Academic and research programs battling cancer

New Training, New Tools

mericans are living longer than ever before, which means more Americans will be diagnosed with cancer in the coming years. Some visionaries at the UM Miller School of Medicine are preparing for that future now, with new training and new tools focused on treating malignancies.

New Meaning to Cancer Doctor

bout 50 students have applied for the new Cancer Biology Ph.D. pro gram at the Miller School. The first five students start classes this fall.

The new degree program is designed to complement the new National Institutes of Health Roadmap, geared to take the most promising findings of basic science and quickly turn them into lifesaving treatments for patients. That requires a marriage of sorts between laboratory scientists and physicians seeing patients.

“We’re going to combine both basic and clinical/translational research,” explains David Helfman, Ph.D., director of the new program. “So we have two-tier mentoring, which is unique.

“A clinician thinks somewhat differently about cancer than a research scientist,” continues Helfman, also a professor of cell biology and anatomy. “Hopefully, by interacting closely with clinical oncologists, our program is going to bring to light unmet clinical challenges.” Those needs will steer basic science.

“And the interest on the part of the clinicians for this has been extraordinary,” says Helfman. Physicians have been writing to him, volunteering to serve as clinical mentors.

Immune to a Killer

eginning in 1999, an experimental vaccine for lung cancer was tested at UM/Sylvester Comprehensive Cancer Center in 19 patients, all of whom were out of options. Six responded and survived for several years—four are still alive, having had no other treatment for this deadly disease.

Now, about 70 new patients will get a chance to try the vaccine.

Luis E. Raez, M.D, F.A.C.P., co-chair of the Thoracic Oncology Group at UM/Sylvester, has been awarded a three-year $300,000 Clinical Innovator Award from the Flight Attendant Medical Research Institute, funding which makes two new phase II clinical trials possible. In one, patients who are not eligible for surgery but who respond well to chemotherapy will be treated with the vaccine.

“Within four months,” explains Raez, “50 percent of those patients with good outcomes from the chemo would relapse.” The hope is the vaccine will delay or prevent that relapse.

The second group will be patients who have had their tumors surgically removed.

“That’s a better setting for a vaccination,” says Eckhard R. Podack, M.D., Ph.D., chairman of microbiology and immunology, who devised the vaccine. “When there is minimal or no detectable disease, the immune system responds much better.”

Feed a Cold, Starve a Tumor

heodore J. Lampidis, Ph.D., professor of cell biology and anatomy, found a way to use a false sugar to target hypoxic tumor cells—cancer growing slowly in a low-oxygen environment. The agent 2-deoxy-D-glucose blocks glycolysis in cells already starved of an adequate blood supply, taking away both sources of life. Combined with standard chemotherapy, it promises to kill more of a tumor, more quickly, than chemo alone.

A phase I clinical trial, combining 2-DG with Taxotere, is almost complete. Twenty-four patients were enrolled, with breast, lung, head and neck, bladder and gallbladder cancers, and with tumors of unknown origin. “We have several patients that have achieved stable disease,” said Luis Raez, M.D., F.A.C.P., a UM/Sylvester medical oncologist.

Since 2-DG is a synthetic sugar, it has almost no side effects. Also, it’s oral therapy—a simple drink.

And there is evidence from the lab that it might work without chemo. Explains Lampidis: “We’re looking at the use of this false sugar as a relatively non-toxic single agent treatment in certain tumor types, without more toxic chemotherapy.”

–Kelly Kaufhold

 
graphic
University of Miami Medicine Online