The quality Targeting of Cancer Chemotherapy Using Non-Invasive Focused Resonance Nano-Permeabilization

Saritha Garrepalli
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Abstract

Focused Resonance Nano-permeabilization (FORN) (US Patent 9,616, 245 B2-Apr 11th 2017) enables the 'targeted' delivery of chemo-therapeutic molecules using a safe, non-invasive, whole-body therapeutic device. The prototype device houses a gantry with specialized, near field, radio-frequency (RF) antennae and guns to deliver instantaneous, magnetic resonance. Drug focusing and delivery was enabled using FORN in a patient with advanced, loco-regionally recurrent, metastatic, nasopharyngeal carcinoma (NPC). Nonionizing, safe, extraneous-source radio-frequencies (RF) were delivered in the presence of an instantaneous magnetic field, to create temporary drug molecular weight-specific nanopores in the cell membrane of target lesions, concurrently with systemic chemotherapy. The high frequency RF is timed and delivered to regions of interest (ROIs) to span peak plasma concentrations of infused chemotherapeutic drugs over multiple treatment cycles. FORN-enabled chemotherapy-related adverse event evaluation and tumor response based on PERCIST 1.0 reflected improved clinical, anatomical and metabolic outcomes and significantly reduced myelosuppression in the patient who received 6+1 Cycles of combination chemotherapy, over an extended period of time. Functional Assessment of Cancer Treatment-Head & Neck (FACT-H&N) / Quality of Life (QoL) and Karnofsky Performance Status (KPS) reflected overall patient well-being. Recurrent, loco-regional disease, nodal, hepatic and skeletal metastases showed dramatic response on PET-CT follow up. Concurrent chemo-radiotherapy (CCRT) as a treatment paradigm is the standard of practice in locally advanced nasopharyngeal carcinoma (NPC).
无创聚焦共振纳米渗透技术在肿瘤化疗中的质量靶向研究
聚焦共振纳米渗透(FORN)(美国专利9,616,245 b2 - 2017年4月11日)使用安全,无创,全身治疗装置实现化疗分子的“靶向”递送。该原型装置装有专门的近场射频(RF)天线和炮架,可提供即时的磁共振。药物聚焦和输送是使使用FORN患者晚期,局部区域复发,转移,鼻咽癌(NPC)。非电离、安全、外源射频(RF)在瞬时磁场的存在下传递,在靶病变的细胞膜上形成临时的药物分子量特异性纳米孔,同时进行全身化疗。在多个治疗周期内,高频射频被定时传递到感兴趣区域(roi),以跨越输注化疗药物的峰值血浆浓度。基于PERCIST 1.0的基于forn的化疗相关不良事件评估和肿瘤反应反映了接受6+1周期联合化疗的患者在较长时间内改善了临床、解剖和代谢结果,并显著降低了骨髓抑制。癌症治疗-头颈部功能评估(FACT-H&N) /生活质量(QoL)和Karnofsky性能状态(KPS)反映了患者的整体健康状况。复发,局部区域疾病,淋巴结,肝脏和骨骼转移在PET-CT随访中表现出显著的反应。同步放化疗(CCRT)是局部晚期鼻咽癌(NPC)的标准治疗方法。
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