A risky experimental treatment for "incurable" brain cancer has paid off – so far – for Richard Scolyer.
Key points:
Scolyer received special dispensation to undergo the experimental treatment
Researchers hope to use the data from Scolyer's high-risk treatment to create a clinical trial for glioblastoma
Scolyer will attend the 2024 Australian of the Year awards this week
"Median time to recurrence for all patients is six months; I'm now out to eight months!" he said.
The world melanoma expert has been sharing his unorthodox treatment journey on social media since being diagnosed with glioblastoma IDH wild-type in June last year.
Professor Scolyer said he, his family and treatment team had been feeling particularly anxious at his eight-month brain scan about the cancer returning.
"So we were all thrilled to know there's no real evidence of that," Professor Scolyer told Australian Story.
"You want to throw a party, celebrate the good news."
While it is a huge relief for the 57-year-old and his loved ones, Professor Scolyer's results have great potential to transform the field of brain cancer treatment.
World-first treatment
Professor Scolyer's world-first treatment has been led by his friend and co-director of the Melanoma Institute Australia, Georgina Long.
Both have been at the forefront of groundbreaking advances in melanoma treatment and saved thousands of lives with their immunotherapy approach.
"We've taken everything, absolutely every bit of knowledge … that we've pioneered in melanoma and we've thrown it at Richard's tumour," Professor Long said.
Professor Scolyer was the first in the world to delay removing his brain tumour and receive combination immunotherapy before surgery.
He is also receiving doses of a personalised vaccine to combat the tumour.
"Brain cancer doctors were so worried this would kill me quicker or result in terrible side effects," Professor Scolyer said.
"But so far so good."
There is even a small chance he may be cured.
"It's not a hard decision to make when you're faced with certain death. I'm more than happy to be the guinea pig to do this," Scolyer said.
What's next?
While Professor Scolyer received special dispensation to undergo the high-risk treatment, he hoped it would eventually help others diagnosed with "the worst of the worst" brain cancer.
"I'm confident, to be honest, that it's going to make a difference for future brain cancer patients," he said.
Treatment for glioblastoma has not changed in 18 years.
"I'm just one patient though. We won't really know [it works] until we do clinical trials," Professor Scolyer said.
A multi-disciplinary team meets regularly to discuss the scientific data from Professor Scolyer's treatment.
"We're trying to back everything up with science to show that, if it does happen to work, why it's working, or if it doesn't work, why does it not work?" Professor Long said.
"Only then can we use this data to help other patients, meaning the next step is clinical trial."
Professors Scolyer and Long were named New South Wales 2024 Australians of the Year (AOTY) for their groundbreaking work in melanoma treatment.
Both will travel to Canberra this week for the national AOTY awards.
Professor Scolyer's treatment continues, with his next brain scan due within three months.
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