Funding Support CenterDF/HCC Sponsored FundingNodal AwardsNodal AwardsPilot Project Initiative to Support Interprogrammatic Research of DF/HCC MembersAward Amount: $75,000 per year for two years ($150,000 total direct costs), with full indirect costs. -------------------------------------------------- SUBMISSION INFORMATIONDeadline: May 5, 2009 DEADLINE EXTENDED Contact regarding questions: Mabel Duyao OVERVIEW AND GOALS OF NODAL AWARD PROGRAMA key goal of the Dana-Farber/Harvard Cancer Center (DF/HCC) is to encourage and support the development of scientific collaborations among Center members that promote new translational cancer research as well as research that addresses issues relevant to the unequal burden of cancer and cancer outcomes in diverse populations. To advance this goal, the DF/HCC annually solicits proposals for Pilot Projects that are designed to enhance or create new “nodal point” interactions between disease- and discipline-based DF/HCC Research Programs. These interactions provide an opportunity to link the research efforts based across Programs, with a focus on projects that have the potential of significant human application. The Cancer Center has a particular interest in proposals that focus on eliminating cancer disparities. Such inter-programmatic research efforts are the “nodal points” that are targeted for support by this award program. NODAL POINT CONCEPT DEFINEDNodal points are inter-programmatic research efforts that link DF/HCC discipline-based studies with disease-site specific research. The Cancer Center is programmatically organized into distinct Research Programs, in accordance with NCI guidelines. Currently, there are 17 Research Programs that are fully established and have been approved by the NCI through the Cancer Center Support Grant process. Ten other areas are in various stages of development, and as defined by NCI guidelines, are Programs-in-Development. DF/HCC Research Programs can be classified by two categories: disease-site programs, such as Prostate Cancer or Breast Cancer, or discipline-based programs, such as Cancer Genetics. A current list of DF/HCC Programs and Programs-in-Development is available on the web site at www.dfhcc.harvard.edu. ELIGIBILITYOnly Cancer Center members are eligible to apply for a grant. NUMBER AND SIZE OF AWARDSTwo awards will be awarded this year, one of which is specifically intended for a project addressing issues relevant to “Disparities in Cancer”. We encourage applications that include a partnership with UMB faculty, in support of the DF/HCC’s U56 cancer center-minority serving institution partnership grant. Each award is for $75,000 per year for two years ($150,000 total in direct costs). REVIEW PROCESSProposals will be reviewed by a DF/HCC peer-review committee, which has representation from all DF/HCC member institutions. Projects to be of greatest scientific merit and have greatest potential for fostering nodal inter-programmatic research or enhancing research in the area of “Disparities in Cancer” will be ranked and submitted to the full Executive Committee for final approval for funding. Grants will be awarded on the basis of the following review criteria (with this order of importance):
PROPOSAL REQUIREMENTS
PROPOSAL CONTENTS and PAGE LIMITSRequired items (4):
AWARD PERIODThe anticipated award date is July 1, 2009. Projects must be ready to commence immediately after receipt of award. Year one of funding is July 1, 2009 to June 30, 2010. PROGRESS REPORTSProgress reports are required after the first year of the project. The PI may be asked to present results to the DF/HCC Executive Committee. SECOND YEAR FUNDINGFunding for the second year (commencing July 1, 2010) is contingent upon first-year progress. FINAL REPORTA final report and informal spending summary is due at the end of the two-year project period. Should the PI leave the seven institutions of the DF/HCC, the remainder of the award will be forfeited (i.e. may not be transferred to a non-DF/HCC institution). 2009 Nodal Award RecipientsA novel therapeutic strategy for colon cancers expressing mutationally activated K-RAS The future of colon cancer therapy lies in personalized molecular medicine, where physicians tailor an individual’s treatment to the mutations that have occurred in their cancer. Such an approach requires targeted therapies corresponding to specific oncogenic mutations. Almost half of all colorectal cancers have activating mutations in K-RAS and these mutations are among the best predictive biomarkers for the failure of a cancer to respond to both conventional and targeted therapies. No targeted therapies exist to treat KRAS-mutant cancers. Studies indicate that a novel, therapeutically relevant signaling pathway mediates the oncogenic properties of K-RAS in colorectal cancers. The team has recently identified a small molecule kinase inhibitor, BAY61-3606, that suppresses proliferation in cells expressing activated K-RAS, but not in isogenic cells expressing wild-type K-RAS. In this project, the team will focus on three aims designed to accelerate the development of this novel inhibitor of K-RAS signaling: to identify the relevant molecular target of BAY61-3606; to generate derivatives of BAY61-3606 with improved biological activity; and to measure the in vivo activity of BAY61-3606 and its biologically active derivatives. The ultimate goal is to develop an inhibitor of K-RAS signaling that can be used as an anti-cancer therapy in humans. To this end, it will be critical to identify the inhibitor with the best pharmacologic properties in vivo. In year 2 of the Nodal Award project, the team will initiate preclinical studies for BAY61-3606 and its biologically active derivatives by measuring the PK and determining the effects on the growth of colon cancer xenografts. Hospital Readmission, Patient-Centered Nursing Care, and Cancer Disparities In this project, the goal is to study racial and ethnic disparities in patient-centered nursing care, patient trust, HRQOL outcomes, readmission rates and emergency room use. A new DF/HCC node will be created, and scientists and clinicians with proven track records in studying cancer care quality and disparities will join together. The purpose of this study is to examine the relationships between patient characteristics (race, ethnicity, age, gender, socioeconomic status), cancer patient outcomes (post-discharge hospital utilization, trust, health-related quality of life), specialty care, and patient-centered nursing care for cancer patients hospitalized within the DF/HCC system. This study is significant because there is very little research on the equitable distribution of nursing care in general and patient-centered cancer nursing care more specifically. Nursing care needs to be examined in order to eliminate cancer disparities. If patient-centered nursing care is equitably distributed, then this care can be leveraged to enhance the quality of patient-centered care to racial and ethnic minorities. If disparities exist in patient-centered nursing care, then practices can be devised to address the inequities. Potential translations of the findings of this study include metrics for monitoring the equity of nursing care, quality improvement projects, clinical education offerings, and policies and procedures to elimination barriers to equal care. Targeted system interventions can be based on study findings and tested in future studies. Reactivating Apoptosis in Melanoma by Selective Targeting of MCL-1 The lifetime risk for developing melanoma is currently 1 in 65, with the annual incidence increasing at a rate of 4% per year. Surgical excision is curative for most patients who present with relatively thin lesions, and when disease is limited to the primary site, ten-year survival rates range from 60-90%. For patients with lymph node metastases, adjuvant therapy with α-interferon affords a modest increase in overall survival, but this advantage is associated with substantial toxicities. For patients with metastatic disease, there is little convincing evidence that any standard systemic therapy prolongs life. This project represents a new multidisciplinary and inter-institutional effort to apply a breakthrough chemical biology approach to target a key resistance factor in melanoma. By combining the team’s extensive background and knowledge of chemical and apoptosis biology, melanoma biology, cutaneous oncology, and clinical pharmacology, this pilot project is laser-focused on developing and validating a new therapeutic modality for treating chemoresistant melanoma. Importantly, this project was inspired by the life of an astoundingly talented, ebullient, and courageous young girl who died from metastatic melanoma at age fifteen. She challenged the team to find an antidote for this devastating disease; this collaboration represents the commitment to fulfilling her vision of a world without fatal melanoma. 2008 Nodal Award RecipientsStudy to Test the Trice Advanced Cancer and End of Life Treatment Scale The Trice Advanced Cancer and End of Life Treatment (TACT) scale is designed to assess knowledge of end of life (EOL) care options, advance care planning, and common aggressive interventions at EOL among Black and White advanced cancer patients. The goal of the project is to develop a brief inventory to assess knowledge of aggressive and palliative EOL care options, and to evaluate whether its use as an educational tool improves knowledge of EOL treatment options. Specific aims include: refinement and evaluation of the reliability and validity of the TACT scale; pilot determination of whether differences exist among Black and White cancer patients in knowledge of EOL care options, advanced care planning, and common aggressive interventions at EOL; and if the use of TACT as part of an educational intervention can improve knowledge of EOL care options. The use of histone-deacetylase inhibitors in NUT midline carcinoma NUT midline carcinoma (NMC) is a rare, incurable tumor affecting children and young adults. The French laboratory has characterized the causative oncogene as a fusion of a bromodomain gene and the novel gene, NUT, and hypothesize that the BRD-NUT complex is a tractable, direct target of HDAC inhibitors. Specific aims for the project are to quantitate phenotypic effects of HDAC inhibitors on human NMC cells in a high-throughput format; establish lead therapeutic HDAC inhibitors based on their pro-differentiation and anti-growth effects on NMC in vitro and in vivo; and characterize the changes in gene expression resulting from HDAC inhibition in NMC cells. 2007 Nodal Award RecipientsTargeting of Leukemia Stem Cells by T-cells Educated by Dendritic Cell/AML Fusions and Anti-CD3/CD28 Patients with AML frequently achieve remission via chemotherapy but subsequently develop chemotherapy resistant disease. The cause of this disease is the self-renewal of leukemia stem cells, which appear to be quite resistant to standard chemotherapy. Cellular immunotherapies represent a promising alternative for successfully targeting these cells. This study will evaluate the effectiveness of several cellular immunotherapies – Dendritic Cell/AML fusions and anti-CD3/CD28 – to target leukemia stem cells and antigens, and to assess whether repeated applications of such therapies produce an expansion of AML specific T cells. Building Capacity to Monitor the Impact of Genetically-Tailored Prevention and Treatment on Cancer Disparities Genomic medicine is a promising new tool for improving health outcomes. However, the impact of genomic medicine on the health of vulnerable populations and health disparities remains relatively unclear, as few studies have been conducted to examine the topic. This pilot project will develop strategies to utilize information-rich national administrative databases to assess patients’ access to, utilization of, and impact from genetically-customized cancer prevention and treatment methods, as well as their ability to access appropriate follow-up care. Data will be analyzed in a variety of ways, but with a particular focus on disparities (by race, ethnicity, and by commercially- vs. Medicaid-insured patients. 2006 Nodal Award RecipientsParental Attitudes Toward the HPV Vaccine Vitamin D deficiency has been associated with increased rates of incidence and mortality of numerous cancer types, while vitamin D supplementation may reduce cancer risk by increasing cell differentiation and decreasing cell proliferation. This study will be among the first to examine the impact of vitamin D in blacks, who are known to have lower vitamin D levels than whites. The study will focus specifically on vitamin D supplementation and uptake on PSA and C-peptide levels among blacks in a non-patient sample, and holds considerable promise in informing future cancer prevention trials that seek to reduce racial disparities in outcomes. |
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