|
AN experimental
vaccine wiped out lung cancer in some patients and slowed its
spread in others in a small but promising study, researchers
say.
Three patients injected with
the vaccine, GVAX, had no recurrence of lung cancer for more
than three years afterward, according to the study of 43
people with the most common form of the disease, non-small
cell lung cancer.
The findings were published
in Wednesday's Journal of the National Cancer Institute. The
research was funded in part by CellGenesis, a pharmaceutical
company that hopes to produce the vaccine.
The vaccine, developed by
researchers at Baylor University Medical Center in Dallas, is
years away from reaching the market, if ever. The researchers
hope to apply for Food and Drug Administration approval in
three years.
'The results are very
promising for patients with non-small (cell) lung cancer,
which is frequently resistant to chemotherapy,' said Dr. John
Nemunaitis, a Baylor oncologist who led the study.
Non-small cell lung cancer
is the nation's leading cause of cancer death, killing more
than 150,000 people each year. The disease is related to
smoking and is often difficult to treat. Treatment usually
involves removal of the tumor, chemotherapy or both.
Vaccine studies are a
burgeoning area of cancer research. Unlike traditional
vaccines, which generally aim to prevent disease, some
experimental cancer vaccines are designed to treat or cure
existing disease. This study is the first to show complete and
long-lasting regression of lung cancer by stimulating the
immune system to attack cancer cells, Nemunaitis said. A
similar approach has shown promise against skin and renal cell
cancer.
In the study, each patient
was injected in the arm and leg with a vaccine that included
cells from his or her tumors. A gene called CM-CSF was placed
into the cancer cells to change the surface of the cells to
help the body identify them as cancerous. The body's immune
cells soon began to recognize, attack and destroy the cancer
cells in the lungs.
Forty-three lung cancer
patients - 10 in the early stage and 33 in the advanced stage
- were injected with the vaccine every two weeks for three
months. Researchers followed them for three years. The cancer
disappeared in three of the advanced-stage patients. Two of
those patients previously had chemotherapy, which failed. In
the rest of the advanced-stage patients, the disease remained
stable and did not spread for almost five months to more than
two years.
For patients in the early
stage, the vaccine did not make much difference against the
cancer. 'The most exciting thing is in those who responded to
the vaccine, it was complete,' Nemunaitis said. 'It's given us
a lot of encouragement.'
For patients with
advanced-stage lung cancer, chemotherapy works no more than 3
percent of the time, and survival is usually eight to nine
months. Those whose cancer went into remission with the
vaccine were alive at least three years later. And the vaccine
has no side effects, Nemunaitis said.
Dr Anwar Khurshid, an
oncologist at the Arlington Cancer Center, said the findings
will 'open a lot of avenues.' 'I think you'll cure some
patients but not everyone. That's what has been proven in
other cases,' he said. 'You need to vaccine earlier or combine
with something else to cure more people.'
|