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
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