Ariz. — If you ask most experts in the cancer community, creating a wide-ranging vaccine that prevents tumors like we prevent infectious diseases is near impossible.
The idea may be tantalizing, but study after study over the last several decades has taught doctors that cancer is personal. Everyone's looks different on a molecular level. And each tumor is an agile, devious adversary that mutates as it grows to outwit the human immune system.
These dogs are getting a cancer vaccine. If it works, humans could be next. https://t.co/kCwK1i7Yjj pic.twitter.com/im031yG3Ft
— CNN (@CNN) June 23, 2019
"They may be right," Stephen Johnston says, but "if the chance is 10% that it might work, I can't see any reason why we shouldn't take that chance."
Johnston isn't an oncologist. He's a scientist, inventor and director of Arizona State University's Center for Innovations in Medicine. He recently launched a clinical trial to test a cancer vaccine in hundreds of dogs across the country. The trial will examine whether the vaccine delays or prevents a variety of cancers in healthy, older dogs. If it's successful, Johnston says, it could lay the groundwork for developing a similar vaccine for humans.
Why dogs?
Johnston initially wanted to test the vaccine in humans, but the cost and approval process were proving to be major roadblocks. Then Johnston met veterinarian Doug Thamm. Thamm is a cancer survivor and director of clinical research at Colorado State University's Flint Animal Cancer Center.
"Cancer is actually the leading cause of death in adult dogs," Thamm says. "They develop these tumors spontaneously as a result of old age in a way that's very, very similar to the way humans do."
Staff at Colorado State University's Flint Animal Cancer Center prepare a cancer patient named Gordon to receive chemotherapy.
Many canine cancers are also similar to human cancers on a molecular level. This has a lot to do with our shared environments, Thamm explains -- we breathe the same air, drink the same water, run on lawns sprayed with the same chemicals. Thamm told Johnston dogs are also ideal for a study like this because they don't live as long as humans, so researchers will be able to see if the vaccine works in three to five years instead of 10 to 30.
So Thamm and Johnston decided to undertake what they say is the largest interventional clinical trial ever in canines. It's called the Vaccination Against Canine Cancer Study.
As part of the trial, veterinarians screen the volunteer participants for any health problems. Half of the dogs will receive the vaccine and the other half will receive a placebo. Neither the owners nor the vets know which dogs are getting the vaccine, so they can't impact the study results. The dogs will receive four doses initially, and then yearly boosters for five years as long as the study continues.
It's a clinical trial model that's worked before, says Dr. J. Leonard Lichtenfeld, the interim chief medical officer at the American Cancer Society. The cancer drug Imbruvica, for example, was first tested in dogs before being developed for humans.
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There are two possible outcomes, says Thamm. "One is there is less cancer in the dogs that get the vaccine. That would be a huge victory."
"A second outcome that could be, I would argue, almost as valuable, is if we delay the onset of cancer. If we have a 9-year-old dog who would normally get cancer at 10 and instead that dog doesn't get cancer until 12, that's two more years of healthy life that we can potentially provide."
Of course, there's a third possibility: that the vaccine doesn't work at all.
Fraser, a healthy chocolate lab, is a participant in the Vaccination Against Canine Cancer Study.
Thamm emphasizes that they are not inducing cancer in the dogs participating in the trial; the dogs will be given the vaccine and then followed in their normal environments for the next several years.
"Owners have really been overwhelmingly positive about the idea behind this trial. They, of course, loved the idea that they have the potential to participate in research that might help other dogs, and even people in the future."
CNN reached out to PETA, People for the Ethical Treatment of Animals, which said the study appears to be similar to human clinical trials where the subjects are volunteers and allowed to continue to live in their own homes. PETA opposes experiments where animals are held in artificial conditions and then killed.
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CNN