Mohamed Shebl Abdelbaki, MD
Washington University School of Medicine in St. Louis
Catapult Award: 2024-2027
Focus: Recurrent Brain Tumors; Natural Killer (NK) Cell Therapy
Project title: Phase I Study of Natural Killer Cells in Recurrent Malignant Brain Tumors
Project Summary:
Dr. Mohamed Abdelbaki, a CureSearch Catapult awardee at Washington University School of Medicine in St. Louis, is conducting a phase I clinical trial using a Natural Killer (NK) cell therapy for children and young adults with recurrent brain tumors. NK cells are immune cells that can recognize and kill cancerous cells and have shown promise in treating several cancers. However, their widespread use has been limited due to production challenges and the ability of brain tumors to escape killing by secreting an immunosuppressive molecule known as transforming growth factor-beta (TGFβ). Dr. Abdelbaki and his team have established an NK cell therapy that overcomes these obstacles. They have developed a method for producing large numbers of NK cells from healthy donors and by chronically stimulating the cells with TGFβ, they have enhanced their function and made them resistant to the effects of TGFβ in the body. This ‘off-the-shelf’ cell therapy reduces the cost and eliminates barriers associated with manufacturing cells on a patient-by-patient basis, making a potentially superior treatment option more widely available to patients.
In this CureSearch-funded clinical trial, 24 children and young adults with recurrent brain tumors will receive infusions of the enhanced NK cells directly into the surgical cavity following tumor removal. This approach bypasses the blood-brain barrier and treats the tumor more effectively by concentrating the NK cells inside the tumor site. The team will also study how long the NK cells remain active in the brain and how this affects the overall response to treatment. This trial will be conducted through the Pacific Pediatric Neuro-Oncology Consortium (PNOC), making it the first multi-institutional consortium-wide study to evaluate the safety and efficacy of intra-tumoral NK cell infusions in children with recurrent brain tumors.