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Revolutionary Therapy Zaps Aggressive Brain Tumors

Jason Phillippe by Jason Phillippe
March 14, 2024
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Revolutionary Therapy Zaps Aggressive Brain Tumors

Photo by National Cancer Institute on Unsplash

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This is wonderful news.

Researchers have revealed promising results from a groundbreaking approach to treating deadly brain tumors using a dual-targeted CAR T cancer therapy delivered directly into the patient’s spinal fluid.

CAR T therapy, a cutting-edge treatment, harnesses the immune system’s T-cells, which are genetically modified to recognize and attack specific proteins present on cancer cells. In this trial, focused on patients with glioblastomas (GBMs), a particularly aggressive form of brain cancer, CAR T cells targeted two proteins, leaving tumor cells with fewer places to hide.

MRI brain scans of the six patients enrolled in the trial demonstrated rapid tumor shrinkage within days of treatment initiation. Some patients experienced continued tumor reduction over several months, offering hope for improved outcomes in a disease where prognosis is typically grim.

Dr. Donald O’Rourke, leading the research team at the University of Pennsylvania, expressed enthusiasm for these results and emphasized the importance of further investigation to understand the therapy’s impact on a broader patient population.

Glioblastomas pose significant challenges due to their heterogeneity and ability to evade the immune system’s defenses. Dr. Stephen Bagley, the lead investigator, highlighted the need to overcome these obstacles to effectively target and eliminate the tumors.

To enhance treatment efficacy, the researchers targeted two proteins commonly found on GBM cells: Epidermal growth factor receptor (EGFR) and interleukin-13 receptor alpha 2 (IL13Rα2). By delivering CAR T cells directly into the spinal fluid instead of intravenously, the team aimed to ensure precise targeting of brain tumors.

Early MRI scans revealed remarkable tumor shrinkage shortly after CAR T cell administration, with sustained reductions observed in some patients months later. Although neurotoxicity, a potential side effect, was reported, the researchers noted that it was manageable for patients.

Published in Nature Medicine, these findings underscore the potential of dual-targeted CAR T therapy as a promising treatment approach for GBM. However, further research is essential to optimize dosing, minimize side effects, and confirm long-term efficacy, emphasizing the need for continued investigation into this innovative treatment strategy.

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