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Dr. Coates is a veterinarian based in the other “Sunshine State” – that's Colorado to the rest of you – where she lives and plays with a varied range of animals. She shares her professional and personal experiences, Monday through Friday, here on petMD's blog, the Fully Vetted. Log in for your daily dose of her insight and wisdom.

 

A Potential Giant Step Forward in Lymphoma Treatment

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November 16, 2011 / (6) comments


Lymphoma is one of the most common forms of cancer in dogs. Every time I diagnose one of my patients with lymphoma I have what boils down to a "bad news : a little bit of good news" discussion with my client.

 

First the bad news: Lymphoma in dogs is almost always a fatal disease. But the good news is that unlike some other types of canine cancer, we can sometimes manage it quite successfully for an extended period of time.

For the minimalists amongst us, prednisone alone can make a dog feel almost back to normal for several weeks to months. More aggressive chemotherapy protocols can help many dogs live happily for an additional year or even longer. While this might not sound like much, when you put it into the perspective of a dog’s short life, it is significant.

A new, experimental vaccine might make the "good news" associated with canine lymphoma even better.

Researchers at the University of Pennsylvania recently tested a vaccine that is made by growing B-cells (a type of lymphocyte, the cells that become cancerous in lymphoma) from the patient’s own blood. These cells were then loaded with RNA that had been isolated from the dog’s tumor and injected back into the patient. Dogs in the study received three vaccinations after standard chemotherapy protocols achieved remission, and the progression of their disease was compared to a group of dogs that received chemotherapy only.

Dogs that were vaccinated and those in the control group both had similar rates of relapse. However, when treated with a second round of chemotherapy called a rescue protocol, dogs that were vaccinated had much better survival rates than those in the control group. Some vaccinated dogs were still disease-free after three years.

According to Nicola Mason, assistant professor of medicine at the University of Pennsylvania School of Veterinary Medicine and one of the authors of the study:

 

Though vaccinated and unvaccinated dogs relapsed with clinical disease at the same time, 40 percent of vaccinated dogs that relapsed experienced long-term survival after a second round of chemotherapy; only 7 percent of unvaccinated dogs that relapsed and were treated with the same rescue chemotherapy protocol survived long term. Furthermore, when the vaccinated long-term survivors did eventually die, they showed no evidence of lymphoma on full necropsy.

 

It appears that chemotherapy and the vaccine work together to improve survivability. The details of how this might work are still unclear, but continued research could lead to even more exciting results. As Dr. Mason said:

 

These dogs just received three doses of vaccine, three weeks apart. If we kept boosting the immune system in this way by vaccination, perhaps the dogs would not relapse in the first place.

 

The dogs in this study had what is called non-Hodgkin’s lymphoma in the human medical world. Fingers crossed that this research will lead to great advances in treatment for both people and pets with this all-too-common disease.

 

 

Dr. Jennifer Coates

 

 

Image: fantazista / via Shutterstock

 

 

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COMMENTS (6)
1
Treatment Cost
by Piratebrt on 11/16/2011 01:16am

If a pet owner followed this process with their dog with this condition what would it cost???

Good news on the research. Could an average pet owner afford this treatment process to extend the life of their pet?

2
Similar to Cat Lymphoma?
by Amanda M. on 11/16/2011 01:34am

Thanks for the informative article. I was just wondering - is this type of lymphoma in dogs similar at all to the type of lymphoma that can result in cats who may have IBD? Didn't know if this treatment regimen would/could eventually be extrapolated to the feline population.....?

3
It's A Start
by TheOldBroad on 11/16/2011 07:08am

I assume this protocol would be FDA regulated.

Any thoughts on how long it might be before it's approved? If this is the first study of its kind, probably years.

4
Bone Marrow Transplants
by Tripawds on 11/16/2011 11:54am

Wonderful news! We also posted a related Tripawd Talk Radio podcast from our interview with veterinary oncologist Dr. Chretin at VCA West L.A. who is leading up the bone marrow transplant program there for canine and feline lymphoma patients.

5
lymphoma vax
by Dr. Jennifer Coates on 11/16/2011 09:09pm

It's hard to say how long until this might be available to the public (more research needed first, especially before extrapolating to cats) and as for cost... who knows. Expensive at first for sure, but then hopefully coming down as the economics of scale kick in.

6
Lymphoma therapies
by ASDMarlene on 11/16/2011 11:38pm

a view years ago I attendet a lecture on lymphoma therapies (for humans) and the lecturer made an interesting statement. He said that while there isn't a cure for it, the therapies have greatly improved and that one should look at certain cancers more as a chronic disease, like diabetes or such, instead of a death sentence, as many people can live many years after being diagnosed.

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About fully vetted

Jennifer Coates, DVM

Photo of Dr Coates

Image credit: Jim Piraino

...graduated with honors from the Virginia-Maryland Regional College of Veterinary Medicine in 1999. In the years since, she has practiced veterinary medicine in Virginia, Wyoming, and Colorado. She is the author of several books about veterinary medicine and animal care, including the Dictionary of Veterinary Terms: Vet-Speak Deciphered for the Non-Veterinarian. Dr. Coates also writes short stories that focus on the strength and importance of the human-animal bond, and freelance articles relating to a variety of animal care and veterinary topics. Dr. Coates lives in Fort Collins, Colorado with her husband, daughter, and various species of pets.

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