A Division of Cancer Medicine Information Exchange Vol. 3 No. 4, 2006 Clinical Trials Program in Third Year at LBJ T he fact that M. D. Anderson offers clinical trials at LBJ General Hospital might just be the best kept secret in town, said Sherry Sterling, R.N., C.C.R.P., C.C.R.C., the research nurse supervisor who directs the three-yearold Clinical Trials Oncology Program (CTOP) at LBJ. But she doesn’t want it to stay that way. She’s been working with several faculty members to inform patients about the full range of cancer care that is available to them. The team includes Vicente Valero, M.D., professor in Breast Medical Oncology and Chief of the Oncology Service at LBJ; Arlene Nazario, M.D., clinical assistant professor in Gastrointestinal Medical Oncology (GIMO) and the only attending who has worked with the fellowship program since its inception 10 years ago; and Alyssa Rieber, M.D., chief fellow at LBJ. A total of 21 fellows and 11 attendings staff the clinics that are held Mondays, Wednesdays, and Fridays. The CTOP offers 13 protocols for breast, colorectal, and non-small-cell lung cancers, as well as symptom management. In 2005, the fellowship program saw 450 new patients. To date, we have placed 190 of them on clinical trials. CTOP is constantly expanding its capability. Last year, we created an interface with LBJ’s computer network to allow the fellows access to Clinic Station. This fosters continuity of care for patients referred to We’re elevating the level of care by M. D. Anderson to receive services offering clinical trials to that are not offered at LBJ within patients who may not the Harris County Hospital District. otherwise have access due “We’re very proud of what to lack of insurance or we’ve accomplished. We’re elevating inadequate catastrophic the level of care by offering clinical coverage. trials to patients who may not – Sherry Sterling, R.N. otherwise have access due to lack of insurance or inadequate catastrophic coverage,” said Sterling. The patient population at LBJ’s Oncology Clinic in 2005 included 396 Hispanics, 465 African-Americans, 249 Caucasians, 39 Asians, and 7 others, lending itself to a larger number of minorities agreeing to enroll in Phase II and III clinical trials. This has been a long-term goal at M. D. Anderson. LBJ Chief Fellow Alyssa Rieber, M.D., and Paul Armistead, M.D., Ph.D., look at a patient's CT chest images. Sterling, who has worked with a variety of clinical trials in her 30-year career, believes patients today are less afraid of trials than in years past. “It takes extra effort to educate not just the patient, but that patient’s spouse and entire family about how we’ve come to believe an investigational drug may be helpful to them. Sometimes it takes multiple explanations. We also explain that not only do several M. D. Anderson departments monitor the safety of our trials, but that the federal government does as well, including the Food and Drug Administration. It is a huge trust issue and one that requires us to spend the time it takes to answer all their questions, so patients don’t feel like they’re being rushed into an ‘experiment,’” said Sterling. “We also include in the discussion, especially with minority patients, that they are doing something worthwhile— not just for themselves but for other people who look like them. It’s critical to have a wide ethnic sampling because there are some drugs that may react differently or won’t react at all because of small genetic differences that occur in racial groups. We need to know that.” – By Maxsane Mitchell A Message From Waun Ki Hong, M.D. Head, Division of Cancer Medicine Enjoy the Gift of HealthThis Season Research and Education Highlights Complete Genetic and Epigenetic Mapping of Human Cancer Only a Few Years Away T hat time of year when most of us go to our favorite shopping malls in search of holiday gifts for our family and friends has come to an end. But when you work at one of the top cancer centers in the country, you understand that no gift is more precious than good health. Thousands of new patients who come to see us every year understand this. They come here hoping we can offer them the latest and best treatment for their disease. We have a lot of positive outcomes, even though in many cases, aggressive therapies can take a physical and emotional toll. Unfortunately, there are also cases in which there is no option for cure, and all we can offer is compassion. As a division, we are already doing this very well but there is room for improvement. We are shoring up our Palliative Care Department with a Cytokines & Supportive Care Program that can get involved at any point during treatment to help mitigate disease symptoms and treatment toxicities. Take the case of a 55-year-old patient who failed two different courses of chemotherapy for the treatment of advanced non-small cell lung cancer. As his disease progressed, our palliative care faculty discussed the situation in a family conference and arranged for home hospice care in the last 12 days of the man’s life. He died with dignity and good symptom control, which meant a great deal to him and his family. Just as compelling is the story of a 37-yearold Marine who was battling pancreatic cancer that had metastasized widely, and following chemotherapy and radiation, no other investigational treatment was available. We worked closely with him and his wife to determine how to support them. Fortunately, we were able to reverse symptoms of delirium that made it difficult for him to relate to his family, who gave him a retirement party in the inpatient unit. Several Marines attended, and our patient rallied physically and emotionally and was able to get out of bed. We discharged him with hospice support. We’re in the process of developing new targeted therapies—and when necessary, new ways to manage symptoms when no other options are available. We have a reputation for offering state-of-the-art treatment and we feel it’s just as important to offer that kind of compassion in helping people at their most vulnerable. That is the foundation of M. D. Anderson. 2 Waun Ki Hong, M.D., David Sidransky, M.D., Ph.D., Margaret Spitz, M.D., Ph.D., Merrill Kies, M.D., Scott Lippman, M.D. T he Fifth Annual Waun Ki Hong Visiting Professor Award was presented October 24 to David Sidransky, M.D., Ph.D., director of Head and Neck Cancer Research and professor in Otolaryngology—Head and Neck Surgery, Oncology, Pathology, Cellular and Molecular Medicine, and Urology at Johns Hopkins University School of Medicine. Dr. Sidransky introduced his presentation by congratulating Dr. Hong. “Ki’s mentorship extends well beyond the walls of M. D. Anderson,” Dr. Sidransky proclaimed. “He supports young faculty across the U.S. and around the world. Instead of just pursuing his own career, Ki always looks to advance others.” Scott Lippman, M.D., chair, Thoracic/Head and Neck Medical Oncology, pointed out that Dr. Sidransky had also mentored numerous translational scientists, including Dr. Li Mao, now a faculty member in his department. Promoter Methylation as Important as Genetic Mutation Dr. Sidransky then walked us through his team’s translational research journey toward defining the emerging cancer methylome—a journey that only works with hand holding between basic scientists and clinical scientists the whole way, he stressed. He proposed that aberrant gene promoter methylation and associated inactivation of tumor suppressor genes is just as serious as genetic mutation and gene activation in driving carcinogenesis. “You can’t understand inactivation and activation of specific tumorigenic pathways if you don’t look at methylation. It is just as powerful, just as significant,” he said. “Methylation can set up a cell for subsequent mutation.” Diagnostic Markers with High Specificity for Head and Neck and Bladder Cancers By using saliva and urine samples, Dr. Sidransky’s research team set out to develop noninvasive screening and diagnostic tools by identifying methylated genes with high specificity for head and neck squamous cell cancer and bladder cancer. Examining samples from an at-risk population of current smokers and ex-smokers, they found that the more genes methylated, the more likely the subject was to become a cancer case. They observed that DCC promoter methylation, previously associated with colon cancer, also had the highest specificity for head and neck cancer. Dramatic differences between DNA samples from bladder cancer patients and normal controls led to the discovery of four methylated genetic markers with nearly perfect specificity for bladder cancer. DoCMessages • Vol. 3 No. 4, 2006 From the Chair… Department of Molecular Therapeutics Becomes Systems Biology E ver wonder what happens when the clock on your wall stops keeping perfect time? The battery may not be the problem. To figure it out, we sometimes have to examine all of the components—including the frame, gears, winding key, clock hands, Gordon Mills, M.D., Ph.D. everything. Following that theme, we have changed the name of the Department of Molecular Therapeutics to Systems Biology to reflect a change in the way we figure out how things work in biological systems, how they go wrong, and which therapies should be administered to repair those problems. It’s going from studying one molecule or a group of molecules at a time to attempting to understand functional outcomes based on integrating information from many different molecules. The emergent field of Systems Biology examines data to establish predictive modeling that can vastly improve our ability to select patients likely to respond to particular therapies. When this approach is more mature, it should also allow us to predict the unknown consequences of targeted therapies. We are beginning to do that now. An outstanding example is the recent termination of a clinical trial at M. D. Anderson of an mTOR inhibitor because it triggered further tumor growth. Our preliminary systems biology-based mathematical and experimental models of the PI3K/mTOR signaling network accurately predicted this consequence. Further, the models suggest combinations of targeted therapeutics likely to reverse the negative effects of the mTOR inhibitor, resulting instead in the positive outcome of tumor growth inhibition. These are very exciting times—even at this early stage! We’re generating massive amounts of information via DNA, RNA, proteomics, and high throughput technologies. The Department of Bioinformatics and Computational Biology—in the Division of Quantitative Sciences—has been established to help develop models, concepts, and hypothesis generation and testing. We already share faculty and I’m actually leading the search to find a new chair for the department. The two home departments, investigators from other divisions at M. D. Anderson, and outside researchers will interact with centers on the South Campus; in particular, the Kleberg Center for Molecular Markers, which I direct, the Center for Applied Biomedical Imaging Research, and the Center for Targeted Therapies. These changes will be critical to the further development of personalized medicine for cancer management at this institution. Methylation Drives Resistance to Chemotherapy New Cancer-Specific Methylated Genes and Pathways Discovered Remarking that “individualized therapy is the hottest area today,” Dr. Sidransky demonstrated that epigenetic events such as methylation of the repair enzyme MGMT can predict response to therapy. He discussed the key role of methylating genes in resistance or sensitivity to platinum chemotherapy. “Methylation is the perfect target for acquiring resistance,” he said. “Even a little bit of methylation can give you a little bit of resistance.” Treating hepatocellular, head and neck squamous cell cancer, and cervical cancer cell lines with 5-azacytidine—a demethylating agent that reactivates tumor suppressor genes—Dr. Sidransky’s team looked for markers of acquiring resistance to platinum. They found that combinations of genetic markers contributed to resistance, and no single gene was able to completely reverse resistance. Dr. Sidransky continued his journey to ultimately define the cancer methylome by seeking a new approach that would incorporate his research team’s previous work in an unbiased and high yield manner. Because normal epigenetic changes are what make one organ different from another, the new approach would have to distinguish clearly between normal tissue- and cancerspecific methylation. He noted that genes methylated in cancer do not occur randomly; instead, they cluster together on specific chromosomes. By combining two sets of analyses for specific binding patterns in the entire human genome, his team found 200 overrepresented genes as potentially comprising part of the cancer methylome. Studying cell lines from the most common cancers such as lung, breast, colon, and prostate, he pointed out that “It took two years of 16 post-doc FTEs of work testing 175 genes to identify 28 new cancer-specific methylated genes that are not methylated in normal tissues. This gives us close to 100 altogether.” The team not only discovered major methylated genes DoCMessages • Vol. 3 No. 4, 2006 that had never been found before— such as Nisch in lung cancer—they also discovered entirely new pathways causing tumors. Dr. Sidransky wrapped up with a summary of what is currently known about cancer biology. • Approximately 250 genetic mutations in cancer are known. • Approximately 100 methylated genes are now known, including the new 28 genes Dr. Sidranski’s team discovered, out of an estimated 500-700 to be found altogether. • 350 of 500 major genetic and epigenetic alterations are known. • Most of the major cell signaling pathways have now been established, but there are still more genes to be discovered that are genetically or epigenetically altered. “We are just a few years away from complete genetic and epigenetic mapping of human cancer,” Dr. Sidransky concluded. “That clearly will have major implications from a diagnostic and therapeutic point of view.” – By Carol Howland 3 Research and Education Highlights New Gene Therapy Targets Bladder Cancer William Benedict, M.D., and colleagues have developed a gene therapy for bladder cancer using the retinoblastoma, RB94, plasmid in a targeted liposome vector, which is a new class of antineoplastic agents with a unique William Benedict, M.D. mechanism of action. Randall Millikan, M.D., Ph.D., is the principal investigator of the Phase I trial testing this new gene therapy in patients with metastatic bladder cancer and other solid tumors. The RB94 gene therapy also offers the potential to treat brain tumors because it passes through the blood-brain-barrier. “RB94 is highly cytotoxic to human cancer cells but not to normal human cells,” said Dr. Benedict in his DoCM Grand Rounds presentation September 12, 2006. Dr. Benedict’s research team created a targeted liposomal delivery system that has several advantages over earlier systems: It offers better tumor penetration, it is less immunogenic than previous systems, and its recombinant molecular capacity is easy to produce for clinical use. Bladder SPORE Renewed Dr. Benedict also has several investigative and administrative roles in the Specialized Program of Research Excellence (SPORE) grant renewed in October for bladder cancer research. He is laboratory co-leader for Project 5: Improving Gene Therapy for Superficial Bladder Cancer, as well as director of the Career Development Program and the Developmental Research Program. 4 Phase I Program Urged to “Think Big” as Retreat Takes Program to Next Level of Personalized Therapy I n the wake of the Phase I Program’s rapid growth over the past two years, Waun Ki Hong, M.D., head of the Division of Cancer Medicine, introduced the third annual retreat held September 27, with the entreaty, “It’s time to take the program’s pulse for healthy growth, to figure out how to grow wisely and accommodate growth, and to choose quality over quantity. It’s time to move the program to the next level. Now we need to know more about the impact of the Phase I drugs studied—how patients have benefited and how many drugs have moved on to Phase II trials.” Dr. Hong closed by congratulating Razelle Kurzrock, M.D., director of the Phase I Program, for her strong and effective leadership. “I want to add my congratulations,” said President John Mendelsohn, M.D. Phase I trials and the Clinical and Translational Research Center (CTRC) will be a critical part of the plan over the next six years to dedicate more than $150 million to personalized cancer therapy, he promised. Toward the program’s overarching goal to bring new therapies to cancer patients, Dr. Kurzrock reported the program’s many accomplishments, among them: • A dramatic increase in the pipeline of novel, targeted agents available to patients for whom conventional therapy is ineffective—growing from 2 to 55 clinical trials on the priority list; • An increase in interdepartmental and interdivisional networking and clinical information sharing; • Establishment of active clinical and inpatient services; • Establishment of a state-of-the-art education program for fellows, nurses, and study coordinators; • Securing ample funding for the program, including peer-reviewed NIH funds. The program also increased the number of trials open to underserved populations traditionally excluded from Phase I studies—children, the elderly, patients with brain metastases, and patients with hepatic or renal failure. There has also been a rise in trials targeted to patients with specific oncogenic biomarkers such as CNTO328 successfully targeting interleukin-6 in Castleman’s disease, XL184 targeting the Ret mutation in thyroid cancer, and the V-930 vaccine targeting Her2/neu and the carcinonembryonic antigen (CEA). “An estimated 80 to 90% of patients we see get on a trial,” said Luis Camacho, M.D., M.P.H. “Most patients say ‘yes’ when given the opportunity to get on a Phase I trial,” added Robert Benjamin, M.D., chair, Department of Sarcoma Medical Oncology. One of the largest Phase I programs in the nation, the program is highly collaborative, Dr. Kurzrock emphasized. The Phase I Working Group consists of 35 members from 13 different disease sites. Although most of these members are from the Division of Cancer Medicine, there is also active participation of colleagues from Pediatrics, Surgery, Radiation Oncology, Prevention, Diagnostic Imaging, proteomics and genomics, basic science research, and pharmacology. – By Carol Howland DoCMessages • Vol. 3 No. 4, 2006 M. D. Anderson Partners in New NIH Discovery Engine for Clinical and Translational Sciences Razelle Kurzrock, M.D., professor and director of the Phase I Program, is one of three co-directors of a new, collaborative, $36 million, five-year award to create a Center for Clinical and Translational Sciences (CCTS). Awarded by NIH in October, the University of Texas Health Science Center at Houston, in partnership with M. D. Anderson, is one of the first 12 recipients of the awards. M. D. Anderson faculty in several departments will receive about a quarter of the grant funds. The purpose of the centers is to encourage clinical innovation in academic health science centers so that new treatments can be developed more efficiently and delivered more quickly to patients with a broad spectrum of diseases, including cancer. Razelle Kurzrock, M.D. NIH Director Elias A. Zerhouni, M.D., remarked, “Working together, these sites will serve as discovery engines that will improve medical care by applying new scientific advances to real world practice. We expect to see new approaches reach underserved populations, local community organizations, and health care providers to ensure that medical advances are reaching the people who need them. This consortium represents the first systematic change in our approach to clinical research in 50 years.” Another major goal is to support young investigators. The new center, slated for completion within 2007 on the top floor of the U. T. Medical School, will offer state-of-the-art laboratories in genetics, microarray technology, proteomics, immunology, and MRI imaging. Robert Bast, M.D., vice president for translational research, led development of the grant, and Maurie Markman, M.D., vice president for clinical research, will represent M. D. Anderson on the oversight committee. – By Carol Howland Peptidomimetic Drugs Developed to Target Specific Tumor Vasculature Renata Pasqualini, Ph.D., Department of Genitourinary Medical Oncology, expects to have targeted drugs— translated from her research team’s human vascular mapping project—ready for clinical trial in 2007, she projected in her Grand Rounds presentation October 3 on “Targeting EGF & VEGF Receptors—From Combinatorial Ligand Discovery to Peptidomimetic Preclinical Studies.” The team’s latest research has emphasized designing new targeted drugs by creating small-molecule mimetics of DoCMessages • Vol. 3 No. 4, 2006 peptides produced through recombinant DNA technology and functional studies. “Designing a mimetic drug is like taking a peptide and putting it in front of a mirror—so that it can’t be targeted by normal enzymes and degraded,” noted Dr. Pasqualini. This produces a more stable drug that can be delivered as a pill. Led by postdoctoral fellow Ricardo Giordano, Ph.D., the team is producing mimetic drug candidates that inhibit vascular growth factor (VEGF) receptors, which promote blood vessel formation that supports tumor growth. They have produced peptides that structurally and Renata Pasqualini, Ph.D. functionally mimic VEGF. Similarly, using antibodies obtained from President John Mendelsohn, M.D. five years ago, her team, led by postdoctoral fellow Marina Cardo-Villa, Ph.D., is creating peptidomimetics that target epidermal growth factor (EGF) receptors, which are found on the cell surface of most types of solid tumors. They found that their rationally developed EGFR mimetic drug has anti-tumor activity. – By Carol Howland Harnessing the Anti-Tumor Potential of Stem Cells Richard Champlin, M.D., chair, Stem Cell Transplantation and Cellular Therapy, co-chaired the 59th Annual Symposium on Cancer Research held October 27-29. Focused on “Stem Cells in Cancer and Regenerative Medicine,” the symposium achieved a new record for attendance—nearly a thousand researchers and trainees from around the world. Other members of the Symposium Organizing Committee from that Richard Champlin, M.D. department included Martin Korbling, M.D., co-chair of the session on Transplantation and Tissue Regeneration, and Elizabeth Shpall, M.D., co-chair of the session on Postnatal Stem Cell Biology. Zeev Estrov, M.D., from the Department of Leukemia, co-chaired the session on Intrinsic and Extrinsic Mechanisms of Stem Cell Renewal and Multipotency. Jean-Pierre Issa, M.D., Department of Leukemia, collaborated with Malcolm Moore, D.Phil., Memorial Sloan-Kettering Cancer Center, in the study Dr. Moore presented on the roles of Flt3/STAT5A and homebox genes in normal and leukemic stem cell homeostasis. Michael Andreeff, M.D., Ph.D., explained how circulating mesenchymal stem cells selectively engraft into tumor stroma and produce potent anti-tumor proteins. 5 Research and Education Highlights Avastin Approved for Non-Small-Cell Lung Cancer New Targeted Biomolecules Lectures to Start in 2007 T he Department of Experimental Therapeutics is expanding its Lecture Series to include “New Perspectives in Targeted Biomolecules.” The 90-minute sessions planned to begin in January will focus exclusively on the development of new, targeted, anti-cancer agents such as antibodies, growth factors, therapeutic viruses, and liposomal delivery systems. The speakers will come from M. D. Anderson and other institutions throughout the Texas Medical Center, as well as high-profile leaders in the drug development industry. The series is accredited for continuing medical education (CME), with participants to receive 1.5 Category 1 credits toward the American Medical Association’s Physician’s Recognition Award. At press time, no specific dates had been set. Michael Rosenblum, Ph.D., professor in Experimental Therapeutics, is spearheading the series. Those interested in attending should contact him via Lotus Notes. – By Maxsane Mitchell he U.S. Food and Drug Administration (FDA) approved Avastin (bevacizumab) on October 12, 2006, to treat non-resectable, non-squamous, non-small-cell lung cancer, in combination with the standard chemotherapy regimen of carboplatin and paclitaxel. Avastin has been shown to extend survival in patients with most types of human tumors. Previously, it was approved to treat colorectal cancer in February 2004. Avastin is a monoclonal antibody that inhibits the vascular epithelial growth factor receptor (VEGFR), Roy Herbst, M.D., Ph.D. a protein that generates a network of blood vessels supporting tumor nourishment and growth. The drug is manufactured by Genentech in San Francisco. Combining Avastin with the epidermal growth factor receptor (EGFR) inhibitor Tarceva (erlotinib) may yield even better John Heymach, M.D., Ph.D. outcomes. In a multi-center, Phase II clinical trial, Roy Herbst, M.D., Ph.D., Department of Thoracic/Head and Neck Medical Oncology, demonstrated encouraging anti-tumor activity and survival in patients with non-small-cell lung cancer. This combination controlled the disease in 85% of patients. In the same department, John Heymach, M.D., Ph.D., has been conducting studies that target both EGFR and VEGFR in a single drug, ZD6474. The addition of ZD6474 to chemotherapy prolonged progression-free survival in his Phase II trial, and is currently under investigation in a large, international, Phase III clinical trial at M. D. Anderson. – By Carol Howland 6 T Research Assistant Wins Trainee Excellence Award Human Kadara, M.S., research assistant in Thoracic/ Head and Neck Medical Oncology, recently won a $500 Trainee Excellence Award from M. D. Anderson's Alumni and Faculty Association. The funds will be used to help pay travel expenses to the American Association of Cancer Research Annual Meeting in April, where Kadara will present his abstract, “The Pro-Apoptotic Retinoid N-(4-Hydroxyphenyl) Retinamide Activates the Endoplasmic Reticulum Stress Pathway in Human Head and Neck Cancer Cells.” His mentor is Reuben Lotan, Ph.D., deputy division head for research. Konopleva Research Earns Awards Marina Konopleva, M.D., Ph.D., assistant professor in Stem Cell Transplantation and Cellular Therapy, recently received two grants to further her research to improve outcomes for leukemia patients. The Department of Defense NanoHealth Seed Grant will support her work as principal investigator on a study entitled, “Feasibility of Selective Laser Elimination of Leukemia CellsTargeted with Gold and Silver Nanorods.” The $88,813 is for one year. The American Cancer Society Scholar Award will fund her study of “Akt-ILK Signaling as a Therapeutic Target in Leukemia.” The $720,000 grant is for a total of three years. DoCMessages • Vol. 3 No. 4, 2006 Assistants Offered NIH Grant Submission Class I t takes more than a great scientific research idea to win a federal grant. It also takes mounds of meticulous paperwork to complete the application process. Most of that documentation is done by the principal investigator’s administrative assistant. To help with this responsibility, the Division of Cancer Medicine is now offering them a course entitled, “Everything You Wanted to Know about NIH Grant Submissions, but Were Afraid to Ask.” Some of the information can be used when applying for grants at other organizations. Carol Farhangfar, Ph.D., director of research development and planning, and Sandra Pontello, senior administrative assistant in the division office, assembled the instructional materials for the course. “When we sent out the first email invitations, we were surprised by the number of people who quickly responded ‘yes.’ That proved right away that our assistants want to know more about their important role in getting research funding,” said Pontello, who teaches the class. A total of 98 people attended the first two sessions in September. Some of the topics were: • Starting from the beginning with a PHS 398 form • How to gather or update biosketches on principal investigators and their co-principal investigators and how to describe their roles in the proposed project • Doing budgets correctly • What needs to be included in letters of support and references • The importance of gaining required institutional signatures • How to initiate a Funding Research Database (FReD) checklist • How to plan ahead to meet timeline requirements “This course gives administrative support staff the reference materials they need to submit their grants with confidence,” Pontello noted. The course materials also include a contact list for the National Institutes of Health, as well as the names and phone extensions for M. D. Anderson’s Office of Research Administration (ORA), where completed applications go for review before they are submitted to the applicable agency. The highlight of the class is the presentation of a mock-up of a completed grant application packet in which Pontello goes over every page, line-by-line, describing what information is needed from the assistant and where to get it. More classes for administrative assistants will be held in 2007, including classes focusing solely on budgets, multidisciplinary program grants, subcontracts, post-award issues, as well as a general class for grant managers and department administrators. For more information, contact Sandra Pontello via Lotus Notes. – By Maxsane Mitchell DoCMessages • Vol. 3 No. 4, 2006 Congratulations to all principal investigators in the DoCM who were awarded new, peer-reviewed grants in 2006. Following is a list of large grants, particularly from NIH, that have not been recognized yet in DoCMessages. Shortened project titles are provided. The amount of funding is for the first year; awards for subsequent years may be slightly different. Wadi Arap, M.D., Ph.D. Genitourinary Medical Oncology Cell Death Pathway in Acticells Susan G. Komen Foundation, $35,000, 7/1/20064/30/2009 Terri Armstrong, D.S.N., A.P.N. Neuro-Oncology Impact of Treatment on QOL in Patients with Primary Brain Tumors ABC2, $75,000, 7/24/2006-7/24/2011 Jan Burger, M.D. Leukemia, Chemokine CXCL13 in CLL Leukemia Research Foundation, $100,000, 7/1/20066/30/2007 Kwai Wa Cheng, Ph.D. Molecular Therapeutics, Rab25 in Breast Cancer Department of Defense, $100,000, 3/27/20064/26/2009 Zeev Estrov, M.D., Leukemia, STAT-3 serine phosphorylation in CLL CLL Global Research Foundation, $95,238, 02/21/2006-02/28/2007 Zhen Fan, M.D., Experimental Therapeutics, Sensitizing Breast Cancer to EGF Receptor-Directed Therapies Department of Defense, $98,587, 05/01/2006-05/31/2009 Zhen Fan, M.D., Experimental Therapeutics, Novel Potential Therapies for Breast Cancer, Breast Cancer Foundation, $1,256,290, 10/01/2006-09/30/2007 Varsha Gandhi, Ph.D. Experimental Therapeutics, BLyS-Gelonin for CLL Leukemia & Lymphoma Society, $180,018, 10/01/2006-09/30/2009 Guillermo Garcia-Manero, M.D. Leukemia, Prognostic and Therapeutic Implications of Aberrant DNA Methylation in ALL Leukemia & Lymphoma Society, $134,882, 10/1/2006-09/30/2009 Ana Gonzelez-Angulo, M.D. Breast Medical Oncology Functional Proteomics and Response to Preoperative Therapy in Breast Cancer NIH R-21 Award, $95,000, 09/27/2006-08/31/2008 Morris Groves, M.D. Neuro-Oncology, Temozolomide or Lomustine with Dietary Methionine Restriction for Recurrent Glioblastoma Multiforme Cancer Treatment Research Foundation, $412,296, 01/01/2006-12/31/2006 Jordan Gutterman, M.D. Molecular Therapeutics, Chemical Biology of a Pentacyclic Triterpenoid Compound Welch Foundation, $50,000, 06/01/2000-05/31/2009 Gabriel Hortobagyi, M.D. Breast Medical Oncology Fellowship Program Susan G. Komen Foundation, $35,000, 07/01/2006-06/30/2008 Patrick Hwu, M.D. Melanoma Medical Oncology DC Vaccination to Enhance Adoptive T-Cell Transfer NIH R01, $178,683, 06/19/2006-04/30/2011 Patrick Hwu, M.D. Melanoma Medical Oncology Plasmacytoid DC Interactions in Autoimmune Response NIH R01, $177,500, 08/15/2006-07/31/2011 Marina Konopleva, M.D., Ph.D. Stem Cell Transplantation Biomarkers of CDDO Efficacy in Leukemias Leukemia & Lymphoma Society, $180,018, 10/01/200609/30/2008 Jonathan M. Kurie, M.D. Thoracic/Head & Neck Medical Oncology Mediators of KRAS in Lung Adenocarcinoma NIH R01, $182,500, 07/12/2006-05/31/2011 Larry Kwak, M.D., Ph.D. Lymphoma/Myeloma, Genetic Vaccines Eliciting Lymphoma-Specific T-Cell Immunity Leukemia & Lymphoma Society, $180,015, 06/26/2006 Larry Kwak, M.D., Ph.D. Lymphoma/Myeloma, Adoptive Immunotherapy with Donor Myeloma-Specific T-Cells Multiple Myeloma Research Foundation, $90,910, 10/01/2006-09/30/2008 Shiaw-Yih Lin, Ph.D. Molecular Therapeutics, Functional Analysis of a Novel Tumor Suppressor BRIT1 in Prostate Cancer American Cancer Society, $200,063, 07/01/2006-06/30/2010 Chris Logothetis, M.D. Genitourinary Medical Oncology Marcus Foundation, $581,500, 07/10/2006-07/09/2009 Yiling Lu, M.D. Molecular Therapeutics Rational Design of Targeted Therapeutics in Breast Cancer Susan G. Komen Foundation, $100,000, 05/01/2006-04/30/2008 Paul Mathew, M.D. Genitourinary Medical Oncology, Prostate Cancer Research Program Clinical Consortium Award Department of Defense, $200,000, 01/03/2006-02/02/2009 Jeffrey Molldrem, M.D. Stem Cell Transplantation, Targeted Immune Therapy with Donor Derived Tumor Idiotype Specific T-Cells Leukemia & Lymphoma Society, $180,018, 10/01/2006-09/30/2009 Rita Nahta, Ph.D. Breast Medical Oncology, Crosstalk Between Leptin Receptor and IGF-1R, Department of Defense Idea Award, $100,000, 03/20/2006-04/19/2009 Rita Nahta, Ph.D. Breast Medical Oncology, HER-2/IGF-1R Crosstalk and Herceptin Resistance NIH K01, Howard Temin Award, $113,200, 08/01/2006-07/31/2011 Honami Naora, Ph.D. Molecular Therapeutics, Novel Homeobox Gene BP1 in Ovarian Tumor Behavior Department of Defense, $172,635, 02/01/2006-02/28/2009 Renata Pasqualini, Ph.D. Genitourinary Medical Oncology Marcus Foundation, $330,264, 07/10/2006-07/09/2009 Renata Pasqualini, Ph.D. Genitourinary Medical Oncology Human Vascular Map Project Carol C. Anderson, Sr. and Marie Jo Anderson Charitable Foundation, $150,000, 09/01/2006-08/31/2007 Renata Pasqualini, Ph.D. Genitourinary Medical Oncology Targeted Imaging of Prostrate Cancer Bone Metastasis Prostate Cancer Foundation, $100,000, 01/01/2006-12/31/2010 Vinay Puduvalli, M.D. Neuro-Oncology Efficacy and Toxicity of TRAIL Against Gliomas NIH R01, $157,500, 01/05/2006-12/31/2010 (Continued on page 12) 7 Accolades – By Maxsane Mitchell New Title Means Broader Responsibilities for Wolff Robert Wolff, M.D., has been working as the new deputy division head for clinical and educational affairs since Oct. 1. The position expands upon his other responsibilities as an associate professor in the Department of Gastrointestinal Medical Oncology (GIMO) and as director for the Hematology/Medical Oncology Fellowship Program. “Now I have a much broader responsibility for all the departments and programs that come under the purview of the division—more complexity,” he said. Some of the projects he works on now include a pilot hospitalist program in GIMO in which a general internist was hired to take over the care of patients admitted for non-cancer related concerns. “The pilot is a work in progress, but we feel it’s the best way to allow our oncology staff to do what they do best, and that is taking care of their outpatients and doing research,” said Dr. Wolff, adding that the program will be evaluated this winter. Finding a place to house inpatients in the Palliative Care and Leukemia protected environment is also on his list of “things to do” because of future construction on top of the Alkek Building next year. M. D. Anderson will build several floors on top of the existing structure in order to accommodate more patient beds. Dr. Wolff said he will have some role in identifying the types of personnel that will be needed for the new Ambulatory Treatment Center’s satellite location in Clear Lake. “I also want to help establish better guidelines for support of clinical research studies. We need more clarification as to who is responsible for financial coverage of procedures related to a study—whether it’s an insurance provider, pharmaceutical sponsor, grant, or Medicare,” Dr. Wolff said. “Figuring it out after a protocol has been initiated is not the most appropriate time.” Dr. Wolff will be involved in two major events in the fellowship program. The first happens in February when an External Advisory Board (EAB) meets to review what the program has accomplished and make suggestions on what it needs to do to continue to recruit 8 the best candidates. “Key questions for the EAB will be how we can improve the identification and recruitment of physician-scientists to our program and their mentoring as fellows and ultimately junior faculty,” Dr. Wolff explained. The second major event happens in March when the Accreditation Council for Graduate Medical Education (ACGME) comes for a site visit. “Now that we have merged with Hematology, ACGME’s representatives want to make sure we’re doing all of the right things. If we receive full accreditation at that time, we will probably not have another site visit for five years,” he said. Additionally, the program is improving its clinical training while working around changes with partners in the Texas Medical Center, as well as experimenting with ways to use more web-based tools to provide the fellows an opportunity to learn some things on their own and to enable testing via modules. This time next year, Dr. Wolff said he wants to look back and see a lot of accomplishments. “Ultimately, I see myself acting as I always have, as a problem-solver. When our faculty, fellows, and administration have issues that need to be addressed, I would like them to feel that I can help them solve the problems.” DoCM Garners Two Ashbel Smith Professorship Awards Congratulations go to Varsha Gandhi, Ph.D., in Experimental Therapeutics and Bonnie Glisson, M.D., in Thoracic/Head and Neck Medical Oncology for winning Ashbel Varsha Gandhi, Ph.D. Smith Professorships for 2006. The award recognizes excellence in teaching and scholarship and is accompanied by a $12,000 allocation for five years each to support research activities. Two other faculty members at M. D. Anderson also won the professorships, established in 1963 by The University of Texas Bonnie Glisson, M.D. Board of Regents. International Gynecologic Cancer Society Honors Bast For his groundbreaking work in developing the CA-125 blood test for ovarian cancer and a myriad of other studies, the International Gynecologic Cancer Society gave Robert C. Bast, Jr., M.D., vice president for translational research, its Award for Excellence in Gynecologic Oncology. It is only the fifth time the society has made such a presentation in its 20-year history. The membership is composed of scientists and physicians from 77 countries—all of whom are dedicated to improving the detection, prevention, and treatment of gynecologic cancer worldwide. The award also lauded Dr. Bast for his leadership in training the next generation of academic gynecologic oncologists. Dr. Bast serves as the principal investigator of the National Cancer Institute’s Specialized Program of Research Excellence (SPORE) grant for ovarian cancer research and continues to work with CA-125 and other tumor markers to develop methods for early detection. He has been at the institution since 1994, has authored or co-authored more than 500 articles and book chapters, and has served as an editor of the textbook Cancer Medicine. Hortobagyi Keynote Speaker at ASTRO Annual Meeting The division was represented at the 48th Annual Meeting of the American Society for Therapeutic Radiology and Oncology (ASTRO), held Nov. 5-9, in Philadelphia. Gabriel Hortobagyi, M.D., chair of Breast Medical Oncology, was a keynote speaker. His presentation was entitled, “Progress in Targeted Therapies for Breast Cancer.” It was in step with the mission of this year’s annual meeting to focus on the increased importance of targeting biological signaling pathways and tumor topography with improved imaging and precision radiotherapy. DoCMessages • Vol. 3 No. 4, 2006 Stigliano Named “Heart of M. D. Anderson” Denise Stigliano, a research nurse in Leukemia, was the second division employee to receive “The Heart of M.D. Anderson Outstanding Employee Award” in 2006. She was given a reception and plaque in November. Candace Baer received the award this past August. “Everyone who knows Denise knows how deeply she cares about her patients. Her concern and compassion are evident in the way she talks about them, not just when they are present, but when they are not around,” said Stigliano’s nominator. “She’s extremely conscientious in following up with them to make sure they have everything they need and she takes a deep personal interest in the success of their treatment.” Eliminating cancer is not only Stigliano’s professional mission—it’s a personal one, as well. Her husband received radiation and has returned to work. Stigliano joined the institution just two years ago after working 23 years as a school nurse. She said that knowing the award was the result of a co-worker taking the time to nominate her means a lot. “I feel like we all work hard and that this award is something I should share with everyone,” she said. Phase I Program Appoints Department Administrator Janet Norton, M.B.A., has taken on a new challenge in becoming department administrator for the rapidly growing Phase I Program. Her official start date was Nov. 1, following 14 years in the Department of Thoracic/Head and Neck Medical Oncology (THNMO). Norton says the volume of rapidly accruing current and anticipated clinical trials in the DoCMessages • Vol. 3 No. 4, 2006 Phase I Program has driven increases in the number of patient visits to both the Clinical and Translational Research Center (CTRC) and the Clinical Center for Targeted Therapy (CCTT). “The Phase I Program is a fast-paced environment with a high level of enthusiasm among the staff and a sense of pride in what they have been able to accomplish in a relatively short period of time. Phase I is doing a phenomenal job clinically. My role is to help Dr. Kurzrock, the program’s director, establish some administrative processes and procedures, figure out what everybody’s current roles are in order to determine where the gaps are, and get new employees in place. I’ve also started assessing our space needs because as we grow, we need more space for new people to work,” Norton comments. “It’s a welcome challenge to be a part of this expansion.” Matthew Stevens, M.B.A., M.H.A., has accepted the position as department administrator for THMNO. He began on Jan. 1 after transferring from the Department of Clinical Cancer Prevention, where he worked in the same capacity for Scott Lippman, M.D., when he was their chair. Kennedy Rewarded for Her Discovery She could retire any day, but Carole Kennedy, senior financial analyst for the division, remains on the job and consistently does the kind of thorough and excellent work that earned her a place in institutional history—becoming the Core Value Award Winner for Discovery. Her photograph was displayed on Employee Bulletin Boards during the week of Sept. 25, 2006. The program began as a component of the “I am M. D. Anderson” campaign to raise awareness of the institution’s core values of caring, integrity, and discovery. Kennedy was the last in a series of only nine employees recognized last year for exhibiting these core values. Discovery is defined as helping coworkers identify and solve problems; seeking personal growth and enabling others to do so; and encouraging learning, creativity, and new ideas. Kennedy’s nominator described her as going beyond the scope of her position that centers around providing support for financial projects involving division data. For example, after reviewing the budget of a major grant, “Ms. Kennedy found errors that would have resulted in hundreds of thousands of dollars in lost grant funds to the institution. Furthermore, she sought opportunities to expand her horizons by attending a conference of the American Hospital Association to learn more about Medicare billing procedures. And she mentors newer financial analysts and provides help to other staff on account reconciliation procedures.” “I’m just very touched that someone would think so highly of my work. I think it’s very special that in this big institution, someone would go out of their way to show appreciation for my work. I’m very honored,” Kennedy commented. She enjoys her work so much that she has postponed her retirement until Aug. 2007—but even that is tentative. “I’ve started toying with the idea that maybe I’m really not ready to retire. Candace Baer, my supervisor, sees to it that I get new challenges all the time and the people I work with are positive.” 9 Taking the Very Best Care of Patients – By Maxsane Mitchell Near-Death Experiences Up for Discussion at Conference T erminally ill patients who are near death often report being drawn to a light that gives them a sense of peace in their final hours. “That kind of out-of-body experience is pretty common,” said Michael Fisch, M.D., medical director for the Clinical Community Oncology Program (CCOP) and an associate professor who provides palliative care for severely ill patients. He gave remarks at the history-making International Association of Near-Death Studies (IANDS) Annual Conference, held at M. D. Anderson on Oct. 25-26. It was first time any medical institution had hosted the meeting since they started in 1993. The event attracted about 400 attendees from around the world, among them several of our palliative care faculty and staff. Near-death and near-death-like experiences happen in many cultures, to people who are religious, and to those who are not. They are powerful occurrences that can transform personalities, attitudes, and behaviors. However, research published in 2004 in the journal Brain, for example, suggests that occurrences such as a sense of being drawn into a light may actually result from oxygen deprivation and inadequate blood flow to the brain, and therefore a blood-starved retina may produce light. But, Dr. Fisch said the conference was important because it suggested that we should respond with care and compassion to patients who believe they’ve had these experiences. “If it’s real to them, it’s important and real to me in terms of practical and ethical applications to palliative and end-of-life care,” he commented. “When families of dying patients know their loved ones are having these experiences, it may give them a peaceful and calming attitude toward terminal illness, and that may shape their choices about treatment.” Division Helps Launch Inflammatory Breast Cancer Clinic and Research Program Massimo Cristofanilli, M.D., associate professor in Breast Medical Oncology, will serve as a co-director of M .D. Anderson’s new Clinic and Research Program for Inflammatory Breast Cancer (IBC). The very rare disease represents only one to two percent of all breast cancers diagnosed. It is a fast-growing and extremely aggressive malignancy that does not present as a lump but is spread throughout the breast tissue, making it difficult to detect 10 through mammography. Inflammatory breast cancer also presents with unique symptoms such as redness, swelling, and warmth in the breast, or skin that looks bruised, ridged, or pitted like an orange. Other symptoms can include burning, aching or tenderness, an increase in breast size, and/or an inverted nipple. As a result, IBC is often misdiagnosed and not properly identified until the disease has metastasized, said Dr. Cristofanilli. Treatment is also difficult because the disease is relatively resistant to standard chemotherapeutic agents. “M. D. Anderson already sees about 30 new cases a year. That’s more than any other institution in this country. With the new clinic, we hope to see up to 60 to 80 cases annually. We’ll collect appropriate serum and tissue, look at gene expression, and gather other pertinent biological information in the hope of finally developing treatment guidelines for IBC,” declared Dr. Cristofanilli, who added that 40% of women with the rare disease will survive five years. “Treatment in an environment where all subspecialties involved in breast cancer management are optimally coordinated is very important in determining a successful outcome.” One study being done is the use of Positron Emission Tomography (PET) scans to see more of the disease, including lymph nodes far from the breast, “Which allow us to determine if there’s metastatic disease at the time of diagnosis,” Dr. Cristofanilli reported. Current treatment options include chemotherapy, surgery, radiation, and targeted therapy or hormonal therapy, such as Tykerb (lapatinib), which has shown promise in IBC patients whose tumors express the HER-2 gene. The clinic, housed at the Nellie B. Connally Center, offers a multidisciplinary team from several departments. Neuro-Oncology Joins Brain Mapping Project F aculty in the Department of Neuro-Oncology and the Brain Tumor Program are playing a major role in a federal pilot to determine if a reliable atlas can be made to map changes that lead to glioblastoma. We were among the first three centers to be selected for the project, known as The Cancer Genome Atlas (TCGA). It is supported by the National Cancer Institute and the National Human Genome Institute. The TCGA project is designed to identify key genomic alterations, such as gene copy changes and/or chromosomal rearrangements that may contribute to DoCMessages • Vol. 3 No. 4, 2006 the development or progression of cancer. The genes will then be examined for the specific mutations that make them dangerous. The findings will be put into a comprehensive atlas of molecular information describing genomic changes in all types of cancer. Investigators believe if they can better understand complex genetic alterations that lead to the cancer, they can develop a new generation of diagnostics, personalized therapeutics based on a tumor’s specific genetic alterations, and preventive strategies. Glioblastoma is the most frequently occurring of all primary brain cancers. It is incurable and only minimally treatable. The NCI reports an estimated 18,820 cases will be diagnosed in 2006, and 12,820 of those patients will die from the disease. “We want to correlate genetic and genomic alterations to outcome and response to therapy,” said W. K. Alfred Yung, M.D., chair of Neuro-Oncology, of the $100 million project. “We were asked to provide 300 specimens that will be delivered in stages. In turn, M. D. Anderson will also be involved in investigating the data that emerges.” The other two centers in the pilot are focusing on lung and ovarian cancers. Cord Blood Bank Wins HRSA Grant T he Health Resources and Services Administration (HRSA) in October selected the Cord Blood Bank (CBB) as one of only six sites in the entire country to begin collections for the National Cord Blood Inventory (NCBI). In the last few years, stem cells harvested from umbilical cords have become a life-saving alternative for patients with leukemia and other cancers when no suitable match can be found for bone marrow transplantation. Patients who receive cord blood get stem cells from donors who are less well HLA-matched than bone marrow donors, yet have comparable or even less graft-versus-host disease. A target goal of 7,100 units for the three-year, $8.4 million grant will be achieved through our established partnerships with Woman’s Hospital of Texas and Ben Taub General Hospital. An agreement with a third local hospital is pending. Notification of the grant came at a great time—a few months after Director Elizabeth Shpall, M.D., and her staff celebrated the program’s one-year anniversary and dual accreditations from the National Marrow Donor Program and NETCORD-FACT. At press time, the CBB had stored more than 1,600 cords. HRSA, a part of the U.S. Department of Health and Human Services, has a goal of 150,000 new units of high-quality cord blood from a diverse population that includes minorities, who historically have been the most difficult to find suitable matches for adult bone marrow transplantation due to greater diversity in tissue types. Units found not suitable for patient use will be retained for research focused on cord blood stem cell biology and other scientific investigations. DoCMessages • Vol. 3 No. 4, 2006 ATC Wins Bronze Medal for Effective Solutions A team of employees in the Ambulatory Treatment Center (ATC) won a Bronze Medal in the Create Solutions project for coming up with a way to reduce by five percent the number of missed Create Solutions appointments among Team Members breast cancer patients. Records going back Rebecca Avelino, R.N. six months showed a Cora Bautista Vu, R.N. seven percent missedappointment rate prior Sheilah Bofil, R.N. to the pilot project. Maria Borrero, R.N The solution was Connie Dumag, R.N two-fold, said clinical nurse Cora Bautista Rodney Frazier, B.S.W. Vu. “We had to Kristine Garcia, R.N. educate the clinics on Jacque Scholz, R.N. how important it is to Vilma Sherry, R.N., P.C. cancel appointments when they know patients won’t be coming for chemotherapy.” For example, if a doctor determined a patient’s white blood cell count was too low, he sent that patient home, but the clinic was not automatically contacting the ATC to cancel that appointment. “These slots can be used for other patients who need blood transfusions and additional services that otherwise have to be planned for Saturdays, which is a problem for patients coming from out-of-town or those with transportation issues.” The team also began utilizing volunteers to give patients reminder calls one or two days ahead of their scheduled appointments. “This gives our patients the opportunity to confirm or let us know if they are not going to come—for any reason,” said Vu. The pilot project is now being used to target gynecologic patients, who miss about 13% of their appointments. Texas Nurses Association Lauds Frye, Purdom T he Ninth District of the Texas Nurses Association recently honored Debra Frye, research nurse manager in Breast Medical Oncology, and Michelle Purdom, manager of clinical protocol administration in the Phase I Program, for their contributions to the field. Both received an award during a dinner reception held this fall. The association’s goals include improving health standards and availability of services for everyone, fostering high standards among nurses, and promoting the professional development of nurses. 11 Future Home of 2006 Grants Adopt-a-Family Program Bigger and Better in 2006 2006 Graduates (continued from page 7) Lazlo Radvanyi, Ph.D. Melanoma Medical Oncology Development of Survivin as a Vaccine Target for Pancreatic Cancer NIH, $50,000, 08/10/2006-07/31/2008 January 9 Paul Bunn, M.D. University of Colorado Medical Center January 16 Elizabeth Shpall, M.D. Professor Department of Stem Cell Transplantation and Cellular Therapy M. D. Anderson Deepa Sampath, Ph.D. Experimental Therapeutics Transcriptional Activation to Target CLL CLL Global Research Foundation, $95,112, 09/27/2006-08/31/2007 Elizabeth Shpall, M.D. Stem Cell Transplantation Expansion of Hematopoietic Progenitor Cells for Transplantation in Patients with Malignancies Katz Foundation, $66,666, 08/01/200607/31/2009 rom singing telegrams to dressing up as a witch to becoming a living, breathing sandwich, division employees really went all out to raise money for the 2006 Adopt-a-Family Program. Altogether, we collected $17,174 to help the families of 52 patients enjoy the holidays. Who brought in the most loot? According to the Department of Social Work, which coordinates the event, Leukemia raised $3,432.60 by urging employees to use their cash to vote for which faculty member they wanted to hear sing at their departmental holiday party; while Stem Cell Transplantation & Cellular Therapy raised $2,755.15 by dressing in Halloween costumes and performing singing telegrams. They even delivered an “original song” to Waun Ki Hong, M.D., division head. The ever popular silent auction and bake sales were also held. – By Maxsane Mitchell F Naoto Ueno, M.D., Ph.D. Stem Cell Transplantation Role of Mitotic Checkpoint in the Sensitivity of Breast Cancer Paclitaxel Susan G. Komen Foundation, $62,000, 05/01/2006-04/30/2009 Daoyan Wei, Ph.D. Gastrointestinal Medical Oncology KLF4A in Pancreatic Cancer AACR, $50,000, 07/01/2006-06/30/2008 William Wierda, M.D., Ph.D. Leukemia Immunotherapy for Patients with CLL CDA Scholar, Leukemia & Lymphoma Society, $105,000, 07/01/2006-06/30/2011 Anas Younes, M.D. Lymphoma, Clinical Activity of 17-AAG in Lymphoma NIH R-21, $142,000, 09/29/2006-07/31/2008 W. K. Alfred Yung, M.D. Neuro-Oncology Molecular Targets for Drug-Synergy NIH R01, $177,500, 09/08/2006-06/30/2011 W. K. Alfred Yung, M.D. Neuro-Oncology, Small Molecule Inhibitors of the PI3K/AKT Pathway ABC2, $75,000, 05/12/2006-05/31/2012 W. K. Alfred Yung, M.D., Neuro-Oncology Marcus Foundation, $475,499, 07/10/2006 Coming Up in Grand Rounds Walk a Mile Project Exceeds Expectations DoCM employees exceeded the institution’s participation goal and received a $600 Team Anderson award. Records show that 97% of you took the time to “Walk-a-Mile” in the shoes of another co-worker. “Based on the very positive feedback which we received from our employees, I think the project was extremely effective in helping divisional employees learn how their roles and contributions fit into larger institutional processes. This should empower people to do all that they can to have a positive impact,” said Wendy Austin, division administrator. Conference Crowd Experiences Complementary Therapies M ore than 300 cancer patients and their caregivers had the opportunity to try yoga, Pilates, and expressive arts during Anderson Network’s “Living Fully With and Beyond Cancer Conference,” held in September. The theme for the 18th annual event was “Let the Sun Shine In.” Deanna Cuello, program coordinator for Place…of wellness, said attendance at workshops always goes up following the conference. “It’s just a matter of letting more people know we’re here. Patient response is always incredible after they learn all that we have available to them.” January 23 Jacqueline Waugh, CEO BioHouston, Inc. January 30 David Alberts, M.D. Arizona Cancer Center February 6 Christina Meyers, Ph.D. Professor Department of Neuro-Oncology M. D. Anderson February 13 Howard Koh, M.D. Harvard School of Public Health February 20 Carl June, M.D. University of Pennsylvania February 27 Melissa Bondy, M.D. Professor Department of Epidemiology M. D. Anderson March 6 Ralf Krahe, Ph.D. Associate Professor Department of Cancer Genetics M. D. Anderson March 13 Eva Guinan, M.D. Dana-Farber Cancer Institute March 20 Jerome Ritz, M.D. Dana-Farber Cancer Institute March 27 Louis Staudt, M.D., Ph.D. National Cancer Institute DoCMessages is a quarterly publication for faculty and staff of M. D. Anderson Cancer Center’s Division of Cancer Medicine. It is also available online at: http://inside.mdanderson.org/departments/cancermed/. Head, Division of Cancer Medicine........................................Waun Ki Hong, M.D. Deputy Division Head for Clinical and Educational Affairs ....Robert Wolff, M.D. Deputy Division Head for Research.......................................Reuben Lotan, Ph.D. Division Administrator ............................................................Wendy P. Austin, R.N., M.S., AOCN Managing Editor.....................................................................Carol A. Howland, M.S. Writer......................................................................................Maxsane Mitchell, B.S. Graphic Design ......................................................................Medical Graphics & Photography Ariel Design
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