the signature - Mary Babb Randolph Cancer Center
Transcription
the signature - Mary Babb Randolph Cancer Center
P.O. Box 9083 Morgantown, WV 26506-9083 THE SIGNATURE WVU Cancer Institute Annual Report PUBLISHED SPRING 2016 2015 Contents INTRODUCTION NOTES Accreditations 2 2 WVU Cancer Institute Locations 5 MAP Welcome Supporting Science and Soul 7 Increasing Access to Cancer Care in West Virginia New Faces 7 The Gift of a Simple Meal Radiation Oncology: Treatments and Technologies 8 Radiation Oncology Scores Big for Patients CLINICAL CARE West Virginia Cancer Registry Data 12 INFOGRAPHIC 10 Multidisciplinary Tumor Boards 13 Osborn Hematopoietic Malignancy and Transplantation Program 15 Patient Convenience, Comfort Emphasized Across Care Continuum Lung Cancer Mortality Rates 17 INFOGRAPHIC A Winning Team CTRU at a Glance 19 A Second Chance at Life MAP Giving Options Back to Patients Cancer Prevention and Control (CPC) Programs 22 Waging War on Lung Cancer Continuing Education 23 CANCER PREVENTION AND CONTROL Mobile Mammograms Performed Each Year 23 20 INFOGRAPHIC Bonnie’s Bus 2016 Events 23 Colorectal Cancer Early Detection: CDC Grant to Improve the Odds Academic Programs at the WVU Cancer Institute 28 10,000 and Counting RESEARCH AND EDUCATION Klinke Receives $1.7 Million Grant 29 24 Advancing Cancer Care with Research From Russia to Morgantown: In Pursuit of Cancer Breakthroughs Publications OUR MISSION OUR VISION OUR VALUES patients and their families while Cancer Institute for the teamwork, service, and To provide excellent care to our strengthening our research, education, and service programs to address the cancer health disparities unique to the state of West Virginia and Appalachia. We will be a leading people of West Virginia and Appalachia. We value quality, innovation, accountability as the foundation of our patient care, education, and research programs. WVU CANCER INSTITUTE CENTERS MARY BABB RANDOLPH CANCER CENTER #1 Cancer Hospital in West Virginia, U.S. News & World Report Accredited by the American College of Surgeons Commission on Cancer Accredited by the Foundation for the Accreditation of Cellular Therapy for high quality medical and laboratory practice in cellular therapies Accredited by the National Accreditation Program for Breast Centers A Quality Oncology Practice Initiative Certified Practice: Recognizing Excellence™ BETTY PUSKAR BREAST CARE CENTER Accredited by the American College of Radiology Federally certified by the FDA under the Mammography Quality Standards Act to provide quality breast imaging WVU CANCER INSTITUTE – UNIVERSITY HEALTHCARE REGIONAL CANCER CENTER Accredited by the American College of Surgeons Commission on Cancer Recipient of the Commission’s 2013 Outstanding Achievement Award CAMDEN CLARK REGIONAL CANCER CENTER Accredited by the American College of Surgeons Commission on Cancer Welcome to the Inaugural Issue of the introduction WVU Cancer Institute Signature We hope this publication provides you with a glimpse into the interworking of just a few of our several hundred faculty and staff who have one mission: to provide the best in cancer care, innovative research, and practical prevention efforts to the citizens we serve. INTRODUCTION The name “Signature” was chosen intentionally to reflect our commitment to unflagging excellence. Placing one’s signature upon something conveys approval and takes responsibility for the outcome. We have much to be proud of, only a sliver of which will fit between these covers, but we have selected a few items to which we are particularly proud to sign our name. You may have previously known us for more than 30 years as the Mary Babb Randolph Cancer Center. While we still retain that historically important name for our major clinical site in Morgantown, we have recently rebranded WVU’s overall organization of cancer work into the WVU Cancer Institute. This name more accurately represents our identity as a true academic medical center institute, active in clinical care, research, education, and outreach. The name also encompasses our expanded associated clinical services that span the state of West Virginia and beyond, including our first satellite clinic outside the state at Garrett Regional Medical Center in Maryland. These services are complemented by more than 60 cancer research laboratories and our Cancer Prevention and Control offices on the Morgantown campus. I hope you enjoy the following articles, which will provide a sample of the latest stories involving hope, innovation, and partnership at the WVU Cancer Institute. Our best to you, WVU CANCER INSTITUTE AT GARRETT REGIONAL MEDICAL CENTER FAIRMONT REGIONAL CANCER CENTER William “Bill” Petros, PharmD, FCCP Interim Director, WVU Cancer Institute Volume I 2016 3 WVU CANCER INSTITUTE THE SIGNATURE introduction Increasing Access to Cancer Care in West Virginia WVU CANCER INSTITUTE BROADENS NETWORK OF SERVICES Breast cancer surgeon Hannah Hazard, MD, knows the health “There’s a real need for a high level of cancer care here,” significantly higher than the national average, many people very grateful. I’m happy to come to work every day.” challenges facing the people of West Virginia: cancer rates living in rural areas with limited access to medical care, and difficult travel conditions over rugged, mountainous terrain. Dr. Hazard was born and raised in Morgantown and has High-Quality Cancer Care Close to Home spent most of her life here. As surgeon in chief and director Collaboration began when centers approached WVU at WVU to create a regional cancer network. Morgantown’s their geographic areas. Since chemotherapy and radiation of clinical services, she has worked tirelessly with a team Mary Babb Randolph Cancer Center (MBRCC) is at the hub of the newly formed WVU Cancer Institute. As the WVU Cancer Institute’s flagship location, the MBRCC the emphasis was on bringing those services closer to where people live. pancreatic, liver, and colorectal cancer surgery. The Center days a week, six weeks in a row, one-and-a-half hours each cancer knowledge and treatments. It promotes cancer Close partnerships recently formed with regional medical with specialists in Morgantown. Nurse navigators keep WVUCancer.org 4 WVU Cancer Institute at Garrett Regional Medical Center Oakland, MD 2 Fairmont Regional Cancer Center —Newly opened in January 2016 —Infusion center for outpatient chemotherapy treatments Fairmont, WV —Radiation oncology therapy 2 3 therapies at their own centers, maintaining close contact patients informed and coordinate if they need surgery or specialized treatment at the MBRCC. PENNSYLVANIA MARYLAND 4 5 1 VIRGINIA OHIO WEST VIRGINIA 5 WVU Cancer Institute – University Healthcare Regional Cancer Center way, over mountains and through snow storms.” Instead, cancer specialists at the regional sites administer care for the people of West Virginia and western Maryland. —Infusion center for outpatient chemotherapy treatments —Inpatient care —Radiation oncology therapy needs radiation treatment for breast cancer to travel five prevention and screening throughout the state. centers provide a coordinated system of high-quality cancer 3 Mary Babb Randolph Cancer Center and Betty Puskar Breast Care Center Morgantown, WV treatments often require multiple trips and/or multiple hours, For example, Hazard explained, “It’s hard for a woman who pursues both traditional research and clinical trials to improve 1 Camden Clark Regional Cancer Center of WVU Cancer Institute Parkersburg, WV Medicine with a desire to enhance or expand cancer care in offers a comprehensive breast cancer program and other specialized services, such as stem cell transplants and 4 Hazard said. “The patient population is amazing, and they’re Dr. Christopher Colenda, president and CEO of WVU Medicine – West Virginia University Health System; Dr. Hannah Hazard, director of clinical services and surgeon in chief at WVU Cancer Institute; WVU President Gordon Gee; Dave McClure, president and CEO of WVU Medicine Camden Clark Medical Center; and Albert Wright, president and CEO of WVU Medicine – WVU Hospitals and COO of WVU Medicine – West Virginia University Health System, pose at the October 2015 rebranding of the Camden Clark Regional Cancer Center of WVU Cancer Institute. Martinsburg, WV KENTUCKY —Infusion center for outpatient chemotherapy treatments —Inpatient care —Radiation oncology therapy Volume I 2016 5 WVU CANCER INSTITUTE NEW FACES THE SIGNATURE “We’re much stronger for being an institute. We all learn from Hazard has already witnessed the positive impact of the you’re sick.” She also noted how her father “felt a sense of rather than free-standing, individual places,” Hazard affirmed. of western Maryland. “We’ve seen patients benefit from drug treatment.” each other and provide better patient care as a collective unit “There’s constant dialogue and a free flow of ideas between us and our regional sites. Regional centers know their patient populations, and we’re respectful of the resources they have WVU Cancer Institute for West Virginians and residents proximity of care. We’ve seen the successful navigation of patients through our system from diagnosis and treatment to survivorship services and support groups. and their knowledge of the community.” “The WVU Cancer Institute was designed with patient care Satellite centers have the opportunity to participate in clinical even stronger over time.” trials of new medicines and procedures, plus screening and and patient outcomes in mind. Its importance will become prevention programs coordinated through the MBRCC. being cared about. That he wasn’t just a patient receiving a This sentiment is shared by Hannah Hazard, MD, surgeon in chief and director of clinical services, who collaborated with the family to implement the program. “It provides reassurance to patients and family members of our commitment to the complete care of each patient.” Initial contributions from family and friends have supported the program’s reach of 30 meals a day, five days a week. Patients receiving lunches also have made contributions to the fund, which Dr. Hazard hopes will grow to do even more. The Gift of a Simple Meal “I alone cannot change the world, but I can cast a stone across the waters to create many ripples.” ― Mother Teresa A sandwich, a bowl of soup, a lively discussion of Mountaineer basketball. Friendly chatter and lunchtime SURGICAL ONCOLOGY “Our intention is that Soup for the Soul should always and Jon Cardinal, MD Alan Thomay, MD Jessica Partin, MD Nezar Jrebi, MD forever exist,” Hazard said, hoping that similar programs will develop to serve patients at regional cancer centers. This would be gratifying to Elswick, as well, since it would further expand her father’s legacy of caring. “He was a man of HEMATOLOGY/ONCOLOGY great faith. He believed in feeding the hungry and giving water to the thirsty. Literally, this is the program my father lived. “We may not be able to cure every cancer, but we can certainly take care of those who have it.” sounds bounce around the room. The setting is not a cozy bistro but the Infusion Center at the Mary Babb Randolph Cancer Center. As they eat and socialize, the people in this lunch crowd are receiving chemotherapy treatment. Thanks to the Soup for the Soul program – begun by the SCIENCE AND SOUL of Pharmacy – patients benefit from a little extra care in the ways our generous community can support patients family of Ron Meredith, a 1967 graduate of the WVU School The Soup for the Soul program is just one of the many form of a comforting lunch. WVU student volunteers typically and families battling cancer at the WVU Cancer deliver the free lunches, along with a side of conversation. Meredith’s family kicked off the program in October 2015 to pay forward the kindness and comfort Ron experienced during his treatment at another center. us build a culture of hope and wellness, offer new life-saving treatments, and advance our leadership nationally in the fight against cancer. The WVU Cancer Institute offers many vehicles for the motivation behind the program she, her mother, her patients and their loved ones, from annual, capital husband, and brother envisioned. “I think sometimes we forget how meaningful doing small things really is. A simple meal can really mean the world when Nilay Shah, MD Inderjit Mehmi, MD Aaron Provenzano, DO Gladys Onojobi, MD (Garrett County) Institute. Philanthropy, or love for humankind, helps Betsy Elswick, PharmD, Meredith’s daughter and clinical associate professor in the School of Pharmacy, described Arnie Steele, of Moundsville, West Virginia, enjoys lunch at the Mary Babb Randolph Cancer Center, thanks to the new Soup for the Soul Program. Supporting RADIATION ONCOLOGY making a positive difference in the lives of cancer campaign, and major gifts to memorials, planned giving, and special events. To join our mission, please visit wvucancer.org/give or contact our office at 304-293-3711 or heretohelp@hsc.wvu.edu. Malcolm Mattes, MD 6 WVUCancer.org Ann Morris, MD Todd Tenenholz, MD, PhD WVU CANCER INSTITUTE THE SIGNATURE introduction Radiation Oncology Scores Big for Patients Imagine trying to hit a three-pointer while someone keeps moving the basket. It’s a difficult shot even when the defined target is stationary. But for some cancers, this is complex diseases more successfully and with fewer side effects for patients.” exactly what happens. The simple act of breathing during The new linear accelerators are equipped with on-board area targeted for radiation. new techniques like stereotactic body radiotherapy (SBRT). radiation therapy can cause a tumor to move outside the Patients receiving radiation treatment through the WVU Cancer Institute can rest assured that specialists have the most up-to-date tools for offsetting these types of challenges. Equally important, they leverage leading-edge technology to better visualize tumors, expertly pinpointing cancers and sparing surrounding healthy tissue. Advancements in radiation oncology at the Institute accelerated in 2012 with the arrival of Geraldine Jacobson, MD, MPH, MBA, chair of the Department of Radiation Oncology. Her team resolved to modernize the outdated facility and equipment. radiation beams), greatly improving radiation treatment capabilities. In March “Many of our patients in West Virginia come to us at a higher high-quality manner.” due to our multidisciplinary care and clinical trials,” she said. oncologist a patient sees, he or she will be treated in a safe, Benefits of recent radiation oncology advancements for patients include: More and better treatment options Highly targeted treatment Reduced side effects Less damage to surrounding tissue Shorter treatment times Fewer treatments in some cases Minimized patient discomfort The Radiation Oncology Department’s state-of-the-art TrueBeam™ linear accelerator was added in March 2013. and metastases to brain, is so precise that the results are The progress in radiation oncology allows West Virginia Teaming up for Expanded Access its complications. treatment to stay closer to home and still receive the most The WVU Cancer Institute’s experience and expertise is by accreditation from the American College of Radiology. partnerships. In 2013, the Radiation Oncology Department considered “surgical,” but without the risks of surgery and residents who previously would have traveled out of state for advanced level of care. That level of quality is demonstrated treatment precision. The increasingly robust Radiation Oncology Department Broad Portfolio, Dominating Offense Jacobson said, “Our full array of state-of-the-art equipment with plans to add two more radiation oncologists in 2016. Clinical trials expand treatment options even further through has greatly enhanced our ability to manage advanced and now includes five radiation oncologists and five physicists, TREATMENTS AND TECHNOLOGIES available through the Radiation Oncology Department of the WVU Cancer Institute Image-Guided Radiation Therapy High Dose Rate Brachytherapy Gamma Knife™ Radiosurgery Respiratory Gating Intensity Modulated Radiation Therapy (IMRT) Stereotactic Body Radiotherapy (SBRT) WVUCancer.org stage of cancer, yet we have better outcomes for those patients precise treatments tailored to each patient’s anatomy. Care on Par with the Best features state-of-the art motion management for increased 8 for more standardized care. So no matter which radiation 2013, WVU added a TrueBeam™ linear accelerator, which Hypofractionated Radiation offers a broad portfolio of treatment to patients. Specialists can now see tumors in real time, allowing for more directly on the tumor. The procedure, used for brain tumors installation of a new Trilogy linear accelerator (equipment high-energy workflow is a way of knowing we’re all working together Knife, which precisely focuses multiple beams of radiation A month after Dr. Jacobson’s arrival, the Department began therapeutic together again,” Jacobson noted. “Having a more organized that having this assortment of technologies and clinical trials imaging that enables image-guided radiation, making possible In addition, the Department offers the state’s only Gamma Game-Changer Upgrades delivering “We’ve kind of pulled it all apart and put our workflow back Intraoperative Radiation Therapy (IORT) Deep Inspiration Breath Hold now available to other parts of the state through unique added the Fairmont Regional Cancer Center, south of Morgantown. They upgraded the facility and installed a new linear accelerator so patients can receive care closer to home and can see Institute doctors, who manage their care. their innovative approaches for combating cancer. Jacobson A collaboration with Camden Clark Regional Cancer Center therapies that reduce radiation in some cases while spot oncology services. While Camden Clark physicians manage said breast cancer clinical trials are showing promise in treating cancer in others through the use of SBRT. This spotspecific, high-intensity radiation is appropriate for cancers that have spread to one or two locations. Lung cancers are in Parkersburg offers physicist support for its radiation their patients’ care, they have access to the Institute’s multidisciplinary team of experts and clinical trials. a prime example. “We have been working very hard to make use of available “The modern trend is to give patients the least possible discuss patients with us remotely,” Jacobson explained. treatment for the greatest possible gain,” Jacobson said. “Not more, not less, but exactly what they need.” She explained technology so that no matter where physicians are, they can “Our goal is to provide better patient access within a network of care. Ideally, this is where we’re going.” Volume I 2016 9 Patient Convenience, Comfort Emphasized Across Care Continuum They come to Morgantown from across the state and across state lines. They’re from small cities and towns and often from rural areas. Facing a diagnosis of cancer, they are worried and often afraid. How will they find the right place to go and the right people to help them? The team at the WVU Cancer Institute goes above and beyond to put people at ease, while providing the highest possible level of cancer care. “When people come to us, we understand it’s not just the diagnosis of cancer they face,” said Deborah Falconi, RN, MSN, OCN, director of oncology services. “They’re facing financial issues, lifestyle changes, emotional issues, and challenges with family dynamics. “Some people don’t have a vehicle to get here; family members may need a place to stay while a loved one receives treatment; or a patient who is post-surgery may need support with everyday tasks at home. We help with all of these things.” She noted that the continuum of care begins with cancer prevention and continues through diagnosis, treatment, and living as a cancer survivor. Satellite medical centers throughout the state and in Oakland, MD, allow people to receive consistently high- CLINICAL CARE quality cancer services in diverse locations. “WE DO AS MUCH AS WE CAN to keep people close to their homes for services,” Falconi said. “What the satellite centers can’t do, we’ll provide in Morgantown and stay in close contact with regional doctors.” Falconi and her team have worked tirelessly to integrate services from city to city and hospital to outpatient clinic. Electronic medical records help make that happen, as all health providers connected to a patient can read that patient’s up-to-the-minute electronic chart at any time. To make visiting the Morgantown campus less daunting, a nurse navigator and other staff help patients smoothly transition from outpatient care to inpatient and back again. A nurse navigator is assigned to each major cancer type so she (or he) can coordinate testing, surgery, chemotherapy, radiation therapy, nutrition counseling, and a variety of other services at the WVU Cancer Institute. “It’s very unusual to have this seamless flow between inpatient and outpatient care,” Falconi commented. “It’s safer, more efficient, and more patient centered. It ultimately leads to a better quality of life for our patients.” Last year, the WVU Cancer Institute logged more than 41,000 patient visits. “The bigger we get, the harder we’re working to preserve our personal connection with the patient,” Falconi said. WVU Cancer Institute staff provide compassionate care to patients throughout their diagnosis and treatment. Volume I 2016 11 MULTIDISCIPLINARY TUMOR BOARDS WV CANCER REGISTRY DATA The Mary Babb Randolph Cancer Center, flagship location for the WVU Cancer Institute, provided 41,333 patient visits in 2015, seeing patients for close to 20 different cancer types. West Virginia Cancer Registry data from the previous four years illustrate the broad range of cancer services provided by the WVU Cancer Institute. The Comprehensive Breast Cancer Program, accredited by the National Accreditation Program for Breast Centers, sees more than 200 analytic (new) cases each year.* a. BRAIN & OTHER NERVOUS SYSTEM b. BREAST c. DIGESTIVE SYSTEM d. ENDOCRINE SYSTEM e. FEMALE GENITAL SYSTEM i. 26 f. LEUKEMIA g. LYMPHOMA h. MALE GENITAL SYSTEM i. MYELOMA j. ORAL CAVITY & PHARYNX k. 174 g. 53 g. 58 f. 58 l. 34 2011 1,173 e. 75 d. 41 m. 117 n. 47 c. 130 h. 64 f. 63 1,236 d. 50 BONES & JOINTS 3 EYE & ORBIT 1 i. 22 KAPOSI SARCOMA 3 MESOTHELIOMA 2 c. 166 BONES & JOINTS 4 MESOTHELIOMA 2 i. 21 j. 81 k. 222 g. 68 1,279 l. 43 m. 83 n. 68 d. 57 n. MISCELLANEOUS BONES & JOINTS 8 EYE & ORBIT 1 MESOTHELIOMA 1 SOFT TISSUE 17 h. 62 SOFT TISSUE 1 OTHER 31 *WV Cancer Registry data for 2015 were not available at time of publication. BMT Weekly, 8 am Dr. Michael Craig BRAIN Weekly, 7 am Dr. Javier Gonzalez HEAD AND NECK Weekly, 12 pm Dr. Tanya Fancy Dr. Mohammed Almubarak GYNECOLOGICAL ONCOLOGY 1st Thurs, 11 am Dr. Mohammed Ashraf MLS (BLOOD CANCERS) 1st, 3rd—5th Fri, 12 pm Dr. Abraham Kanate UROLOGY 2nd and 4th Wed, 4 pm Dr. Tom Hogan GASTROINTESTINAL Weekly, 12 pm Dr. Alan Thomay TUESDAY THORACIC Weekly, 4 pm Dr. Patrick Ma CUTANEOUS MALIGNANCIES 2nd Fri, 12 pm Dr. Alan Thomay A Winning Team WVU EXPERTS POOL THEIR KNOWLEDGE FOR GREATER GOOD OF PATIENTS Mary Smith* received a diagnosis of breast cancer at age 25, dietitians, radiologists, psychiatrists, psychologists, plastic the two-hour drive for her first appointment at the WVU the discussion their unique knowledge and perspectives to j. 68 providers discussed at length whether she should have which treatment should be delivered first or if any clinical of treatment. With these important details, her team of m. 85 n. 55 c. 183 a. 66 BONES & JOINTS 6 EYE & ORBIT 4 healthcare team on the same day. genetic counselor, fertility specialist, and radiation oncologist all on the same day. She might also learn that she can receive radiation treatments near her home at one Medical think tanks like the team that treated Smith are “This is how we’ve always done clinical care,” said Hannah Institute to discuss individual patients and their care. Each “We’re all talking about the patient and making sure we’re on called tumor boards. They meet regularly at the WVU Cancer tumor board is a multidisciplinary team that is diseasespecific and addresses a different type of cancer: breast, lung, colorectal, prostate, and half a dozen other types. surgeons, medical oncologists, radiation oncologists, SOFT TISSUE 15 OTHER 30 Morgantown and see a breast surgeon, plastic surgeon, of WVU Cancer Institute’s regional cancer centers. Team members perform a wide variety of roles, including n. MISCELLANEOUS trials are available to benefit the patient. Advanced planning allows patients like Smith to visit l. 56 1,289 caregivers and are valuable in determining answers about once the cancer was eradicated. They carefully coordinated *Name changed to protect patient privacy 2014 determine diagnoses and treatment plans for every patient. The meetings promote clear communication among her future visits, so she could see all key members from her k. 191 surgeons, genetic counselors, and others. They bring to who listened to her so they could understand her goals what they could do to preserve her ability to have children b. 251 OTHER 41 SARCOMA 1st and 3rd Wed, 7:30 am Dr. Brock Lindsey she met a team of physicians and healthcare professionals a. 71 b. 254 BREAST Weekly, 12 pm Dr. Hannah Hazard Dr. M. Salkeni surgery or chemo first. Equally important, they discussed f. 69 e. 57 FRIDAY Cancer Institute Mary Babb Randolph Cancer Center, where n. MISCELLANEOUS SOFT TISSUE 11 OTHER 27 THURSDAY just months before she planned to get married. She made b. 233 2013 d. 57 n. 47 c. 155 a. 85 f. 61 e. 54 m. 123 a. 73 n. MISCELLANEOUS g. 47 l. 40 2012 e. 67 WEDNESDAY k. 186 b. 195 h. 50 j. 50 i. 20 j. 58 h. 87 k. RESPIRATORY SYSTEM l. SKIN (Melanoma) m. URINARY SYSTEM n. MISCELLANEOUS MONDAY nurses, pharmacists, social workers, financial counselors, Hazard, MD, surgeon in chief and director of clinical services. the same page. This kind of care isn’t happening anywhere else in the state. “It’s the best model for patient care, and it’s a great forum for the richest conversation about the right treatment for a patient,” she added. Volume I 2016 13 WVU CANCER INSTITUTE THE SIGNATURE Clinical Care A Second Chance at Life STEM CELL TRANSPLANT PROGRAM OFFERS HOPE TO PATIENTS WITH BLOOD DISEASES She contacted the WVU Cancer Institute, the state’s only Renewed Appreciation for Life The stem cell transplant team scheduled her immediately to “The most gratifying part of my job is to offer hope to stem cell transplant program and a strong research facility. enroll in the clinical trial. It was June 2009, and Becky Benson was making the “My first chemotherapy treatment killed 95 percent of the treatment of a severe headache. Her husband was working “The doctors tried another treatment and another. They trip from Bruceton Mills to Morgantown for emergency out of town, so she drove herself, worrying about high blood pressure or a possible stroke. cancer cells, but they kept coming back,” Benson said. used every chemotherapy treatment they had. In October, my doctor said they couldn’t do anything else for me.” Following blood tests and scans in the emergency room, Benson’s oncologist suggested that she consider hospice strongly believed that she had acute myelogenous leukemia Cancer Institute. Her doctor cautioned that undergoing the she received devastating news: the emergency doctor (AML), an aggressive cancer of the blood and bone marrow. care — unless she wanted to enter a clinical trial at the WVU chemotherapy trial would be difficult and might diminish The new chemotherapy did its work of killing Benson’s cancer cells and making her ready for stem cell transplant. On Dec. 8, 2009, donor stem cells arrived from Germany. Michael Craig, MD, medical director of the program, worked with his team to insert a central line below Benson’s collarbone to infuse the cells into her bloodstream. Once in her blood, Dr. Craig explained, “The stem cells quickly find their way home to bone marrow space and begin to regrow blood cells and rebuild the immune system.” Performing at the Highest Level “Stem cell transplant is a pretty standardized procedure, and we meet all the national certification guidelines at the WVU Cancer Institute,” Craig said. “What I like about our program is that any type of stem to come home. cell transplant. She had more tests the following day to confirm the diagnosis and soon scheduled chemotherapy treatment. “I’ll Fight This to the End” “Everything was moving so fast I couldn’t keep up,” she It took only the 30-minute drive home from Morgantown commented. Benson’s oncologist at a local hospital felt she would need a stem cell transplant (commonly called a bone marrow transplant) to beat the disease. But first, they needed to get the cancer in remission. 14 her in remission, however, she would be eligible for a stem WVUCancer.org her transplant. She recently celebrated being cancer-free for six years. OSBORN HEMATOPOIETIC MALIGNANCY AND TRANSPLANTATION PROGRAM West Virginia’s only stem cell transplant program for more than 20 years About 60 patients a year, ages 16 to 75, receive stem cell transplants through the WVU Cancer Institute. The National Marrow Donor Program helps find matches for WVU patients both nationally and internationally. The program is accredited by the Foundation for the Accreditation of Cellular Therapy. myeloma, and other blood diseases. we want West Virginians to have the opportunity for care as close to home as possible.” wondered if this was a dream.” She telephoned her husband Benson followed up with Craig in the months and years after self-donors, siblings, unrelated donors, or umbilical cords. be separated from their families for weeks or months, and her quality of life, with no guarantees for a cure. If it put and can be difficult treatment, but there’s a hope for cure.” The program offers every type of stem cell transplant “People undergoing this procedure often have to travel and Benson recalled, “My world stopped. The room went black. I cured of their illness,” Craig noted. “It’s intensive treatment cell transplant that can be performed in the world can be performed at WVU for adult patients — with stem cells from Becky Benson stitches a rag quilt to welcome her third grandson, who is due in August. patients who may otherwise have very little chance to be available to adults who have leukemia, lymphoma, WVU Cancer Institute is the only facility in West Virginia to offer photopheresis, a process that uses UV light to treat white blood cells in stem cell transplant recipients whose host cells are attacked by donor stem cells. An entire WVU Cancer Institute team worked with Benson every step of the way as she fought leukemia. For every transplant patient, weekly meetings with oncologists, nurses, pharmacists, social workers, and others allow for multiple expert perspectives on diagnosis, treatment, and support. Benson has had some anxiety wondering why she survived, and she still has some fear that the cancer will come back. Her energy levels aren’t what they once were. But she’s living and offering inspiration to her family, friends, and acquaintances. for Benson to make a decision. She vowed to her husband Benson praised their work: “They’re amazing. They’re “This is my new normal. I always counted my blessings,” previous chemotherapy treatments surprisingly well and friends with a lot of the nurses. This is truly one of the best ages 3 and 4, are a particular joy. and parents, “I’ll fight this to the end.” She had tolerated was hopeful that the new clinical trial drug wouldn’t make her “deathly sick.” caring. Dr. Craig treats you like you’re his family, and I’m still programs in the nation. Why would you go anywhere else?” Benson said, “and now I do even more.” Her grandchildren, “I look at life a whole lot different. I try to find the good in everything. It’s a miracle that I’m here to wake up every day.” Volume I 2016 15 WVU CANCER INSTITUTE THE SIGNATURE Giving Options Back to Patients FIRST IORT PROGRAM IN THE STATE SHAVES WEEKS OFF BREAST CANCER TREATMENT TIME Perplexing questions as to why some people get making patient care better, improving access, and providing to certain treatments while others do not — have excellence in cancer care.” For many women, the traditional three to six weeks of daily whole-breast radiation treatments following a lumpectomy are impossible. Women often juggle work schedules, child care, and other family and community responsibilities. In West Virginia, many women live an hour or more from a people actually do end up saying, ‘I can’t do that; I’ll do the IORT places control back in the hands of the patient, giving back options that may have been taken away by geography or logistics. The WVU Cancer Institute is the first in the state to offer for some patients. Morgantown. Since the program launched in August, 18 IORT and is the only treatment center within two hours of IORT offers additional benefits as well. The surrounding breast, they insert the IORT applicator into the cavity where less radiation exposure than with whole-breast radiation. the lump had been, and radiation specialists apply radiation therapy directly to the affected area. The patient receives her surgery and her radiation therapy in one procedure, Because only a small portion of the breast is irradiated, side effects, such as redness and fibrosis, are reduced. Not every breast cancer patient is a candidate for IORT. “IORT makes cancer care more efficient. It may save patients meet specific criteria in order for IORT to be an option. A away from work,” Jessica Partin, MD, said. “Our patients are challenged in that it’s a rural state. Twenty miles as the crow flies is not really representative of what patients have to WVUCancer.org increasingly revealing clues for diagnosis, treatment, and, potentially, cures. considering the state has one of the highest incidence concerning, West Virginia’s lung cancer mortality rate is significantly higher than the national average, according to 2012 cancer registry data from the Centers for Disease Control and Prevention. Lung cancer mortality per 100,000 people 60 59.6—3rd highest in the nation 45 30 healthy tissue, including the heart and lungs, receive much eliminating the need for additional visits. a whole month or more of treatment, discomfort, and time Program, lung cancers once shrouded in mystery are women have received IORT. lumpectomy for early-stage breast cancer patients. After surgeons remove a cancerous lump from the patient’s 16 mastectomy instead.’” Fortunately, intraoperative radiation therapy (IORT) at the IORT is a new way of delivering radiation therapy after a James Frederick Allen Comprehensive Lung Cancer rates of lung cancer in the nation. Even more said. “That might be a burden they can’t overcome. Some WVU Cancer Institute can simplify breast cancer treatment being conducted by faculty in the Sara Crile Allen and altogether, raising their risk of recurrence by 30-40 percent. for treatment for three weeks, let alone six weeks,” Partin weeks of daily treatments are just the beginning of the list. baffled scientists for decades. But thanks to research This is good news for West Virginia residents, “It can be very cumbersome for patients to travel every day cancer diagnosis. Complicated procedures, surgery, and cancer and some don’t — why some people respond radiation center. For many of these women, their only options are whole-breast removal or declining radiation therapy Many worries jump to mind when a woman receives a breast CLINICAL TRIALS EXPAND TO IMPROVE OUTCOMES travel and how hard it can be for someone to get to a cancer center. Offering IORT demonstrates our commitment to The IORT applicator irradiates the tumor bed directly, sparing healthy tissue. Waging War on Lung Cancer Patients must be over age 50, and their cancer must 15 0 West Virginia National Average multidisciplinary team of cancer specialists consults over each case to determine the best options for the individual patient before any treatment begins. Dr. Patrick Ma joined the WVU Cancer Institute in December 2014 to lead the Lung Cancer Program in conducting clinical trials to advance lung cancer cure rates. Volume I 2016 17 WVU CANCER INSTITUTE THE SIGNATURE New Physician Scientist Helps Lead the Way sequencing — it’s all coming together in recent years to The December 2014 arrival of Patrick C. Ma, MD, MS, treatment in precision oncology.” as co-leader of the Lung Cancer Program has intensified Ma stated that recent advancements in targeted therapies Dr. Ma came to WVU from the Cleveland Clinic Taussig in West Virginia by further advancing cure rates, with some Cancer Institute, where he was director of Aerodigestive Oncology Translational Research. and immunotherapy will help address lung cancer disparities metastatic cancer patients surviving beyond three to five years. Clinical trials offer patients novel treatments that are not Immunotherapy, which works to awaken a patient’s immune the biological mechanisms and progression of cancer, next five to 10 years, Ma predicted. “It’s only the dawn of yet available through standard care. They shed light on translating these discoveries into new therapies to treat and prevent diseases. In many cases, they can improve a patient’s length or quality of life, Ma noted. Collaborating with program co-leader Yon Rojanasakul, PhD, a professor of pharmaceutical sciences at the WVU Cancer Institute, Ma has been the catalyst for building system, will dominate the cancer therapeutics field in the cancer immunotherapy. We are just witnessing the first glimpse of the power of our anti-cancer capability in one’s immune system, which can impact not only tumor response but overall survival rate as well,” he said. “We’re taking to patients at WVU. “Our current clinical trial portfolio in lung immunotherapy with chemotherapy, taking the battle cancer centers in the country,” he said. “Clinical trial access offers our patients the most advanced On the horizon is research that will help scientists use cancer care. cells throughout treatment and the molecular makeup of personalized, patient-centered therapeutics for improved of the human genome are accelerating the pace of cancer research. “The genomics capability and next generation WVUCancer.org West Virginians and has received several Commission on Cancer commendations Morgantown, WV for regularly exceeding the national standard for percentage of patients enrolled in clinical trials. more personalized treatment. control, and improvement. It also fosters best practices and According to Ma, our information age and understanding clinical trials in virtually all cancers common to residual tumors (remaining after surgery or treatment) for The Lung Cancer Program offers patients the most More on the Horizon > 25 of biomedical knowledge. The CTRU offers cancer molecular profiling to better understand changes in tumor and patient eligibility,” he explained. “This multidisciplinary a sense of purpose and strength within our caregiver team.” 15-19 conduct clinical trials and expand the growing body enable each drug to act in a stronger manner for a more A medical oncologist, Ma stressed the importance of teamwork is crucial to our excellence in clinical care, quality services and expertise that investigators need to than just chemotherapy and with less dangerous side effects.” powerful punch. cases and regularly review options for clinical trial studies 10-14 Morgantown, the unit is dedicated to providing the immunotherapy attacks tumor cells in a less toxic manner therapies.” “We conduct discussion and review of our lung cancer patient C. Byrd Health Sciences Center. Based in to cancer cells more powerfully and proactively. “Novel Drug combinations also are being designed strategically to the WVU Cancer Institute’s multidisciplinary approach to 5-9 Cancer Institute, as well as at the WVU Robert use combination immunotherapies as well as combining cancer therapies, especially in the emerging area of cancer immunotherapy and molecular genomics-guided precision 1-4 PATIENTS Unit (CTRU) conducts clinical trials at the WVU effectively reactivating them to attack the cancer cells.” He also mentioned current leading-edge clinical trials that cancer compares very well with other leading academic The West Virginia University Clinical Trials Research away the blindfold that tumor cells put on the immune cells, momentum behind a multidisciplinary research team and expanded the portfolio of lung cancer clinical trials available 18 pave the way for the arrival of a new era of personalized the quality and quantity of clinical trials and translational research for lung cancer within the WVU Cancer Institute. CTRU AT A GLANCE advanced cancer treatment and best possible access to overall outcomes. “We’re optimistic about improving poor lung cancer survival outcomes not just in West Virginia but also nationwide,” Ma said. He added, “It’s not unrealistic or unreasonable to start talking about potential cures in previously incurable lung cancers. We’re defying the odds one patient at a time.” 14% of trial participants are out-of-state Florida Maryland New York Ohio Pennsylvania 2014-2015 CANCER PREVENTION AND CONTROL Colorectal Cancer Early Detection: CDC Grant to Improve the Odds If you could increase your chances of winning the Mega Millions or Powerball lottery by 600 percent, wouldn’t you be curious to know how? What if you had the same odds to increase your chances of surviving colorectal cancer? The five-year survival rate for colorectal cancer increases by nearly 600 percent with early diagnosis: from 13 percent at stage IV advanced-disease diagnosis to a 90 percent survival rate for stage I early diagnosis. The Cancer Prevention and Control (CPC) program of the WVU Cancer Institute seeks to improve survival rates for West Virginians through a new initiative — West Virginia Program to Increase Colorectal Cancer Screening (WVPICCS) — aimed at increasing the state’s colorectal cancer screening rate to 80 percent or better. Funding for the initiative comes from a five-year, $2.65 million grant awarded last summer by the Centers for Disease Control and Prevention (CDC). According to Mary Ellen Conn, WVPICCS project director, federal statistics show that West Virginia’s colorectal cancer incidence and mortality rates are among the highest in the country, while its overall screening rate is one of the lowest. Conn explained the importance of screening: “Screening is our first line of defense. Its purpose is early detection and identifying cancer before a person exhibits signs of disease.” This is when the chance of treatment success and survival is much greater, she stated. A Winning Ticket Through the WVPICCS initiative, the WVU Cancer Institute targets primary care providers and helps them take a leading role in improving screening rates. “We’re focusing the effort on helping practices implement changes to increase their screening rates and then sustaining them,” Conn said, referring to the work as a practicechange model. “Any time you’re looking at creating change and sustaining change, the change needs to occur in the entire system,” she noted. The WVPICCS team assists participating primary care providers with tools and processes to identify and encourage appropriate patients to be screened, following national guidelines for screening and surveillance. The practice model includes evaluation, ongoing technical assistance, follow-up, professional development training, and quality improvement. At its core is a customized plan for each practice to improve its screening rate, featuring such tactics as strategically timed patient reminders and follow-up. “This goes beyond a report of what practices should do,” Conn explained. “We’re not only The Strollin’ Colon was on display for community members, students, and employees at the WVU Health Sciences Center on March 5, 2014. The 10-foot-by-12-foot inflatable colon shows both healthy and cancerous colon tissue. talking to them about ideas but also working with them to do it. It’s really multifaceted.” Volume I 2016 21 WVU CANCER INSTITUTE THE SIGNATURE Conn’s team also provides training on how to tailor follow- up and reminder calls to each patient and a way of tracking these calls so no matter which staff person makes the calls, educate providers and patients so they understand there’s more than one type of screening that can be done.” 10,000 and Counting BONNIE’S BUS MAKES BREAST CANCER SCREENINGS ACCESSIBLE they can see previous contact attempts for each patient. Flexible sigmoidoscopy is another option. It’s similar to education, and motivation to each patient based on where anesthesia, and is less expensive. However, it only views The Bonnie Wells Wilson Mobile Mammography five years, twice as often as colonoscopy for a person of performed its 10,000th mammogram on September 19, Conn said this helps staff better customize encouragement, they are in their decision process. In addition, the program includes targeted public education and outreach through events, media, and patient education colonoscopy but offers simpler bowel prep, does not require the lower one-third of the colon and is recommended every average risk. and promotional materials. Studies have shown that all three of these screening During the first year, WVPICCS is partnering with 15 and morbidity. Federally Qualified Health Centers, targeting providers methods are effective in reducing colorectal cancer mortality and clinics serving counties with high mortality rates of “We stress to practices how research has shown that if you these counties. more likely to agree to screening,” Conn said. colorectal cancer. Currently, 13 of the 15 providers serve provide patients with a choice of screening options, they’re Program — known familiarly as Bonnie’s Bus — 2015, in Martinsburg, WV. Last year alone, the state’s only mobile mammography unit “We’re more active with practices over the first two years, helping them implement and sustain evidence-based interventions tailored to the needs of the patients they serve,” Conn reported. The WVPICCS team remains available to practices over the five-year grant period to provide feedback and assistance, helping ensure long-term success. Conn plans to add eight more practices next year with a goal of adding an average of 10 practices the remaining years of the grant. This is the first time the CDC has awarded this particular grant to organizations other than state health With one year of the grant cycle nearly completed, the program already is experiencing success through the practice partnerships. “We’re coming in and asking them to give us a lot of information and looking at their process, putting them under the microscope,” Conn noted. “They’ve really opened 7/6/16 Raleigh-Boone Medical Center — Whitesville MAMMOGRAMS PERFORMED EACH YEAR 7/7/16 Raleigh-Boone Medical Center — Whitesville 7/8/16 Braxton Healthcare & Rehab Center — Sutton 360 2009 commitment to quality care.” departments. Only 32 programs in the country received the grant, and WVU is one of only six university recipients. Removing Barriers Practice assistance from WVPICCS includes guidelines on all three screening methods recommended by the US Preventive Services Taskforce and not solely colonoscopy, often considered the gold standard, since some patients face barriers of fear, access, time, or cost. For instance, practices might mail patients who’ve traditionally avoided colonoscopies a free FIT (fecal immunochemical test) kit, an annual test that looks for hidden blood in the stool. “The one big barrier we hear most often is the negative perception of the bowel preparation,” Conn shared. “We WVUCancer.org 787 1,529 2011 1,693 2012 CPC PROGRAMS Appalachia Community Cancer Network Bonnie Wells Wilson Mobile Mammography Program Mountains of Hope Cancer Coalition WV Breast and Cervical Cancer Screening Program Public Education and Targeted Outreach Professional Development Partnership Coordination WV Lung Cancer Project WV Program to Increase Colorectal Cancer Screening 7/16/16 Kingwood Fire Department — Kingwood 7/19/16 Community Care of WV (Clay Primary Care) — Clay 7/20/16 Clendenin Health Center — Clendenin 7/21/16 Clendenin Health Center — Clendenin 7/27/16 Monroe Health Center — Union 7/28/16 Monroe Health Center — Peterstown 7/29/16 Bluestone Health Center — Princeton 1,995 2013 2,335 2014 themselves up to us. Their receptiveness and willingness to work with us on this initiative really goes to show their BONNIE’S BUS UPCOMING STOPS provided mammograms to 2,167 women in West Virginia. 2010 22 CANCER PREVENTION AND CONTROL 2,167 2015 600 1,200 1,800 2,400 Since its launch in 2009, the Bus has traveled 107,692 miles to visit 43 of the state’s 55 counties. Nearly 12 percent of the mammograms performed by Bonnie’s Bus each year are first-time mammograms. Most importantly, 45 women have been able to seek treatment for cancers discovered on the Bus. “The number 10,000, that’s great; it means that we’re reaching the women we want to reach. But the most important thing is that we’re getting to the women of West Virginia,” Sara Jane Gainor, director of Bonnie’s Bus, said. “Now it’s time to start working toward 10,000 more.” In the near future, that effort will be assisted by a new bus equipped with updated technology, including 3D mammography, with the goal of extending the same state-of-the-art screening capabilities available at the Betty Puskar Breast Care Center in Morgantown to women anywhere in the state. For additional dates and information, visit WVUCancer.org/bonnie. CONTINUING EDUCATION OPPORTUNITIES WVU CANCER INSTITUTE ANNUAL BREAST CANCER CONFERENCE: FROM MAMMOGRAMS TO METASTATIC BREAST CANCER July 15, 2016 WVU CANCER INSTITUTE ANNUAL FALL CANCER CONFERENCE October 7, 2016 WV WOMEN'S HEALTH CONFERENCE Spring 2017 Volume I 2016 23 Advancing Cancer Care with Research Studying cancer cells in a cell culture dish in the laboratory yields important, basic knowledge about the cells. Implant those same human cancer cells into mice, and it exponentially expands the understanding of how these cells behave in a living organism. Tumor cells removed from actual patients and then immediately transferred to mice — called patient-derived xenografts (PDX) — have a much better chance to survive and grow than cells in a dish, and importantly, retain the same characteristics as the initial tumor. Scientists can then study and better understand the cancer cells’ function and growth and test various treatment strategies. “We started working with PDX models a couple of years ago, with the initial focus on breast cancer,” said Laura Gibson, PhD, deputy director of the WVU Cancer Institute. “Over time, we will expand to additional types of cancer that are particularly important to West Virginia, such as lung cancer and head and neck cancer, as just two examples.” Dr. Gibson explained that PDX models are considered the gold standard in any cancer research that strives to understand the biology of a tumor and provide a rigorous testing ground for new treatments. “It is a strong pre-clinical tool that can provide essential information for the development of new clinical trials for patients and novel therapeutic strategies.” RESEARCH AND EDUCATION Reducing the Burden of Cancer for West Virginians The WVU Cancer Institute’s robust cancer research program includes both “bench” (laboratory) and “bedside” (patient) studies. In all of its research endeavors, the Institute never loses sight of its ultimate priority: improving patient lives. More than 60 research labs with 100 faculty members from eight WVU schools and 33 departments are combining their expertise to create a knowledge base that is greater than the sum of its parts. WVU researchers also reach out to community partners and other medical institutions, including those across the state. “This team science approach is the only way to do research that will really move us forward,” Gibson said. “Along with basic science and clinical investigator teams, we engage across the campus to include engineers, statisticians, and faculty and students from many Dr. Elena Pugacheva (left) confers with PhD candidate Yuriy Loskutov (right). Pugacheva oversees a lab studying the molecular mechanisms of invasion and metastasis, with a focus on developing new treatment strategies for metastatic breast cancer patients. other disciplines to bring a unique perspective to the research.” Volume I 2016 25 WVU CANCER INSTITUTE THE SIGNATURE RESEARCH AND EDUCATION She continued, “The people of our state deserve top-quality Gibson summed up the vision for WVU research efforts: and caring physicians with access to information that is only positively impact the prevention, diagnosis, and treatment care, which is made possible by a combination of talented generated by cutting-edge science. The lab-based work informs both the standard of care in the clinic as well as the development of novel clinical trials that our population can have access to close to home. We are one team.” “In collaboration with our clinical colleagues, we want to of cancer. Our hope is to decrease the cancer burden across the state, while contributing new knowledge to the scientific community at the national and international levels. This goal can only be met through strong partnerships.” From Russia to Morgantown: In Pursuit of Cancer Breakthroughs Yuriy Loskutov has traveled halfway around the world to Translational research promotes a smooth flow of knowledge student in WVU’s Cancer Cell Biology Program (CCB), he is Loskutov uses cancer tissue from patients to insert into unravel the cellular mysteries of glioblastoma. A fourth-year looking for ways to halt the spread of this deadly brain cancer. Born in Siberia, Loskutov spent most of his youth in St. Petersburg. He did his undergraduate and graduate work in biology and physiology there. As a junior scientist at the Pavlov Institute of Physiology in St. Petersburg, he learned about a student exchange program seeking scientists to mice; then he studies the cancer cells and tests treatments that may alter how those cells function. One day, his findings may spark new treatments for patients. His specific research focus is the cancer cells’ cilia, the hairlike antennae that direct a cell’s function and reproduction. work in US research labs. “Multiple reports show cancer cells tend to have broken Loskutov came to Morgantown in 2010. It didn’t take long we could redirect cancer cells to a normal path or restrict for him to decide that he wanted to stay at WVU. “I wanted to delve deeper into cancer studies, so I applied to grad school,” Loskutov said. His wife, Maria, whom he met and married in Russia, came cilia. We hypothesize that if we could restore proper cilia, their growth,” he said. Not Just Research for Its Own Sake to WVU a few months after he arrived. She is also pursuing His days aren’t spent just in the lab. He attended classes lung cancer in another WVU lab. reading current medical literature. Journal clubs, seminars, her doctoral degree in Cancer Cell Biology and is studying Graduate Students Power Research Efforts “Our graduate students are our research engine,” said Scott Weed, PhD, director of the Cancer Cell Biology Graduate Program in the WVU School of Medicine. “They’re responsible for conducting basic and translational science, which will ultimately lead to the discovery of how cancer works. It’s the first step to developing treatments and cures.” 26 from the lab to the bedside and back again. For example, WVUCancer.org in the first two years and spends a great deal of time and student forums keep him in touch with other graduate students, faculty, and clinicians. “Our graduate students have opportunities to interact with patient data, patient tissues, and the patients themselves,” Dr. Weed said. “This contact enhances students’ awareness and sense of urgency that we are doing this to help people, not just doing research for its own sake.” Yuriy Loskutov is training at WVU to research novel cancer cures. Volume I 2016 27 Klinke Receives $1.7 Million Grant to Study Immunotherapy ACADEMIC PROGRAMS AT THE WVU CANCER INSTITUTE CANCER CELL BIOLOGY GRADUATE PROGRAM The WVU Cancer Cell Biology Graduate Program trains PhD and MD/PhD candidates to be cancer researchers. It provides a strong foundation in cell biology, oncogenes and signaling networks, tumor microenvironment, bioinformatics, and chemotherapeutics learned through course work and laboratory training. HEMATOLOGY/ONCOLOGY FELLOWSHIP WVU Hematology/Oncology fellows develop clinical expertise in cancer therapy, acquire knowledge of basic biology of neoplastic The National Cancer Institute has awarded $1.7 million over diseases, and carry out research on problems in Hematology/Oncology. Fellows see a variety of complex patients and work in five years to WVU Cancer Institute researcher David Klinke, inpatient, clinic, and research settings. PhD, to conduct research into how immunotherapy can strengthen the body’s immune system to improve treatment ONCOLOGY PHARMACY RESIDENCY for breast and lung cancers. The WVU Oncology Pharmacy Residency provides experience in hematologic malignancy, solid tumor oncology, bone marrow transplant, ambulatory oncology, investigational drug pharmacy, research, and palliative care. Immunotherapies are poised to transform the therapeutic RADIATION THERAPY PROGRAM landscape for cancer, using the body’s own defenses to combat disease, Dr. Klinke said. He will identify collateral The Radiation Therapy Program at the WVU Cancer Institute is a 12-month certificate program for radiographers. Student therapists targets for immunotherapy in breast and lung carcinomas and obtain clinical experience in radiation treatment techniques, CT simulation, treatment planning, and brachytherapy implants. broaden the clinical benefit available to patients. UNDERGRADUATE SUMMER RESEARCH FELLOWSHIP PROGRAM The Mary Babb Randolph Cancer Center offers undergraduate research fellowships in clinical and basic cancer research. “What we’re trying to do is identify additional pathways that The highly competitive 10-week fellowship program provides funding and opportunities for students who want to pursue can augment these existing therapies, so that we may not careers in cancer research. have to release the brakes of the immune system too much,” Klinke said. “There’s always a balance point. We’re trying to identify how to do this so patients get a In addition to international students like Yuriy and Maria, Morgantown and Beyond West Virginia, the Appalachian region, or nearby states. When not studying or working in the labs at WVU, their own people. mountainous West Virginia terrain. They also enjoy snow Weed said many of WVU’s graduate students come from Most of these students feel a strong commitment to help Loskutov feels that same desire to help. “The well-being of cancer patients is very important. Glioblastoma is just horrible; people usually live only a year, even with therapy. I hope my research will help at least a little bit.” A Passion for Science The CCB program selects students who “have a passion for skiing in the winter and bike riding on the trails along the Monongahela River in spring, summer, and fall. Loskutov noted that Morgantown’s climate is much warmer than St. Petersburg’s. The Mountain State city is quite a bit smaller than Russia’s second largest city, the population of which houses nearly five million people. “Morgantown is pretty quiet, but I like it,” he said. He speculated that once he earns his PhD, he’ll pursue Publications In 2015, WVU Cancer Institute members published 138 cancer research articles, drawing together multidisciplinary experts from medicine and pharmacy to chemistry and biomedical engineering. BRAIN CANCER A NOVEL PRECLINICAL METHOD TO QUANTITATIVELY EVALUATE EARLY-STAGE METASTATIC EVENTS AT THE MURINE BLOOD-BRAIN BARRIER. CANCER PREVENTION RESEARCH. EXOSOME DELIVERED ANTICANCER DRUGS ACROSS THE BLOODBRAIN BARRIER FOR BRAIN CANCER THERAPY IN DANIO RERIO. PHARMACEUTICAL RESEARCH. Yang T, Martin P, Fogarty B, Brown A, Schurman K, Phipps R, Yin VP, Lockman PR, Bai S. research opportunities in the United States or Europe. Adkins CE, Nounou MI, Mittapalli RK, Terrell-Hall TB, Mohammad AS, the road.” Weed’s hope for Loskutov and other Cancer Cell Biology MOLECULAR DETERMINANTS OF BLOOD-BRAIN BARRIER He continued, “Research is not instant gratification. It’s discoveries at the post-doctoral level in top-tier institutions Geldenhuys WJ, Mohammad AS, Adkins CE, Lockman PR. KAP1 PROMOTES PROLIFERATION AND METASTATIC PROGRESSION RANDOMIZED PHASE II ADJUVANT FACTORIAL STUDY OF Addison JB, Koontz C, Fugett JH, Creighton CJ, Chen D, Farrugia MK, science,” said Weed. “They want to understand how cancer works and find novel ways to help people with cancer down searching, trying ideas, not being afraid to fail, and persevering when you do fail.” He described Loskutov as a “very insightful scientist. He contributes to our journal clubs and seminar series. He asks questions others don’t think of. He’s been wonderful.” 28 Loskutov and his wife like to hike and backpack across the better clinical benefit, but reduce the side effects.” WVUCancer.org students is that they continue their work pursuing cancer or industries. “We’re one link in a chain that’s ultimately going to make people’s lives better. Our students do the preclinical work that ultimately translates into clinical benefit for the patient.” Jagannathan R, Lockman PR. PERMEATION. THERAPEUTIC DELIVERY. DOSE-DENSE TEMOZOLOMIDE ALONE AND IN COMBINATION WITH ISOTRETINOIN, CELECOXIB, AND/OR THALIDOMIDE FOR GLIOBLASTOMA. NEURO-ONCOLOGY. Penas-Prado M, Hess KR, Fisch MJ, Lagrone LW, Groves MD, Levin VA, De Groot JF, Puduvalli VK, Colman H, Volas-Redd G, et al. BREAST CANCER OF BREAST CANCER CELLS. CANCER RESEARCH. Padon RR, Voronkova MA, McLaughlin SL, Livengood RH, et al. NKTR-102 EFFICACY VERSUS IRINOTECAN IN A MOUSE MODEL OF BRAIN METASTASES OF BREAST CANCER. BIOMED CENTRAL CANCER. Adkins CE, Nounou MI, Hye T, Mohammad AS, Terrell-Hall T, Mohan NK, Eldon MA, Hoch U, Lockman PR. Volume I 2016 29 WVU CANCER INSTITUTE THE SIGNATURE RESEARCH AND EDUCATION COMPARISON BETWEEN ULTRASOUND AND PATHOLOGIC STATUS PRO-METASTATIC NEDD9 REGULATES INDIVIDUAL CELL MIGRATION THE IMPACT OF ACCESS TO CANCER CARE ON ADJUVANT DIETARY COMPOUNDS GALANGIN AND MYRICETIN SUPPRESS BREAST CANCER PATIENTS. AMERICAN SURGEON. MOLECULAR CANCER RESEARCH. APPALACHIA. VALUE IN HEALTH. FOODS. Tan X, Marshall V, Camacho F, Anderson RT, Balkrishnan R. Huang H, Chen AY, Rojanasakul Y, Ye X, Rankin GO, Chen YC. INHIBITION OF SHP2 IN BASAL-LIKE AND TRIPLE-NEGATIVE BREAST MYRICETIN INHIBITS PROLIFERATION OF CISPLATIN-RESISTANT DEPENDENCY, AND SENSITIVITY TO ANTI-HORMONE TREATMENT. INTERNATIONAL JOURNAL OF ONCOLOGY. OF AXILLARY LYMPH NODES IN CLINICALLY NODE-NEGATIVE VIA CAVEOLIN-1-DEPENDENT TRAFFICKING OF INTEGRINS. ENDOCRINE THERAPY USE AMONG BREAST CANCER SURVIVORS IN Bailey A, Layne GP, Shahan C, Zhang J, Wen S, Radis S, Richmond B, Kozyulina PY, Loskutov YV, Kozyreva VK, Rajulapati A, Ice RJ, Jones BC, Partin JF, Hazard HW. Pugacheva EN. RADIATION EXPOSURE FROM DIAGNOSTIC PROCEDURES IN KRUPPEL-LIKE FACTOR 4 SIGNALS THROUGH MICRORNA-206 TO OF COMMUNITY AND SUPPORTIVE ONCOLOGY. Lin CC, Sharma SB, Farrugia MK, McLaughlin SL, Ice RJ, Loskutov YV, BIOMED CENTRAL CANCER. Pugacheva EN, Brundage KM, Chen D, Ruppert JM. Zhao H, Agazie YM. PATIENTS WITH NEWLY DIAGNOSED BREAST CANCER. THE JOURNAL Chaudhary LN, Knapp S, Wen S, Xiao J, Marano GD, Kurian S, Layne GP, Jacobson GM, Abraham J. HIGH-FAT, HIGH-CALORIE DIET ENHANCES MAMMARY CARCINOGENESIS AND LOCAL INFLAMMATION IN MMTV-PYMT MOUSE MODEL OF BREAST CANCER. CANCERS (BASEL). PROMOTE TUMOR INITIATION AND CELL SURVIVAL. ONCOGENESIS. CELLS INDUCES BASAL-TO-LUMINAL TRANSITION, HORMONE MESENCHYMAL CELL INVASION AND METASTASIS OF BREAST CANCER. ONCOGENE. COLORECTAL CANCER A PHASE II, RANDOMIZED, DOUBLE BLIND TRIAL OF CALCIUM Cowen S, McLaughlin SL, Hobbs GR, Coad JE, Martin KH, Olfert IM, Vona- Loskutov YV, Kozyulina PY, Kozyreva VK, Ice RJ, Jones BC, Roston TJ, Davis LC. Smolkin MB, Ivanov AV, Wysolmerski RB, Pugacheva EN. ALUMINOSILICATE CLAY VERSUS PLACEBO FOR THE PREVENTION PREDICTING LATE-STAGE BREAST CANCER DIAGNOSIS AND PRE-EXISTING DIABETES AND BREAST CANCER PROGNOSIS CANCER TREATED WITH IRINOTECAN. SUPPORTIVE CARE IN CANCER. RECEIPT OF ADJUVANT THERAPY: APPLYING CURRENT SPATIAL ACCESS TO CARE METHODS IN APPALACHIA. MEDICAL CARE. AMONG ELDERLY WOMEN. BRITISH JOURNAL OF CANCER. Luo JH, Hendryx M, Virnig B, Wen S, Chlebowski RT, Chen C, Rohan T, Donohoe J, Marshall V, Tan X, Camacho FT, Anderson R, Balkrishnan R. Tinker L, Wactawski-Wende J, Lessin L, et al. REGULATION OF ANTI-APOPTOTIC SIGNALING BY KRUPPEL-LIKE BREAST CANCER SUBTYPE AS A PREDICTOR OF LYMPH NODE CANCER. CELL DEATH AND DISEASE. BREAST CANCER. FACTORS 4 AND 5 MEDIATES LAPATINIB RESISTANCE IN BREAST Farrugia MK, Sharma SB, Lin CC, McLaughlin SL, Vanderbilt DB, Ammer AG, Salkeni MA, Stoilov P, Agazie YM, Creighton CJ, et al. FEASIBILITY OF USING LOW-COST MOTION CAPTURE FOR AUTOMATED SCREENING OF SHOULDER MOTION LIMITATION AFTER BREAST CANCER SURGERY. PLOS ONE. METASTASIS ACCORDING TO THE SEER REGISTRY. JOURNAL OF Jacobson GM, Partin JF, Salkeni MA. BREASTFEEDING: AN UNKNOWN FACTOR TO REDUCE HEART DISEASE RISK AMONG BREASTFEEDING WOMEN. BREASTFEEDING MEDICINE. Kelly KM, Chopra I, Dolly B. GENETIC COUNSELING CONTENT: HOW DOES IT IMPACT BEHAVIOR? JOURNAL OF BEHAVIORAL MEDICINE. Lamoshi AY, Salkini MW. CHAETOGLOBOSIN K INDUCES APOPTOSIS AND G2 CELL CYCLE ARREST THROUGH P53-DEPENDENT PATHWAY IN CISPLATINRESISTANT OVARIAN CANCER CELLS. CANCER LETTERS. Li BY, Gao Y, Rankin GO, Rojanasakul Y, Cutler SJ, Tu Y, Chen YC. GASTROINTESTINAL CANCER EXTERNAL BEAM RADIATION THERAPY FOR SMALL CELL CARCINOMA OF THE URINARY BLADDER. PRACTICAL RADIATION ONCOLOGY. THE INCIDENCE OF PELVIC AND PARA-AORTIC LYMPH NODE A PROSPECTIVE STUDY. NEURO-ONCOLOGY. EPITHELIAL CELL PROLIFERATION AND ANCHORAGE-INDEPENDENT SIGNALING PATHWAY. FEMS MICROBIOLOGY LETTERS. Zhu Y, Chen M, Gong Y, Liu Z, Li A, Kang D, Han F, Liu J, Liu J, Yuan Y. Morikawa A, Peereboom DM, Thorsheim HR, Samala R, Balyan R, Murphy Park J, Schlederer M, Schreiber M, Kim S, Ice RJ, Merkel O, Bilban M, TRANSLATIONAL MEDICINE. Glover K, Jones D, Wen S, et al. OUTCOME. UROLOGY ANNALS. GROWTH THROUGH ACTIVATION OF ERK-MEDIATED MITOGENIC BRAIN METASTASES FROM METASTATIC BREAST CANCER PATIENTS: CELL RESEARCH. BIOPSY PATIENTS IN EARLY BREAST CANCER. 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MOLECULAR THERAPY PRENATAL SMOKING CESSATION PROGRAM. JOURNAL OF MIDWIFERY COMPARISON OF PUFF TOPOGRAPHY, TOXICANT EXPOSURE, AND BIOMARKERS. ANALYST. Larrouture QC, Nelson DJ, Robinson LJ, Liu L, Tourkova I, Schlesinger PH, ONCOLYTIC HSV VIROTHERAPY IN MURINE SARCOMAS REPORTS. MORPHOLOGY, RNA CONTENT, AND SURFACE PROTEIN HETEROINTERACTIONS AND HOMOINTERACTIONS. MOLECULAR AND Cieply B, Koontz C, Frisch SM. SUBSTANCE ABUSE. IN SILICO MODEL-BASED INFERENCE: AN EMERGING APPROACH LUCIFERIN-LUCIFERASE CHEMILUMINESCENCE. BIOCHEMICAL AND Bobko AA, Khramtsov VV. FROM EMT AGAINST ANOIKIS. MATRIX BIOLOGY. DEVELOPMENT AND VALIDATION OF A SMOKING EXPECTANCIES Sharma SB, Ruppert JM. Chen X, Aggen SH, Chen J, Li L, Kendler KS, Blank MD, Eissenberg T. JUNCTION PATHWAY. MOLECULAR AND CELLULAR BIOLOGY. GERONTOLOGY INTERNATIONAL. NICOTINE DELIVERY. ADDICTION. 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JOURNAL OF HEALTH COMMUNICATION. OF A GROUP RANDOMIZED TRIAL INVOLVING A FAITH-BASED Kelly KM, Shedlosky-Shoemaker R, Atkins E, Tworek C, Porter K. BY FAITH) TO REDUCE WEIGHT AND CANCER RISK AMONG PHARMACISTS’ PERCEPTIONS OF TOBACCO SALES IN AN CLINICAL TRIALS. Kelly KM, Agarwal P, Attarabeen O, Scott VG, Elswick BL, Dolly B, Tworek C. HEALTHY EATING AND PHYSICAL ACTIVITY INTERVENTION (WALK OVERWEIGHT AND OBESE APPALACHIAN ADULTS. CONTEMPORARY ELEVATED-RISK POPULATION. JOURNAL OF PHARMACY TECHNOLOGY. Baltic RD, Weier RC, Katz ML, Kennedy S, Lengerich EJ, Lesko SM, Reese D, Roberto KA, Schoenberg NE, Young GS, et al. LETTERS. Dhimitruka I, Eubank TD, Gross AC, Khramtsov VV. 34 WVUCancer.org Volume I 2016 35 WVu cAncEr InStItutE tHE SIGnAturE ATMOSPHERIC PARTICULATE MATTER IN PROXIMITY TO MOUNTAINTOP COAL MINES: SOURCES AND POTENTIAL ENVIRONMENTAL AND HUMAN HEALTH IMPACTS. ENVIRONMENTAL GEOCHEMISTRY AND HEALTH. Kurth L, Kolker A, Engle M, Geboy N, Hendryx MS, Orem W, McCawley MA, EDITORIAL BOARD William P. Petros PHARMD, FCCP INTERIM DIRECTOR 304-293-0781 wpetros@hsc.wvu.edu Crosby L, Tatu C, Varonka M, et al. A NATIONWIDE MEDICAL STUDENT ASSESSMENT OF ONCOLOGY EDUCATION. JOURNAL OF CANCER EDUCATION. Mattes MD, Patel KR, Burt LM, Hirsch AE. Hannah Hazard MD DIRECTOR OF CLINICAL SERVICES REFLECTIONS ON HOPE AND ITS IMPLICATIONS FOR END-OF-LIFE CARE. JOURNAL OF THE AMERICAN GERIATRICS SOCIETY. Mattes MD, Sloane MA. THE EVOLVING ROLE OF REGIONAL RADIATION ONCOLOGY SOCIETIES IN RESIDENT EDUCATION. JOURNAL OF CANCER Michael Craig MD DIRECTOR OF THE BONE MARROW TRANSPLANT UNIT Mattes MD. EXPENDITURES AND OUT-OF-POCKET SPENDING BURDEN AMONG ADULTS, MEDICAL EXPENDITURE PANEL SURVEY, 2009 AND 2011. SUBSTANCE ABUSE. EDITOR Sarah Wisniewski Deborah Falconi RN, MSN, OCN DIRECTOR OF ONCOLOGY SERVICES HEALTH CARE EXPENDITURES ASSOCIATED WITH DEPRESSION AMY JOHNS Director of Public Affairs and Creative Services IN ADULTS WITH CANCER. THE JOURNAL OF COMMUNITY AND Pan X, Sambamoorthi U. EDUCATING PHYSICAL THERAPIST STUDENTS IN TOBACCO Amy Bush BSN, MBA, RN, CNOR VICE PRESIDENT OF OPERATIONS, WVU MEDICINE OUTCOMES. JOURNAL OF PHYSICAL THERAPY EDUCATION. Pignataro RM, Gurka MJ, Jones DL, Kershner RE, Ohtake PJ, Stauber W, Swisher AK. SURVEY OF U.S. HEMATOLOGY AND ONCOLOGY FELLOWS. JOURNAL OF PALLIATIVE MEDICINE. Thomas RA, Curley B, Wen S, Zhang J, Abraham J, Moss AH. ESSENTIAL COMPONENTS OF CANCER EDUCATION. CANCER RESEARCH. Welch DR, Antalis TM, Burnstein K, Vona-Davis LC, Jensen RA, Nakshatri H, Riegel AT, Spitz DR, Watson DK, Weiner GJ, et al. LOCATIONS Mary Babb Randolph Cancer Center MORGANTOWN, WV 304-598-4500 OR 877-427-2894 Betty Puskar Breast Care Center MORGANTOWN, WV 304-293-8012 WVU Cancer Institute – University Healthcare Regional Cancer Center MARTINSBURG, WV 304-267-1944 Camden Clark Regional Cancer Center PARKERSBURG, WV 304-424-2256 WVU Cancer Institute at Garrett Regional Medical Center OAKLAND, MD 301-533-4222 Fairmont Regional Cancer Center 36 WVUCancer.org ANGELA KNOPF Manager of Media Relations The Signature is published by WVU Medicine on behalf of the WVU Cancer Institute. CESSATION COUNSELING: FEASIBILITY AND PRELIMINARY PALLIATIVE CARE TRAINING DURING FELLOWSHIP: A NATIONAL DESIGNER Katie Sickman TONY CONDIA Vice President of Marketing and Communications Nasim A, Blank MD, Cobb CO, Eissenberg T. SUPPORTIVE ONCOLOGY. SOCIAL MEDIA CHAIR OF RADIATION ONCOLOGY Meraya AM, Raval AD, Sambamoorthi U. OTHER TOBACCO PRODUCTS. JOURNAL OF CHILD & ADOLESCENT DONOR INFORMATION For information on supporting programs at the WVU Cancer Institute, please contact: Office of Philanthropy 304-293-3711 heretohelp@hsc.wvu.edu wvucancer.org/give Geraldine Jacobson MD, MPH, MBA PREVENTING CHRONIC DISEASE. ADOLESCENT FORMER CIGARETTE SMOKERS’ VULNERABILITY TO CLINICAL TRIALS For information on current clinical trials at the WVU Cancer Institute, contact the clinical trials team by e-mail at cancertrialsinfo@hsc.wvu.edu or visit wvucancer.org/clinical-trials. FACEBOOK facebook.com/WVUMedicine TWITTER @WVUMedicine INSTAGRAM @WVUMedicine EDUCATION. CHRONIC CONDITION COMBINATIONS AND HEALTH CARE PATIENT INFORMATION For information on patient services at the WVU Cancer Institute, call our care team at 877-427-2894 or visit wvucancer.org/patient-care. FAIRMONT, WV 304-366-9999 All correspondence related to The Signature should be addressed to: WVU Medicine Marketing and Communications P.O. Box 9083 Morgantown, WV 26506-9083 304-293-7087 sarah.wisniewski@wvumedicine.org Articles and photos may be reprinted with permission. Visit the WVU Cancer Institute website at wvucancer.org. © 2016 WVU Medicine