Doctors have developed
an injection that eradicated entire tumours in patients with
treatment-resistant cancers during a clinical trial, offering new hope for
thousands of people with limited treatment options.
The injection,
known as amivantamab, shrank tumours in 42 per cent of patients with recurrent
and metastatic head and neck cancer, according to an international study led by
the Institute of Cancer Research (ICR), London.
Researchers administered amivantamab to patients whose cancer had stopped responding to standard treatments, including immunotherapy and platinum-based
chemotherapy. Unlike many cancer drugs that require intravenous infusions, amivantamab is delivered through a small injection.The ICR said the
injectable treatment is faster and more convenient for patients, while also
being significantly easier to administer in outpatient clinics. It is given
every three weeks, and reported side effects were generally mild to moderate.
Amivantamab
has already been approved for several subtypes of lung cancer across different
lines of therapy.
Professor
Kevin Harrington, Professor of Biological Cancer Therapies at the ICR and
Consultant Oncologist at the Royal Marsden NHS Foundation Trust, described the
results as remarkable.
“These are
unprecedentedly strong responses in patients whose disease has become resistant
to both chemotherapy and immunotherapy,” he said.
“This is a
group of patients for whom treatment options are extremely limited, so seeing
this level of benefit is very striking. This treatment has the potential to
benefit many thousands of patients each year.”
Head and neck
cancer is the sixth most common cancer worldwide and affects around 12,800
people annually in the UK.
The trial
involved 102 patients with recurrent or metastatic head and neck squamous cell
carcinoma (HNSCC) whose cancer continued to progress despite standard
treatments. Participants were recruited from 55 hospitals across 11 countries
and received amivantamab as a standalone treatment. The drug is being developed
by Johnson & Johnson.
The results showed
that tumours shrank in 43 participants. Of these, 15 experienced complete
tumour disappearance, while 28 saw significant tumour reduction.
Researchers
found that patients receiving amivantamab lived for a median of 12.5 months
after starting treatment, despite having a cancer type associated with dire
outcomes once standard therapies fail.
Tumours
typically began responding within six weeks, and patients experienced a median
period of just over six and a half months before their cancer started growing
again.
One
participant with tongue cancer reported significant improvements in his quality
of life. During his 17th treatment cycle, he said the therapy had reduced his
pain and swelling and eliminated the debilitating side effects he previously
experienced during chemotherapy.
“I now feel
able to live a normal life,” he said in a statement released by the ICR.
“Before starting the
trial, I struggled to speak properly and found eating difficult because of the
swelling and pain.
“Since
beginning treatment, the swelling has reduced significantly, and my pain levels
have improved considerably. I’m also no longer experiencing the same
life-impacting side effects that I had during chemotherapy.”
Professor
Kristian Helin, Chief Executive of the ICR, said the findings mark an important
breakthrough in cancer treatment.
“Achieving
this level of tumour response and encouraging survival outcomes in such a
challenging-to-treat group represents a significant step forward,” he said.

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