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Last updated: 2019-07-28

(Head and Neck Cancer) Immune Cell Cancer Treatment Made from iPS Cells

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(Head and Neck Cancer) Immune Cell Cancer Treatment Made from iPS Cells

(Head and Neck Cancer) Immune Cell Cancer Treatment Made from iPS Cells

Medical Supporter — Information Notice

This article is a summary of international medical information and is not medical advice; it cannot replace the diagnosis or treatment plan of your attending physician. The medical technologies, drug information and clinical data presented here are compiled from public literature and official statements of major Japanese medical institutions; the applicability and outcome of any therapy vary with each patient and must be assessed individually by a qualified physician.

Any specific treatment plan must be assessed by a licensed physician in Japan

This is Japan's first cancer treatment using iPS cells. A research team from Chiba University and RIKEN began a clinical trial using artificial pluripotent stem cells (iPS cells) to produce immune cells and administer them to patients with head and neck cancer.

The immune cells in this case are "Natural Killer T cells (NKT)" made from iPS cells. In addition to attacking cancer, they also have the function of enhancing other immune cell activity. In the clinical trial, NKT cells are produced from healthy volunteer blood. This time, iPS cells are used to expand them in large quantities, then differentiated into NKT cells. The NKT cells are injected three times every two weeks into the artery near the tumor site.

According to Chiba University, on October 14, the first successful transplantation was performed on the first patient. After carefully monitoring the situation, the second and subsequent transplantations will be performed.

The 4 to 18 subjects in this clinical trial are patients who have received standard treatments such as surgery and anticancer drugs. The two-year clinical trial will confirm the safety and efficacy regarding side effects.

In clinical research conducted by Chiba University to date, increasing the number of a patient's own NKT cells and reinfusing them was effective in reducing head and neck cancer in some patients. However, NKT cells exist in only about 0.01% of human blood, and it is difficult for cancer patients to increase them to a sufficient amount — a single injection is the practical limit.

On the other hand, NKT cells made from iPS cells of healthy individuals are easier to increase in quantity, and it is said that large, stable quantities of NKT cells can be secured by using this approach.

However, there remain concerns about side effects caused by injecting cells derived from a third party, such as the risk of excessive inflammatory reactions. Therefore, Professor Motohashi, who leads the Chiba University research team, stated: "First and foremost, patient safety is our priority, and we intend to proceed carefully."

Head and neck cancer is a collective term for cancers occurring in areas such as the nose, mouth, throat, jaw, and ears, accounting for about 5% of all cancers. If safety and efficacy are confirmed in the clinical trial, the research team will also consider applying this to many other cancer patients, such as those with lung cancer.

Source: https://news.yahoo.co.jp/articles/b24f5364016541a291c955690cfc9e89765799c6

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