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Novel lipoplex nanoparticle to be used in 1st human trial treating 
advanced solid cancer 

The first clinical trial of a biologic nanoparticle designed to give 
back to cancer patients the tumor-busting gene they have lost is 
expected to start in September at Georgetown University Medical 
Center.  


e phase I clinical study will enroll 20 patients with advanced solid 
cancers ( including most common tumor types ), and is the 
culmination of more than a decade of work by a team of researchers 
led by Professor Esther H. Chang, Ph.D. at the Lombardi 
Comprehensive Cancer Center. 

Their research has led to development of a tiny structure -- 
measuring a millionth of an inch across -- that resembles a virus 
particle that can penetrate deeply into the tumor and move 
efficiently into cells. The device is a "liposome" -- a microscopic 
globule made of lipids -- that is spiked on the outside with 
antibody molecules that will seek out, bind to, and then enter 
cancer cells including metastases wherever they hide in the body. 
These molecules bind to the receptor for transferrin that is present 
in high numbers on cancer cells. 

Once inside, the nanoparticle, which the researchers call 
a "immunolipoplex," will deliver its payload -- the p53 gene whose 
protein helps to signal cells to self-destruct when they have the 
kind of genetic damage characterized by cancer and by cancer 
therapies. 

More than half of all cancer patients have cancer cells that have 
lost normal functioning of the p53 gene, so-called "guardian of the 
genome," and the Georgetown researchers believe that restoring the 
gene will improve the tumor-killing ability of traditional 
treatments. 

"We are excited about the promise this nanoparticle has shown in 
animal tumor models, and are anxious to offer it to patients," said 
Chang, Professor in the Department of Oncology and Co-director of 
the Molecular Targets & Developmental Therapeutics Program at 
Georgetown. 

The federal Food and Drug Administration granted approval for the 
trial to begin in late July. The work is being sponsored by grants 
from the National Institutes of Health and private foundations. 
Additional support comes from SynerGene Therapeutics, a biotech 
research firm with which Chang collaborates. 

John Marshall, M.D., Director of Developmental Therapeutics and GI 
Oncology at Georgetown, will serve as the trial's principal 
investigator. 

The researchers believe that immunolipoplex represents an advance 
over the viral "vectors" that have been used to deliver gene 
therapy, because these liposomes do not produce the kinds of 
immunologic response seen when disabled viruses are used to carry 
the payload. They also say that the nanoparticle is of a small 
uniform size and consistency, and has been proven to work in animals 
bearing tumor. 

In preclinical research, Chang and long-term research colleague 
Kathleen Pirollo, Ph.D. have found that these nanoparticles 
substantially improve the tumor-fighting power of both chemotherapy 
and radiation therapy. These agents work synergistically with 
traditional therapies because the newly restored p53 protein helps 
push cancer cells that are now damaged to self-destruct. 

"We believe this approach will make it difficult for the cancer 
cells to become resistant to therapy," Chang said. "As a result, 
cancers treated with these liposomal formulations should be less 
likely to recur after therapy is complete." 

For example, use of these p53-loaded liposomes in combination with 
radiation therapy eliminated prostate and head and neck tumors in 
mice, which then survived cancer-free for more than 200 days -- 
until they all died of old age. Similar promising results were seen 
when the nanoparticles were combined with chemotherapy to treat 
animal models of melanoma and aggressive breast cancer. 

Among the solid tumors approved for testing in the clinical trial 
are head and neck, prostate, pancreatic, breast, bladder, colon, 
cervical, brain, melanoma, liver and lung cancers. 

Laura Cavender
lsc6 @ georgetown.edu
202-687-5100
Georgetown University Medical Center
gumc.georgetown.edu


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