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'Living Drug' That Fights Cancer By Harnessing The Immune System Clears Key Hurdle (npr.org)

An anonymous reader shares an NPR report: A new kind of cancer treatment that uses genetically engineered cells from a patient's immune system to attack their cancer easily cleared a crucial hurdle Wednesday. A Food and Drug Administration advisory committee unanimously recommended that the agency approve this "living drug" approach for children and young adults who are fighting a common form of leukemia. The agency doesn't have to follow the committee's recommendation but usually does. The treatment takes cells from a patient's body, modifies the genes, and then reinfuses those modified cells back into the person who has cancer. If the agency approves, it would mark the first time the FDA has approved anything considered to be a "gene therapy product." The treatment is part of one of the most important developments in cancer research in decades -- finding ways to harness the body's own immune system to fight cancer. And while it has generated much hope, there are some concerns about its safety over the long term -- and its cost.

73 comments

  1. Sounds Awesome by Anonymous Coward · · Score: 0

    But just wondering if this was the premise for 'I Am Legend' with Will Smith. Liked the book way better, incidentally.

    1. Re:Sounds Awesome by Anonymous Coward · · Score: 0

      Is there any movie that can hold a candle to a book?

    2. Re: Sounds Awesome by Anonymous Coward · · Score: 0

      Movies don't have opposable thumbs, so no they can not. And burning books isn't something you should take pride in.

    3. Re:Sounds Awesome by micahraleigh · · Score: 1

      Cold Mountain

    4. Re:Sounds Awesome by kaatochacha · · Score: 1

      Yes: The Hunt for Red October.
      The book went on FOREVER. The movie shortened it to a reasonable length.

    5. Re: Sounds Awesome by Anonymous Coward · · Score: 0

      The acting talent was also a huge plus.

    6. Re:Sounds Awesome by butchersong · · Score: 1

      That was a decent movie but the book was much better. In that I can't recall the source of the outbreak... I'm pretty sure it was some ancient virus or something -not man made.

    7. Re:Sounds Awesome by Papaspud · · Score: 1

      Watch Omega man with Charleton Heston, much better.

      --
      Everything above is my opinion....YMMV
    8. Re:Sounds Awesome by mrbester · · Score: 1

      Watch The Last Man On Earth with Vincent Price, even better.

      --
      "Wait. Something's happening. It's opening up! My God, it's full of apricots!"
    9. Re:Sounds Awesome by nospam007 · · Score: 1

      "But just wondering if this was the premise for 'I Am Legend' with Will Smith. Liked the book way better, incidentally."

      Small wonder, the book didn't have Will Smith in it.

    10. Re:Sounds Awesome by K.+S.+Kyosuke · · Score: 1

      The book went on FOREVER.

      Funny, I thought it was rather short. Compared to, say, Debt of Honor or The Sum of All Fears.

      --
      Ezekiel 23:20
    11. Re:Sounds Awesome by Hamsterdan · · Score: 1

      Carrie?

      --
      I've got better things to do tonight than die.
    12. Re: Sounds Awesome by Anonymous Coward · · Score: 0

      Worst case is graft vs host disease, but it seems unlikely.

    13. Re: Sounds Awesome by Lisandro · · Score: 1

      The Road.

    14. Re:Sounds Awesome by someoneOtherThanMe · · Score: 1

      The bridge on the river Kwai

    15. Re:Sounds Awesome by someoneOtherThanMe · · Score: 1

      Replying to myself to correct mistake: above reply was meant to the below "Is there any movie that can hold a candle to a book?", of course.

    16. Re:Sounds Awesome by dwarfking · · Score: 1

      I have all three, and I like watching them from oldest to newest. All of them are great.

    17. Re:Sounds Awesome by david_thornley · · Score: 1

      Jurassic Park.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
  2. what about the non-scientists? by Barsteward · · Score: 2

    surely they must be listened to as they know more, can't have the scientists being knowledgeable and doing good things based on facts and research :)

    --
    "The hands that help are better far than lips that pray." - Robert Ingersoll (1833-1899)
    1. Re:what about the non-scientists? by Anonymous Coward · · Score: 0

      We listen to scientists who are trying to make things better for us. We don't listen when scientists are trying to make things worse.

    2. Re:what about the non-scientists? by Anonymous Coward · · Score: 0

      The FDA are bureaucrats and many are not scientists or doctors. You must mean you don't trust government bureaucracy. How very libertarian of you.

    3. Re:what about the non-scientists? by david_thornley · · Score: 1

      If you don't listen to them, how do you know whether they're trying to make things better or worse?

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    4. Re:what about the non-scientists? by david_thornley · · Score: 1

      There are scientists at the FDA, tasked with reviewing applications. I knew one.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
  3. prior art by turkeydance · · Score: 3, Funny

    there's got to be a zombie book/movie that used this plot

    1. Re:prior art by Anonymous Coward · · Score: 0

      The 2007 version of I Am Legend

  4. Fake. Dendrion had this in 2012 by Anonymous Coward · · Score: 0

    But the FDA would only let us use it on stage 4 cancer partients in the 70+ years old range.

    1. Re:Fake. Dendrion had this in 2012 by avandesande · · Score: 1

      yes there has been previous similar therapies that had pervasive side effects like brain swelling that resulted in death

      --
      love is just extroverted narcissism
    2. Re:Fake. Dendrion had this in 2012 by Ungrounded+Lightning · · Score: 2

      yes there has been previous similar therapies that had pervasive side effects like brain swelling that resulted in death

      And (according to TFA) this one sometimes does that, too. But, in the (closely watched) experimental group, they were able to catch it and treat it in the patients where it occurred.

      It turned out to be transient. So nobody died, and the effect went away once the cancer cells were cleared and the immune cells settled down to just guarding against recurrence.

      It was a "cytokine storm", where the signalling fallout from the modified immune cells (raising the alarm that they had found a massive "infection" of their targets) provokes immune (and other) cells elsewhere into disease-fighting modes (which also release alarm signalling chemicals, potentially creating a runaway feedback loop) damaging other tissues or even starting a persistent auto-immune syndrome.

      Previous developers of such therapies might want to look into them again. If they were having the same problem, and their modified cells only attacked things, like leukemia cells, that they can easily reach and quickly clear out (rather than something that would keep them attacking long-term or that's a vital part of the body), they, too, might have viable and marketable treatments.

      --
      Bantam Dominique roosters crow a four-note song. Once you've heard it as "Happy BIRTHday" you can't NOT hear it that way
    3. Re:Fake. Dendrion had this in 2012 by slack_justyb · · Score: 1

      And (according to TFA) this one sometimes does that, too.

      Yes that's correct. 48% of the time, so effectively a 50-50 shot. Which that's a big improvement over previous attempts.

      But, in the (closely watched) experimental group, they were able to catch it and treat it in the patients where it occurred.

      Right again, and this is the thing about this treatment. You have to have a trained team of bio-engineers close by for these types of things. Right now, there's two paths to treatment with any Cytokine Release Syndrome (CRS). One, shut it all down. That's a mixture of blunt action drugs such as anti-histamines and corticosteroids. This basically shuts the T-cells down and allows them to die. The problem with this approach is that you might shut everything down too soon and have only partially destroyed the cancer. Two, treat and hope for the best. Basically you keep letting the T-cells do their thing while giving drugs to prevent renal failure and any kind of edema. You keep doing this until you at some point shut it all down. The problem with this approach is that you risk severe damage to the kidneys, liver, heart, and brain.

      It turned out to be transient. So nobody died.

      Correct that no one died, but the end effects are hardly transient. Only 25% developed dangerous CRS and were treated for such. All patients developed beta-cell dysfunction and will require some form of insulin treatment for the next three years to the foreseeable future. 16% developed pancytopenia of some degree, they will need blood treatments to control their platelets, red blood cell count, and white blood cell count for an undetermined amount of time. There's also 48% that developed thrombocytopenia and 61% that developed neutropenia (there's some overlap between those two group that developed both FYI). The thing about all of that. Those are all blood diseases that we're able to treat to some extent or another. So yeah, way better than cancer.

      immune cells settled down to just guarding against recurrence

      Well the thing is we don't know that for sure. The T-cells that were injected are dead by now, but if the body picked up the ability to do what the injected T-cells did has yet to be seen. No one is really sure if the body "learns" from this or not. It's possible that the new antigen is remembered, but it's difficult to reproduce the exact cancer the T-cells were engineered for. So it could be that the T-cells did learn and is keeping the cancer at bay quietly or that the cancer was completely eradicated and there's no chance of it coming back. But we're not yet able to induce the body to artificially produce those antigens. We know that the antigens aren't in the bloodstream after six months, but that just might mean we're not watching when those antigens are released and killing cancer quietly. It'll take a lot more people and study before we can say for sure either way.

      Previous developers of such therapies might want to look into them again.

      They are and new methods for controlling the process are being developed. The idea is to develop a CAR-T that requires a prodrug for activation. The prodrug itself does nothing, but a specially crafted CAR-T could remain inactive until given the prodrug. Ideally, the prodrug would be one that we can control very well it's distribution in the blood stream. This would act as a sort of gas pedal for the T-cells and the amount of the prodrug would indicate how much throttle we are giving it. Additionally, future CAR-T would have a stop switch/kill switch as well. Again, these would be prodrugs that signal when T-cells need to slow down and when T-cells need to self destruct.

      and their modified cells only attacked things, like leukemia cells, that they can easily reach and quickly clear out

      The problem with targeting anything in the body is that y

    4. Re:Fake. Dendrion had this in 2012 by Anonymous+Cow+Ward · · Score: 1

      There's a third path to treat CRS - anti-IL-6 antibodies, which is what's generally used to treat it during CART therapy.

      Some of the T cells that were injected are likely still alive - or at least, there are likely some modified cells still circulating. They're often detectable long after the cancer is gone, and probably are still around as non-circulating memory cells even when we can't detect them. The body certainly can't do what the modified cells do in the same way they're doing it - the chimeric antigen receptor does not occur in nature. It's possible that the body is responding to CD19 (the antigen in question) by itself, but highly unlikely. CD19 is expressed on most healthy B cells as well, and the body generally should treat it like any other "self" protein.

      The main problem with including an "on" switch for CART cells is that no inducible promoter is good enough at the moment - they all have too high of a baseline activation level when they're supposed to be off.

      The CRS isn't caused by the reconstitution of the immune system, it's caused by hyperactivation of the CART cells. Using them earlier, when there's less tumor burden, would likely help with that. Otherwise you'll have to mess with the signaling that causes it in the first place, which is probably possible but will require a lot of work.

      Most of the neurological toxicity that has been seen with CART cells has been with those that use the 4-1BB costimulatory domain, while most of the stuff from Penn and CHOP uses CD28, and they have had a lot fewer problems with brain toxicity.

      Agreed that all of the side effects so far are treatable - and it seems likely that most of the side effects will go away over time.

      --
      Examine even your most deeply held beliefs. Nobody is always right.
  5. New kind of therabpy, equivelent to Anti-biotics by gurps_npc · · Score: 1

    This has the potential to be as life changing as anti-biotics were. Just hope we do a better job with gene therap than with anti-biotics. (Can't believe we let shmucks put it animal feed and soap. Just asking for resistant bacteria.)

    Hopefully we don't end up doing stupid things like letting people add human genes to non-human life forms.

    --
    excitingthingstodo.blogspot.com
  6. Re:New kind of therabpy, equivelent to Anti-biotic by Anonymous Coward · · Score: 0

    Antibacterial != Antibiotics.

    There are no antibiotics in soap.

  7. Re:New kind of therabpy, equivelent to Anti-biotic by Gilgaron · · Score: 1

    Human genes in non human life forms would be just dandy, for some applications. Ferment a batch of E. coli to produce more insulin or whatever hormones a given condition leaves someone without. No need to assume it'd all go Island of Dr Moreau

  8. This does work by Major_Disorder · · Score: 4, Interesting

    A friend of mine is alive today because he was part of one of the early trials.
    He had been told by his doctor, just before he was accepted into the trial, that he should start putting his affairs in order.
    If I recall correctly, he is 7 years cancer free now.

    --
    First law of people: People are generally stupid.
    1. Re:This does work by Anonymous Coward · · Score: 0

      He had been told by his doctor, just before he was accepted into the trial, that he should start putting his affairs in order.

      All those mistresses... so little time. The doctor knows his stuff.

  9. Re:New kind of therabpy, equivelent to Anti-biotic by gurps_npc · · Score: 1

    What is the difference between Antibiotic and Antibacterial?

    Antibiotics are used against both bacteria and fungi, but antibacterial compounds are used against bacteria only.

    Antibiotics is a larger class of drugs of which antibacterial substances is a major subclass.

    Source of quote

    Antibacterials are a kind of antibiotics. There are antibiotics in soap.

    --
    excitingthingstodo.blogspot.com
  10. Guess people's opinion on gmo's by Anonymous Coward · · Score: 0

    Will change when they become one to deal with a disease. And if they modify cells than lead to eggs and sperm, the modification might/will pass into future generations.

    This kind of therapy is all pharma can do to really cure diseases. All else treats symptoms, possibly very effectively.

    1. Re:Guess people's opinion on gmo's by jedidiah · · Score: 2

      GMOs entirely different. They are something that you're letting out into the environment. They aren't something you're injecting into a single person. Like all blood cells, these things have a very short lifetime. Then they die. They don't replicate themselves. They're not even designed to (like GMOs).

      GMOs are like Dick Cheney deciding he owns your house because his out of control dog shat on your lawn.

      --
      A Pirate and a Puritan look the same on a balance sheet.
    2. Re:Guess people's opinion on gmo's by slack_justyb · · Score: 2

      GMOs are like Dick Cheney deciding he owns your house because his out of control dog shat on your lawn.

      Correction, the companies that own "some" GMOs are like that. GMO's in themselves are not responsible for the company that made them's reckless behavior. GMOs in of themselves are a useful tool, how a company chooses to abuse them is a totally different topic.

    3. Re:Guess people's opinion on gmo's by kqs · · Score: 2

      They are something that you're letting out into the environment. They aren't something you're injecting into a single person.

      Not to worry, things you inject into a person cannot possibly get into the environment. Nope, can't happen. Never, no way, no how.

      GMOs are like Dick Cheney deciding he owns your house because his out of control dog shat on your lawn.

      I think you are confusing "GMOs" and "GMO patents". It's fair to dislike GMO patents. Disliking GMOs because you dislike GMO patents is like disliking literature because you don't like copyright law.

      It sounds like you're trying to resolve the cognitive dissonance between "GMOs bad" and "cancer treatment (with GMOs) good". I submit that a better solution would be to look at why you dislike GMOs and see how logical that dislike is.

    4. Re:Guess people's opinion on gmo's by david_thornley · · Score: 1

      GMOs are like Dick Cheney deciding he owns your house because his out of control dog shat on your lawn.

      And nobody's been able to find me a case supporting that. Monsanto has apparently only sued farmers who deliberately attempted to violate Monsanto patents.

      --
      "When you have eliminated the unacceptable, whatever is left, however improbable, must be the truthiness" - Holmes
    5. Re:Guess people's opinion on gmo's by Anonymous+Cow+Ward · · Score: 1

      The modified cells absolutely do replicate themselves. They'd be mostly worthless if they didn't. They're activated slightly differently - through one chimeric antigen receptor instead of a T cell receptor and costimulatory molecules - but once activated, they behave like normal T cells and proliferate. CART cells have been detected more than a year after injection, and a small pool probably sticks around for much longer. T cells, depending on how they differentiate, can stick around for more than 10-15 years. It's not known whether these will stay alive for that long, but I'd bet on it.

      --
      Examine even your most deeply held beliefs. Nobody is always right.
  11. Re:New kind of therabpy, equivelent to Anti-biotic by avandesande · · Score: 1

    Did you even read what you linked to?

    “substance produced by a microorganism that is antagonistic to another microorganism’s growth in high dilution”.

    A bar of soap is a pure lump of alkali fatty acid salts so that throws the high dilution thing right out the window. Soap is not an antibiotic. It is a surfactant that causes the cell wall of bacteria to rupture.

    --
    love is just extroverted narcissism
  12. Re:New kind of therabpy, equivelent to Anti-biotic by dgatwood · · Score: 4, Informative

    They're wrong. Antibiotics are, according to the generally accepted definition, medicine. By definition, medicine is something that, when consumed, cures some illness. If you cannot consume it to kill bacteria in vivo, then it is not an antibiotic.

    For example, chlorine bleach is an antibacterial agent. It is not an antibiotic. (If you drink it, you will die, but the bacteria will not.)

    In fact, in the modern use of the terms, their answer is exactly backwards. Antibiotics are generally considered to be a subset of antibacterial agents. When we talk about substances that kill other microorganisms, we call them antifungals or antiparasitics, not antibiotics. We commonly say things like "antibiotics will make a yeast infection worse", which would be blatantly untrue if you included antifungals under antibiotics. I don't think I have ever (in my lifetime) heard someone call an antifungal or antiparasitic agent an antibiotic. It just isn't done. They're entirely different classes of medication that should not be confused (because doing so could be a life-threatening mistake).

    And people don't typically use the word antibacterial when we talk about antibiotics because that term is too overloaded by other things that aren't medicinal. See also: bleach.

    --

    Check out my sci-fi/humor trilogy at PatriotsBooks.

  13. I remember the original GE video on this by Weaselmancer · · Score: 4, Informative

    GE did a story on it that they posted to youtube years ago.

    Probably my favorite part of this story hitting the news is that the spokesperson for this treatment is the girl from the above video. She's 12 now and still completely cancer free. I'm very glad to see she's doing well.

    --
    Weaselmancer
    rediculous.
  14. cost equation by liquid_schwartz · · Score: 1

    ... there are some concerns about its safety over the long term -- and its cost.

    I figure the cost will be X in the developed world other than the US and 10X in the US because the FDA protects pharma profits (and it's own jobs) first.

    1. Re:cost equation by slack_justyb · · Score: 2

      I figure the cost will be X in the developed world other than the US and 10X in the US because the FDA protects pharma profits (and it's own jobs) first.

      That's a completely ridiculous statement. The cost is going to be astronomical because this therapy is developed on a "per person" basis. Additionally, there's not a really finely tuned way to control the altered T-cells, that's something they're still working on for the next generation of these types of drugs. So that said, these T-cells can attack cancer and healthy cells and which ones they do attack depends on what tissue they land on while in your blood stream. Long hospital stays are going to be a requirement of these kinds of treatments and a crack team of bio-engineers are going to have to be at the ready round clock for any sudden cytokine storm that might develop, since the chances of developing one is 50-50 with this drug. Again that goes back to doctor's not having a way to finely control the T-cells. There's so many variables to this treatment, you could literally pick up a 1000 page book on calculus and have nowhere near the number of variables involved in this treatment.

      All of that put together is going to make these treatments costs insane. Is it worth it? Well that's not an objective question. Will it get cheaper? Of course, because we'll get better at this, but we're not going to get better at these kinds of treatments without first actually trying these kinds of treatments. Will it be cheaper in "insert some other first world nation"? Maybe, but that's less the nature of the FDA and more the nature of how crazy US healthcare is. Thinking that it's the FDA that protects profits is thinking way too small. The FDA has a part in it, but it's way smaller than you'd like to think. You want to find the people who have the most control in that, you needn't look any further than your local Congress-critter and the slew of lobbyist laws on the books. You want to be mad about prices for medicine, that's cool, but at least be mad at the right people for the right reasons. This process is an insanely brand new form of any kind of medicine that precedes it (and that's a serious understatement because this is literally a new era of medicine altogether. Literally people will look back at this as a pre/post gene therapy era) and the FDA has very little say in what ultimately is a more complex topic on price. Get mad about medicine that's been out for the last ten/fifteen years that still costs an arm and a leg because the law in the US allows them to make a monopoly on it.

    2. Re:cost equation by Anonymous+Cow+Ward · · Score: 1

      CART therapy is an outpatient procedure with monitoring for roughly 6-8 weeks afterward. If there's CRS, it's pretty obvious and you need to get to the hospital quickly, but as long as you know what to look for there's no need to stay in the hospital the whole time.

      --
      Examine even your most deeply held beliefs. Nobody is always right.
  15. What method? by fadethepolice · · Score: 1

    Did they use crispr to alter the genes? The article does not say.

    1. Re:What method? by Anonymous Coward · · Score: 0

      No, this does not use CRISPR, though in the future delivery of the therapy may involve some components of the CRISPR system. For delivery here they used a standard retrovirus. The payload, however is the interesting part here. The payload was a 'Chimeric Antigen Receptor' (CAR) - DNA that encodes a synthetically designed protein. The DNA that encodes for that (protein) tool is inserted into immune cells that were extracted from the patients. Once the cells were shown to have accepted to the new (genetic) blueprint, and were not harmful, the cells were put back into the patients. The cells' new blueprint was for a synthetically designed protein that enables the immune cells to recognize cancer in a way that the immune system otherwise would not. Because cancers grow alongside one's immune system and are originally from one's own body, the immune system is trained not to react to itself, so the cancer is often invisible, hiding in plain sight, very much unlike an invading bacteria or virus. This treatment is a gene therapy that provides a single new genetic blueprint to cells that gives those cells the ability to recognize the cancer as 'different' and distinct from the rest of the body.

    2. Re:What method? by nospam007 · · Score: 1

      "This treatment is a gene therapy that provides a single new genetic blueprint to cells that gives those cells the ability to recognize the cancer as 'different' and distinct from the rest of the body."

      Ok, but these cells have a lifetime of 12 to 20 days and they do not replicate. Does that mean you have to do that every 2 weeks or does the cancer get cured in a week or 2?

    3. Re:What method? by Anonymous+Cow+Ward · · Score: 1

      I don't know where you're getting your information, but it's wrong. T cells, especially ones that have been activated, have a much longer lifetime, and they do replicate. CART cells have been detected more than a year after infusion.

      --
      Examine even your most deeply held beliefs. Nobody is always right.
  16. The Next Generation of Immunotherapy Works by byteCoder · · Score: 5, Informative

    I'm living proof these sorts of immunotherapy treatments work: five years and still cancer-free. It's wonderful that the FDA may be on the brink of approving their use outside of trials.

    I sought out and was admitted into a trial at NIH in 2012 to use a similar treatment for Stage IV melanoma.

    In my trial, the researchers harvested my existing white blood cells and selected those that were able to recognize and attack the mutations present in my melanoma. Those cells were expanded to 130 billion in the lab and then re-infused into my body after my own immune system was killed off. In essence, my immune system was rebooted with white blood cells that could recognize and fight the cancer cells.

    In theory, my body has been effectively immunized against the some of the cancerous mutations that my melanoma exhibited. I won't need any further treatment for my previous melanoma EVER.

    I know fellow melanoma patients who were in related trials at NIH in which their harvested white cells were genetically engineered to express different proteins (like, IL-12 or IL-15 or NY/ESO) with similar success.

    These novel cancer-fighting approaches are working. I'm happy that the FDA may actually be slowing adapting to the changing medical technology.

    1. Re:The Next Generation of Immunotherapy Works by Ogive17 · · Score: 1

      Assuming you had chicken pox as a kid, would this mean you'd be susceptible to it again? Of course that's a pretty good trade-off.. just trying to understand the immune system "reboot".

      --
      "Action without philosophy is a lethal weapon; philosophy without action is worthless."
    2. Re:The Next Generation of Immunotherapy Works by byteCoder · · Score: 3, Interesting

      That's a good question, and I'm not certain that the researchers could definitively say yes or no.

      I should note that the white blood cells (lymphocytes) that were grown in the lab were those selected to attack the cancerous cells. Some of those T lymphocytes may also have the "memory" for identifying the other foreign items from which I've already acquired immunity. In addition, as part of the treatment, twenty-four hours after receiving the new white blood cells that were grown in the lab, I was given a pint of the blood stem cells that were extracted before treatment, mostly to counteract the effects of the total body radiation on the stem cells in my bone marrow for the trial. (The researchers were trying to determine if they got better survival results with this treatment by giving 12 Grays of radiation versus no radiation. Ultimately, they determined from the trial that the radiation showed little improvement in overall survival.)

      I do know that my allergies have changed since my treatment. In fact, they've moderated a bit. My first month or so after treatment, it seemed like I had seasonal allergies to everything, but that has pretty much faded away and ragweed and cottonwood seasons don't seem to affect me much anymore.

      Also, my doctors had me on an antibiotic (Bactrim) for at least six months post-treatment, because of the increased risk of contracting a certain type of pneumonia (PCP) because of my suppressed immune system.

    3. Re:The Next Generation of Immunotherapy Works by rmdingler · · Score: 1
      Wow! Could I ask you to name the medical facility?

      Sincerely,

      Just N. Case...

      --
      Happiness in intelligent people is the rarest thing I know.

      Ernest Hemingway

    4. Re:The Next Generation of Immunotherapy Works by Anonymous+Cow+Ward · · Score: 1

      There's no definitive answer to whether you retain immunity to things you were previously exposed to or vaccinated against, although the trend is that you probably lose some of your previous immunity. It varies a lot based on what T cell therapy you got, and there's some patient to patient variability as well. The one in this article kills almost all B cells - cancerous and healthy - so those patients lose a lot more immunity than you probably did.

      --
      Examine even your most deeply held beliefs. Nobody is always right.
  17. Focus group meddling by DrYak · · Score: 1

    Liked the book way better, incidentally.

    Then watch the director's cut.
    Executives decided to completely re-do the ending for the theatrical cut after some focus group tests.

    --
    "Sufficiently advanced satire is indistinguishable from reality." - [Tips: 1DrYakQDKCQ6y52z6QbnkxHXAocMZJE61o ]
  18. Re: New kind of therabpy, equivelent to Anti-bioti by Anonymous Coward · · Score: 0

    So no dematological treatment would be considered medicine by that restriction. You are simply putting forth your views as fact and you are wrong. It happens.

  19. Its a no win situation. by 140Mandak262Jamuna · · Score: 2

    The genes are patented by the drug company. The patients body making additional copies of the gene would be violating the patent and copyright of the drug maker. Who will sue you to death. If cancer does not get you, the pharma will get you.

    --
    sed -e 's/Chuck Norris/Rajnikant/g' joke > fact
    1. Re:Its a no win situation. by Anonymous Coward · · Score: 0

      Well, since the resulting genes are a derivative work of your own genes, they would owe you a royalty-free license in kind. So, no, your theory is completely wrong.

    2. Re:Its a no win situation. by slack_justyb · · Score: 2

      The genes are patented by the drug company.

      There aren't genes patented because the therapy is developed on a per person basis. Last I checked, everyone had slightly different genes. What the drug company is selling is the process, not a drug.

      The patients body making additional copies of the gene would be violating the patent and copyright of the drug maker.

      That's not how any of that works. That's not even a correct statement about anything in medicine. That would be like saying a flu vaccine maker could sue you for your body's ability to mass reproduce an antigen. That's never been the case, no one thinks that should be the case, and thinking that one day that might be the case is just silly.

      If cancer does not get you, the pharma will get you.

      I don't think your tinfoil is thick enough today.

    3. Re:Its a no win situation. by Anonymous+Cow+Ward · · Score: 1

      Well that's just ludicrous. The pharma company has a patent on the virus and process used to make these, but not on the cells themselves. The cells replicating inside of you definitely don't violate patent law.

      --
      Examine even your most deeply held beliefs. Nobody is always right.
  20. Re: New kind of therabpy, equivelent to Anti-bioti by dgatwood · · Score: 2

    My views are correct according to the Oxford English Dictionary and many others, and are also consistent with the way that the words are commonly used, both by civilians and by doctors, at least in the United States (and, I suspect, elsewhere). Language changes, and old definitions become wrong. It happens.

    FYI, dermatological treatment is still considered "in vivo". So no, ignoring the sloppiness of my use of the word "consumed", my definition is not wrong in any meaningful sense, nor is my example; if you put pure chlorine bleach on your skin, you'll get severe chemical burns. Chlorine bleach cannot be used in vivo in any form. Hence, it is not medicine, hence it is not an antibiotic, but it is still antibacterial.

    In short, you're wrong, period. This isn't a grey area. You are objectively wrong about the commonly accepted meaning of these words.

    --

    Check out my sci-fi/humor trilogy at PatriotsBooks.

  21. Key hurdle? Umm... by Anonymous Coward · · Score: 1

    Pardon my cynicism, but I'm hoping the real key hurdle here, wasn't whether humans would allow something to proceed. But more importantly, medically, the specified interaction going on between all metabolic, immunologic and chemical processes, produced the expected or beneficial results to proceed further with study or implementation.

    The idea that the allowance of discovery, and our implementation of it, is the hurdle to progress, is rather disturbing.

    For this type of progress, it's one thing whether the strict adherence to the checklist is maintained, but that shouldn't be the outlier. That should be the norm. And the 'key hurdle' shouldn't be whether it passes scientific bureaucratic scrutiny, but rather produces sound scientific progressive result, beneficial to man.

  22. Re:New kind of therabpy, equivelent to Anti-biotic by gurps_npc · · Score: 1

    I do read what I link to and you interrupted a conversation without knowing jack shit about what we are talking about.

    Specifically we were not talking about pure soap, nor did anyone claim that pure soap is an antibiotic.

    We made the claim that corporations were selling soap that had been adulterated with triclosan and similar substances. One side claimed they were antibiotics, using a definition found on the internet, the other side claimed that they were antibacterial, not antibiotics, using a medical definition.

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    excitingthingstodo.blogspot.com
  23. Re: New kind of therabpy, equivelent to Anti-bioti by JMZero · · Score: 1

    I agree that calling antibacterial soap an "antibiotic" doesn't fit how that word is used - but trying to suggest that's because it isn't "medicine" doesn't make sense.

    In your own linked dictionary, the relevant definition for medicine is: "A drug or other preparation for the treatment or prevention of disease." That definition would obviously include antibacterial soaps which are preparations used to prevent a disease. I can imagine being prescribed an antibacterial soap and calling it medicine (but, again, on the flipside, I agree that doctors would not call such a treatment an antibiotic - though I can't point to a specific reason they wouldn't).

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    Let's not stir that bag of worms...
  24. Those sure are funny looking warts... by Anonymous Coward · · Score: 0

    ... but I suppose the modified genes are non-communicable.

  25. Re: New kind of therabpy, equivelent to Anti-bioti by dgatwood · · Score: 1

    The word "prevention" in that definition is somewhat problematic, in that it you could stretch that to cover all sorts of things that most people wouldn't think of as medicine, e.g. citrus fruits. (If you don't eat at least a bit of citrus, you'll likely get gout.)

    In general, medicine treats disease. When medicine is used prophylactically (e.g. giving Cipro to someone who you think might have been exposed to airborne anthrax), its actual purpose is still treating disease, just treating it before it becomes symptomatic. Prescribing medicine to prevent disease (e.g. giving antibiotics to perfectly healthy animals so they won't get sick) is almost invariably a very bad idea. :-)

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    Check out my sci-fi/humor trilogy at PatriotsBooks.

  26. Re: New kind of therabpy, equivelent to Anti-bioti by JMZero · · Score: 1

    Yeah, see I think fruit fails as "medicine" not because it's preventative, but rather because I wouldn't call it a "drug or preparation". If you, say, ground up tree bark and snorted it to prevent a cold, I would have no problem calling that a medicine. I mean, there's foggy areas if you want there to be (oh, this "baked potato" is medicine because it's a "baked preparation" that I use to prevent the disease of "starvation"), but I think that definition is actually pretty solid in terms of matching how people use the word.

    And lots of perfectly reasonable medicine is preventative in just the way you seem to be against. I have no qualms with, say, getting vaccinated - even for a disease that I'm very unlikely to encounter. Different preventative medicines will have different pros and cons. And while vaccines might not spring to mind if I was asked to give examples of "medication", I do think it's reasonable to call them that.

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    Let's not stir that bag of worms...
  27. Re: New kind of therabpy, equivelent to Anti-bioti by dgatwood · · Score: 1

    Yeah, see I think fruit fails as "medicine" not because it's preventative, but rather because I wouldn't call it a "drug or preparation".

    Okay, how about orange juice, then. :-)

    The point is that medicine is a bit like pornography. I don't know how to define it, but I'll know it when I see it. :-D

    And lots of perfectly reasonable medicine is preventative in just the way you seem to be against. I have no qualms with, say, getting vaccinated - even for a disease that I'm very unlikely to encounter.

    I guess you could call vaccines a medication—in my mind, that's kind of a different animal altogether—but either way, I wasn't attacking vaccines with that comment, but rather dubious uses of medicine, such as giving people antibiotics without reason to believe that they have a bacterial infection, giving people aspirin just in case they might otherwise have a heart attack, putting everybody with even slightly elevated blood pressure on statins, and other similarly egregious treatments that are typically about as likely to cause problems as to prevent them.

    That said, in truth, that concern exists to some degree even for vaccines. Odds are good that if we vaccinated people against every possible virus, we would end up with way more allergies and autoimmune disorders, simply because the immune system would be looking for a lot more things and would attack them more rapidly. This is not to say that vaccines are bad—far from it. But the risks should still be carefully weighed when deciding whether the risk of death or serious consequences from an illness are high enough to warrant that incremental risk (in the aggregate), however slight it might be.

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    Check out my sci-fi/humor trilogy at PatriotsBooks.