There are two ways to achieve major improvements in cancer chemotherapy.  One way is to discover new drugs and indeed many are on the horizon.  However, this doesn’t help the cancer patient who needs treatment today.  Happily, many potentially effective drugs already exist.  Therefore, the other way to improve chemotherapy is to use the existing drugs more effectively.  That is where Functional Tumor Cell Profiling comes in.  The Weisenthal Cancer Group is dedicated to matching each patient with the treatment that offers the best chance for success based upon demonstrated activity in the laboratory against each patient’s actual tumor cells. 

We offer three levels of clinical service.  For all levels of service, a separate, written interpretation of assay results by Larry Weisenthal, M.D., Ph.D. also is available.  Apart from our fully-validated, non-investigational clinical service options, some patients may be candidates for a research study (click here or phone 714-596-2100 for information).  Most cancer patients do not need the research study (in fact, most patients would not qualify) and are very well-served by our non-investigational clinical profiles.  Our clinical (standard practice) services are described below.  Please click here to see a sample functional tumor cell profiling report.

The Comprehensive Profile

This is the level of service that is right for most patients.  It includes both the CytoRx™ profile for standard chemotherapy drugs and the EGFRx™ Profile for the new, targeted tyrosine kinase inhibiting drugs.  The use of both profiles allows for testing of reasonable drug combinations in which both standard and targeted drugs are combined in order to assess synergistic drug effects, if present.   

Increasingly, clinicians are finding that the best results often are obtained by administering standard and targeted drugs in combination.  Clinical trials currently are underway or are in planning stages.  These will help to identify the best combinations of drugs for the “average” cancer patient.  As always, we contend that no cancer patient is average.  Comprehensive Functional Tumor Cell Profiling allows each patient to receive the most appropriate standard drug plus targeted drug combination even while some of these combinations are still awaiting trial and error discovery in the clinic. 

There is also a financial benefit to the patient in performing concurrent Standard and Targeted profiles.  This is because some procedures relating to specimen preparation are necessary for both profile types.  Preparing a single specimen for use in both profiles saves time and expense.  When added to a Standard Profile, we are able to offer the patient a substantial fee reduction for the companion Targeted Therapy Profile. 

Available with the Comprehensive Profile is a written interpretation in which Dr. Weisenthal integrates results from both the CytoRx™ profile and the EGFRx™ profile and suggests rational treatment strategies based upon profiling results and published drug activity and toxicity data.  

Standard Drug Profile

There may be cases when a patient or cancer physician is interested only in the activity of standard chemotherapy agents.  This may be because a patient is not, for some reason, considered to be a candidate for treatment with a targeted therapy drug.  The Standard Drug profile consists of the CytoRx™ test in which 20 – 30 standard anti-cancer drugs are tested.  In addition to testing all drugs as single agents, some drugs will be tested in combination if complementary mechanisms of action, lack of cross resistance, and acceptable levels of cross toxicity suggest that drug synergy is possible. 

A separate, written interpretation of Standard Drug profiling results by Dr. Weisenthal is available. 

Targeted Therapy Profile

If patient and physician wish to obtain information pertaining only to targeted therapy drugs that inhibit tyrosine kinase activity, the EGFRx™ Profile may be ordered separately.  The targeted therapy profile includes analysis of the following targeted drugs: erlotinib (Tarceva), gefitinib (Iressa®), sorafenib (Nexavar®), sunitinib (Sutent®), and, in some cases, lapatinib (Tykerb®).  For certain types of cancer, a drug called imatinib (Gleevec®), which works in a very different way, may be tested. 

A separate, written interpretation of Targeted Therapy profiling results by Dr. Weisenthal is available.

 

  

 

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