Pancreatic cancer was almost invincible. A new targeted therapy just doubled survival

Pancreatic cancer has been, for decades, one of the biggest challenges of modern oncology. Its diagnosis usually arrives late and therapeutic options in advanced stages have historically been limited, accompanying a mortality very high. But a new experimental drug has hit the table by promising to double survival in patients who have the most severe forms of the disease. The protagonist of this revolution is called daraxonrasib and has come to light together with the data recently presented at the American Society of Clinical Oncology congress that has shaken the medical community, confirming that we are facing a possible paradigm shift for a disease that had not received good news for too long. More months. To understand the magnitude of the advance, you have to look at the results of the phase 3 trial, called RASolute 302. This study has focused on patients with metastatic pancreatic ductal adenocarcinoma who had already received previous treatments without success. Until now, the standard therapy, which is the well-known chemotherapy, in this second line of treatment offered a median overall survival of just 6.7 months. But it has been seen that, when administering daraxonrasibthe median overall survival shot up to 13.2 months. That is, practically double. And there is more. The trial, considered the first large phase three study of a drug of this type in this context, not only demonstrated an improvement in lifespan, but also in disease progression-free survival and in the objective response rate of tumors. The endorsement Although it may seem very promising and fanciful, we are seeing that this therapy is based on a scientific basis that had already been audited and published at the highest level. By this we refer to the published results of the previous phases of this trial that were public in The New England analyzing 168 previously treated patients, and a powerful antitumor activity was seen. But it is not without problems, since the NEJM article detailed that about a third of patients experienced significant adverse effects. However, in the context of metastatic pancreatic cancer, the risk-benefit balance is considered extraordinarily promising. An invincible enemy. The real technical triumph of daraxonrasib is its mechanism of action, since pancreatic cancer is known to be largely driven by mutations in the RAS gene family, and especially KRAS. And for more than 30 years, the scientific community considered that proteins mutated by KRAS were impossible to medicate. But now daraxonrasib is a multi-RAS inhibitor that acts on the mutations of this very specific protein that were the gateway to pancreatic cancer. This makes it the first pancreatic targeted therapy capable of offering sustained responses over time. The Spanish accent. The arrival at phase 3 does not mean that the research ends here, but rather that the scientific community is already looking for a way to enhance this drug with other drugs to prevent the tumor from ‘learning’ to endure it. In this field of preclinical biology, the work of Spanish researchers stands out. The group of the prestigious scientist Mariano Barbacid has already documented work in animal models using a triple combination that includes daraxonrasib along with other drugs that have been on many people’s lips recently. Images | MedinePlus CDC In Xataka | The Chinese company Alibaba has an AI to detect pancreatic cancer. It is so good that the US has accelerated its approval

Pancreatic cancer is a silent killer. A new experimental therapy has managed to “intercept” it before it attacks

Pancreatic cancer is classically known as one of the most lethal and feared that exist because of how difficult it can be to treat in some cases and the high mortality rates. But this high mortality rate is not due to its aggressiveness from minute 0, but to its stealthy nature, making it when he shows his face With the first symptoms, the disease is already in a very advanced phase that makes treatment very difficult. It’s where to act. In this way, the objective of the researchers is precisely to try to advance the diagnosis as much as possible, since treatment in the initial phases of the disease can give great results. And this is exactly what a new study that focuses on the ‘cancer interception’ strategy suggests. This is something that researchers at the University of Pennsylvania have focused on, who have achieved a vitally important advance in mouse models. And the fact is that, instead of focusing on attacking the already formed pancreatic tumor of considerable size, they have directed their artillery against the microscopic precursor lesions, known as PanIN. Its foundation. This is something that can be reduced to literally putting out the fire when it is still just a small spark. And as the specialized media report, by removing these microscopic lesions precancerous diseases, researchers manage to stop the advance towards the dreaded pancreatic adenocarcinoma in mice, proposing a total paradigm shift in how we could face this disease. Genetics is key. Something that has been known for a long time is that there are people who have a genetic predisposition to suffer from this disease. Specifically, in more than 90% of cases, the mutation responsible for triggering the disease is found in a gene called KRAS. A gene that for decades was considered “unapproachable” by classical pharmacology and that acted as a great shield against the disease. However, medicine is advancing in leaps and bounds, and this study uses selective inhibitors for this gene with the aim of silencing it precisely in PanIN lesions. In this way, by neutralizing the growth signals that the KRAS gene gives to tumor cells, they cannot take the step to begin to spread throughout the body, which causes the most serious symptoms. Mice today, hope for tomorrow. Logically, we must put our feet on the ground, since we are dealing with a preclinical study. That is, the therapy has proven to be a resounding success in animal models, but there is still a long way to go until this therapy can be used in a human in a hospital, since it must be seen that the effect is similar in our organisms. However, this research fits perfectly with the new medical philosophy against pancreatic cancer. As highlighted by the National Cancer Research Center (CNIO) in his recent communicationsthe future undoubtedly involves knowing the personalized risk and ensuring that those people who are more likely to suffer from pancreatic cancer due to their genetics receive exhaustive screening to detect the disease in time and increase the probability of survival. Images | Bioscience Image Library In Xataka | A Spanish milestone against pancreatic cancer: we are one step closer to eradicating it but there is still a long way to go

The Chinese company Alibaba has an AI to detect pancreatic cancer. It is so good that the US has accelerated its approval

The applications of the artificial intelligence (AI) They go far beyond what models such as Chatgpt, Deepseek or Dall-E offer us, among many others. These services are already part of the day -to -day life of many people, but AI is present in many other areas in which is already making a differencesuch as The design of new materialsthe development of drugs or medical diagnosis. The innovation in which we are about to investigate belongs to this last scenario of use. And it is that the Damo Academy, which is the branch dedicated to the investigation of the gigantic Chinese company Alibaba, has developed an AI tool that is capable of detecting in an early phase and in asymptomatic patients one of the types of cancer with the worst prognosis: that of pancreas. The figures of this disease are shocking. Is The seventh cause of cancer death globally even though the twelfth type of this most frequent evil. And survival after diagnosis, unfortunately, does not exceed 10%. The FDA is accelerating the approval of this Alibaba technology When the protagonist is the health of the people it is encouraging to verify that two superpowers faced with The virulence with which they are Currently USA and China are able to leave their differences aside. The first contact with AI developed by the Damo Academy to identify pancreas cancer in November 2023 thanks to an article published in the Medicine magazine Nature Medicine. Some treatments have taken between 10 and 12 years to be approved by the relevant agencies The approval of an innovation of these characteristics by the European Medicines Agency, known as EMA for its English denomination (European Medicines Agency), or the FDA (Food and Drug Administration) of the USA, requires investing a lot of time. Some treatments have taken between 10 and 12 years to be approved if we count the time elapsed from the moment the initial idea arose until it received the final blessing from these agencies. However, this alibaba presumably will be able to be used with patients in much less time. And is that, according to SCMPthe FDA has initiated the process of accelerated review and approval of Panda (Pancreatic Cancer Detection with Artificial Intelligence), which is what is the name of the model developed by Alibaba. This deep learning model It has been trained with computerized abdominal tomographies without contrast of 3,208 patients with pancreatic cancer. And, according to preliminary tests, it is 34.1% more sensitive than radiologists when identifying this disease. Alibaba has already used Panda to examine 40,000 people in a hospital in NOBO (China), and identified six cases of early pancreatic cancer. Two of them were overlooked by radiologists during routine exams. Image | MART PRODUCTION More information | Nature Medicine | SCMP In Xataka | We did not know why some superbacteria were resistant to antibiotics. This AI has found it in two days

We are one step closer to converting pancreatic islet transplants into a functional therapy against type 1 diabetes

The incidence of Type 1 diabetes It is less than that of its “sister”, but the World Health Organization esteem that more than 64 million people suffer only in Europe. In Spain, the number of cases exceeds 166,000 according to estimates of the National Health System. A new path. A study led by researchers from the University of Leiden has presented a new production method of endocrine cell groupings for transplantation. This tool could help us advance in this type of treatments against type 1 diabetes. Pancreatic islets. The work focuses on the pancreatic islet transplant. These islets are “groupings” of endocrine cells, hormone producing cells. Type 1 diabetes is triggered when our own immune system attacks pancreatic beta cells, insulin producing cells. The problem of transplanting these islets is to obtain them. An option is to obtain them from deceased donors, but this limits their availability. Another option is to “cultivate them” in laboratory from induced pluripotent stem cells. Easier to say than to do. However, there is a problem to solve, and these stem cells can differentiate themselves in the endocrine cells we are looking for, but they can also differentiate in other cells. “This is a problem because if you want to generate a reliable and safe product we need to be very pure, and that it does not vary in composition or purity from one lot to another,” explained to Sinc Adrián Villalba, an immunologist who works precisely in the development of this type of islets. A new method. In the new work, the team raises a new mechanism that facilitates the process of purifying unwanted cells without harming the integrity of the islets to be transplanted. The mechanism is based on density gradient centrifugation, used to enrich endocrine cell clusters and reduce the number of unwanted cells. The team tested their method successfully in mice. They observed that the transplanted islets remained viable for a period of six months. The details of the study were published In an article In the magazine Translational Medicine Science. A future still distant. Animals in animals are a key step, but it remains to be determined to what extent we can replicate the success of these first experiments in human cells. The success achieved so much in alive as In vitrothey point to optimism for now, but there is still time until we can see this progress turned into therapy. The team stands out in your work that this is a “fast” and “scalable method to large volumes of cells.” A method that can also be applied to cellular “manufacturing.” They also indicate the possibility of applying this method to contribute to the creation of new and improved cells based on cells in regenerative medicine, “beyond the field of islets (stem cells).” In Xataka | The 42,000 punctures of Elizabeth Hughes and the miraculous discovery of insulin Image | ISENS USA / Jakob Suckale

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