DONOR HONOR ROLL - UNC LINEBERGER COMPREHENSIVE CANCER CENTER - INVEST IN PEOPLE. SEEK SCIENTIFIC SOLUTIONS. BUILD CLINICAL ...
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INVEST IN PEOPLE. SEEK SCIENTIFIC SOLUTIONS. BUILD CLINICAL EXCELLENCE. BEAT CANCER. UNC LINEBERGER COMPREHENSIVE CANCER CENTER 2015 – 2016 DONOR HONOR ROLL
FEATURES 8 16 Fox fights bone marrow The Williams major gift cancer and wins advances cancer research Superior Court Judge Carl Fox is “We have faith scientists will back on the bench after a cord unlock mysteries behind this blood transplant saved his life. disease.” 26 36 Clinical trials lead to Opening up the lines new treatments of communication Amy Charney didn’t let breast Basch lab receives $5.45 million cancer stop her from reaching to study patient-reported the finish line. outcomes. IN SIDE 5 Director’s Message 6 Section One: Invest in People to Find a Cure 14 Section Two: Venture to Seek Scientific Solutions 24 Section Three: Build Clinical Excellence – Research and Care to Advance Hope 34 Section Four: Unite Across Population Sciences to Beat Cancer 44 Major Gifts and Pledges 46 Memorial Tributes 48 Honor Roll Donors 52 The Berryhill Society 53 Our Comunity
“Cutting edge science, marvelous, humane clinical care, and transformative training: those are the things I think we do really well. That’s what comes to mind when I think of what UNC Lineberger is all about.” Norman E. Sharpless, MD UNC Lineberger Director
Ashley, neuroblastoma, Eric, lymphoma Trent, natural killer cell leukemia non-Hodgkin’s lymphoma Cancer started this fight. We will finish it. Elaine, breast cancer Rengate, head and neck, lung, Coach Hatchell, leukemia Jo Anne, ovarian cancer and prostate cancer 4 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
A message from our director Inventor and Apple, Inc. co-founder Steve Jobs once said, “I want to put a ding in the universe.” As a researcher and physician, that’s how I feel about cancer. I truly believe our work at UNC Lineberger Comprehensive Cancer Center is making the kind of significant impact to which Jobs was referring, and your generosity helps make that happen. Day in and day out, our team strives to unlock the mysteries of a disease that claims nearly 600,000 lives in the U.S. annually. But we couldn’t do it without you. If there’s a song title that describes this past year at UNC Lineberger, it’s “On the Road Again.” During the last twelve months, we’ve taken our cancer center’s powerful story across state lines to places like Palo Alto, California, a city teaming with high-technology companies seeking out early investment opportunities. We’ve also shared our work with new groups of potential donors in Palm Beach, Florida, who, like you, know a good investment when they see it and want to be a part of an organization that can make the world a better place for generations to come. Cancer is a costly disease, and new philanthropic commitments will be key to the future success of UNC Lineberger. We recently set a preliminary fundraising goal of $200 million from private sources over an eight-year period as part of the university’s larger capital campaign. That goal represents significant growth in yearly fundraising results and is befitting an institution of our caliber. Thanks to you, our fundraising is pushing the pace and keeps UNC Lineberger on its amazing trajectory. This year’s Donor Honor Roll is filled with inspiring stories of scientific discovery, as well as thrilling accounts of hope, survival and appreciation from patients and families who have become a part of our growing Lineberger family. We’ve also featured some of the 6,520 donors who helped us raise more than $29 million during the last fiscal year – a truly amazing feat. It’s taken all of these people to make UNC Lineberger the top cancer center in North Carolina, and I’m personally grateful to each and every one. With thanks for all that you do – Norman E. Sharpless, MD Director, UNC Lineberger Comprehensive Cancer Center 2015–2016 DONOR HONOR ROLL 5
INVEST IN PEOPLE TO FIND A CURE Judge Carl Fox and Julia Smith FOX FIGHTS BONE MARROW CANCER AND WINS S uperior Court Judge Carl Within weeks, Fox was transferred to marrow donor registries, there was Fox has been a fixture in the N.C. Cancer Hospital under the no bone marrow match for Carl. ” Orange and Chatham care of Josh Zeidner, MD. Given While Fox initially tolerated the County courtrooms since Fox’s diagnosis of MDS and severe chemotherapy treatment well, his 1978, when he first began blood count abnormalities, blood counts did not improve. Then his law career as an assistant district Zeidner began treatment with a he developed complications of MDS, attorney. “After nearly 40 years of chemotherapy called Azacitidine including multiple hospitalizations practicing law in the same and referred Fox to see Thomas for infections, and it was clear the community, I’ve made many, many Shea, MD, to consider a bone chemotherapy was not helping his friends and a few enemies along the marrow transplant. Shea, a UNC disease. However, there was another way,” Fox says, laughing as he recalls Lineberger member, professor of treatment option: a cord blood some of his high-profile cases. Hematology and Oncology at the transplant. This type of blood “Overall, it’s an extremely rewarding UNC School of Medicine, and donation is collected from the career and a real honor to serve.” director of the UNC Bone Marrow placenta and umbilical cord after a and Stem Cell Transplantation But in the spring of 2015, Fox baby’s birth. The cells are then Programs, says Fox suffered from worried that he might not be able to tested, frozen, and stored as a cord bone marrow failure, meaning his go back to the bench at all. For blood unit at a public cord blood bone marrow was not producing red months he’d been losing weight, he bank for future use. blood cells, white blood cells, or tired easily, and his leg bothered him platelets effectively. Shea was thrilled to find two cord so much he’d begun limping. His blood units on the registry that were internist, Tim Carey, MD, ordered “In high-risk forms of MDS, like a close match for Fox. The units were lab work and found that Fox’s Carl’s case, a bone marrow immediately shipped from New York platelets were low. He was admitted transplant is recommended and to North Carolina, and Fox’s medical to the hospital. “After more tests, I represents the only chance to team began preparing him for the was diagnosed with myelodysplastic provide a cure for this disease,” says transplant. This meant completely syndrome (MDS), a form of bone Shea. “Unfortunately, when we wiping out his immune system with marrow cancer, and I knew it researched the national bone chemotherapy and full body wasn’t good.” 8 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
radiation so the new, healthy cord blood Thomas Shea, MD stem cells could be infused and begin reproducing on their own. On September 30, 2015, Shea performed Fox’s cord blood transplant. After Carl’s transplant, he suffered significant weight loss,” says Zeidner, a UNC Lineberger member and assistant professor of Hematology and Oncology at the UNC School of Medicine. “But with good nursing care, he began to recuperate, steadily putting on pounds and regaining his strength. He was discharged after a lengthy stay in the bone marrow transplant unit. Josh Zeidner, MD SHEA NOMINATED FOR PROFESSORSHIP Private funds to support both established faculty and junior researchers are critical as we develop the best and brightest physicians here at UNC. We are grateful to The John William Pope Foundation for its $1 million gift to UNC Lineberger to fund cancer research and treatment through the creation of the John William Pope Distinguished Professorship in Cancer Research. Thomas Shea, MD, has been has been nominated to be the first recipient of this professorship. Shea was one of the late John William Over the following months, with rest and Pope’s physicians when he was treated for cancer in 2006 and is an TLC from his long-time partner, Julia international leader in the care of patients with hematologic Smith, Fox continued his recovery. His malignancies such as leukemia, lymphoma, and multiple myeloma. white blood cell and platelet counts went up; the cord blood transplant had been a “I am humbled that the Pope family success. Fox returned to the courtroom chose to make such a significant gift in on July 11, 2016. my honor and pleased to be considered “I’m in complete remission, I’m back at work, and I’m living my life, thanks to the as the first recipient,” Shea said. care I received at UNC Lineberger,” says With this professorship, Shea hopes to expand research surrounding Fox. “I’m so grateful to have a world-class hematologic malignancies and lay the foundation for Lineberger’s cancer center right here in my own back continued excellence in transplant and blood cancer initiatives. yard, filled with people like Dr. Shea and Dr. Zeidner who go to great lengths to help and heal their patients. Words can’t express my gratitude.” 2015–2016 DONOR HONOR ROLL 9
INVEST IN PEOPLE TO FIND A CURE Jonathan Serody, MD SEED GRANTS YIELD RETURN ON INVESTMENT T he Seed Grant Program offered a faculty position in the investments from other institutions at UNC Lineberger Department of Medicine at UNC. and organizations. There’s a real gives skilled “My wife did her undergraduate multiplying effect,” explains Serody. researchers the work at UNC, and I really liked the “Unfortunately, even if a researcher’s opportunity to find area,” says Serody. “We agreed that findings are novel, even answers to some of cancer’s biggest Chapel Hill would be a great place to groundbreaking, if they don’t have challenges and develop promising raise our children, so in 1993, we enough money to pay for their new concepts for basic cancer moved across the country and research, it’s difficult for them to research, clinical care, prevention, became Tar Heels. We’ve been here validate their work to potential early detection and survivorship. An ever since.” financial suitors.” increasingly competitive funding environment has magnified the need Funded by private Serody is now the associate director of translational science at UNC for and impact of investments in this support and state Lineberger and a medical oncologist type of innovative research. funds, seed grants in the UNC Lineberger Leukemia For UNC Lineberger physicians and and Lymphoma Multidisciplinary scientists, seed grants not only yield have helped UNC Care Program. When asked why he’s early results; they also help develop become a top 10 stayed at UNC Lineberger for 26 the ideas that grow into large, institution for years, Serody says his family has put federally funded projects aimed at down roots here, and he’s had the transformative breakthroughs in research funding. opportunity to work with some cancer care. In his early days at UNC, Serody was amazing people. “But to be a the recipient of several small successful researcher, that’s not Serody: “Grants were pivotal” research grants that proved to be enough,” Serody explains. “I’ve Jonathan Serody, MD, had just pivotal in his career. “Oftentimes, if stayed here at UNC because of their completed a fellowship in clinical you’re just starting out in research or commitment to supporting bone marrow transplantation at Fred you’re new to an area, a small grant advanced research. It has been Hutchinson Cancer Research Center can help fund experiments and critical to my work and the resulting in Seattle, Washington, when he was produce enough data to spur larger accomplishments.” 10 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
Monty and Nancy White MONTY AND NANCY WHITE Putting down roots, planting the seeds of discovery M onty and Nancy White met as undergraduates at UNC-Chapel Hill, and like most Tar Heels, the couple’s devotion to the place we call “Blue Heaven” has become stronger through the years. “Even after we graduated from Carolina in 1970, we found ourselves coming back time and time again, attending sporting events and enjoying the company of good friends,” says Nancy. “We have roots here. It’s always been our home- away-from-home.” Monty grew up in Raleigh, working in his grandfather’s automotive parts business during summer vacations and in the years following his graduation from UNC. The family the invitation. “Cancer has directly “When Nancy and I attend eventually sold the automotive parts affected our lives in very personal Lineberger board meetings, we get business to CARQUEST, and then in ways,” says Nancy. “Monty’s father excited hearing about cutting edge 1987, he and his brother Bill, also a died of lung cancer when he was 71, technology, new clinical trials and UNC alum, began a real estate and I lost my mother to the same lives being saved,” says Monty. “We company called White Oak disease when she was just 69. My realize there is hope. Researchers and Commercial. “That’s when Nancy father passed away from melanoma physicians are making progress in and I began investing more of our at age 93. As you can imagine, UNC fighting this horrible disease, and time, energy and resources into the Lineberger’s cancer research is a scientific breakthroughs are academic and research needs of the cause near and dear to our hearts.” happening right here in Chapel Hill. university.” We want to be a part of that success. In 2003, Monty and Nancy One day our seed grant fund could For years, Nancy has been active on established the White Seed Grant help spark a discovery that leads to a various UNC boards, including The Fund, which was designed to provide cure. That is money well-spent.” Institute for the Environment and seed grant support for UNC the College of Arts and Sciences. In Lineberger faculty research. The 1998, Monty and Nancy were asked couple agrees it is one of the to join the UNC Lineberger Board of smartest investments they’ve ever Visitors, and they happily accepted made. 2015–2016 DONOR HONOR ROLL 11
INVEST IN PEOPLE TO FIND A CURE Chuck Perou, PhD, and Nicholas Valvano VALVANO HONORED FOR WORK TO FIGHT CANCER U NC Lineberger established relationships with Lil Loewenbaum and Neill and Linda hosted its 2nd Blue several cancer centers nationwide – Currie, for a total of $500,000 in Ribbon Gala on including UNC Lineberger – and cancer research funding. September 18, 2015, awarded more than $100 million in “We are extremely grateful for this gathering more grants across 38 states. The funding, which will allow us to than 400 people to celebrate Foundation proudly awards 100 pursue a novel form of research advancements in cancer care at percent of direct cash donations to called immunogenomics,” explains UNC. A select few were honored at cancer research and related Perou. “By approaching the immune the black-tie event who have made programs, continuing Coach system from a genomics perspective significant contributions to UNC Valvano’s legacy and his inspiring using DNA and RNA sequencing, we Lineberger in the fight against words, "Don't give up...Don't ever can now sample tumors and study cancer, including Nicholas Valvano, give up!" the immune response in hundreds of president emeritus of The individual patients at a personalized V Foundation for Cancer Research. Perou awarded V Foundation level never seen before. This is all a Grant, matched by others Valvano is the eldest brother of the part of our quest to harness the late N.C. State University basketball Chuck Perou, PhD, a UNC power of the immune system to fight coach Jim Valvano, who founded Lineberger member and world- tumors.” The V Foundation for Cancer renowned researcher in the field of Perou says this type of matching gift Research after being diagnosed with genomics and breast cancer, was provides researchers greater cancer at the young age of 46. honored to receive a 2015 V freedom to pursue high risk, high Nicholas served as chief executive Foundation “Partners in Excellence reward translational research, as officer of The V Foundation for 13 Collaborative Grant” for $250,000. opposed to government-based years (1999-2012) and has been a The award was matched by a funding. It is this type of intellectual member of the Board of Directors $250,000 gift from long-time donors freedom that drives innovation and since its inception. Under his and UNC Lineberger Board of is most likely to result in novel leadership, The V Foundation Visitors members Wally and findings of high importance that directly affect cancer patients. 12 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
VS. CANCER FUNDS PEDIATRIC CANCER RESEARCH C hase Jones was a the best research facilities in the Chase, in addition to this freshman at UNC- world. Immunotherapy is a research gift, you’ve also made a Chapel Hill when he promising tool that will provide hope very generous donation through was diagnosed with to many pediatric cancer patients Vs. Cancer to replace/repair stage IV brain cancer. who have no other treatment options, items in the N.C. Cancer Hospital After being successfully treated at and as a cancer survivor, it’s Pediatric Oncology and UNC Lineberger, he started his own humbling to play a role in Dr. Hematology Clinic. non-profit organization called the Vs. Savoldo’s research to help these kids. Our whole goal for Vs. Cancer is to Cancer Foundation with the goal of fund local research and to help kids fundraising for pediatric cancer Dr. Savoldo, what does it mean to have the best experience possible in research and supporting the needs of be able to offer immunotherapy the Peds Oncology Clinic. Part of our patients and families during treatment here in North gift will be used for up-fitting the treatment. Since 2013, Vs. Cancer has Carolina? technology that operates interactive generously granted UNC Lineberger Patients can be treated closer to their games in the clinic waiting room. more than $245,000, including the home, which lightens the load for the We’re also repairing the clinic’s kid- most recent gift of $115,000 to entire family, both financially and sized racecar so children can support UNC pediatric cellular emotionally. It is always a struggle continue to play, have fun and, as immunotherapy trials and research, for parents to stay with their sick much as possible, enjoy their visit to and specifically, the work of Barbara child during therapies while they try the N.C. Cancer Hospital. To think Savoldo, MD, PhD. to continue working to financially that we can help provide a positive support the needs of the other environment for children who are Chase, tell us why you’ve members of the family; having to going through this disease is expanded the scope of Vs. Cancer travel to another state for treatment extremely rewarding. research funding to include only compounds that problem. pediatric immunotherapy. Treatment at UNC also makes life Dr. Savoldo, what kind of impact It’s very rewarding to me to be able easier during a very difficult do donors like Chase Jones and to give back through Vs. Cancer to diagnosis, enabling loved ones to Vs. Cancer have on your the cancer center that saved my life. provide the emotional support research? Knowing that UNC Lineberger, system that is particularly critical for Although we have made great where I was treated, is a public the family, including hospital visits, progress in treating certain pediatric hospital and serves everyone, home-cooked meals, housekeeping, cancers like leukemia, there is still regardless of their ability to pay, is childcare and transportation for much work to do in our fight against really amazing, because it’s one of siblings. resistant solid tumors in children. However, childhood cancer research is vastly underfunded, which is a tragedy, as these children have their entire lives ahead of them. As a researcher, I see this not only as a challenge, but also, as an opportunity to help save lives. Philanthropic support from donors like Chase Jones and Vs. Cancer will help in translating our continuous lab discoveries and studies into the clinic as cures for children. Vs. Cancer team From L to R: Brant Masters, Tiffany Drummond Armstrong, Kathleen Kenney, Chase Jones (founder), Ashleigh Kincaid, and Eric Stahl. 2015–2016 DONOR HONOR ROLL 13
Venture S ECT I O N TWO 14 scientific
Nirali Patel, MD to seek solutions 15
VENTURE TO SEEK SCIENTIFIC SOLUTIONS David Routh, Vice Chancellor for University Development, presents Ken and Cheryl Williams with an Elaine O’Neil custom design during the dedication of The Tony Williams Lobby. 16
KEN AND CHERYL WILLIAMS MAKE $10 MILLION GIFT TO ADVANCE CANCER RESEARCH K en and Cheryl “The pain of losing Tony is a sorrow Williams gift supports Williams were that will always be a part of our lives,” $200 million goal overwhelmed with Ken says. “Cheryl and I hope that Ken and Cheryl’s generous gift gratitude when through our gift to UNC Lineberger, played a pivotal role in UNC dozens of their and because of the life-saving cancer Lineberger fundraising success colleagues, friends and family research it will fund, eventually, other during the 2016 fiscal year, which members gathered on Thursday, families won’t have to experience the totaled a record $16.2 million in January 21, 2016, to celebrate the suffering that accompanies the loss naming of the N.C. Cancer Hospital of a loved one.” lobby in memory of the couple’s Through the Ken and Cheryl beloved son, Tony Williams. The Williams Fund for Venture Initiatives occasion was bittersweet, as Ken and at UNC Lineberger, the couple chose Cheryl’s son passed away just four to make the extraordinary gift of $10 years ago, but it was also the million to fund cancer research celebration of a transformational $10 initiatives that hold the greatest philanthropic gifts and new million gift the couple believes will promise for cures. The gift is commitments. The cancer center provide hope to families facing unrestricted, giving leaders of the also secured $12.9 million in grants potential heartache. cancer center the greatest flexibility from corporations and private, non- to earmark the funds for emerging governmental foundations. This research opportunities that can make brought the total funds raised from the greatest impact against cancer. private sources to more than $29 million for a second year. “I spent my professional career in pharmaceutical research,” explains “Every day, our care providers and Ken, who retired as a senior vice scientists commit themselves to the president from Quintiles, the world’s pursuit of today’s best care and largest provider of commercial tomorrow’s best hope,” says Martin outsourcing services and Baucom, senior executive director, biopharmaceutical development. UNC Lineberger Development and “So I’ve always been interested in Communications. “Ken and Cheryl’s new, cutting edge treatments and gift demonstrates a similar level of “When you look back therapies. That’s one of the things commitment to fighting cancer. UNC Lineberger is known for – They’ve set a lofty leadership on your life, you have being a world-class leader in cancer standard for what philanthropy can to ask yourself, ‘Have research – so Cheryl and I were very do to advance the life-saving mission I done what I can to interested in finding a way we could of UNC Lineberger, and their sense support the cancer center’s mission. of timing couldn’t be better. We are help others? Is this Also, we both have personally viewed nationally as a cancer center world a better place suffered loss due to cancer, so we’re on the move, and we are also in the because I was here?’ passionate about the quest for cures. We have faith that researchers will early stages of an eight-year fundraising campaign. Ken and Those are big eventually unlock the mysteries Cheryl’s philanthropy harnesses our questions, but cancer behind cancer, and there’s no reason tremendous momentum and will is a big disease.” those discoveries can’t be made right here in Chapel Hill, North Carolina.” inspire additional investments throughout the campaign. That’s – Cheryl Williams what leadership is all about.” 2015–2016 DONOR HONOR ROLL 17
VENTURE TO SEEK SCIENTIFIC SOLUTIONS Janet Mazzureo “I’ve learned to live every day as if it’s the last day.” – Janet Mazzurco IMMUNOTHERAPY: BREAKING BARRIERS, BEATING CANCER F or decades, scientists However, scientists recently Janet Mazzurco: “Dr. Collichio have been trying to discovered that cancer has the ability never gave up hope.” figure out how to use the to put on what some call an Janet Mazzurco’s seven-year battle body’s own immune “invisibility cloak.” Simply put, with melanoma began with a simple system to fight off cancer can disguise itself and biopsy at her dermatologist’s office cancer. After all, our immune prevent the immune system’s attack, in December 2009. What she systems can fight off all kinds of which keeps the patient’s body from thought was a small spot on her right other health threats, so why not this healing. Fortunately, thanks to a arm – just the size of a pencil eraser – disease? But nothing seemed to breakthrough in therapies called turned out to be an extremely deep really work – that is, until the 1990s, checkpoint inhibitors, scientists have melanoma that required surgery when researchers began expanding found a way around one part of the under general anesthesia. “My the use of a treatment called invisibility cloak. surgeon had to cut through muscle immunotherapy that resulted in Checkpoint inhibitors are drugs that to get the cancer, removing three slowed tumor growth and longer turn off the invisibility cloak so some lymph nodes in the process,” says patient survival rates. cancers can’t hide from the immune Janet. “Those lymph nodes were An important part of the immune system. Researchers are thrilled that negative, but I decided to come to system is its ability to tell the these drugs seem to be working for UNC Lineberger for a second difference between normal cells in up to one quarter of patients with opinion.” the body and those it sees as advanced cancer — melting away the “foreign.” This lets the immune toughest tumors, such as some system attack the foreign cells while melanomas, which are the deadliest leaving the normal cells alone. kind of skin cancer. 18 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
When UNC oncologist Fran sicker,” Janet says. “There was “After four months, her scans showed Collichio, MD, did a PET scan on nothing else my Greensboro medical obvious disease regression, and by Janet, the results showed no visible team could do, so I came back to see March 2016, there were no visible signs of cancer, so Janet returned Dr. Collichio. She ran more tests and tumors. Her LDH levels, which are home to Greensboro, believing her found the cancer had spread to my markers we use to evaluate a bout with melanoma was over. But liver and lungs.” patient’s response to treatment, fell on July 4, 2014, she awoke with a into the normal range. I was thrilled As luck would have it, a checkpoint splitting headache. “I went to our to give Janet the news: she was in inhibitor drug called Ipilimumab local emergency room the following remission.” day, where they performed a CT Fran Collichio, MD However, Janet’s recovery wasn’t scan,” Janet explains. “They told me I without its struggles. After her last had a large tumor on the back of my treatment, she was plagued by colitis, cerebellum. I was terrified.” which is a known side effect of “Studies are being Ipilimumab. “I was hospitalized four times because I was so sick, but, done on the thankfully, steroid treatments were combinations of effective. And other than having a bit of fatigue, I’ve done really well.” these checkpoint inhibitor drugs so Janet is slowly but surely returning to the things she loves to do. She and that in the future, her husband Tony own a marble and doctors can tile company as well as a home determine the best renovation and construction business. Public service is also high course of treatment on Janet’s list of priorities. She was for each specific just reappointed to a three-year term on the Greensboro Zoning patient.” Commission, and she proudly serves – Fran Collichio, MD on UNC’s CCNE board as a patient advocate, sharing her first-hand A month later, neurosurgeon Henry (known commercially as Yervoy) had experiences as a metastatic Elsner, MD, removed the mass on just come out of clinical trials and melanoma survivor. Janet’s brain, and pathology reports was approved by the Food and Drug confirmed Janet had stage IV Administration (FDA). Collichio “I’m a survivor because of my faith in metastatic melanoma. Within weeks, immediately prescribed a series of God, and I also have great faith in Dr. she underwent stereotactic radiation four treatments – each four weeks Collichio,” says the 56-year-old. “She surgery, a targeted form of radiation apart – that began in January 2015. is absolutely amazing – an attentive, to obliterate a small remaining By May, Janet’s tumors began compassionate, brilliant doctor. But lesion without subjecting her entire disappearing. there’s no ego. She’s always treated brain to unnecessary treatment. me as an equal, and she respects my “I was very pleased with Janet’s Unfortunately, subsequent scans thoughts and opinions. Most progress,” says Collichio, a UNC showed the lesion had doubled in importantly, Dr. Collichio never gave Lineberger member and clinical size, and in December 2014, her up hope, and as someone who knows professor of Hematology and surgeon operated again. “Still, the what it’s like to face cancer, that’s all I Oncology at UNC – Chapel Hill. cancer grew, and I was getting could ask for.” 2015–2016 DONOR HONOR ROLL 19
VENTURE TO SEEK SCIENTIFIC SOLUTIONS CANCER: IT’S ALL IN THE GENES A ccording to the genetic testing because so many of Next Steps and Choices National Cancer our family members had battled In April 2008, Beth came to UNC to Institute, inherited various kinds of cancers, and she meet with James P. Evans, MD, PhD, genetic mutations encouraged me and my sister Amy a UNC Lineberger member and play a major role in to be tested as well.” Bryson Distinguished Professor of about five to 10 percent of all When Beth’s genetic results came Genetics and Medicine, along with cancers. At UNC Lineberger, our back, she learned she had tested Catherine Fine, MS, CGC, a genetic Cancer Genetics Program provides positive for the BRCA1 gene counselor. “We reviewed Beth’s consultations and risk assessments mutation, the same mutation her genetic results and mapped out her for people who have a strong, mother and grandmother had. She family history, and we determined inherited predisposition to having was heartbroken. that her risk for developing breast cancer. The following patient profile features Beth Silverstein, a remarkable young Beth Silverstein woman who was told that, because of her genetic profile and family history, she had an 80 percent risk of getting breast cancer and a 50 percent risk of getting ovarian cancer. Beth’s parents, John and Leslie Silverstein, serve on UNC Lineberger’s Board of Visitors. Silverstein finds health, hope and freedom at UNC Lineberger When Beth Silverstein looks into the mirror, it’s easy to see her resemblance to her mother, Leslie Silverstein. However, while the similarities in their outward appearances are obvious, Beth didn’t know if she had inherited her mother’s genetic history that predisposed her to cancer. “We are of Ashkenazi Jewish decent, an ethnicity with a much higher risk of certain gene mutations that frequently lead to breast and ovarian cancer,” explains Beth. “My grandmother died at age 36 of breast cancer, and my mother was diagnosed with the same disease at age 39. My mom went through 20 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
cancer was in the upper 80th percentile,” explains Evans. “Catherine and I SILVERSTEINS HONOR discussed her options with her, which included having a bilateral mastectomy, or she could choose enhanced surveillance consisting of EVANS WITH GIFT TO regular visits to our high-risk breast cancer clinic for periodic breast exams, LINEBERGER mammograms and MRI’s.” John and Leslie Silverstein were But that wasn’t the only difficult decision Beth would have to make. Due to introduced to UNC Lineberger in 1988, her genetic history, Beth had a 50 percent chance of developing ovarian the same year Leslie was treated for cancer. During their counseling session, Evans explained to Beth that as stage I breast cancer. “We attended a she aged, her risk would substantially increase. “As a geneticist, I become Lineberger fundraising event, where we very nervous when patients like Beth reach their mid-40s and have not heard (former UNC Lineberger director) taken preventive measures,” says Evans. “Unfortunately, there are no good Shelley Earp, MD, talk about the modalities for detecting early-stage ovarian cancer; the symptoms are groundbreaking research taking place at vague at best and often mimic other health issues. Once a woman has the the cancer center,” says Leslie. “We were disease, it can be extremely difficult to treat.” fascinated, and we joined the Board of Visitors soon after, serving on various Beth was overwhelmed by the news but decided to approach the situation committees.” with a positive attitude. To protect her fertility, she chose to go through egg retrieval and then to have the eggs frozen for later fertilization and implantation. Then in 2014, Beth met with oncologist Carey Anders, MD, and surgical oncologist, David Ollila, MD. After an extensive review of Beth’s case, Ollila recommended she have a bilateral mastectomy. While the recommendation may seem aggressive to some, Ollila says the opposite is true in BRAC gene mutation carriers. “Surveillance is not the same as prevention. Obtaining annual breast imaging only serves to try to detect the cancer early. It doesn’t prevent the cancer from forming. If Beth had chosen to forgo surgery and decided instead to take a wait-and-see attitude, it’s very likely that at some point in the near future, we would be discussing a cancer diagnosis, followed by Then, in 1990, Leslie was diagnosed with surgery, radiation and chemotherapy. And that’s IF we caught it early stage IV lung cancer. Her lung was enough. Beth didn’t make this decision lightly; it was a thoughtful, rational removed, and since there was no choice, and a wise one, in my professional opinion, supported by concrete evidence of any more disease, she was genetic evidence.” treated with Tamoxifen. She remains On February 3, 2015, Ollila performed Beth’s bilateral mastectomy, and cancer-free. Meanwhile, cancer struck the Beth’s reconstruction surgery was completed in the summer of that same Silverstein family again in 2015, when year. She also met with Evans and Fine again, this time to review her lab John was treated for prostate cancer. work and to further discuss the surgical removal of her ovaries. “We have experienced cancer in very In February 2016, Beth had a salpingo-oophorectomy, which is the removal personal ways, and, of course, our of the fallopian tubes (salpingectomy) and ovaries (oophorectomy). The daughter Beth has gone through a series two-and-a-half hour surgery went well, but it immediately sent Beth into of surgeries to protect herself against the menopause. She’s now dealing with the after-effects that include hot flashes, disease,” Leslie explains. “John and I are insomnia and “foggy brain.” But for Beth, this is the new normal. While the very grateful for the care our family has surgeries have changed her, both physically and emotionally, she feels received at the N.C. Cancer Hospital, and empowered as she enters the next decade of her life. we wanted to make a gift to express our appreciation. When we considered the “Some people ask me why I decided to take, what they perceive to be, such incredible work Dr. Jim Evans is doing radical steps. I won’t lie, it was hard,” she says. “But the moral of this story is with genetics and how it has directly that you need to know your family history, and recognize that genetics affected our family, we chose to make a affect every generation. I’m not a victim; I took control of my health, naming gift in his honor. UNC making the choices that were right for me. Now I get to live my life without Lineberger is fortunate to have him on fear of what’s going to happen. That’s liberating.” their team.” 2015–2016 DONOR HONOR ROLL 21
VENTURE TO SEEK SCIENTIFIC SOLUTIONS ARTIFICIAL INTELLIGENCE: A tool for solving questions about cancer P artnerships – both you’ll find him at the Greensboro Affinitor), which is FDA approved for local and global – play Country Club, decked out in his other cancers, but not for bladder a key role in UNC finest haberdashery. He’s a fixture on cancer. Hal agreed to try it, and he Lineberger’s success as the course, having served on the had a wonderful response. He a comprehensive cancer club’s board of directors for years. immediately started feeling better, center. We frequently collaborate But in 2014, Hal put away his golf and subsequent scans showed a with individuals or organizations clubs and made his way to UNC reduction in the cancer that was to achieve goals that may otherwise Lineberger for a second opinion after originally in his lymph nodes. But to be unattainable if pursued being diagnosed with advanced be honest, we didn’t know why.” independently. The ultimate purpose bladder cancer. In December 2015, IBM’s Watson of our partnerships is to seek “I wasn’t feeling well, and after gave Kim his answer. “I took the scientific solutions that provide the running some tests, my family sequencing data from Hal’s tumor best possible cancer care to our practitioner referred me to a local biopsy and ran it though the Watson patients. urologist,” explains the 75-year-old technology. Within 24 hours, Watson Within the last year, our partnership retired furniture merchandiser. “The was able to provide a scientific with IBM/Watson has been urologist found a tumor and explanation as to why Hal was extremely productive and shows removed it, but he was unable to get considered an “exceptional great promise for the future use of all the cancer. I came to UNC to responder.” That’s the value of artificial intelligence at UNC discuss my treatment options.” Watson,” Kim says. “It’s can quickly Lineberger. Watson is a technology extract key information from a huge Hal met with Billy Kim, MD, who platform that uses natural language amount of scientific data and reveal soon began treating his stage III processing skills to understand insights, patterns, and explanations bladder cancer with a standard of grammar and content, process large that we might not have discovered care chemotherapy. But Hal’s cancer amounts of “big data,” and then, on our own.” progressed, and the medicine caused based on evidence and the quality of him to become very ill. After more These days, Hal is back on the golf the information it’s given, it’s able to testing, Kim recommended surgery course, and he is extremely grateful present answers and solutions to to remove Hal’s bladder. for the care he continues to receive at questions or problems. You may UNC Lineberger. “You know, it’s sort remember Watson as the computer “Following the procedure, I sent a of ironic,” the UNC alum (’65) says. that played on the game show biopsy of Hal’s tumor to be “When I was an undergrad at “Jeopardy!” a few years ago. sequenced – or de-coded – through Carolina, I shared a house with one UNCseq, comparing it to normal of the Lineberger boys. Now I’m Hal McAdams: Back on the tissue samples,” says Kim. “That being treated at the cancer center greens, back to life analysis told me that Hal would very that is his family’s namesake, and I likely respond well to a drug called Hal McAdams loves to play golf, and wouldn’t want to be anywhere else.” Everolimus (commercially known as if the weather is good, most days 22 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
McAdams has chosen to invest in Dr. Billy Kim’s bladder cancer research. “It’s one of the most expensive cancers to treat, yet research is woefully underfunded,” says a grateful Kim. 23
SECTION THREE Build clinical researc to advanc 24
al excellence: ch and care ce hope 25
B U I L D C L I N I C A L E X C E L L E N C E : R E S E A R C H A N D C A R E T O A D VA N C E H O P E Amy Charney “I wanted to be Amy, the marathon runner, not Amy, the woman with cancer.” – Amy Charney CLINICAL TRIALS LEAD TO NEW TREATMENTS C linical trials are an Lisa Carey, MD Who says you can’t go home? important step in Amy Charney, a wife, mom and avid discovering new runner, had already registered to run treatments for breast the 2015 Boston Marathon when she cancer and other was told she had breast cancer. But diseases, as well as new ways to her diagnosis didn’t stop her from detect, diagnose, and reduce the risk reaching the finish line. of disease. While clinical trials provide evidence of what does and Amy’s diagnosis came as a complete doesn’t work for patients, trials also surprise back in November 2014, help researchers and doctors decide when her family was getting ready to if the side effects of a new treatment celebrate her daughter’s Bat Mitzvah. are acceptable when weighed against “We’d gone shopping for party the benefits. On average, a new dresses, and I was trying on some medicine to treat breast cancer has things in the fitting room,” says Amy. been studied for at least six years - “And that’s when I saw it: a small, and sometimes, many more - before pea-sized lump on my breast. I made a clinical trial testing the efficacy of an appointment with my doctor, and the medicine begins. since it was almost time for my 26 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
annual visit, she suggested I have a Carey explains that normally, because it’s such a targeted form of diagnostic mammogram. That’s patients are given high doses of treatment. I was pleased that Amy when I came to the N.C. Cancer several chemotherapy drugs with agreed to be a clinical trial Hospital.” Herceptin added, followed by participant.” completion of a year of Herceptin. Amy’s mammogram results were Off and Running negative, but because she has dense breasts, her breast radiologist Amy began taking TDM1, but still, recommended an ultrasound, which she kept on running with her led to a biopsy. Amy was diagnosed doctor’s permission. Then on April with ductal carcinoma in situ, or 20, 2015, just six days after a DCIS, the most common type of non- chemotherapy treatment, Amy stood invasive breast cancer. After at the starting line of her seventh evaluating her options, Amy chose to Boston Marathon while her husband have a lumpectomy and radiation. Jonathan and daughters Julia, However, her case was sent to the Elisabeth and Ava cheered her on. “I radiology review board. Due to the kept thinking, ‘You can’t finish if you density of her breasts, they wanted don’t start.’ I just wanted to cross the more information and asked Amy to finish line, not necessarily beat my have an MRI. own time. And before I knew it, we were off and running.” Those results showed even more DCIS in the tissue, and after another The Boston Marathon is a grueling biopsy, the board strongly suggested race with a course that winds that Amy have a mastectomy. On through eight Massachusetts cities January 13, 2015, David Ollila, MD, and towns. One of those is Brookline, surgical director of the UNC Breast the place where Amy grew up and Center, performed a partial where her mother, who died of lung mastectomy and sentinel node cancer, was laid to rest. “Miles 22 biopsy. Fortunately, Amy’s lymph through 24 of the Marathon run nodes were clear, but she did have However, while this treatment through my hometown,” explains a six millimeter stage I invasive protocol is very effective, the side Amy. “It was a pretty emotional breast cancer called “HER2-positive.” effects can be tough on the patient. moment for a number of reasons.” Her oncologist, Lisa Carey, MD, the “So when Amy and I talked about her Amy crossed the finish line feeling Richardson and Marilyn Jacobs treatment options, I told her about a exhausted, relieved, and most Preyer Distinguished Professor in clinical trial initiated by colleagues importantly, like a champion. “By Breast Cancer Research, at Dana-Farber Cancer Institute. running the Boston Marathon, I recommended chemotherapy for UNC is part of a group of academic learned that, in spite of breast cancer, Amy. institutions that work together on I am still me,” she says. Meanwhile, “Years ago, this was worst, most trials like this one,” says Carey. “In Carey says she’s happy with Amy’s aggressive type of cancer,” explains this study, we’re using a new drug response to the clinical trial drug and Carey. “But then studies began to called trastuzumab emtansine, looks forward to seeing the final show that the anti-HER2 drug known commercially as Kadcyla, results of the study. “We’re finding Herceptin, combined with which is a chemotherapy drug that it’s as important to tailor a chemotherapy, really changed the attached to Herceptin, so the patient’s course of care to less game and made it a much more chemotherapy only goes into the treatment if possible, as it is to tailor treatable cancer. But questions cancer instead of all over the body. care to more treatment if necessary,” remain about the best way to The combination is called TDM1, but says Carey. “It’s good to have administer these treatments.” its nickname is the ‘Trojan Horse’ options.” 2015–2016 DONOR HONOR ROLL 27
B U I L D C L I N I C A L E X C E L L E N C E : R E S E A R C H A N D C A R E T O A D VA N C E H O P E Matt Ewend, MD Long-term survivors of glioblastoma are rare. We hope to change that. – Matt Ewend, MD SKIN CELLS: CANCER-FIGHTING WARRIORS A stem cell is Glioblastoma is a fast-growing, desperately need a better standard essentially a “blank” aggressive form of brain cancer. The of care,” says Matt Ewend, MD, a cell, capable of survival rate beyond two years for a UNC Lineberger member, Van becoming another, patient with a glioblastoma is only L. Weatherspoon, Jr. Eminent different type of cell 30 percent because it is so difficult to Distinguished Professor and chair anywhere in the human body. treat. Even if a surgeon removes of the Department of Neurosurgery Microscopic in size, stem cells are most of the tumor, it’s nearly at UNC. big news in medical and science impossible to get the invasive, circles because they can be used to cancerous tendrils that spread Induced neural replace or even heal damaged tissues deeper into the brain, and inevitably, stem cells (shown and cells in the body, a sort of built- the remnants grow back. Most in green) in repair system for humans. patients die within a year and a half engineered from skin cells and of their diagnosis. armed to kill In a first for medical science, UNC cancer are shown Lineberger researchers are turning “Current strategy to treat the disease as they attack skin cells into cancer-hunting stem is surgical removal of the tumor, glioblastoma cells (pink) that are cells that destroy brain tumors followed by radiation and invading the brain. known as glioblastoma – a discovery chemotherapy in hopes of killing that can offer, for the first time in remaining cancer cells. All of those more than 30 years, a new and more treatments help, but it’s a very effective treatment for the disease. difficult disease, and patients 28 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
Researchers want to improve those these so-called ‘induced neural stem cause the recurrences.” statistics by developing a new cells’ have an innate ability to move Researchers are already collecting personalized treatment for throughout the brain and home in on biopsies from glioblastoma patients glioblastoma that starts with a any remaining cancer cells. The team to test the concept on human tissue. patient’s own skin cells, with the goal also showed that these stem cells They hope it will result in human of getting rid of the cancerous could be engineered to produce a trials and an effective therapy to add tendrils, effectively killing the tumor-killing protein, creating a to current treatments. If ultimately glioblastoma. promising new strategy for killing successful in human trials, UNC glioblastoma cells embedded Shawn Hingtgen, PhD, a UNC researchers envision the concept throughout the normal brain.” Lineberger member and an assistant being adapted to fight other types of professor of molecular In mouse studies, survival rates brain cancer, including pediatric pharmaceutics in the UNC doubled and tripled. The hope is the cases and “breast-to-brain-cancer” in Eshelman School of Pharmacy, says new method would do the same in women. his team has engineered these stem human patients. “Our work represents the newest cells so that they can actually hunt “In a test dish with pink human evolution of the stem-cell technology down the cancerous tumor cells. tumor cells, scientists can see the that won the Nobel Prize in 2012. It’s “This requires a conversion process green stem cells hunting down the the first time this direct called ‘direct reprogramming’,” tumor cells,” says Ewend. “Those reprogramming technology has explains Hingtgen. “We turn skin cells can see things that I can’t see as been used to treat cancer, and we cells known as fibroblasts into a surgeon. They can find cells I can’t have high hopes for success,” special neural stem cells. Working find and offer us a chance to get rid Hingtgen says. with mice, our team has shown that of those last few remaining cells that Shawn Hingtgen, PhD 2015–2016 DONOR HONOR ROLL 29
B U I L D C L I N I C A L E X C E L L E N C E : R E S E A R C H A N D C A R E T O A D VA N C E H O P E generosity of others. “This cancer Bill and Nancy Graham center is making a significant, positive impact on the lives of North Carolinians, and it’s time for people to step forward and show their support,” the donors said. “Therefore, we will match every gift, dollar for dollar, up to $50,000. We hope our friends and neighbors will rise to the challenge.” And did they ever! Within two weeks of the initial gift challenge, the cancer center received $50,000 in matching gifts. But it didn’t stop there. After hearing about the campaign’s success, UNC Lineberger Board of Visitors members Bill and Nancy Graham were inspired to issue an additional $50,000 challenge, effectively quadrupling the gift! As of this newsletter print date: • UNC Lineberger had received 795 gifts, totaling $253,828. • 86 donors made their first-ever gift to the cancer center. • Many contributors increased their fiscal year giving by making a special gift to the match. • This matching challenge resulted in the largest number of donations to UNC Lineberger for any online fundraising effort of its kind. DONORS’ MATCHING GIFT CHALLENGE “This campaign accomplished O RAISES MORE THAN $250,000 two major goals,” explains Betsy ne-in-two men and next-generation cancer research and Gentry-Bumm, director of annual one-in-three women exceptional patient-centered care. So giving. “It increased awareness about will face cancer in it’s with heart-felt thanks that we UNC Lineberger, North Carolina’s their lifetimes. At share the success of our first-ever only public NCI comprehensive UNC Lineberger, we annual matching gift opportunity, a cancer center. It also raised an are diligently working to change campaign that truly shows the power extraordinary amount of money for these statistics – not just for the of the collective good. cancer research, something we will patients who are currently battling feel the effects from for years. For In March 2016, an anonymous these reasons, we are truly humbled cancer, but for all those who will be couple made a gift to UNC by everyone who supported this diagnosed with cancer in the future. Lineberger, but there was a catch – matching challenge.” However, we can’t do it alone. Your the amount would be based on the financial support is critical to our 30 UNC LINEBERGER COMPREHENSIVE CANCER CENTER
BILL AND NANCY GRAHAM Trent and Tyuss Handley There’s power in a match Like many UNC Lineberger supporters, Bill and Nancy Graham were drawn to our cancer center for dual reasons – both familial and medical. Bill’s uncle, Page Graham, was one of the original members of the UNC Lineberger Board of Visitors and was extremely proud of the cutting- edge research being done here to help his fellow North Carolinians. Page recruited Bill and Nancy to serve on the board, and through the years, the two have become avid cheerleaders for the cancer center. They have also been personally affected by cancer and have a keen understanding of UNC Lineberger from a patient’s perspective. “In 2007, I was diagnosed with breast cancer and began treatment here in Winston-Salem, but our daughter encouraged me to get a second opinion at Lineberger. I’m so glad I did,” says Nancy. “When I walked in the door at UNC, I knew I was in the right place. Dr. Lisa Carey was my oncologist and provided superlative care. The late Dr. Keith Amos was my surgeon, and I adored him. I feel like I hit the jackpot with regards to my physicians. I had chemo in Chapel Hill HANDLEY TWINS FEATURED and came back home to Baptist Hospital IN LINEBERGER CAMPAIGN for my radiation. Today, I’m thankful to be cancer-free.” In March of 2015, Trent Handley was diagnosed with a rare form of cancer called “natural killer cell leukemia.” Worldwide, there are only about 60 When asked what appealed to the couple known cases of this kind of cancer. Trent was admitted to the N.C. Cancer about the ‘matching’ nature of this giving Hospital; his fraternal twin brother Tyuss was devastated. opportunity, Nancy says it’s all about doubling the power of the gift. “Bill and I Pediatric oncologist Brent Weston, MD, and a team of caregivers worked knew time was of the essence if we wanted feverishly to get him the right protocol and treatment while the family our contribution to have the most impact, spent months in the cancer hospital. And then the good news came: Trent and we are so pleased that others rose to was in remission. the challenge, matching the funding “As a mom, when you watch your child going through something that’s dollar-for-dollar,” says Nancy. “Looking life-threatening, and then to see that miracle…there are no words to back at the campaign’s success, we’ve seen express our gratitude,” says the twins’ mother, Tanisha Handley. the collective abilities of gifts, whether large or small, to help patients like Trent As part of the matching gift challenge, we featured Trent and Tyuss in our Handley have a fighting chance to beat online campaign video. To learn more, go to cancer.” www.unclineberger.org/twins. 2015–2016 DONOR HONOR ROLL 31
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