 (10 mg docetaxel, freeze-dried) and ModraDoc006 (10 mg docetaxel, spray-dried) with ritonavir (100 mg) were tested first in a phase I clinical trial in patients with diverse cancer types (NCT01173913). The maximum tolerated dose (MTD) was determined to be 20/20 mg twice weekly for ModraDoc001 capsules and 30/20 mg twice weekly for ModraDoc006 tablets. Treatment-related toxicity was mainly grade 1 or 2 and manageable with dose adjustments. No unexpected safety issues were noted, consistent with the known safety profile of intravenous (IV) docetaxel. The docetaxel exposure at the MTD for the ModraDoc006 tablet formulation was comparable to once-weekly IV docetaxel. The interpatient variability for ModraDoc006 was like that of IV docetaxel. Promising antitumor activity was observed. Because of this, ModraDoc006 and ritonavir were chosen for further exploration [45]. This occurred in a phase II study of this drug boosted with ritonavir in metastatic castration-resistant prostate cancer (mCRPC) patients (NCT04028388). ModraDoc006/r demonstrated a favorable safety profile and comparable efficacy to IV docetaxel in mCRPC patients, supporting the further development and expansion of clinical trials comparing ModraDoc006/r to the best available therapies for refractory mCRPC [46].

mdpi.com/1718-7729/31/10/450

Soumen79 profile image
Soumen79 in reply toMaxone73

Hi Maxone, any info suggesting that docetaxel + retonvir combo overcomes the taxene resistance as outcome?

Maxone73 profile image
Maxone73 in reply toSoumen79

Not in clinical trials, at least not yet. In vivo and in vitro yes from what I have read.

Soumen79 profile image
Soumen79 in reply toMaxone73

Thank you Maxone, I feared so....

Maxone73 profile image
Maxone73 in reply toNickJoy

For example: dovepress.com/nanoparticlee...

KocoPr profile image
KocoPr

Some bacteria can be worse than cancer as long as they have a bacteriophage to shut it down.

KocoPr profile image
KocoPr

I wonder if they did genetic testing before and after on the tumor, and is that data available? Oh and what were the viruses?

“Analysis of the tumour after removal showed that it was thoroughly infiltrated with immune cells called lymphocytes,”

Maxone73 profile image
Maxone73 in reply toKocoPr

She was authorized to start testing that therapy on domestic animals...sooner or later the data about which viruses she used must be public

JohnInTheMiddle profile image
JohnInTheMiddle

Chapeau indeed!

Man's Panama hat
Getz profile image
Getz

Wow! Great news. Wonder why it hasn't been used more often.

Maxone73 profile image
Maxone73 in reply toGetz

There are companies investing into oncolytic viruses if you check online, some with great results, but clinical trials take their time

KocoPr profile image
KocoPr

NOT political and please no political response but Elon Musk has been appointed as government efficiency department so maybe just maybe we can speed things up a bit.

I saw how he really jumped NASA’s space program into high gear. Just looking at the cockpit of the last space shuttle and the first space X rocket was shocking. From flipping switches and turning dials to touch screens and high tech space suits. I want the FDA modernized big time. I worked in military and we always joked we deploy yesterday’s technology tomorrow. It’s no joke !

Maxone73 profile image
Maxone73 in reply toKocoPr

I hope you will be right! But I am afraid he is more inclined toward NASA than FDA...we will see.

Teufelshunde profile image
Teufelshunde

Thanks for that. Not everyone has 10-15 years to wait until the GOLD STANDARD is reached.

Maxone73 profile image
Maxone73 in reply toTeufelshunde

Yes, we must help ourselves as we can 👍👍

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