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DiscussionClinical Trials: they are not designed only to be a “last resort”
Pancreatic Cancer | Last Active: Sep 13 7:47am | Replies (42)Comment receiving replies
Replies to "gamaryanne: I had some communications with Markymarkfl back in June and it was Trop2 protein at..."
Yep, my trial was a single-site trial at MD Anderson in Houston. Amazing place with so much cutting-edge work going on.
The trial was independent of traditional mutations, just requiring tumor tissue to express the TROP2 protein. They have a custom line of stem cells derived from preserved/donated umbilical cord blood. The Natural Killer (NK) cells are engineered to recognize and attack cells that express TROP2 while leaving healthy cells alone.
They used a similar approach with good success a few years ago to target other cancer types, and I think the delivery method was intravenous. My trial was open for 3 diseases (two gyno types: ovarian cancer and mesonephric-like adenocarcinoma) and pancreatic, as long as there was metastasis to the peritoneum (common in all 3 cancer types). These cells were injected into the peritoneal space rather than intravenously, with the idea they would make direct physical contact there, but also be absorbed into the bloodstream and be distributed systemically.
It was a Phase-1, first-in-human (FIH) trial, and I was patient #5 overall, #2 for pancreatic, and at the 2nd of 3 planned dose levels to be tested. There was really good in-vitro data for it, and good results from similar intravenous treatment with other cancer types, but very little else to go on other than faith. I didn't really have a good opportunity to wait for the next dose level or success signals from previous patients.
I don't have any news about how it's going for other participants, but the 4-month chemo holiday without a successful response in the trial may be my eventual undoing. That stomach blockage I mentioned is now way too tight to pass a stent (much less liquids or food) through, so we're adding some radiation to try and reduce it enough for a stent. Low odds, but we might see results in a few weeks. Meanwhile, I'm not allowed to eat or drink anything but ice chips. I've got a new gastric drain/vent tube inserted to relieve stomach pressure, and a new chest port to get central nutrition (TPN) delivered into a vein. I miss coffee!!!
Another downside to this is that I've lost about 20 pounds, a lot of muscle mass, and since I can't even take an oral pill, there are a lot of trials I won't qualify for. 🙁