"High-risk myeloma should be one of the top priorities for myeloma researchers," said Dr. Rafael Fonseca of the Mayo Clinic Scottsdale and a member of the MCRI panel. "New and radically different treatment approaches are needed." The recipients are a team of researchers at the University of Wurzburg, Germany and the Johns Hopkins Sidney Kimmel Comprehensive Cancer Center in Baltimore,
who will study two different ways of modifying immune system cells in
the blood and bone marrow to develop personalized immunotherapies for
myeloma patients with the worst prognoses.Research by Drs. Hermann Einsele and Michael Hudecek in Wurzburg
will genetically engineer receptors on a type of white blood cells,
called CAR T-Cells, to attack two specific targets found on myeloma
cells and not found on normal cells. The therapy developed would be a
one-time treatment and not used with transplant or other combination
therapies.
"CAR therapy is at the same time cell therapy, gene therapy, and immunotherapy," according to Dr. Michael Sadelain
of Memorial Sloan Kettering Cancer Center. "It represents a radical
departure from all forms of medicine in existence until now."
The second recipient is Dr. Ivan Borrello of Johns Hopkins
who is working on enhancing white blood cells to create a
patient-specific immunotherapy. Using the patients' own bone marrow, he
expands the immune fighting cells a hundredfold in the presence of the
tumor cells and then gives them back to the patient after stem cell
transplant. When given back to the patient, the "training" helps to
T-Cells go after hundreds of tumor-specific signatures and takes
advantage of the body's natural immune cell regrowth post-transplant.
"Current
treatments are generally used to extend survival curves but typically
don't access the possible benefits of our own immune system," said 20
year myeloma survivor Jack Aiello,
a member of the MCRI selection team. "I'm excited about these two
proposals providing myeloma patients with even better treatment options
than we have today."
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