DCTD Program Accomplishments
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Institute Cancer National Division of Cancer Treatment and Diagnosis Program Accomplishments 2008 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Institute Cancer National Division of Cancer Treatment and Diagnosis Program Accomplishments 2008 U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES National Institutes of Health Table of Contents Foreword 4 Division of Cancer Treatment and Diagnosis 6 Overview 7 DCTD Management 10 DCTD Research Grants 11 Major Ongoing Initiatives and Accomplishments 12 Cancer Diagnosis Program 16 Overview 17 Major Ongoing Initiatives 17 Current Funding Opportunities 22 Partnerships and Collaborations 24 Scientific Advances 26 Tools, Products, and Resources 27 Cancer Imaging Program 30 Overview 31 Major Ongoing Initiatives 31 Current Funding Opportunities 45 Partnerships and Collaborations 48 Scientific Advances 53 Tools, Products, and Resources 55 Cancer Therapy Evaluation Program 58 Overview 59 Major Ongoing Initiatives 59 Significant Ongoing Trials 65 Current Funding Opportunities 71 Partnerships and Collaborations 73 Scientific Advances 75 Tools, Products, and Resources 77 2 Division of Cancer Treatment and Diagnosis Developmental Therapeutics Program 80 Overview 81 Major Ongoing Initiatives 83 Tools, Products, and Resources 87 Scientific Advances 94 Radiation Research Program 96 Overview 97 Partnerships and Collaborations 99 Scientific Advances 104 Tools, Products, and Resources 106 Meetings and Workshops 107 Biometric Research Branch 108 Overview 109 Partnerships and Collaborations 109 Scientific Advances 114 Tools, Products, and Resources 120 Office of Cancer Complementary and Alternative Medicine 122 Overview 123 Selected Funded Projects 123 Current Funding Opportunity 126 Partnerships and Collaborations 127 Tools, Products, and Resources 127 Appendix: DCTD Staff Roster 129 Program Accomplishments 2008 3 Foreword The Division of Cancer Treatment and Diagnosis (DCTD) focuses its activities on developing novel diagnostics and therapies for cancer. DCTD staff members, along with colleagues throughout the National Cancer Institute (NCI), academia, and industry, are working together to generate a seamless pipeline of biomarkers and therapeutics that runs the gamut from initial efforts in discovery through latestage clinical trials. New cancer imaging techniques play a critical role in support of this pipeline as advances in imageguided diagnosis and imageguided therapies continue to emerge. A primary goal of NCI’s DCTD is to decrease the time necessary to bring anticancer drugs and biomarkers to the clinic while enhancing our ability to predict which treatments will be most useful for each patient. At the core of this objective is the implementation of the recommendations of the Clinical Trials Working Group (CTWG) and the Translational Research Working Group (TRWG), new efforts to coordinate and enhance NCI’s drug discovery and chemicalbiology engines, and our continued emphasis on firstinhuman clinical trials. Furthermore, DCTD has recently completed a process in which unmet research needs in cancer therapeutics and diagnostics have been evaluated. The box accompanying this message provides a summary of these areas of investigative interest for the coming year. Under the auspices of the CTWG, which in 2005 recommended 22 strategic initiatives for revamping the institute’s cancer clinical trials system, NCI has conducted a systematic review of the steps involved in opening a clinical trial. On average, it takes about 1,000 days for an NCIsupported clinical trial to move from inception within a cooperative group to activation in an NCIdesignated cancer center. As a result of these findings, NCI Director John Niederhuber, M.D., has pledged to cut the time from inception to activation in half. Although NCI has a robust program of clinical trials and later stage preclinical development, over the past 15 years its drug discovery efforts have received less attention. To bridge the gap between academic drug discovery and the develop ment of anticancer agents in the clinic, NCI is in the process of reinvigorating the process of cancer drug discovery through which academia, the private sector, and government work together to enhance NCI’s capability to move novel compounds through the entire pathway from synthesis and lead molecule optimization, to target qualification, pharmacology, toxicology, formulation, and firstinhuman trials. In addition to the development of small molecule anticancer agents, DCTD is working to improve the range of immunotherapeutic approaches to cancer Dr. James H. Doroshow, treatment. During a DCTD workshop conducted in July 2007 (http://web. Director, NCI Division of ncifcrf.gov/research/brb/workshops/NCI%20Immunotherapy%20Workshop% Cancer Treatment and Diagnosis 2071207.pdf), the immunotherapeutic molecules in the NCI pipeline were evaluated. Workshop participants produced a prioritized list of 20 possible immunomodulatory molecules that hold particular promise for use in cancer treatment. An organized process is now in place to either produce or obtain access to these compounds for use in future NCIsupported clinical trials. Results from NCI’s firstever phase 0 trial—showing that such studies appear to substantially compress the drug development timeline—were presented last year at the annual meeting of the American Society of Clinical Oncology. Several new therapeutic and imaging agents are being readied for additional NCI phase 0 studies in collaboration with the NCI Center for Cancer Research at the NIH Clinical Center. 4 Division of Cancer Treatment and Diagnosis Division of Cancer Treatment and Diagnos is DCTD is also playing an important role in the implementation of recommendations made last year by the TRWG. The TRWG report developed 15 recommendations that focus on “early translation”—work done to move basic research discoveries into phase I and phase II clinical trials. The work of the TRWG complements several CTWGrelated activities, which are focused on “late translation,” that is, primarily phase III clinical trials. At the request of Dr. Niederhuber, DCTD is now overseeing the Specialized Programs of Research Excellence (SPOREs), a major NCI vehicle for translational research. The SPOREs will be the chief component of the newly formed Translational Research Program (TRP) in DCTD. In the pages that follow, you will find a summary of recently established priorities and scientific advances made possible by the many gifted and committed staff members throughout the division. DCTD Research Interests Areas of research interest currently underinvestigated • Validation of imaging as a biomarker, including development in the DCTD portfolio: of methods to better determine a response to therapy • Development of new imaging agents Enhancing Tumor Response to Therapy • Development and application of diagnostic devices and • Targetbased drug development technologies that support multianalyte molecular assays • Development of combination therapies in clinically • Development of integrated labonachip diagnostic relevant models devices for realtime analysis of biospecimens • Targeting molecular signaling pathways • Methods, mechanisms, and technologies to ensure the • Reducing toxicity using imageguided interventions to availability of clinical specimens for translational research target drug delivery and activation • Studies on the beneficial or harmful effects of anticancer Clinical Studies agents on unintended targets • Translational and clinical studies in the following • Development of approaches, including complementary underinvestigated diseases: pancreatic cancer, squamous medicine approaches, to improve the therapeutic index cell carcinoma of the head and neck, bladder cancer, of standard and investigational anticancer therapies and sarcoma • Validation of the clinical utility of molecular profiles Investigations of the Tumor Microenvironment • Clinical studies using imaging approaches to characterize • Design and testing of agents that target the tumor disease anatomy, physiology, and molecular biology microenvironment using clinically relevant models • Validation of the clinical utility of novel, innovative clinical • Exploiting the tumor microenvironment’s role in therapy diagnostic devices • Understanding the dynamic relationship between • Development of personalized medicine approaches tumors and cells in the microenvironment including the discovery, development, and qualification • Measuring and evaluating the role of the tumor of biomarkers to define efficacy, toxicity, dosing, and microenvironment in tumor transformations through schedule of therapy imaging and other noninvasive methods Further details concerning these areas of research can be Development of New Methods and Technologies found on the DCTD Website: http://dctd.cancer.gov. • Development of new imaging technologies, including novel hardware, new research interfaces, refinement of image processing, and further development of virtual imaging Program Accomplishments 2008 5 Division of Cancer Treatment and Diagnosis Program Accomplishments The Division of Cancer Treatment and Diagnosis (DCTD) collaborates with other National Cancer Institute (NCI) components as the world’s largest sponsor of clinical cancer research. 6 Division of Cancer Treatment and Diagnosis Division of Cancer Treatment and D iagnos is DCTD Overview Cancer Diagnosis Program (CDP) strives to improve the diagnosis and assess The multiple programs within DCTD work ment of cancer by effectively