Could you help UAB find targeted new treatments for cancer?

Call it “targeted therapy” or “precision medicine,” but we just call it the cutting edge of cancer research! Part of our hope for the future is finding customized treatments that work very specifically on different cancers and different people. In Alabama, we are lucky to have institutions such as the University of Alabama at Birmingham playing a critical role in this kind of research.

Most recently came the news  that UAB’s Comprehensive Cancer Center is enrolling patients for  the National Cancer Institute Molecular Analysis for Therapy Choice, or NCI-MATCH study, the largest, most scientifically rigorous precision medicine trial in cancer to date.

http://www.uab.edu/news/focus-on-patient-care/item/7469

According to the article, the clinical trial is open to patients whose cancer has returned, has gotten worse after standard treatment, or has no standard treatment at all.

This is the way possible new treatments are usually explored and developed, and those of us who have personally experienced cancer are always indebted to those who went before us and participated in these trials that ultimate saved our lives.

The hope is that researchers will now find even more weapons in their arsenal against this disease, and that the new therapies will attack each cancer where it is vulnerable and in ways that don’t inflict so much collateral damage.

“We are at an exciting point in cancer where we can tailor care to the individual patient based on emerging treatment and prevention that takes into account individual variability in genes, environment and lifestyle for each person,”  Carla Falkson, M.D., professor in the UAB Division of Hematology and Oncology and principal investigator for the trial, is quoted as saying.

The hope is eventually to enroll 3,000 adult patients at UAB in the research study. If you think you might be a candidate, talk with your oncologist. Or to find out more details about eligibility, etc.,  contact Liz Busby, director of Oncology Clinical Trials at the UAB Comprehensive Cancer Center, at 205-934-0337 or [email protected].

UAB News: UAB takes lead with 80 by 2018 initiative to increase employee colorectal cancer screenings

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The University of Alabama at Birmingham is taking the lead as the largest employer in Alabama and a major academic medical center to encourage all of its employees who are eligible to get a colorectal cancer screening.

In partnering with the American Cancer Society as part of a national initiative, the overall goal is to eliminate colorectal cancer as a major public health problem by working toward having 80 percent of adults ages 50 and older regularly screened for colorectal cancer by 2018.

Colorectal cancer is the nation’s second-leading cause of cancer-related deaths in men and women combined. However, through proper colorectal cancer screening, doctors can find and remove hidden growths called polyps in the colon before they become cancerous. Removing polyps can prevent cancer altogether.

March is Colorectal Cancer Awareness Month, and UAB has formally kicked off its own “80 by 18” effort. UAB leaders President Ray Watts, M.D., CEO of the UAB Health System Will Ferniany, Ph.D., and director of the UAB Comprehensive Cancer Center Edward Partridge, M.D., have joined forces in a university wide effort to reach 80 percent of eligible UAB employees to get screened by 2018.

“As an academic medical institution, we collectively realize the importance of this initiative. This is a responsibility we have, but it’s also a real opportunity to save lives and be an example to our community and state,” Partridge said. “Colorectal cancer is one cancer that can actually be prevented and where screening can make the difference between getting cancer or not.”

In Alabama, a patient is diagnosed with colorectal cancer every 3.5 hours and someone dies of the disease every nine hours. Alabama has an estimated 392,100 people who should be screened. And based on data from UAB’s insurance carriers, it is estimated that UAB and UAB Medicine have more than 1,800 employees who should be screened.

“We can do better as a community and change these numbers. Some of the screening tests may seem daunting; but there are several acceptable methods that are simple, safe and widely used,” Partridge said. “People aren’t getting tested because they don’t believe they are at risk or don’t understand their testing options, or don’t think they can afford it.”

Employees who are eligible at UAB have been encouraged to educate themselves with detailed information, to speak to their physicians about their history and to inquire about the colorectal screening options that are available.

Common screening tests include a flexible sigmoidoscopy, colonoscopy, CT colonography or double-contrast barium enema. Other tests include a guaiac-based fecal occult blood test (gFOBT), fecal immunochemical test (FIT) or stool DNA test (sDNA test). In most of these cases, tests are performed every five to 10 years or, in a few cases, yearly. Some tests may require a copay depending on insurance; however, many public and private insurance companies cover the screening.

Employees can sign a pledge to show their commitment in the effort. Also, as a part of UAB Employee Wellness, they may log into My Heath Rewards to earn points three different ways:

  • March 22 Lunch and Learn – Take Control of Your Health: Get Tested for Colorectal Cancer (500 points)
  • Monthly Health Education /Colorectal Cancer Awareness Month – March 2016 (500 points)
  • Colorectal Cancer Awareness Activity (1,000 points)

Employees will be provided updates and information on progress.

“We want to hammer home that this disease is highly preventable, detectable and treatable; but we need to take action,” Partridge said.

http://www.uab.edu/news/focus-on-patient-care/item/7048

UAB study finds possible frontline therapy for older patients with Hodgkin Lymphoma

By Beena Thannickal/UAB News/Oct. 5, 2015

andres forero1

 

A new University of Alabama at Birmingham research study reports that brentuximab vedotin is an effective and safe first course of treatment for older patients with Hodgkin lymphoma that cannot be treated with conventional combination chemotherapy.

Results of the study, led by Andres Forero, M.D., professor in the UAB Division of Hematology and Oncology, were published online last month in Blood, the journal of the American Society of Hematology.

In 2014, about 9,190 patients were diagnosed with Hodgkin lymphoma in the United States, and up to 20 percent of newly diagnosed Hodgkin Lymphoma patients are 60 years of age or older.

While standard chemotherapy can achieve complete remissions and cures in younger patients with Hodgkin lymphoma, the majority of those 60 and older either are ineligible because of other serious medical conditions or refuse treatment in order to avoid complications related to drug toxicity.

“The biology in older patients may differ from that of younger patients,” Forero said. “Additionally, the presence of other illnesses, particularly cardiac dysfunction, may limit administration of standard regimens. It became clear to us that, as the rate of remission is much lower for older compared to younger Hodgkin lymphoma patients, there is a clear need for less toxic treatments that allow patients 60 and older to complete their full regimen without complications or interruptions.”

Forero, a senior scientist at the UAB Comprehensive Cancer Center, has a long history of developing promising therapies for lymphoma and of working with drugs like brentuximab vedotin, a therapy that targets Hodgkin lymphoma cells and delivers a potent dose of chemotherapy without harming healthy cells. In previous studies, brentuximab vedotin has been shown to achieve remissions in patients with relapsed or treatment-resistant disease.

To examine the potential of brentuximab vedotin as a first course of treatment for older Hodgkin lymphoma patients, Forero and his team evaluated 26 patients, ages 64-92, who were ineligible for conventional chemotherapy or declined treatment after receiving information about its risks. The aim was to gather more information about the safety of brentuximab vedotin and how well it worked.

Researchers administered 1.8 mg/kg of intravenous brentuximab vedotin treatment every three weeks for up to 16 doses. Those who benefited from the drug could continue beyond this time period until disease progression, unacceptable toxicity or study closure. Patients received a median of eight cycles, with four completing 16 and one completing 23 cycles.

“In this population of older patients with Hodgkin lymphoma who were unfit for standard chemotherapy, we observed that brentuximab vedotin as a single agent produced a very high rate of response, including a very high rate of complete remission,” Forero said.

At the time of analysis, 92 percent of patients achieved a complete or partial response to the drug that lasted about 9.1 months. Of those, 73 percent achieved a complete remission that lasted about 9.2 months. The treatment was generally well-tolerated and consistent with previous reports of brentuximab vedotin in patients with relapsed and treatment-resistant Hodgkin lymphoma. As expected, the toxicity that was observed was mild and reversible sensory neuropathy, which is decreased sensitivity in the fingers and toes. Fewer than half of the patients experienced fatigue and nausea.

“While we observed promising responses, the next step is to evaluate this drug in combination with additional chemotherapy or immunotherapies that might allow us to prolong the response without relapse,” Forero said.

Direct funding for this research was issued by Seattle Genetics, Inc., through the joint financial support of Seattle Genetics, Inc., and Takeda Pharmaceuticals International Co.

http://www.uab.edu/news/focus-on-patient-care/item/6569-uab-study-finds-possible-frontline-therapy-for-older-patients-with-hodgkin-lymphoma

 

HudsonAlpha and UAB Comprehensive Cancer Center launch consortium, announce multiple hires

August 19, 2014

Researchers at both institutions will bring genomics to the forefront of cancer health care.

The HudsonAlpha Institute for Biotechnology and the University of Alabama at Birmingham Comprehensive Cancer Center have established a joint cancer research consortium that will combine pioneering efforts to diagnose, treat and care for patients and families affected by cancer. As a demonstration of each institution’s commitment to tackling the second leading cause of death in the United States, both organizations announced their intention to hire multiple faculty investigators in cancer genomics.

Genomics is the study of the entirety of deoxyribonucleic acid within a living organism. DNA contains the instructions for the development and function of all living organisms and many viruses. As such, the molecular basis for a great deal of human disease is believed to be in the genome.

“We aim to have a global impact. Over the last five years, researchers have really begun to recognize the broad role that DNA plays in all human diseases,” said Richard M. Myers, Ph.D., HudsonAlpha’s president and science director. “Bringing genomics to the forefront in cancer health care is one of HudsonAlpha’s biggest projects. We have research in breast cancer, ovarian cancer, and kidney and prostate cancer, to name a few, and for us, a partnership with one of the most respected NCI comprehensive cancer centers will help us fulfill our mission.”

HudsonAlpha Institute for Biotechnology

HudsonAlpha Institute for Biotechnology is a nonprofit research institute dedicated to realizing the promise of genomics in medical, agricultural, educational and commercial practice. Since opening its doors in 2008, HudsonAlpha has expended more than $30 million on cancer-related research and generated more than a half-dozen discoveries related to genomic techniques and biomarkers.

The UAB Comprehensive Cancer Center is one of only 41 comprehensive cancer centers in the United States, and the only one in the Deep South’s six-state region, meeting the stringent criteria for the designation awarded by the National Cancer Institute. To garner this designation, the UAB CCC possesses the region’s greatest depth and breadth in laboratory, clinical and population-based research, as well as substantial transdisciplinary research that bridges these scientific areas. It has held the designation continuously since 1973.

The UAB CCC is home to more than 350 physician-scientists and researchers with the largest group of cancer specialists in Alabama who focus on specific cancer disciplines. Patients also have access to more than 180 cancer-related clinical trials, positioning the UAB CCC to solve the problem of cancer while providing the best possible care to the patients they serve.

UAB Comprehensive Cancer Center

The UAB-HudsonAlpha Cancer Consortium formalizes the two organizations’ fruitful collaborations dating from 2010. The Consortium’s goals are to improve cancer patient diagnosis, treatment and care through research and to reduce disparities in cancer outcomes among different demographic groups. The UAB CCC and HudsonAlpha have individual education and public outreach programs that are complementary and will likely amplify each other’s impact.

“Our philosophy is that we’re better together,” Myers said. “Genomics is a highly dynamic field with a great deal of potential. Its application also requires a great deal of experience to interpret the vast quantities of data generated by sequencing DNA and performing other experiments on the human genome. This is where HudsonAlpha excels, and we need partners who are experts at clinical diagnosis, treatment and care so that we can relate genomic data to patient attributes. Getting the most out of new discoveries so that we impact patient care substantially and quickly is the reason HudsonAlpha was founded.”

“Both of our organizations have a passion for improving the lives of those affected by cancer,” said Edward E. Partridge, M.D., director of the UAB Comprehensive Cancer Center. “The UAB CCC serves about 5,000 new patients and provides oncology to more than 20,000 patients annually, and we are determined to bring state-of-the-art genomics to their care. Partnering with HudsonAlpha brings to this challenge a deep reservoir of knowledge about the genetic and epigenetic basis for human disease, as well as HudsonAlpha’s leadership in devising genomic techniques.”

In recent years, as part of its mission to expand and grow its centers, the National Cancer Institute has encouraged the development of consortium cancer centers, especially those that reach into geographic regions that have unmet needs and opportunities to improve cancer health care.

As a cancer consortium, UAB and HudsonAlpha create an attractive destination for researchers in cancer genomics. HudsonAlpha intends to hire multiple faculty investigators, especially those with an interest in cancer genomics and computational biology, who will be part of the UAB-HudsonAlpha Cancer Consortium, taking full advantage of UAB’s clinical setting and HudsonAlpha’s genomics expertise and state-of-the-art infrastructure. Faculty investigators carry joint or adjunct appointments at both institutions.

The UAB-HudsonAlpha Cancer Consortium is one part of the institutions’ joint venture, which also includes the UAB-HudsonAlpha Center for Genomic Medicine announced earlier this summer with the intention of incorporating research knowledge into predicting and diagnosing personalized therapies and cures.

HudsonAlpha Institute for Biotechnology
Media Contact: Heather Smith
[email protected]
256-327-0443

UAB Comprehensive Cancer Center
Media Contact: Beena Thannickal
[email protected]
205-975-3967

About HudsonAlpha Institute for Biotechnology: The HudsonAlpha Institute for Biotechnology possesses a unique concentration of genomics expertise and infrastructure, thanks to more than $200 million invested by private philanthropists and the state of Alabama and externally sponsored research. The nonprofit research institute houses in its facilities a unique blend of nonprofit scientists and for-profit entrepreneurs and corporate leaders who share know-how and challenges across organizational boundaries — an arrangement designed to accelerate application and commercialization.

About the UAB Comprehensive Cancer Center: The UAB Comprehensive Cancer Center is among the 41 cancer centers in the nation that meet the stringent criteria for the National Cancer Institute’s comprehensive designation. The center is a leader in groundbreaking research and patient care, and in reducing cancer disparities.

 

http://hudsonalpha.org/press-releases/hudsonalpha-and-uab-comprehensive-cancer-center-launch-consortium-announce-multiple-hires