Page 16 - SFHN JAN 2022
P. 16

ONCOLOGY UPDATE


                                                                                                             A Powerful Weapon

                                                                                                            in the Battle Against


                                                                                                                  Blood Cancers


                                                                                    A new form of immuno -                        lymphoma, Mantle cell lym-
                                                                                  therapy now available in                        phoma, Follicular lym-
                                                                                  Broward County is helping                       phoma, Transformed follic-
                                                                                  blood cancer patients battle                    ular  lymphoma,    and
                                                                                  their disease and, in some                      Primary mediastinal B cell
                                                                                  cases, do it without some of                    lymphoma with different
                                                                                  the most serious side effects                   CAR-T cell products. In
                                                                                  associated with chemothera-                     2022, we are looking to
                                                                                  py. Based on evidence from                      expand the CAR-T cell ther-
                                                                                  pivotal, clinical trials in                     apy services to patients with
                                                                                  which colleagues at H. Lee                      multiple myeloma and offer
                                                                                  Moffitt Cancer Center par-                      CAR-T clinical trials in part-
                                                                                  ticipated and from what   BY JOSE SANDOVAL-     nership with Moffitt.
                                                                                  we’ve seen since Chimeric    SUS, MD,FACP
                Pediatric Specialists                                             Antigen Receptor (CAR) T            Broward County
                                                                                                                                  First Patient in
                                                                                  Cell Therapy was FDA approved for wide-
                                                                                  spread use, the treatment is a game-chang-  The best news is the dramatic effect the
                          Now in Doral                                            er for patients with B-cell acute lym-  immunotherapy has had for our patients.
                                                                                  phoblastic leukemia, aggressive B-cell
                                                                                                                      Leticia Lopez, a former Plantation resident
                                                                                  non-Hodgkin lymphomas, and multiple   now living in Henderson, Nevada, had
                                                                                  myeloma patients that have relapsed after   struggled with Diffuse Large B cell lym-
                The most advanced pediatric
                                                                                  multiple lines of conventional treatments.   phoma since 2007. Multiple rounds of
                specialty care is now in the heart of                               CAR-T therapy involves harvesting a   chemotherapy, radiation and even autolo-
                Doral, just across from CityPlace.                                patient’s T cells from blood and genetically   gous stem cell transplant would keep the
                                                                                  altering them to produce synthetic mole-  disease at bay for periods during the last
                KIDZ Medical, a multispecialty                                    cules on the surface of these cells called   decade and half, only to have it return
                pediatric practice, can provide                                   chimeric antigen receptors (CARs) that   each time. Last June, she returned to
                                                                                  better equip them to fight these cancers.   South Florida for a pet scan to confirm
                your children with state-of-the-art                               The modified cells are introduced to the   what she already suspected: the unrelent-
                medical care and you, the parent, with peace of                   body through a blood transfusion, with   ing feeling that something was stuck in
                                                                                  the CARs enabling the T cells to recognize   her throat was indeed the return of cancer.
                mind. Our medical team can see your kids for cardiology,
                                                                                  and attach to a specific protein in the   It was then, at 74-years-old, Leticia
                nephrology, gastroenterology, pulmonary medicine,                 membrane of tumor cells and kill them   decided she would live out her remaining
                                                                                  while minimizing damage to healthy cells.   days as best as could, unwilling to subject
                travel medicine and much more.
                                                                                    We’ve traditionally treated blood can-  herself to the side effects and collateral
                                                                                  cers with chemotherapy and antibodies   damage additional, extended rounds of
                Medical Staff in Doral:                                           and while those are still important pieces   chemotherapy would cause.
                Abdulwahab Aldousany, MD - Pediatric Cardiology                   of the puzzle, having this new treatment
                                                                                  option is important for several reasons. In   Favorable Prognosis
                Mariselis Rosa-Sanchez, MD - Pediatric Nephrology                 addition to being less toxic than some of   Timing, however, was finally on Leticia’s
                Sheila Perez-Colon, MD - Pediatric Endocrinologist                the aggressive treatments used to cure   side. CAR-T cell therapy had recently been
                                                                                  blood cancer in patients that have relapsed   approved and she was a candidate we
                Kunjana Mavunda, MD - Pediatric Pulmonology &
                                                                                  (i.e. stem cell transplantation), it can be   thought would benefit from the approach.
                   Travel Medicine                                                effective in cases where the patient’s body   In late September Leticia chose to undergo
                                                                                  no longer responds to classic chemothera-  the procedure, having her blood drawn so
                Mario Tano, MD - Pediatric Gastroenterology
                                                                                  py drug combinations.               that the T cells could be reengineered and
                Aymin Delgado-Borrego, MD - Pediatric Gastroenterology              In those situations, picture the cancer   then reintroduced into her body with the
                Neeraj Raghunath, MD - Pediatric Gastroenterology                 cells being bulletproof to traditional   weaponry to successfully attack cancer
                                                                                  chemotherapy, enabling them to continue   cells. I’m excited to report that the tumor
                                                                                  to reproduce. These cancers can also hide   near the base of Leticia’s neck is gone and
                If you would like to discuss your child’s care, please
                                                                                  from the patient’s immune system (i.e.   within recent weeks she reported feeling
                contact Isabel Viera Gonzalez, Office Manager.                     normal T-cell), which would normally get   “like nothing had happened.” Two subse-
                                                                                  rid of these abnormal cells. But now we’ve   quent scans were clean, showing no signs
                                                                                  introduced CAR-T and the tumor cells   of the disease. Our girl is cancer-free, and
                                                                                                                      with tremendous optimism that this time
                                                                                  haven’t yet figured out this new opponent,
                   K K             I I                   Z Z                      so they’re not able to camouflage from   it’s for good!
                                                                                                                        CAR-T cell therapy changed the trajec-
                                                                                  them. In the best-case scenario, the cancer
                                                                                                                      tory of Leticia’s life and we’re seeing it have
                                                                                  cells are powerless to prevent the attach-
                                                                                                                      similar results for other patients as well.
                                                                                  ment, especially since the CAR-T cells
                                                                                  bring the rest of the immune system with
                                                                                                                        If you or someone you know has one of
                                                                                  them to the battle.
                                                                                                                      to learn more about this new form of
                                                                                                                      the blood cancers listed above, I urge you
                                                                                  Strategic Partnership               immunotherapy by calling (954) 265-
                                                                                    Much of what we’re accomplishing
                            Medical                                               locally is the result of an alliance formed in   4325 or visiting our website at https://mof-
                                                                                                                      fitt.org/treatments/immunotherapy/cellu-
                                                                                  2017 between the Tampa-based H. Lee
                                                                                                                      lar-immunotherapy/car-t-therapy/ to begin
                                                                                  Moffitt Cancer Center and South Florida’s   the process of determining whether CAR-
                                                                                  Memorial Healthcare System. At that time,   T may be a treatment option.
                    Providing care to infants, children                           the two healthcare organizations created a
                                                                                  malignant hematology & cellular therapy     Dr. Jose Sandoval-Sus is fellowship-
                            and moms since 1988                                   program on the campus of Memorial     trained in oncology and hematology and a
                                                                                  Hospital West in Pembroke Pines. Today, it   specialist at the Moffitt Malignant
                                                                                  is the is the only facility in Broward and   Hematology and Cellular Therapy program
             3785 NW 82nd Ave, Suite 307, Doral, FL 33166, 305-556-4263           Palm Beach counties currently offering   established in partnership with Memorial
                                                                                  CAR-T as a treatment for Acute lym-                    Healthcare System.
                                                                                  phoblastic leukemia, Diffuse large B-cell

         16                        January 2022                                                          southfloridahospitalnews.com                                                                       South Florida Hospital News
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