title: Ambovex(®) as a novel immunological modulator drug for the treatment of hepatocellular carcinoma (HCC) in the liver: a Phase II clinical trial.
abstract: Hepatocellular carcinoma (HCC) is a global public health problem, based on it being the fifth most common cancer and third leading cause of cancer-related mortality worldwide. The approved conventional treatment methods for HCC have shown life-threatening side effects with limited or negligible success, especially in multifocal HCC. As a consequence, new therapeutic approaches are being explored, including immunoregulatory molecules that may have the potential to treat or delay the progression of HCC. A novel pharmaceutical botanical drug - Ambovex(®), an immune-modulator molecule - was tested to treat or delay the progress of HCC. We conducted a 6-month randomized clinical trial with an additional 3-month washing period (no treatment) to evaluate the safety and efficacy of low-dose Ambovex oral spray in treating patients with HCC. The clinical study involved a total of 40 patients, with 33 in the treatment group and seven in the control group. The α-fetoprotein (AFP) levels were measured every month and ultrasound scans were performed at time zero and every 2 months thereafter. Computed tomography (CT) scans were performed for patients in the treatment group. Ambovex proved to be safe, as there were no significant side effects although some patients found that the drug has unpleasant taste. AFP analysis showed a significant decrease in its level (α=0.05; 95% confidence interval) in the treatment group when compared to the control group at 3 months (P=0.0031) and at 6 months (P=0.007). The ultrasound results showed improvement in the treated group, as evidenced by a significant decrease in the lesion numbers and sizes. The lesions in 38% of treated patients decreased from multiple to single with major improvements; 35% of patients exhibited a decrease from multiple lesions to multiple lesions with minor improvements, whereas 27% had stabilized lesions. CT scans in the treated group showed significant improvement, as there was complete disappearance of the lesions after 6 months of treatment with Ambovex in two patients. This clinical study showed the effective and promising results of Ambovex as an immunological modulator in treating HCC. Further exploration of Ambovex is recommended.
authors: Hepatology Department, Cairo University, Cairo, Egypt.
authors: Hosny
authors: H
authors: Salama
authors: AMKS Time Release LLC, Montclair, NJ, USA.
authors: Hassan
authors: H
authors: Ahmad
authors: AMKS Time Release LLC, Montclair, NJ, USA.
authors: Ismail
authors: I
authors: Elchagea
authors: AMKS Time Release LLC, Montclair, NJ, USA; National Cancer Institute, Cairo University, Cairo, Egypt.
authors: Abdel Rahman
authors: AR
authors: Zekri
authors: Hepatology Department, Cairo University, Cairo, Egypt.
authors: Eman
authors: E
authors: Medhat
authors: National Cancer Institute, Cairo University, Cairo, Egypt.
authors: Abeer
authors: A
authors: Bahnassy
authors: Saint Joseph Hospital, Paterson, NJ, USA.
authors: Michael
authors: M
authors: Lange
authors: Saint Joseph Hospital, Paterson, NJ, USA.
authors: Mohammed
authors: M
authors: Rabbat
authors: Saint Joseph Hospital, Paterson, NJ, USA.
authors: Andrew N
authors: AN
authors: de la Torre
authors: AMKS Time Release LLC, Montclair, NJ, USA.
authors: Pravin
authors: P
authors: Punamiya
keywords: Ambovex; hepatocellular carcinoma; immunological modulator; novel treatment