The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer

Local regional recurrence (LRR) remains the primary cause of treatment failure in solid tumors despite advancements in cancer therapies. Canady Helios Cold Plasma (CHCP) is a novel Cold Atmospheric Plasma device that generates an Electromagnetic Field and Reactive Oxygen and Nitrogen Species to indu...

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Main Authors: Jerome Canady, Saravana R. K. Murthy, Taisen Zhuang, Steven Gitelis, Aviram Nissan, Lawan Ly, Olivia Z. Jones, Xiaoqian Cheng, Mohammad Adileh, Alan T. Blank, Matthew W. Colman, Keith Millikan, Cristina O’Donoghue, Kerstin M. Stenson, Karen Ohara, Gal Schtrechman, Michael Keidar, Giacomo Basadonna
Format: Article
Language:English
Published: MDPI AG 2023-07-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/14/3688
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author Jerome Canady
Saravana R. K. Murthy
Taisen Zhuang
Steven Gitelis
Aviram Nissan
Lawan Ly
Olivia Z. Jones
Xiaoqian Cheng
Mohammad Adileh
Alan T. Blank
Matthew W. Colman
Keith Millikan
Cristina O’Donoghue
Kerstin M. Stenson
Karen Ohara
Gal Schtrechman
Michael Keidar
Giacomo Basadonna
author_facet Jerome Canady
Saravana R. K. Murthy
Taisen Zhuang
Steven Gitelis
Aviram Nissan
Lawan Ly
Olivia Z. Jones
Xiaoqian Cheng
Mohammad Adileh
Alan T. Blank
Matthew W. Colman
Keith Millikan
Cristina O’Donoghue
Kerstin M. Stenson
Karen Ohara
Gal Schtrechman
Michael Keidar
Giacomo Basadonna
author_sort Jerome Canady
collection DOAJ
description Local regional recurrence (LRR) remains the primary cause of treatment failure in solid tumors despite advancements in cancer therapies. Canady Helios Cold Plasma (CHCP) is a novel Cold Atmospheric Plasma device that generates an Electromagnetic Field and Reactive Oxygen and Nitrogen Species to induce cancer cell death. In the first FDA-approved Phase I trial (March 2020–April 2021), 20 patients with stage IV or recurrent solid tumors underwent surgical resection combined with intra-operative CHCP treatment. Safety was the primary endpoint; secondary endpoints were non-LRR, survival, cancer cell death, and the preservation of surrounding healthy tissue. CHCP did not impact intraoperative physiological data (<i>p</i> > 0.05) or cause any related adverse events. Overall response rates at 26 months for R0 and R0 with microscopic positive margin (R0-MPM) patients were 69% (95% CI, 19–40%) and 100% (95% CI, 100–100.0%), respectively. Survival rates for R0 (n = 7), R0-MPM (n = 5), R1 (n = 6), and R2 (n = 2) patients at 28 months were 86%, 40%, 67%, and 0%, respectively. The cumulative overall survival rate was 24% at 31 months (n = 20, 95% CI, 5.3–100.0). CHCP treatment combined with surgery is safe, selective towards cancer, and demonstrates exceptional LRR control in R0 and R0-MPM patients. (Clinical Trials identifier: NCT04267575).
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spelling doaj.art-628e24fdd1fc48669c9a77d9afe817782023-11-18T18:42:43ZengMDPI AGCancers2072-66942023-07-011514368810.3390/cancers15143688The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for CancerJerome Canady0Saravana R. K. Murthy1Taisen Zhuang2Steven Gitelis3Aviram Nissan4Lawan Ly5Olivia Z. Jones6Xiaoqian Cheng7Mohammad Adileh8Alan T. Blank9Matthew W. Colman10Keith Millikan11Cristina O’Donoghue12Kerstin M. Stenson13Karen Ohara14Gal Schtrechman15Michael Keidar16Giacomo Basadonna17Department of Translational Research, Jerome Canady Research Institute for Advanced Biological and Technological Sciences, Takoma Park, MD 20912, USADepartment of Translational Research, Jerome Canady Research Institute for Advanced Biological and Technological Sciences, Takoma Park, MD 20912, USADepartment of Translational Research, Jerome Canady Research Institute for Advanced Biological and Technological Sciences, Takoma Park, MD 20912, USADepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgical Oncology/General Surgery, Chaim Sheba Medical Center, Ramat Gan 52621, IsraelDepartment of Translational Research, Jerome Canady Research Institute for Advanced Biological and Technological Sciences, Takoma Park, MD 20912, USADepartment of Translational Research, Jerome Canady Research Institute for Advanced Biological and Technological Sciences, Takoma Park, MD 20912, USADepartment of Translational Research, Jerome Canady Research Institute for Advanced Biological and Technological Sciences, Takoma Park, MD 20912, USADepartment of Surgical Oncology/General Surgery, Chaim Sheba Medical Center, Ramat Gan 52621, IsraelDepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgery, Rush University Medical Center, Chicago, IL 60612, USADepartment of Surgical Oncology/General Surgery, Chaim Sheba Medical Center, Ramat Gan 52621, IsraelDepartment of Mechanical and Aerospace Engineering, The George Washington University, Washington, DC 20052, USADepartment of Surgery, University of Massachusetts Chan Medical School, Worcester, MA 01854, USALocal regional recurrence (LRR) remains the primary cause of treatment failure in solid tumors despite advancements in cancer therapies. Canady Helios Cold Plasma (CHCP) is a novel Cold Atmospheric Plasma device that generates an Electromagnetic Field and Reactive Oxygen and Nitrogen Species to induce cancer cell death. In the first FDA-approved Phase I trial (March 2020–April 2021), 20 patients with stage IV or recurrent solid tumors underwent surgical resection combined with intra-operative CHCP treatment. Safety was the primary endpoint; secondary endpoints were non-LRR, survival, cancer cell death, and the preservation of surrounding healthy tissue. CHCP did not impact intraoperative physiological data (<i>p</i> > 0.05) or cause any related adverse events. Overall response rates at 26 months for R0 and R0 with microscopic positive margin (R0-MPM) patients were 69% (95% CI, 19–40%) and 100% (95% CI, 100–100.0%), respectively. Survival rates for R0 (n = 7), R0-MPM (n = 5), R1 (n = 6), and R2 (n = 2) patients at 28 months were 86%, 40%, 67%, and 0%, respectively. The cumulative overall survival rate was 24% at 31 months (n = 20, 95% CI, 5.3–100.0). CHCP treatment combined with surgery is safe, selective towards cancer, and demonstrates exceptional LRR control in R0 and R0-MPM patients. (Clinical Trials identifier: NCT04267575).https://www.mdpi.com/2072-6694/15/14/3688cancer treatmentsurgical margin treatmentlocal regional recurrencecold atmospheric plasmasolid tumorsbreast cancer
spellingShingle Jerome Canady
Saravana R. K. Murthy
Taisen Zhuang
Steven Gitelis
Aviram Nissan
Lawan Ly
Olivia Z. Jones
Xiaoqian Cheng
Mohammad Adileh
Alan T. Blank
Matthew W. Colman
Keith Millikan
Cristina O’Donoghue
Kerstin M. Stenson
Karen Ohara
Gal Schtrechman
Michael Keidar
Giacomo Basadonna
The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer
Cancers
cancer treatment
surgical margin treatment
local regional recurrence
cold atmospheric plasma
solid tumors
breast cancer
title The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer
title_full The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer
title_fullStr The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer
title_full_unstemmed The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer
title_short The First Cold Atmospheric Plasma Phase I Clinical Trial for the Treatment of Advanced Solid Tumors: A Novel Treatment Arm for Cancer
title_sort first cold atmospheric plasma phase i clinical trial for the treatment of advanced solid tumors a novel treatment arm for cancer
topic cancer treatment
surgical margin treatment
local regional recurrence
cold atmospheric plasma
solid tumors
breast cancer
url https://www.mdpi.com/2072-6694/15/14/3688
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