The right immune-modulation at the right time: thymosin α1 for prevention of severe COVID-19 in cancer patients

Author:

Bersanelli Melissa12ORCID,Giannarelli Diana3,Leonetti Alessandro12ORCID,Buti Sebastiano12ORCID,Tiseo Marcello12,Nouvenne Antonio4,Ticinesi Andrea24,Meschi Tiziana24,Procopio Giuseppe5,Danielli Riccardo6

Affiliation:

1. Medical Oncology Unit, University Hospital of Parma, Via Gramsci 14, Parma, 43126, Italy

2. Medicine & Surgery Department, University of Parma, Via Gramsci 14, Parma, 43126, Italy

3. Biostatistical Unit, Regina Elena National Cancer Institute, IRCCS, Via Elio Chianesi 53, Rome, 00144, Italy

4. Geriatric Rehabilitation Medical Department, University Hospital of Parma, Via Gramsci 14, Parma, 43126, Italy

5. Genito-Urinary Oncology Unit, Fondazione IRCCS Istituto Nazionale Tumori of Milan, Via Giacomo Venezian, 1, Milano, 20133, Italy

6. Immuno-Oncology Unit, University Hospital of Siena, Viale Mario Bracci 16, Siena, 53100, Italy

Abstract

We presented the rationale for the use of thymosin α1 as prophylaxis of severe COVID-19 in cancer patients undergoing active treatment, constituting the background for the PROTHYMOS study, a prospective, multicenter, open-label, Phase II randomized study, currently in its start-up phase (Eudract no. 2020-006020-13). We aim to offer new hope for this incurable disease, especially to frail patient population, such as patients with cancer. The hypothesis of an effective prophylactic approach to COVID-19 would have immediate clinical relevance, especially given the lack of curative approaches. Moreover, in the ‘COVID-19 vaccine race era’ both clinical and biological results coming from the PROTHYMOS trials could even support the rationale for future combinatorial approaches, trying to rise vaccine efficacy in frail individuals.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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