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Status
of Research
The
pancreatic cancer vaccine clinical trials that Dr. Finn and her
team have performed over the last 10 years with the support of
the Arenson Fund have focused on inducing immune responses in
pancreatic cancer patients. This approach is known as therapeutic
vaccination. In general, while they have stimulated the immune
system to hold off cancer recurrence, the effect was only short
term, similar to what would happen if viral vaccines were to be
administered after viral infection. The important thing is that
the safety of their vaccine was confirmed in these therapeutic
trials and this has now paved the way to cancer prevention trials.
Dr. Finn will continue therapeutic vaccines in selected pancreatic
cancer patients even though they result in short-term benefits
rather than complete cure. The vaccine is the only non-toxic therapy
that maintains good quality of life. At the same time, Dr. Finn
is working on getting the permission from the FDA to initiate
trials in pancreatic cancer prevention in high-risk individuals.
Cancer prevention trials will need to enroll a large number of
individuals and monitor their health for an extended period of
time.
In
these hard times of budget deficits where the government support
for cancer research has been reduced and funds are being committed
only one year at a time, these long-range projects could not be
undertaken without dedicated support from you.
With
the resources of the Nathan S. Arenson Lab, the help from the
University of Pittsburgh Cancer Institute and by securing additional
funds from NCI, we are making progress in our research with the
intention to find the method of early detection, diagnosis and
eventually the ultimate prevention and cure of this devastating
disease.
The
Arenson Fund is a dynamic financial resource that allows our scientists
the flexibility to embark on the most innovative investigations
as soon as ideas are generated and experiments possible, without
the long wait that is otherwise associated with obtaining funding
for specific projects. Because they are able to obtain preliminary
results in a timely fashion, theyve been able to use these
results to successfully compete for additional funding by the
National Cancer Institute and in that way leverage the Arenson
Fund.
A
Grant in Memory of Mr. Arenson to Support Research in Pancreatic
Cancer
Principal Investigator: Olivera J. Finn, PhD, Professor.
Starting in 1985, Olivera J. Finn, PhD, a professor at the University
of Pittsburgh School of Medicine, began to test the possibility
that the human body might have a natural defense against pancreatic
cancer. Her work led to the identification of the very first human
tumor antigen; epithelial cell mucin. The antigen in the chemical
marking on the cancer cell that says, “I am not a normal
part of the body.” It was the first step in helping the
body’s defenses to recognize and attack to pancreatic tumors.
In
year 2000 we completed an important clinical trial in pancreatic
cancer patients whose tumors were respectable and who were treated
post surgery with our vaccine. We treated 12 patients within four
groups, each receiving a different dose of the vaccine. In these
patients we have been able to document a good immune response
to our vaccine, even in the lowest dose, and no negative side
effects. Even though the number of patients was small, we say
increased survival time and slowing down of disease progression.
Dr. Ramanathan presented these results at the annual meeting of
the American Association of Clinical Oncologists. Drs. Finn and
Ramanathan also presented the results to the Easter Cooperative
Oncology Group who is now considering a large multicenter trial
that will enroll over a hundred patients. This trial will be supported
by the National Cancer Institute and will be the first trial in
pancreatic cancer.
Support
for our research from the community is vital to our ability to
fight this disease. In the last year, the National Cancer Institute
spent $438 million on breast cancer research, $203 million on
prostate cancer, $175 million on colorectal cancer, $175 million
on lung cancer, $141 million on leukemia, $67 million on ovarian
cancer, and only $20 million on pancreatic cancer.
Letter
to Dr. Olivera J. Finn, Ph.D.
In
the year since the last "Hoops for the Cure", we have
completed the second clinical trial of a vaccine for pancreatic
cancer and started a third trial. Our second trial tested the
vaccine in 16 patients whose tumors were surgically removed, and
before any other therapy was given. More than half of the patients
developed an immune response against the tumor, and in the whole
group in general, disease-free survival and overall survival was
longer than expected based on the previous experience with this
disease. The third trial is being conducted with 12 patients at
the same stage of disease, using an even stronger vaccine that
we developed in the last four years and showed to be effective
in animals.
We have also started a Special Program of Research Excellence
in Pancreatic Cancer for which we have applied for support to
the National Cancer Institute. The program follows a comprehensive
approach to this disease from identifying genetic risk and testing
preventive vaccines in susceptible individuals, to early diagnosis
and therapy. Nathan Arenson Fund will play an important role in
supporting what will be the first in the world clinical trial
in pancreatic cancer prevention.
Letter
from Dr. Olivera J. Finn, Ph.D.
Dear
friends,
I just took a grant 452 pages long to Kinko's to make 10 copies
to send to the NCI tomorrow (deadline). Pancreatic cancer vaccine
studies are a major part of it. We asked for support of three
future clinical trials, all based on the results of one we just
completed that you supported, and strengthened by the fact that
we are already running another one. The Nathan Arenson Fund was
mentioned in the grant numerous times as our guarantee that we
can complete these trials even if NCI cannot give us all the money
we need.
Washington's budget is in big trouble and that is always trouble
for the scientists who depend on it. Our president has decided
that there are other priorities and he is not being particulary
generous to the NIH at this time. While waiting to go pick up
the grant from Kinko's, I wrote the short progress report for
the letters and the program. Sorry you had to wait for it. I had
free neurons to put on it until just now. Lisa, I am happy that
you are finally here with us. I trust these guys! Keep me posted
on everything.
Love to all,
Olivera J. Finn, Ph.D.
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