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Chicago Sun Times
Chicago Sun-Times
15 Mar 2023


NextImg:Northwestern begins transplant trial for stage 4 lung cancer patients who have run out of traditional treatment options

Resigned to hospice care with stage 4 lung cancer, Tannaz Ameli was given a second chance at life two years ago.

“I begged my doctors in Minnesota to consider a lung transplant but they wouldn’t do it,” said Ameli, 64, a retired nurse from Minneapolis, Minn. “Luckily, my husband refused to give up and pushed for a second opinion.”

He got one from Dr. Ankit Bharat and other physicians at Northwestern Memorial Hospital, who determined that Amerli qualified for a double transplant under a new program being started there.

“The first thing Dr. Bharat told me was, ‘I think we can make you cancer-free,’ and he delivered on those words,” Ameli said.

Northwestern said it had similar success on another patient with stage 4 lung cancer, Albert Khoury, 54, of Chicago. Like Ameli, Khoury’s cancer was confined to the lungs and hadn’t spread to other parts of the body.

“My life went from zero to 100,” Khoury said in a statement released by the hospital. “You didn’t see this smile on my face for over a year, but now I can’t stop smiling.”

Northwestern said Khoury and Ameli didn’t require any further cancer therapy after transplants.

Encouraged by the results, Northwestern Medicine said Wednesday it is launching a first-of-its-kind clinical trial called DREAM, for double lung replacement and multidisciplinary care.

The hospital said the trial is aimed at some of the most “hopeless patients” who are “out of treatment options and have limited time to live.”

While lung transplants are an accepted form of treatment for certain forms of lung cancer, health care experts shy away from the complicated procedure because of the likelihood that the cancer with recur, according to Bharat, chief of thoracic surgery and director of Northwestern Medicine’s Canning Thoracic Institute.

Using a novel surgical method to clear cancer cells from the lungs of stage 4 lung cancer patients, “we believe this technique can help reduce the risk of recurrence,” Bharat said.

In the case of Ameli, she said she made several visits to a doctor in September of 2021 after struggling with a persistent cough that kept getting worse. 

Despite rounds of CT scans and chest x-rays, doctors continued to diagnose her with pneumonia. 

Four months later, Ameli went to a large health system in Minnesota where they confirmed she had stage 4 lung cancer. Doctors told her chemotherapy wouldn’t be enough to save her life.

Pleading for a lung transplant, doctors instead recommended hospice care.

On July 3 last year, Northwestern Medicine listed Ameli for a double-lung transplant. Just 10 days later, the hospital found a match and she underwent the successful surgery.

Khoury was the first patient with stage 4 lung cancer to receive a double lung transplant at Northwestern, on Sept. 25, 2021.

He initially thought his lingering cough was COVID was later told it was lung cancer.

“Before Khoury, no lung transplants had been performed on lung cancer patients at Northwestern Medicine,” the hospital said in a statement. “But Khoury’s health continued to decline, and he ended up in the intensive care unit on a ventilator with pneumonia and sepsis.”

As hospice care was being considered for Khoury, Northwestern Medicine surgeons decided to operate because his tumor was localized to the chest.

Eighteen months after receiving the surgery, Khoury still has no signs of cancer in his body and has returned to work, the hospital said. 

The goal moving forward is to create a new research registry, where the program’s first 75 patients will be tracked and monitored. Patients interested in being evaluated for the program can contact the referral line at 844-639-5864.