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LIFE RAFT GROUP A New Model for Cancer Research    December 2009
THE LIFE RAFT GROUP Dedicated to finding a cure for Gastrointestinal Stromal Tumors (GIST)
[object Object],[object Object],[object Object],[object Object],A rare type of cancer-- 5,000 to 10,000 US cases/year One type of  Sarcoma Sarcoma’s are a group of rare cancers that arise from cells of connective tissues, muscles, cartilage, bone, blood vessels, etc. What Is GIST?
Survival History of GIST ,[object Object],[object Object]
Why is GIST relevant to other cancers? ,[object Object],[object Object],[object Object],[object Object]
GIST Approved Drugs ,[object Object],[object Object],[object Object],[object Object],The GIST community has led the way in the development of molecularly targeted drugs in solid tumors …
Potential Therapies Genotype Current Initial Therapy Potential Initial Therapies Imatinib-Resistance KIT exon 11 Imatinib Masitinib Nilotinib Sorafenib Imatinib + PI3K inhibitor Sunitinib (poor) Sorafenib HSP90 inhibitors KIT exon 9 Standard dose imatinib High dose imatinib Sunitinib Sunitinib HSP90 inhibitors Wild-type Imatinib (poor response) Sunitinib Nilotinib Masitinib IGF1R inhibitors Sunitinib Nilotinib Masitinib IGF1R inhibitors PDGFRA D842V (exon 18) Imatinib (very poor) Dasatinib HSP90 inhibitors Dasatinib HSP90 inhibitors
KIT Gleevec - Sunitinib - Dasatinib-Sorafenib-Nilotinib PKC412-AMG706-MP470-HSP-90 inhibitors (indirect) PI3K BEZ235 - GDC0941 SF1125-XL765 AKT Perifosine  mTOR RAD001 - CCI779   AP-23573-Rapamycin PKC-θ RAS R115777-SCH66336   RAF-1 Sorafenib MEK MAPK BCL-2 Gentasense BCL-X L BAD Src/Fyn/Lyn Dasatinib Survive Proliferate VEGFR (antiangiogenesis) Sunitinib-AMG706-PKC412 Sorafenib-Avastin Progress in understanding GIST Targets and Treatments HSP90 IPI504 - BIIB021 AUY922-STA9090 SNX5422 Other Receptors IGF1R (wild-type) AXL HDAC LBH589-SAHA STAT3 Survive-grow
Gleevec Resistance: Median Time to Progression is 24 Months
ABOUT THE LIFE RAFT GROUP
Our Mission LRG Member & GIST Patient Andrea Fuller SURVIVAL
[object Object],[object Object],[object Object]
[object Object]
Webcasts ,[object Object],[object Object],[object Object]
Clinical Trials Database ,[object Object],[object Object]
Networking Dr. David Epstein, head of Novartis Oncology worldwide Dr. James Watson, Nobel Prize Winner Ted Kennedy and  Dan Vasella, CEO of Novartis ACOR Pres., Gilles Frydman and Dana-Farber Sarcoma Chief, George Demetri
[object Object],[object Object],Global Outreach ,[object Object],[object Object],[object Object]
CHALLENGES FOR CANCER RESEARCH
What’s wrong with this? ASCO 2007: “Major Research Advances in Cancer Treatment” Treatment   Improvement   Avastin Doubled  Progression Free Survival Sorafenib 44% longer life   Radiotherapy 53% longer life Improvement OUTCOME FOR PATIENTS  5.4 months to 10.2 months 4.8 months 7.9 months to 10.7 months 2.8 months 17 weeks to 29 weeks 3 months
Issues with the Clinical Trials Process ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
The LRG Response
LRG’S RESEARCH STRATEGY
GIST Research Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],     
GIST Research Strategy ,[object Object],[object Object],[object Object],[object Object],[object Object],    
About the Patient Registry LRG maintains a sophisticated patient database ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],About the Patient Registry ,[object Object],[object Object],[object Object],[object Object]
About the Patient Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Outcomes ,[object Object],[object Object],[object Object],[object Object]
Outcomes ,[object Object],[object Object],[object Object],[object Object]
What We Have Learned So Far ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
GIST Collaborative Tissue Bank and the Patient Registry ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Our Collaborators: LRG Research Team Dr. Brian Rubin, TheCleveland Clinic Dr.  Jonathan Fletcher, Brigham & Women’s Hospital Dr.  Chris Corless, Oregon Health & Science University Dr.  Michael Heinrich, Oregon Health & Science University Dr.  Cristina Antonescu, Memorial Sloan Kettering Cancer Center Dr.  Anette Duensing, University of Pittsburgh Cancer Center Dr.  Matt van de Rijn, Stanford University  Dr.  Maria Debiec-Rychter, University of Leeuven, Belgium Dr.  Sebastian Bauer, University of Essen, Germany Dr.  Peter Besmer, Memorial Sloan Kettering Cancer  Center
LRG’s Research Priorities
Research Budget ,[object Object],[object Object],[object Object]
What We Are Looking For ,[object Object]
What We Are Looking For ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object],[object Object]
Summary ,[object Object],[object Object]
For More Information Norman J. Scherzer Executive Director 973-837-9092 [email_address] www.liferaftgroup.org

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Life Raft Group: A New Model for Cancer Research

  • 1. LIFE RAFT GROUP A New Model for Cancer Research December 2009
  • 2. THE LIFE RAFT GROUP Dedicated to finding a cure for Gastrointestinal Stromal Tumors (GIST)
  • 3.
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  • 7. Potential Therapies Genotype Current Initial Therapy Potential Initial Therapies Imatinib-Resistance KIT exon 11 Imatinib Masitinib Nilotinib Sorafenib Imatinib + PI3K inhibitor Sunitinib (poor) Sorafenib HSP90 inhibitors KIT exon 9 Standard dose imatinib High dose imatinib Sunitinib Sunitinib HSP90 inhibitors Wild-type Imatinib (poor response) Sunitinib Nilotinib Masitinib IGF1R inhibitors Sunitinib Nilotinib Masitinib IGF1R inhibitors PDGFRA D842V (exon 18) Imatinib (very poor) Dasatinib HSP90 inhibitors Dasatinib HSP90 inhibitors
  • 8. KIT Gleevec - Sunitinib - Dasatinib-Sorafenib-Nilotinib PKC412-AMG706-MP470-HSP-90 inhibitors (indirect) PI3K BEZ235 - GDC0941 SF1125-XL765 AKT Perifosine mTOR RAD001 - CCI779 AP-23573-Rapamycin PKC-θ RAS R115777-SCH66336 RAF-1 Sorafenib MEK MAPK BCL-2 Gentasense BCL-X L BAD Src/Fyn/Lyn Dasatinib Survive Proliferate VEGFR (antiangiogenesis) Sunitinib-AMG706-PKC412 Sorafenib-Avastin Progress in understanding GIST Targets and Treatments HSP90 IPI504 - BIIB021 AUY922-STA9090 SNX5422 Other Receptors IGF1R (wild-type) AXL HDAC LBH589-SAHA STAT3 Survive-grow
  • 9. Gleevec Resistance: Median Time to Progression is 24 Months
  • 10. ABOUT THE LIFE RAFT GROUP
  • 11. Our Mission LRG Member & GIST Patient Andrea Fuller SURVIVAL
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  • 16. Networking Dr. David Epstein, head of Novartis Oncology worldwide Dr. James Watson, Nobel Prize Winner Ted Kennedy and Dan Vasella, CEO of Novartis ACOR Pres., Gilles Frydman and Dana-Farber Sarcoma Chief, George Demetri
  • 17.
  • 19. What’s wrong with this? ASCO 2007: “Major Research Advances in Cancer Treatment” Treatment   Improvement   Avastin Doubled Progression Free Survival Sorafenib 44% longer life   Radiotherapy 53% longer life Improvement OUTCOME FOR PATIENTS 5.4 months to 10.2 months 4.8 months 7.9 months to 10.7 months 2.8 months 17 weeks to 29 weeks 3 months
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  • 32. Our Collaborators: LRG Research Team Dr. Brian Rubin, TheCleveland Clinic Dr. Jonathan Fletcher, Brigham & Women’s Hospital Dr. Chris Corless, Oregon Health & Science University Dr. Michael Heinrich, Oregon Health & Science University Dr. Cristina Antonescu, Memorial Sloan Kettering Cancer Center Dr. Anette Duensing, University of Pittsburgh Cancer Center Dr. Matt van de Rijn, Stanford University Dr. Maria Debiec-Rychter, University of Leeuven, Belgium Dr. Sebastian Bauer, University of Essen, Germany Dr. Peter Besmer, Memorial Sloan Kettering Cancer Center
  • 34.
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  • 39. For More Information Norman J. Scherzer Executive Director 973-837-9092 [email_address] www.liferaftgroup.org

Hinweis der Redaktion

  1. PKC-theta – important target in GIST, but no drug yet (1-2009) RAS may be a potential target for NF-1 type GISTs
  2. We will discuss mutational and plasma testing further in a general session Sunday. There are also free plasma level testing kits available for patients.
  3. We will discuss mutational and plasma testing further in a general session Sunday. There are also free plasma level testing kits available for patients.
  4. We will discuss mutational and plasma testing further in a general session Sunday. There are also free plasma level testing kits available for patients.
  5. We will discuss mutational and plasma testing further in a general session Sunday. There are also free plasma level testing kits available for patients.