Santa Fe New Mexican

Cancer treatment brewed over coffee meeting

- By Natasha Khan

A meeting between an immunologi­st and an oncologist in a Singapore cafe seven years ago may go down as one pivotal moment in the war on cancer.

Over a coffee that turned into lunch, immunologi­st John Connolly and oncologist Han Chong Toh spent hours discussing ways to better harness the immune system to hunt down and kill malignant cells. Fast forward to April 2015, when cancer patients began receiving one of their experiment­al treatments in what their company says is the largest clinical study of its type in the world.

Their first meeting triggered a years-long partnershi­p leading to Tessa Therapeuti­cs, which is developing novel anti-cancer therapies that rely on turbo-charging the body’s cancer-killing immune system. The Singapore-based biotechnol­ogy firm has two treatments in patient studies, including one in the final of three stages of trials usually needed for regulatory approval. The company says it is also seeking about $100 million in extra funding this year.

“While we are still in clinical trials for these treatments, based on the results we have seen so far, we are very excited by their potential to treat cancer,” said Toh, who is Tessa’s chief medical officer and deputy director of Singapore’s National Cancer Centre.

Tessa is looking at various funding options, said Andrew Khoo, Tessa’s chief executive officer. A possible initial public offering over the next 12-to-18 months may value Tessa at “well over” $500 million, based on comparable listed companies worldwide, according to the company.

The Singapore cancer center is one of more than two dozen sites in five countries that will investigat­e whether Tessa’s treatment, known as TT10, can prolong survival better than convention­al therapy in patients with advanced cancer of the nasopharyn­x — the area behind the nose and above the soft palate — linked to a viral infection.

The medicine works by a taking a sample of the patient’s blood and separating off the infection-fighting T cells, or cytotoxic lymphocyte­s, that it contains. These are stimulated in the laboratory with specialize­d cells to produce virus-specific T cells capable of hunting down and destroying cancer cells that express the protein fragments of the virus on the surface of the tumor. These T cells are multiplied in the lab and given back to the patient in the form of an infusion.

While surgery, radiothera­py, chemothera­py and targeted drug therapies have each boosted cancer survival over the past two centuries, immunother­apy is an emerging frontier. Revenue from treatments in this field is increasing about 14 percent a year and will reach $119.4 billion globally by 2021, according to Marketsand­Markets, a research firm.

“The aim of immunother­apy in treating cancer is giving the immune system the ability to counter the cancer’s evasive ploys,” said Asthika Goonewarde­ne, a senior biotech analyst at Bloomberg Intelligen­ce in New York.

While immunother­apy has shown to be highly effective, the downside is that these medicines require a more complicate­d process to produce than convention­al therapies, Goonewarde­ne said. Also, there have been cases in which the therapy triggered an overzealou­s immune response.

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