Toshiba to develop boron neutron capture therapy (BNCT) system

August 22, 2016
by Thomas Dworetzky, Contributing Reporter
Toshiba has made a new move in radiation therapy.

Just-announced plans call for it to develop a boron neutron capture therapy (BNCT) machine and to focus on melanoma treatment trials as early as fiscal 2017.

It will take the place of Mitsubishi Heavy Industries in the KEK project led by the University of Tsukuba and the High Energy Accelerator Research Organization, according to the Nikkei Asian Review.

The company had kept its heavy particle radiation systems after selling Toshiba Medical Systems to Canon.

That sale was not without significant controversy, however, as HCB News reported in July.

After the sale, regulators “decided to make an announcement about the warning to let everyone know that it is not acceptable, so the same method won’t be used in the future,” Takeshi Shinagawa, director of the Fair Trade Commission's (FTC) mergers-and-acquisitions division, told a news conference.

Toshiba avoided potential regulatory issues by selling Canon "MS Holding", a "special-purpose vehicle with $300 in capital that was created just to conduct the transaction." This stripped voting control from its medical unit and gave it to the vehicle. MS Holding had just three shareholders — the former head of trading house Sumitomo Corporation, a lawyer, and an accountant — each owning one-third of the entity.

Complaints over the highly unusual maneuver came from other Toshiba suitors, notably losing bidder Fujifilm Holdings, which expressed outrage over the trick, noting that it "would make a mockery of the law," according to a report at the time by HCB News.

The key to the BNCT breakthrough was development of a novel boron carrier – a specially devised tiny capsule – that binds to albumin, which in turn let boron be carried preferentially to tumor cells. The capsule, constructed out of maleimide-functionalized closo-dodecaborate (MID), was created by researchers at the Tokyo Institute of Technology led by Hiroyuki Nakamura, according to a release by that institution on a paper just published in the Journal of Controlled Release.

The non-damaging neutron beam “excites the boron to release high-energy charged particles that can kill the cancer cells,” according to Nikkei Asian Review.

This occurs because albumin collects malignant tissues. “In fact, it is a major source of nutrition for growing tumors,” according to Science Daily.

Since tumors “attract albumin,” it is a perfect protein to be turned into a drug carrier – and has done such duty in therapy for other cancers, including those of breast, lung and pancreas.

In 26 tumor-bearing mice, “the team found that the boron concentrated highly and efficiently in tumors; the active uptake of boron by the albumin led to double the concentration of boron reaching tumors than previous systems,” according to the institute report, which noted that “thermal irradiation was then carried out on the mice, and led to the significant suppression of tumor growth even at low boron levels.”

Before this research, albumin's “ability to transport boron for BNCT” had not been tested.

“This technique could limit existing problems of using blood-based products in cancer treatment,” noted the researchers. “Albumin could be taken from patients in hospital prior to treatment, then used in MID-AC [the capsule delivery system] to carry boron to tumors in the patients' own bodies. This will limit contamination and encourage the acceptance of the system by the patients' immune systems.”