New Cancer Treatment Technique

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http://blogs.zdnet.com/Foremski/?p=760

The article isn't really the best written, mostly just notes of what the guy behind the project said but it is short and to the point.


Robert Goldman CEO Vascular Designs


I meet a lot of Silicon Valley companies but rarely do I come across a story as inspiring as this one. Robert Goldman is the founder of Vascular Designs, a company that just won FDA approval to sell a breakthrough medical device that could save the lives of countless terminally ill cancer patients.


It’s a story of Mr Goldman’s efforts to try and save his sister, diagnosed with terminal cancer. It’s a story of his stubbornness to try and succeed in an area he knew absolutely nothing about, and with experts that told him it couldn’t be done.


It’s also a story of discovering a calling, to help others.


It all began in the late 1990s after Mr Goldman had sold key intellectual property to Intellectual Ventures, the IP licensing company founded by Nathan Myhrvold, the former Microsoft CTO. He had enough money that he didn’t need to work anymore.


But he was unable to enjoy his early retirement for long because his sister was diagnosed with terminal cancer.




Here are some notes from our conversation:
- I wanted to help my sister as much as I could. I went to Medline, where there are hundreds of thousands of documents describing clinical studies, to see what I could find.


- There are billions of dollars spent every year on clinical studies. I was surprised to discover that there were sometimes clinical studies of treatments for which there were no clinical applications. The trials would show successful results but no clinical applications.


- I found a 1987 Italian funded set of clinical studies that showed successful treatment of tumors by the application of chemotherapy directly into the tumors. But I could find nothing since then.


- Tumors develop a feeder vessel that provides them with blood. I came up with an idea that if you could make a catheter small enough, you could thread it through a patient’s blood vessels and directly into the tumor’s feeder. You would then be able to direct chemotherapy straight into the tumor.


- I decided to design and make the device. I founded Vascular Designs in 2001.


- Medical device startup companies generally take a lot of money, around $25 million is a fairly typical first round capital requirement.


- I had absolutely no idea what I was doing, or what it would take. But I wanted to make sure I wasn’t completely delusional. I thought I would start at Stanford and met with Dr. Michael Dake, professor of cardiothoracic surgery at Stanford University School of Medicine. He told that me if I could produce the device it might very well work.


- But there were many people who told me it couldn’t be done, or that the materials wouldn’t work, or that I would never get it through the FDA process. I would ask them if this is because they had done the research? They said no, they hadn’t, but it wouldn’t work anyway.


- I ignored their advice. I was determined to go ahead with it because I wanted to help my sister as much as possible, even though I had absolutely no idea what I was doing.


- I managed to outsource a lot of the work. I found a company in Santa Cruz, through the Internet, that could help me with the design.


- The first catheter we produced we were told it was too big. There was no easy way to scale it down. We had to start again.


- It took us two years to do the engineering. And it has taken the FDA seven years and two months to approve the product for sale. We were able to shorten the FDA process a little by saying that it was similar to other devices that had already been approved.


-Because the FDA is so strict it will be very easy to get approval in other countries.


- We are now just 2 months away from using it in cancer treatments.


- It cost just $1.8 million to develop. I did raise some funding only because some good people I knew wanted to be a part of this and this was how they could participate. They will make a lot of money from this, which is good because they can put it towards the development of other life saving products.


- I’m hoping that if people read about this device they will bring it to the attention of their doctors despite some medical practitioners not believing that it can be done. When you have terminal cancer and you have exhausted all other treatments why wouldn’t you want to try this?


- There was no prior intellectual property around this device, we own the IP. The market for this runs into the billions of dollars.
- I’m not interested in the money, I already have enough money. I just want to help people. We want to make sure that this is available to people who can’t afford the treatment. Why should this be only for the rich?


- It’s too late for my sister. She died and suffered terribly. I can’t wait to meet the first person and their family that will benefit from this. I’ve found my agenda in life and it’s about helping people.


- - -


Mr Goldman showed me the catheter, a long very thin teal colored tube that is attached to three plungers. When Inserted into a blood vessel (a clear plastic tube for the demo) the plungers inflate two balloons that produce a tight fit. This cuts blocks blood flow to the tumor. A separate plunger can then deliver chemotherapy directly into the tumor. The device can be used to treat any solid tumor, breast cancer, brain cancer, pancreatic, etc.


Here is a video of how it works:
 
Chaz ripped me (in the form of a comic, but I admit it drove his point home) the other day for saying that companies were to interested in treating rather than curing cancer. I admit that the evidence presented does lead to agree with his standpoint. I know I didn't present my idea that people were not interested in curing cancer. Cure and treat I also admit are different words and can be used for different effects.

I didn't bother following up on it and I won't choose to now.

But reading this, I hope that this, or something like this, can be used to help my uncle. He was just recently diagnossed with cancer in his throat, tongue, and possibly a node under his shoulder. The diagnosis is basically "It doesn't come any worse than this."

I have nothing else to say on the subject, but I hope.

....

p.s.

for the record, my uncle never smoked a day in his life. I know the immediate reaction is that if it's in the mouth throat etc it must come from smoking, but his did not.
 
I really take issue with the "what's the harm?" school of thought on treatments, but I make an exception for the terminally ill. It will be interesting to see the data on the success rate for this but I'm not going to go by the guy's own comments on how great it is. I do remember when he started this project and it's awesome he's gotten this far with it, though.

TN, I hope for a good outcome for your uncle, that is scary news.
 
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Chazwozel

Why would anyone use this technique vs. a minimal invasive surgery technique followed by low dose targeted radiation therapy? This guy seems to miss the point that malignant tumors caused by migrating cancer cells breaching the basal cell line are the problem in cancer cases, not singular masses that can be removed by surgery. Take the case of Necros uncle, that node is probably referring to a lymphatic node. Lymphatic cancers have such a high risk of death because like your circulatory system, your lymphatic ducts drain all over your body. Once one of those little fuckers gets mobile it can travel everywhere and make more little fuckers all over.

I think that his invention could be used better for removing plaques in blood vessels in high risk heat attack patients rather than used as a tool to apply specific chemotherapy treatment to a tumor.

Hell I'm not even a medical doctor and I can see how useless this is. Why do such an invasive technique when surgery can already accomplish what it's doing? The future of cancer treatment, I'm convinced, is in specific viral vector delivery systems that specifically target cancer cell receptors unique to the individuals particular cancer, or corrective gene therapies once the technology is good enough to screen for such things...
 
Why do such an invasive technique when surgery can already accomplish what it's doing?
I'm just guessing here that it's intended for people who have been diagnosed terminal with no hope of surgery or for whom surgery has already failed. A last-ditch effort.

The future of cancer treatment, I'm convinced, is in specific viral vector delivery systems that specifically target cancer cell receptors unique to the individuals particular cancer, or corrective gene therapies once the technology is good enough to screen for such things...
Absolutely, but this guy admits he has no medical knowledge. I think it's a case of emotions, talent, and chutzpah that's gotten him this far. Obviously he's well-meaning and I suppose if you've been given a death warrant you might try this, but I doubt even he would go so far as to claim it's better than genetic research. (Or if he does then that utterly discredits him, to my mind.)
 
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Chazwozel

Why do such an invasive technique when surgery can already accomplish what it's doing?
I'm just guessing here that it's intended for people who have been diagnosed terminal with no hope of surgery or for whom surgery has already failed. A last-ditch effort.

The future of cancer treatment, I'm convinced, is in specific viral vector delivery systems that specifically target cancer cell receptors unique to the individuals particular cancer, or corrective gene therapies once the technology is good enough to screen for such things...
Absolutely, but this guy admits he has no medical knowledge. I think it's a case of emotions, talent, and chutzpah that's gotten him this far. Obviously he's well-meaning and I suppose if you've been given a death warrant you might try this, but I doubt even he would go so far as to claim it's better than genetic research. (Or if he does then that utterly discredits him, to my mind.)[/QUOTE]

Yeah but most terminal cancers are such because the tumor has metastasized into the blood stream or lymphatic system. What makes cancer terminal is essentially the spread of rapidly dividing cells all throughout your body. They get transported around and begin to divide in various places, which makes his invention useless in that way. Plus the tumor would have to be around a big vein for that thing to work. I doubt you could work it through capillaries, so the local of the tumor would have to be a big factor.

Don't get me wrong, it's a cool invention but I think it would be more useful for circulatory/ heart related conditions. It's sort of like a drug delivering stent.
 
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Chazwozel

I thought brain tumors would count as non-systemic, yet sometimes non-operable. Would this help there or no?
I doubt it considering blood vessels in the brain are about the width of a blood cell.
 
Yeah, that's why I said it will be interesting to see the data on this. Again, just conjecture, but I'd guess his sister had a type of tumor that would have been positively affected by this. Or something.
 
Don't get me wrong, it's a cool invention but I think it would be more useful for circulatory/ heart related conditions. It's sort of like a drug delivering stent.
In the end, if it can effectively be used to save lives, I think this man has reached the goal he set out for himself.
 
Hell I'm not even a medical doctor and I can see how useless this is. Why do such an invasive technique when surgery can already accomplish what it's doing?
Cathaders aren't invasive procedures. They cut into a blood vessel and then work it through your system, do what they need to do and then pull it out put bandaid on it and keep you 4-8 hours or overnight and reccomend only light activity for 5 days afterwords. So this procedure is actually far far less invasive than any of the cancer surgeries.

http://www.stronghealth.com/services/cardiology/cathep/cathlab/angioplasty.cfm

Also this could be used in tumors that doctors aren't able to operate on due to it being too close to a major artery or organ or the patient being in piss poor shape and just can't handle a surgery. It needs a very specific set of circumstances but I don't think the invention is completly worthless. Maybe not the slicing of bread ground breaking but one more tool in an oncologist's sack.
 
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