The Christie Charity
Press release posted 9 October 2024
The Christie is part of a nationwide team of universities, hospitals and industry partners launching a new platform to understand immunotherapy response and side effects in cancer.
Funded by £9m from the Medical Research Council and the Office for Life Sciences, and £12.9m in matched funds from industry partners, this programme will involve thousands of patients treated with immunotherapy from across the UK. It’s led by the Francis Crick Institute and The Royal Marsden NHS Foundation Trust.
Drugs that help the immune system fight cancer, collectively known as immunotherapy, are a frontline treatment for some types of cancer like melanoma (a form of skin cancer). Long-term studies have shown that it can completely eradicate advanced disease for some patients.
But the majority of people with cancer do not benefit, with many relapsing or experiencing significant side effects. Even in melanoma, where immunotherapy is most successful, only 50% respond.
The new UK-wide programme, titled MANIFEST (Multiomic Analysis of Immunotherapy Features Evidencing Success and Toxicity), has been set up to evaluate the many barriers to the success of immunotherapy.
These include a lack of testable and usable biomarkers, signs that suggest to doctors whether someone will or will not benefit from a given drug. Identifying these biomarkers could help to select patients most likely to benefit, but also reveal avenues for new treatments, like vaccines and cell therapies.
MANIFEST will aim to validate which biomarkers are present in patients before they start immunotherapy, and to develop tests that can monitor them during treatment.
The initial testing will include 3,000 patients who have already completed their treatment and then 3,000 who are starting treatment across the UK for breast, bladder, kidney and skin cancer, with plans to include additional cancer types as the programme expands.
Over 4 years, data will be collected from these patients, using procedures like blood tests, stool samples and tissue biopsies.
The team will analyse different aspects of cancerous tumours, including their genetic makeup, where they are in relation to immune cells, and what chemical signals they are producing. They will also generate a profile of immune cells in each patient’s bloodstream and analyse their gut microbiome.
Dr Jonathan Lim, project co-lead, Clinical Senior Lecturer at the University of Manchester, and Consultant in Advanced Immunotherapy and Cell Therapy at the Christie NHS Foundation Trust, said: “To tackle the biggest and hardest questions in oncology, we need real collaborative efforts. We are very pleased that this funding will enable us to join forces with the best across the UK to find innovative solutions to ultimately provide the best care for our patients with cancer.”
Prof Samra Turajlic, project lead, Clinical Group Leader at the Francis Crick Institute, Consultant Medical Oncologist at The Royal Marsden NHS Foundation Trust, and Associate Honorary Faculty at The Institute of Cancer Research, London, said: “In the last ten years we have made huge progress in the treatment of cancer with immunotherapy, but we are still underserving many patients due to treatment failure and side effects. We have a unique opportunity in the UK, given the NHS, to address this challenge.
“We are hugely excited to work together with such a large group of clinicians, patients and our industry partners, each with unique experiences and expertise. Research on this scale can get us one step closer to better tests in the clinic, but also fuel more discoveries regarding cancer immunology and new therapies. Ultimately, we want to speed up the delivery of personalised medicine for a disease that affects huge numbers of people across the UK every year.”