Irish Independent

This cancer treatment seems to stop flu and colds – varselta

- Prof Angus Dalgleish LONDON Angus Dalgleish is professor of oncology at St George’s University of London, and the principal of the Institute for Cancer Vaccines and Immunother­apy

WITH the death toll rising and no end in sight to the coronaviru­s lockdown, it might seem that several dark weeks lie ahead. But a possible developmen­t may offer a chink of light.

As a cancer immunologi­st, I have been involved with a number of clinical trials involving vaccines and other immune therapies. One of these is a mycobacter­ial product known as IMM-101, which has proved an effective treatment in melanoma and pancreatic cancer studies.

Intriguing­ly, a number of participan­ts in trials have remarked that, since having this “vaccine”, they have not suffered any flu or cold symptoms, often having succumbed every winter previously. Many were elderly, with more than one serious illness.

More recently, I was asked by colleagues in Norway, with whom I have collaborat­ed on a therapeuti­c HIV vaccine programme, to help with a Covid-19 inoculatio­n they have manufactur­ed, and which is being produced for trials. I suggested swapping the vaccine’s current adjuvant – an ingredient added to boost the immune response – with IMM-101. The result has now been supplied for pre-clinical studies.

It is encouragin­g that our candidate vaccine – along with several others around the world – is being made and tested, but, soberingly, it will not be available for some months. That’s why I would like to propose that, as a short-term immunity boost, health workers should be provided with IMM-101 shots.

IMM-101 is available immediatel­y and is safe, having been approved for cancer trials. It could quickly be used on frontline staff and I have asked colleagues to help design and agree on the best form a trial could take.

There will be obstacles to progress. There is no proof this will work on Covid19, I am told repeatedly when I have proposed this. Statistici­ans tell me that anecdotes are meaningles­s.

But IMM-101 shares

‘It could quickly be used on frontline staff ’

properties with the BCG vaccine, which protects against tuberculos­is, and may help us fill in the gaps.

My colleagues and I have dissected the mechanism of action of IMM-101 and have shown it stimulates the innate immune system that protects us from attack by viruses. The cells stimulated by IMM-101 include natural killers (NKs) and secrete cytokines which are known to kill viruses.

Many of these properties are shared with the BCG vaccine. BCG is not as effective, nor as safe, as IMM-101 in the context of immune-boosting clinical trials. Nonetheles­s, given its common basic properties with IMM-101, BCG does provide some fantastic statistica­l support for our proposal.

In particular, colleagues from America have published a paper in which they have tried to address a question that has been puzzling us all. Why are the mortality rates so different from country to country? For Covid-19, it appears that there may be a relatively simple answer. In the US, Italy and Spain, there have never been comprehens­ive BCG vaccine programmes, whereas countries like Japan, with a strong programme, have a low mortality rate.

Support for this hypothesis comes from another source. A recent study showing prior BCG exposure boosted the response to flu vaccinatio­n has led to colleagues proposing to inoculate frontline workers in the Netherland­s. This has been approved by their government. We have an even better product in IMM-101: it boosts antiviral defences more effectivel­y than BCG and without its negative effects.

Here is an opportunit­y to make a significan­t contributi­on to the scientific battle against Covid-19 – and protect health workers at the same time. We can’t let it pass us by.

 ??  ?? Professor of oncology Angus Dalgleish made proposal
Professor of oncology Angus Dalgleish made proposal

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