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Good news in the fight against pancreatic cancer

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    By raising your hand,
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    how many of you know
    at least one person on the screen?
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    Wow, it's almost a full house.
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    It;s true, they are very famous
    in their fields.
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    And do you know what all of them
    have in common?
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    They all died of pancreatic cancer.
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    However, although it's very, very
    sad this news,
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    it's also thanks to their
    personal story
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    that we have raised awareness
    of how lethal this disease can be.
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    It was raised to be
    the third cause of cancer deaths
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    and only 8 percent of the patients
    will survive beyond five years.
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    That's a very tiny number,
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    especially if you compare it
    with breast cancer,
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    where survival rates is almost 90 percent.
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    So it doesn't really come
    as a surprise
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    that being diagnosed
    with pancreatic cancer
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    means facing an enormous
    certain death sentence.
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    What's shocking, though, is that
    in the last 40 years
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    this number hasn't changed a bit.
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    While much more progress
    has been done for other types of tumors.
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    So how can we make pancreatic cancer
    treatment more effective?
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    As a biomedical entrepreneur,
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    I like to work on problems
    that seem impossible,
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    understanding their limitations
    and trying to find
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    new innovative solutions
    that can change their outcome.
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    The first bad news with pancreatic cancer
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    is that your pancreas is in the middle
    of your belly, literally.
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    It's depicted in orange
    on the screen.
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    But you can barely see it until
    you remove
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    all of the other organs in front.
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    It's almost surrounded by many other
    vital organs,
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    like the liver, the stomach,
    the bile duct.
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    And the ability of this tumor to grow into
    these organs
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    is the reason why pancreatic cancer
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    is one of the most painful tumor types.
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    The hard-to-reach location
    also prevents the doctor
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    from surgically removing it,
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    as is routinely done for
    breast cancer, for example.
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    So all of these reasons leaves
    as the only option for patient
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    chemotherapy.
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    This brings us to the second bad news.
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    Pancreatic cancer tumors have
    very few blood vessels.
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    So why should we care
    about the blood vessel of a tumor?
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    Let's think for a second
    how chemotherapy works.
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    The drug is injected in the vein
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    and it navigates throughout the body
    until it reaches the tumor site.
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    It's like driving on a highway
    trying to reach a destination.
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    But what if your destination
    doesn't have an exist on the highway?
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    You will never get there.
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    And that's exactly the same problem
    for chemotherapy and pancreatic cancer.
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    The drugs navigate throughout
    all of your body.
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    They will reach healthy organs,
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    resulting in high toxic effect
    for the patients overall.
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    But very little will go to the tumor.
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    Therefore, the efficacy is so limited.
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    To me, it seems very counterintuitive
    to have a whole body treatment
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    to target a specific organ.
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    However, in the last 40 years,
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    a lot of money, research and effort
    has gone towards
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    finding new, powerful drugs
    to treat pancreatic cancer,
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    but nothing has been done
    in changing the way
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    it's delivered to the patient.
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    So here, after two bad news,
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    I'm going to give you
    good news, hopefully.
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    With a collaborator at MIT and the
    Massachusetts General Hospital in Boston,
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    we have revolutionized the way
    we treat cancer
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    by making localized drug delivery
    a reality.
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    We are basically parachuting you
    on top of your destination,
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    avoiding you from driving all around
    the highway.
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    We have embedded the drug into devices
    that looks like this one.
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    They are flexible enough that they
    can be folded to fit into the catheter
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    so that the doctor can implant
    directly on top of the rumor
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    with a minimal invasive surgery.
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    But they are solid enough that once
    they are positioned
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    on top of the tumor,
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    they will act as a cage.
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    They will actually physically prevent
    the tumor from entering other organs,
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    preventing mestaticies(?)
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    The devices are also biodegradable.
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    That means that once in the body,
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    they start dissolving,
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    delivering the drug only locally,
    slowly and more effective
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    than what it done with the current
    whole-body treatment.
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    In pre-clinical study,
    we have demonstrated
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    that this localized approach
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    is able to improve of 12x
    the response to treatment.
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    So we took a drug that is
    already known
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    and by just delivering it locally
    where it's needed the most,
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    we allow a response
    that is 12x more powerful,
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    reducing the systemic toxic effect.
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    We are working relentlessly to bring
    this technology to the next level.
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    We are finalizing the pre-clinical testing
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    and the animal model required
    to ask the FDA for approval
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    for clinical trials.
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    Currently, the majority of the patients
    will die of pancreatic cancer.
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    We are hoping that one day,
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    we can reduce their pain,
    extend their life,
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    and potentially make pancreatic cancer
    a curable disease.
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    By re-thinking the way we deliver
    the drug,
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    we don't only make them
    more powerful and less toxic,
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    we are also opening the door
    to finding new innovative solution
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    for almost all other impossible
    problems
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    in pancreatic cancer patients
    and beyond.
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    Thank you very much.
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    (Applause)
Title:
Good news in the fight against pancreatic cancer
Speaker:
Laura Indolfi
Description:

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Video Language:
English
Team:
closed TED
Project:
TEDTalks
Duration:
06:03

English subtitles

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