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Avelas Biosciences, San Diego’s biotechnology, helps surgeons remove tumors by making them glow

 


La Jolla-based Avelas Biosciences reported on August 4 that surgeons are less likely to leave a trace of breast cancer when operating on patients who were given molecules designed to light up tumors. did.

About 4 out of 10 women in breast cancer trials who were not given the molecule left cancer after surgery. But only one in ten women whose tumors were labeled with a glowing molecule had cancer left after surgery, the company said.

“This can really change the way we do breast cancer surgery,” said Dr. Sheryl Olson, a breast cancer surgeon at Scripps MD Anderson Cancer Center, which has no connection to the company or clinical trials.

Excising a tumor is not an exact science. Surgeons often rely on how the tumor looks and feels and on surgical experience to know where to remove it. To find out that the surgery has been completed, the surgeon removes the small ring that surrounds the tumor. This ring, called the margin, is what a pathologist examines for signs of cancer.

Some cancers are left behind in between 20% and 40% of breast cancer surgeries. In these cases, the patient will have to undergo a second surgery. Dr. Ann Wallace, director of UC San Diego Health Comprehensive Breast Health Center, may choose to remove the entire breast rather than the risk of remaining underlying cancer cells.

If there was a way to be sure that the surgeon had removed enough tissue during the surgery, that could all be avoided.

That’s where the Avelas molecule comes in. This molecule reacts with proteins found in cancer cells, but not in healthy cells. When flashing blue light, the breast tumor glows green.

Wallace has directed the first clinical trial of the molecule at UCSD, which has shown it to be safe. The latest results from a study of approximately 120 women with breast cancer suggest that this molecule may be a useful tool for surgeons.

Jay Lichter, CEO of Avelas, said he plans to discuss trial results with the US Food and Drug Administration by the end of this year. Based on that conversation, Avelas may immediately apply for FDA approval with the goal of selling the molecule by 2023.

“We have a really good way to meet people and tell them stories about how this works and how it benefits patients,” Richter said.

The company is also investigating whether the molecule can help surgeons get rid of tumors in other types of cancer, such as ovarian, colon, and head and neck cancers.

Avelas’ approach is based on Roger Tsien’s work, which shed light on the chemistry behind some jellyfish glowing in the dark. UCSD biochemist Tsien, who received the 2008 Nobel Prize in Chemistry, died in 2016. But his findings shed light on the path to another local biotechnology, Alume Biotechnologies. Brighten the nerves To prevent the surgeon from cutting them. ◆

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