The Clinical Trial
Dr. Steven Rosenfeld and his team at NewYork-Presbyterian are exploring, in three clinical trials, if chlorotoxin, a substance derived from the venom of Deathstalker scorpions, is an effective treatment against malignant glioma, one of the most aggressive and deadliest forms of brain cancer. Patients with malignant glioma currently have limited treatment options and generally face a poor prognosis.
Dr. Rosenfeld’s research uses, in different combinations, radioactive and non-radioactive chlorotoxin delivered either locally (directly into the tumor site)
or
intravenously (through an IV; generally in the arm).
Chlorotoxin is not like chemotherapy or radiation, which destroy both cancerous and healthy cells. After entering the body, chlorotoxin binds only to cancerous cells. It may destroy them by inhibiting angiogenesis, the cells’ ability to grow blood vessels. The cancerous cells essentially starve.
During Dr. Rosenfeld’s first trial, which is now completed, patients received radioactive chlorotoxin via local delivery. With this method, a thin catheter is inserted through the skull, into the brain, and positioned to outflow directly into the tumor site.
In Dr. Rosenfeld’s second clinical trial, currently underway, patients receive non-radioactive chlorotoxin delivered intravenously.
Patients in the third clinical trial, which is scheduled to begin in several months, will receive radioactive chlorotoxin intravenously.
David Hume Kennerly