Malaria Drug tested for Colorectal Cancer
use
Newswise — While new cases
of colorectal cancer continue to decline in
the United States, it remains the third
leading cause of cancer death in the nation,
according to the American Cancer Society.
That is why researchers at The Cancer
Institute of New Jersey (CINJ) are looking
to add a drug known for fighting malaria to
traditional chemotherapy for colorectal
cancer to see if treatment can be made more
effective for patients.
CINJ is a Center of
Excellence of UMDNJ-Robert Wood Johnson
Medical School.
According to the American
Cancer Society,
CINJ is a Center of
Excellence of UMDNJ-Robert Wood Johnson
Medical School..
It has a five-year
survival rate of 68 percent for disease that
has spread (metastasized) to nearby organs
and has only an 11 percent, five-year
survival rate for disease that has spread
beyond nearby organs. It is the advanced
state of disease that investigators at CINJ
are targeting in this study.
The standard treatment for
colorectal cancer that has spread beyond
where surgery can cure it is chemotherapy.
The current standard of chemotherapy (oxaliplatin),
which is given by vein, includes a drug (bevacizumab)
that prevents the growth of cancer blood
vessels.
It also includes a pill (capecitabine)
or an injection medication similar to
capecitabine. This therapy shrinks the
cancer in fewer than half of the patients
treated, and usually this shrinkage is only
temporary.
Rebecca Moss, MD, medical
oncologist at CINJ and assistant professor
of medicine at UMDNJ-Robert Wood Johnson
Medical School, is the lead researcher on
the study, which will look at adding a drug
known as hydroxychloroquine -- commonly used
to treat malaria and certain types of
arthritis -- to this standard treatment.
Research in the
laboratories of CINJ Associate Director for
Basic Science Eileen White, PhD, adjunct
professor of surgery at UMDNJ-Robert Wood
Johnson Medical School; and CINJ medical
oncologist, Vassiliki Karantza, MD, PhD,
assistant professor of medicine at UMDNJ-Robert
Wood Johnson Medical School, indicates that
drugs such as hydroxychloroquine may prevent
cancer cells from becoming resistant to
chemotherapy or drugs that prevent the
growth of cancer blood vessels.
“By adding
hydroxychloroquine to the standard
treatment, we are hoping chemotherapy will
be more effective for patients with
colorectal cancer,” said Dr. Moss. “It is
frustrating that the very good standard
medications developed over the past several
years do not work as well as we would like
against this disease.
Drs. White and Karantza’s
research helps us understand how cancers
evade these treatments. Especially for those
with advanced disease, this new combination
could make cancer treatment more effective
and provide a better quality of life.”
Prior to being accepted
into the study, participants would undergo a
number of tests including blood work, a
physical and x-rays. If accepted for
participation in the trial, individuals
would go through multiple 21-day cycles of
treatment consisting of chemotherapy given
through a vein once per cycle.
Patients also would take
pills by mouth each day and would need to
keep both a pill diary and blood pressure
diary. Participants would continue to
undergo routine blood work and have regular
imaging scans such as a CT to determine
disease status.
Adults with metastatic
colon cancer who have not previously
received treatment for metastatic disease
are eligible to take part in the study,
although other criteria must be met. All
patients will receive treatment medications,
not placebos.
The study is part of the
CINJ Oncology Group (CINJOG), which is
comprised of physicians throughout New
Jersey from the CINJ Network of hospitals.
For additional information on how to
participate, individuals should call
732-235-7251.
Clinical trials, often
called cancer research studies, test new
treatments and new ways of using existing
treatments for cancer.
At CINJ, researchers use
these studies to answer questions about how
a treatment affects the human body and to
make sure it is safe and effective. There
are several types of clinical trials that
are currently underway at CINJ, including
those that diagnose, treat, prevent, and
manage symptoms of cancer.
Many treatments used
today, whether it is drugs or vaccines; ways
to do surgery or give radiation therapy; or
combinations of treatments, are the results
of past clinical trials.
As New Jersey’s only
National Cancer Institute-designated
Comprehensive Cancer Center, CINJ offers
patients access to treatment options not
available at other institutions within the
state.
CINJ currently enrolls
more than 1,000 patients in clinical trials,
including approximately 15 percent of all
new adult cancer patients and approximately
70 percent of all pediatric cancer patients.
Enrollment in these studies nationwide is
fewer than five percent of all adult cancer
patients.
About
The Cancer Institute of New Jersey
The Cancer Institute of
New Jersey (www.cinj.org)
is the state’s first and only National
Cancer Institute-designated Comprehensive
Cancer Center, and is dedicated to improving
the prevention, detection, treatment and
care of patients with cancer.
CINJ’s
physician-scientists engage in translational
research, transforming their laboratory
discoveries into clinical practice, quite
literally bringing research to life. The
Cancer Institute of New Jersey is a center
of excellence of UMDNJ-Robert Wood Johnson
Medical School. To support CINJ, please call
the Cancer Institute of New Jersey
Foundation at 1-888-333-CINJ.
The Cancer Institute of
New Jersey Network is comprised of hospitals
throughout the state and provides a
mechanism to rapidly disseminate important
discoveries into the community. Flagship
Hospital: Robert Wood Johnson University
Hospital. Major Clinical Research Affiliate
Hospitals: Carol G. Simon Cancer Center at
Morristown Memorial Hospital, Carol G. Simon
Cancer Center at Overlook Hospital, Cooper
University Hospital, and Jersey Shore
University Medical Center. Affiliate
Hospitals: Bayshore Community Hospital,
CentraState Healthcare System, JFK Medical
Center, Mountainside Hospital, Raritan Bay
Medical Center, Robert Wood Johnson
University Hospital at Hamilton (CINJ at
Hamilton), Saint Peter’s University
Hospital, Somerset Medical Center, Southern
Ocean County Hospital, The University
Hospital/UMDNJ-New Jersey Medical School*,
and University Medical Center at Princeton.
*Academic Affiliate
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