I do hope9 Feb 2020 14:12
MD Anderson will still be involved with our US SCIB1 combo... they seem to be on the ball there.
'As we speak, there are something like 3,000 different immunotherapy trials underway.
The FDA has approved checkpoint inhibitor therapy for non-small cell lung cancer, small cell lung cancer, head and neck cancer, bladder cancer, Hodgkin lymphoma, some kind of diffuse large B-cell lymphoma, esophageal cancer, and some colorectal cancer that has defects to DNA damage. In fact, immunotherapy has been approved for any cancer type that has a defect in DNA damage repair called microsatellite instability.
The big pharmaceutical companies are now all players. Many, many early biotech firms are also trying to gain a presence. What you see, though, is that a lot of companies with patents on older, more conventional drugs are experimenting by combining them with checkpoints, just because they have the drugs. This is being done, in my opinion, without a lot of thought. A lot of them fail, but that information is usually lost because there’s no requirement for reporting. That’s still important information. So many combinations that are being tried are duplicative. It’s just a mess.
Are these trials being done on actual cancer patients?
Oh, yeah. They’re wasting patients. By that, I don’t just mean a large number of patients are not getting the treatments most likely to provide them benefit. Because we have a limited pool of patients, the most promising trials are not accruing sufficient patients fast enough to get these drugs to the clinic as quickly as we can.
Is that ethical?
I think it’s unethical. I think there shouldn’t be any trial where you don’t learn something.
Padmanee Sharma, who’s a clinical oncologist, and I have an operation here at MD Anderson called the Immunotherapy Platform. We’re currently involved in something like 117 different trials. We get tumor tissue from patients before and after treatment. We dissect it, looking for changes in cells, gene expression and structure. This can tell us something about what has happened.
If you are just looking for a clinical signal that a drug has worked or not, and that’s all you are doing, we might not learn anything.'
Fits in nicely with this recent Tweet from MD Andersons Padmanee (Allison's wife)
https://twitter.com/ASCO/status/1226178959706087425
Get in there Scancell!