Enhancement of tumor radiation response by ultrasound-driven nanobubble stimulation

Ended Project Grant Awarded Last action

Award ID
R01CA260826
Recipient
Awarding agency
Obligated
$3,345,706

Award facts

Assistance listing
93.394 Cancer Detection and Diagnosis Research
Completion date
Funding
  • $2,848,329.00 Federal
  • $497,377.00 Non-federal
Place of performance
Cleveland, OH 44106, USA

Award details come from USAspending.gov.

Description

Abstract
Radiation is a mainstay of cancer treatment, yet challenges remain. The long term goal of the proposed research is to transform traditional cancer radiation therapy protocols by including a pre-treatment step involving perturbing the vascular and cellular function of tumors with ultrasound-activated radiosensitizing nanobubbles (NBS). The new paradigm in cancer treatment protocol builds upon a decade of prior work that used commercial microbubbles (MBS) to elicit a radiosensitizing effect. The MB radiosensitization effects are primarily intravascular, with significant endothelial damage incurred. In contrast, in the strategy proposed here, we hypothesize that the NBS will also extravasate into the tumor parenchyma, which will result in significant increases in direct damage to the cancer cells, in addition to the vascular damage. Thus the effect will be both intra- and extra-vascular. The tumors treated in this way will respond better to radiation, lowering the effective radiation dose and decreasing residual surviving tumor. The technique further allows targeting of tumor specific volumes allowing healthy tissues to be spared. We have demonstrated in preliminary studies in vivo that ultrasound-activated NB perturbation of tumors results in a significantly greater enhancement in tumor kill compared to MBS when followed by traditional radiation therapy. This approach could markedly improve existing therapies and reduce the associated side-effects. This is clinically important for prostate cancer treatment where collateral damage and off-target effects are common and lead to years of complications in many patients. Therefore, we propose a set of four specific aims to test, develop, optimize, demonstrate and quantify the efficacy of this novel technique in prostate cancer. Aim 1 will focus on the development of stable, uniformly-sized radiosensitizing NBS. The acoustic and BIO-activity of the bubbles will be measured, and baseline biodistribution in tumor bearing mice will be carried out. In aim 2, the NBS will be tested in combination with radiation in a mouse model of prostate cancer so that treatment parameters can be optimized. In aim 3, carried out concurrently with aim 2, we will develop a photoacoustic imaging approach for monitoring early treatment response. This tool will be used to predict therapeutic efficacy and completeness of tumor treatment as soon as 2 hours after the therapy. Finally, in aim 4, we will test the combination approach in a large (rabbit) orthotopic model of human prostate cancer. We have assembled a multidisciplinary MPI team of investigators with a demonstrated track record of collaborative work in this field. The team includes DR. Czarnota MD/PH.d., a physician-scientist and discoverer of the original MB sensitizing approach now in clinical trials, DR. Michael kolios PH.d. Is a medical physicist with broad experience in photoacoustic imaging for therapy response and ultrasound physics and DR. Agata exner, PH.d., a biomedical engineer with extensive expertise in formulation and implementation of nanobubbles for imaging and therapy. Members of the team are actively collaborating, have shared publications, grants and projects, and record of technology translation to the clinic. The team will ensure timely completion of the proposed research and rapid translation of the approach to clinical use.

Transactions

Action Federal Non-federal Date
Amendment $465,906 $0
Amendment $465,181 $0
Amendment $461,244 $0
Amendment $461,244 $0
Amendment $497,377 $0
Original award $497,377 $497,377

Subawards

Subrecipient Amount Awarded
Sunnybrook Research Institute Enhancement of tumor radiation response by ultrasound-driven nanobubble stimulation - Project Summary Radiation is a mainstay of cancer treatment, yet… $129,415
Toronto Metropolitan University $81,520

Quick answers

Who received award R01CA260826?

R01CA260826 was awarded to Case Western Reserve University by National Cancer Institute (National Institutes of Health) on August 11, 2021.

How much is award R01CA260826 worth?

$3,345,706 has been obligated on R01CA260826: $2,848,329 in federal funding and $497,377 in non-federal funding.

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