Leukemia : Experimental treatment puts 13-year-old girl in leukemia remission

British doc­tors are prais­ing a pio­neer­ing treat­ment for aggres­sive leukemia after a teenage girl became the first patient to receive a new treat­ment and go into remission.

A 13-year-old girl named Alis­sa was diag­nosed with T‑cell acute lym­phoblas­tic leukemia in 2021.

But her blood can­cer did­n’t respond to con­ven­tion­al treat­ments like chemother­a­py and a bone mar­row transplant.

She was enrolled in a clin­i­cal tri­al at Lon­don’s Great Ormond Street Chil­dren’s Hos­pi­tal (GOSH) for a new treat­ment using genet­i­cal­ly engi­neered immune cells from healthy volunteers.

After 28 days, the can­cer was in remis­sion and I was able to receive a sec­ond bone mar­row trans­plant to restore my immunity.

Six months lat­er, he is “well” under obser­va­tion at his home in Leices­ter, cen­tral England.

With­out this exper­i­men­tal treat­ment, Alyssa’s only option was pal­lia­tive care,” the hos­pi­tal said in a state­ment on Sunday.

GOSH con­sul­tant Robert Chiesa said Alyssa’s progress was “very remark­able”, but results will be mon­i­tored and con­firmed in the com­ing months.

Acute lym­phoblas­tic leukemia (ALL), the most com­mon type of can­cer in chil­dren, affects cells of the immune sys­tem that fight and pro­tect against virus­es called B and T cells.

Alis­sa is the first patient to receive base-edit­ing T cells, which chem­i­cal­ly con­verts indi­vid­ual nucleotide bases into let­ters of the DNA code that con­tain instruc­tions for spe­cif­ic pro­teins, GOSH said. increase.

Researchers from GOSH and Uni­ver­si­ty Col­lege Lon­don helped devel­op the use of genome-edit­ed T cells to treat B‑cell leukemia in 2015.

But to treat oth­er types of leukemia, they had to over­come the chal­lenge that T cells designed to rec­og­nize and attack can­cer cells kill each oth­er dur­ing the man­u­fac­tur­ing process. It is.

The base-edit­ed cells had to make many more changes to their DNA before they could attack can­cer cells with­out harm­ing each other.

Waseem Qasim, Pro­fes­sor and Con­sul­tant Immu­nol­o­gist at GOSH, said: “It’s a great demon­stra­tion of how with a team of experts and infra­struc­ture, you can com­bine cut­ting-edge tech­nol­o­gy in the lab with real patient out­comes in the hos­pi­tal. ’ said.

“This is the most sophis­ti­cat­ed cell engi­neer­ing to date, paving the way for oth­er new treat­ments and ulti­mate­ly a bet­ter future for sick children.”

In her state­ment, Alyssa said she felt she had to par­tic­i­pate in the tri­al not only for her­self, but also for oth­er children.

Her moth­er, Kiona, said: “I hope this research will prove effec­tive so that more chil­dren can be reached.

The researchers pre­sent­ed the results this week­end at the Amer­i­can Soci­ety of Hema­tol­ogy annu­al meeting.

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