12 December 2022
The following article gives me hope that gene therapy will one day become available for sufferers of leukemia in the Solomon Islands and the SIG through its diplomatic partners, particularly with the United Kingdom, will work towards seeing the revolutionary treatment is made available at home, or with the transfer of patients suffering from leukemia to a hospital outside of the Solomon Islands where treatment can be given.
I have in mind the case of the little boy said to be suffering from leukemia that was recently transferred from the NRH to a hospital in the Philippines for help.
Quote
A teenage girl is free of her terminal cancer after world-first cell engineering
Alyssa, 13, had undergone chemotherapy and a failed bone marrow transplant
Base-edited cell therapy cleared her of T-cell acute lymphoblastic leukaemia
A teenage girl has been cleared of her terminal cancer after a world-first use of what scientists have described as the most sophisticated cell engineering to date.
Alyssa had already undergone chemotherapy and an initial bone marrow transplant - which failed to clear her Leukaemia.
Scientists said that without the treatment her only next step would have been palliative care.
The 13-year-old from Leicester received base-edited T-cells in the first ever use of a base-edited cell therapy at Great Ormond Street Hospital for Children (GOSH).
Within a month she went into remission.
These pre-manufactured cells, from a healthy volunteer donor, were edited using new technology to allow them to hunt down and kill cancerous T-cells without attacking each other.
T-cells are a type of white blood cell which move around the body to find and destroy defective cells.
Alyssa, who was diagnosed with T-cell acute lymphoblastic leukaemia (T-ALL) in 2021, was given all the conventional treatments, but the disease returned.
T-ALL is the most common cancer in kids and young people, affecting 500 each year, and the survival rate for those whose T-ALL has relapsed is just 10 per cent.
She then became the first patient enrolled onto a new clinical trial, funded by the Medical Research Council, during which she was given universal CAR (Chimeric Antigen Receptor) T-cells that had been pre-manufactured from a healthy volunteer donor in May this year.
The researchers described base-editing as chemically converting letters of the DNA code which carry instructions for a specific protein.
The edited CAR T-cells can be given to a patient so that they quickly find and destroy T-cells in the body, including cancerous ones, after which the person can have a bone marrow transplant to restore their depleted immune system.
Twenty-eight days after being given the treatment, Alyssa was in remission, researchers said, and was able to have a second bone marrow transplant.
She is said to be 'doing well at home' as she recovers and continues with follow-up monitoring at GOSH.
It is hoped the research, due to be presented for the first time at the American Society of Haematology annual meeting in New Orleans in the US this weekend, could lead to new treatments and 'ultimately better futures for sick children'.
Scientists aim to recruit up to 10 patients who have T-cell leukaemia and have exhausted all conventional options for the clinical trial into the new treatment.
Medics at GOSH hope that if it is successful it can be offered to children earlier in their treatment when they are less sick and that it can be used for other types of leukaemia in future.
Potential patients for trials will be referred by NHS specialists.
Scientists now hope to recruit up to 10 patients who have T-cell leukaemia and have exhausted all conventional options, like Alyssa, for the clinical trial into the new treatment.
Professor Waseem Qasim, consultant immunologist at GOSH, said: 'This is a great demonstration of how, with expert teams and infrastructure, we can link cutting-edge technologies in the lab with real results in the hospital for patients. It's our most sophisticated cell engineering so far and paves the way for other new treatments and ultimately better futures for sick children.
'We have a unique and special environment here at GOSH that allows us to rapidly scale up new technologies and we're looking forward to continuing our research and bringing it to the patients who need it most.'
Alyssa's mother Kiona said the family were 'on a strange cloud nine' and that it was 'amazing to be home'.
She added: 'Hopefully this can prove the research works and they can offer it to more children - all of this needs to have been for something.'
Dr Robert Chiesa, consultant in bone marrow transplant and CAR T-cell therapy at GOSH, said: 'Since Alyssa got sick with her leukaemia in May last year, she never achieved a complete remission - not with chemotherapy and not after her first bone marrow transplant. Only after she received her CD7 CAR-T cell therapy and a second bone marrow transplant in GOSH she has become leukaemia-free.'
He described the outcome as 'quite remarkable' but cautioned that it must be monitored and confirmed over the next few months.
Source – UK Mail Online.
Yours sincerely
Frank Short
