Eugene J Fine

Eugene J Fine

Apr 14, 2016

Group 6 Copy 216
2

Our next human trial

Our goal is to combine the knowledge we gain from our laboratory research with a human study we're hoping can begin this summer. Our human trial is designed to test two diets in women with breast cancer between the time of positive biopsy and the tumor's surgical removal. 65 patients will be randomized to two dietary groups, with 45 patients eating a low carbohydrate ketogenic diet and 20 on a low fat diet supplemented by 5 servings per day of fruits and vegetables. While both diets have been proposed to be healthy no one really knows for sure. So we will compare the tumor at surgical removal to see if measured proliferation markers and tissue death markers will differ according to the patient's diet.

I've spent this past week writing up the proposal and consent form for submission to the Einstein Investigational Review Board (IRB). IRB approval is an essential step in all human trials. Its purpose is to insure that all research studies involving human beings are conducted ethically so that only fully informed subjects who agree to participate will do so. Our study is quite harmless, but IRB's and regulations are clearly necessary for all human experimentation. We should realize that invasive experimentation was still being performed on human subjects without their consent in the not too distant past.

2 comments

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  • Ulrike Gonder
    Ulrike GonderBacker
    great idea!
    Apr 21, 2016
  • Chris
    Chris
    Gene, do we have an approximate on how long it will last?
    Apr 16, 2016
  • Eugene J Fine
    Eugene J FineResearcher
    Each patient with breast cancer will be followed for just 2-4 weeks (the interval between positive biopsy and surgical removal). With an expected accrual rate of about one/week and an average of 3 weeks on the diets, after stabilizing we'd expect an average of about 3 patients being seen at a time, (As a new one gets recruited, another is finished after the tumor's removed). For 65 patients in total, we'd then expect the protocol to last about 65-75 weeks total. We're still trying to nail down the funding contract. Epigenix Foundation (a non-profit) has been extremely interested but we're still waiting for the contract to be signed.
    Apr 16, 2016
  • Chris
    Chris
    that should provide fairly sufficient time to see some effects, I assume.
    Apr 16, 2016
  • Eugene J Fine
    Eugene J FineResearcher
    No one knows for sure because the experiment hasn't been done. We saw maximum ketosis in our RECHARGE trial at one week in most of our patients, but tissue effects weren't measured. One justification is that use of metformin has been tried in the same pre-surgical window (mean interval before surgery was 18 days) in breast cancer and tissue biomarker effects were seen. Metformin has multiple effects, but among its actions are inhibition of glucose export by the liver and consequent reduction in insulin. So in this respect its effects are similar to those of a low carb diet.
    Apr 17, 2016

About This Project

Insulin is a hormone which supports growth of normal cells, but also of cancers. A very low carbohydrate (VLC) diet safely and readily lowers blood insulin levels. The effects of a VLC diet has potential to inhibit cancer growth without harming normal tissues.

We further hypothesize that a VLC diet can combine with the effects of drug treatment in cancers, thus reducing drug doses and therefore toxicities. We aim to test this hypothesis in cell cultures.

Blast off!

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