Scientists are reporting the first clear success with a new approach for treating
leukemia _ turning the patients' own blood cells into assassins that hunt and destroy their
They've only done it in three patients so far, but the results were striking: Two appear
cancer-free up to a year after treatment, and the third patient is improved but still has
some cancer. Scientists are already preparing to try the same gene therapy technique for
other kinds of cancer.
"It worked great. We were surprised it worked as well as it did," said Dr. Carl June, a
gene therapy expert at the University of Pennsylvania. "We're just a year out now. We need
to find out how long these remissions last."
He led the study, published Wednesday by two journals, New England Journal of Medicine
and Science Translational Medicine.
It involved three men with very advanced cases of chronic lymphocytic leukemia, or CLL.
The only hope for a cure now is bone marrow or stem cell transplants, which don't always
work and carry a high risk of death.
Scientists have been working for years to find ways to boost the immune system's ability
to fight cancer. Earlier attempts at genetically modifying bloodstream soldiers called
T-cells have had limited success; the modified cells didn't reproduce well and quickly
June and his colleagues made changes to the technique, using a novel carrier to deliver
the new genes into the T-cells and a signaling mechanism telling the cells to kill and
That resulted in armies of "serial killer" cells that targeted cancer cells, destroyed
them, and went on to kill new cancer as it emerged. It was known that T-cells attack
viruses that way, but this is the first time it's been done against cancer, June said.
For the experiment, blood was taken from each patient and T-cells removed. After they
were altered in a lab, millions of the cells were returned to the patient in three
The researchers described the experience of one 64-year-old patient in detail. There was
no change for two weeks, but then he became ill with chills, nausea and fever. He and the
other two patients were hit with a condition that occurs when a large number of cancer
cells die at the same time _ a sign that the gene therapy is working.
"It was like the worse flu of their life," June said. "But after that, it's over.
The main complication seems to be that this technique also destroys some other
infection-fighting blood cells; so far the patients have been getting monthly treatments
Penn researchers want to test the gene therapy technique in leukemia-related cancers, as
well as pancreatic and ovarian cancer, he said. Other institutions are looking at prostate
and brain cancer.
Dr. Walter J. Urba of the Providence Cancer Center in Portland, Oregon, called the
findings "pretty remarkable" but added a note of caution because of the size of the
"It's still just three patients. Three's better than one, but it's not 100," said Urba,
one of the authors of an editorial on the research that appears in the New England
What happens long-term is key, he said: "What's it like a year from now, two years from
now, for these patients."
But Dr. Kanti Rai, a blood cancer expert at New York's Long Island Jewish Medical
Center, could hardly contain his enthusiasm, saying he usually is more reserved in his
comments on such reports.
"It's an amazing, amazing kind of achievement," said Rai, who had no role in the
One of the patients, who did not want to be identified, wrote about his illness, and
released a statement through the university. The man, himself a scientist, called himself
"very lucky," although he wrote that he didn't feel that way when he was first diagnosed 15
years ago at age 50.
He was successfully treated over the years with chemotherapy until standard drugs no
Now, almost a year since he entered the study, "I'm healthy and still in remission. I
know this may not be a permanent condition, but I decided to declare victory and assume
that I had won."