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This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure. Kapi'olani Medical Center is located on the island of Oahu, Hawai'i. The unique geographic location allows them to serve children both within the state of Hawaii, but also other ethnically underrepresented populations such as those from Guam and Micronesia.

This project focuses on engineering a component called a macrophage. Macrophages talk to T-cells, using a protein called a cytokine, helping to boost T-cell effects and eradicate a child's cancer. Macrophages within children who respond to engineered T-cells long term (do not relapse) are able to release cytokines or talk with T-cells more effectively. On the reverse side of that same coin, those small percentages of patients who present with serious side effects have macrophages that are too effective at talking to T-cells or are releasing too many cytokines. Dr. Gustafson is developing a new technology that predicts how effective macrophages will be at talking to T-cells. This technology can be used to prevent toxicity and reduce relapse, allowing for more kids to live healthy cancer-free lives. This grant is funded through a partnership between the St. Baldrick’s Foundation and the American Cancer Society.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure. New Mexico is a minority-majority state with over 50 percent of the state's population comprised of a large Hispanic and Native American population. With support from St. Baldrick's the University of New Mexico will increase the enrollment of their unique patient population in national and international clinical trials in order to increase the diversity of patient representation in these trials.

Myelodysplastic Syndrome (MDS) are clonal stem cell disorders characterized by abnormal cell growth and shape, lack of mature blood cells, and increased risk of acute myleoid leukemia (AML) development. Approximately 10,000 new cases are diagnosed every year in the United States. Survival ranges from months to years, and bone marrow transplantation remains the only cure. To identify new drug targets associated with more specificity and less morbidity and mortality, it is essential to understand the molecular course of MDS. Unbiased sequencing studies have identified over 45 recurrent somatic mutations in MDS patient samples. Of these pathways, splicing factor and epigenetic regulator mutations are the most common. Point mutations in splicing factor 3b subunit 1 (SF3B1) are found in less than 25% of MDS patients. Dr. Wallace and colleagues have shown that mutations in SF3B1 lead to an altered function, name upstream cryptic 3 splice site selection. Epigenetic regulators, including the de novo DNA methyltransferase, DNMT3A, are the second most common class of mutations identified in MDS. Studies on the effect of loss of DNMT3A expression have primarily been limited to the effects of altered methylation in regions outside of the gene body, such as enhancer accessibility. Although sequencing studies have shown that both splicing factor and epigenetic regulator mutations commonly co-occur as early mutations in MDS pathogenesis, it is unknown how altered DNA methylation and aberrant mRNA splicing can cooperate to promote MDS progression. Using cell line and animal model systems, Dr. Wallace will determine whether the cooperation of epigenetic regulator and splicing factor mutations lead to a more aggressive form of MDS. This grant is funded through a partnership between the St. Baldrick’s Foundation and the American Cancer Society.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure. At Children's Hospital of Michigan many patients are of minority background, and historically minorities have not always had the same access to health care. Funding from St. Baldrick's Foundation will help the institution continue to have excellent CRA support in the clinical trials office for every patient.

The impact that cancer has on a child/teen reaches far beyond the physical ailment. The psychological impact can be just as devastating. Recent studies have shown that 32% of adolescent and young adult patients suffer from symptoms of post-traumatic stress disorder (PTSD). Akron Children's Hospital treats a minimum of 90 newly diagnosed children and adolescents with cancer annually. Akron Children's will assess patient and family experiences during and post cancer treatment. The goal of the study will be to create a uniform infrastructure to formalize pathways to support the emotional needs of patients and their families.

This grant has been funded by and named for The Abbey E. Foltz Fund, a St. Baldrick’s Hero Fund. Abbey was diagnosed with osteosarcoma of the right tibia when she was 14 years old and a freshman in high school. She loved school, spending time with her family and friends and dancing. All that changed as she battled cancer with ongoing treatments and surgeries. Yet through it all, Abbey remained positive, focused on helping others and aspired to be a nurse. Sadly, she passed away while in her first year of college. Her family carries on Abbey’s legacy of making a difference for patients and their families with this Hero Fund by funding childhood cancer research in Northeastern Ohio.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure. In El Paso many of the people are Hispanic, underserved in healthcare, and are mostly below the poverty line. Due to these facts, they do not get equal opportunities to participate in clinical research and are disadvantaged. Support from St. Baldrick's will facilitate clinical research in underserved populations with minorities.

Although Hodgkin Lymphoma (HL) is largely curable, 10-20% of patients are resistant to treatment and difficult to cure. When a patient’s cancer comes back or does not respond to chemotherapy, it is often because the immune cells have become exhausted and unable to recognize the cancer cells in the body. The first goal of Dr. Bollard’s project is to determine if newer immunotherapy drugs called PD1 inhibitors, when given in combination with the administration of a novel cancer killing T-cell therapy, will produce long-lasting cures in patients with high-risk lymphoma with less side effects than conventional chemotherapy. Dr. Bollard and colleagues will take a patient’s immune cells and re-educate them in the laboratory to recognize antigens on the cancer cells and then give the T cells back to the patients to redirect them to the cancer cell. The second goal of this project is to genetically modify the cancer killing T cells and express a chimeric antigen receptor (CAR), which will enable the T cells to recognize a protein found in HL and to destroy the cancer cells more effectively. Dr. Bollard’s team proposes a novel approach of combining CAR technology with a tumor antigen specific T cells into a single “living drug” that will produce a robust response and provide a long-lasting immunity using the patient’s own immune system. This therapy has the potential to benefit not only children with HL, but other solid cancers such as neuroblastoma and brain tumors, where the environment surrounding the cancer cells make it difficult for T cells to infiltrate and kill. This grant is funded through a partnership between the St. Baldrick’s Foundation and the American Cancer Society.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure. The University of Illinois at Chicago (UIC), Rush University Medical Center, and John H. Stroger Hospital of Cook County COG Clinical Trials Program exists to meet the needs of an extremely diverse population of patients from birth to 30 years of age (and sometimes beyond) who are currently struggling with cancer or who have survived this terrible disease but are at great risk for many, many long term health problems. UIC, Rush and Stroger Medical Centers anchor the near west side of Chicago and serve incredibly vulnerable patients and families, with the majority of whom having very limited personal resources, medical knowledge, limited English language skills and who have no or public insurance.

This grant is named for the Do It for Dominic Fund which honors the memory of Dominic Cairo who battled non-Hodgkins lymphoma and was a hero to his school and community. His family and friends continue to raise funds and support research in the hopes that no child has to go through what Dominic endured.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

This grant supports a Clinical Research Associate to ensure that more kids can be treated on clinical trials, often their best hope for a cure.

In Africa, the majority of children who get cancer die from their disease. This happens in many cases because the patients do not get a correct diagnosis. Without a precise and correct diagnosis, these children cannot benefit from the newest curative treatments. To help prevent this from happening, Dr. Lutwama will develop and test a strategy to diagnose pediatric cancer correctly in a manner that is affordable, reliable, and within a shorter time frame in resource-limited settings.

Acute myeloid leukemia (AML) as an aggressive pediatric cancer associated with poor outcomes and few changes in therapies over the past 30 years. The presence of small numbers of persisting leukemia cells after chemotherapy has become an important predictor of leukemia relapse, however, current assays used to detect residual leukemia have limited sensitivity and many patients with “no detectable leukemia” still go on to relapse. This underscores the need to identify and develop novel assays that more accurately determine optimal therapies and that improve upon current leukemia detection approaches for AML. Dr. Meshinchi and colleagues have performed functional genomic profiling (RNA sequencing) in 2000 children, adolescents, and young adults diagnosed with AML over the past 25 years that includes diagnosis, remission, and relapse timepoints. This preliminary data suggests that deep and functional cancer profiling across an unprecedented number of patient samples and timepoints informs relapse risk, enables a precision medicine approach that considers specific alterations within a patient’s specific cancer, and links diagnosis and relapse profiles with the goal of better understanding how/why relapses occur and how best to prevent them. Therefore, Dr. Meshinchi and colleagues plan to leverage this unprecedented dataset to develop an integrated genomic platform that will significantly improve prognostic determination and treatment decisions for children, adolescents, and young adults diagnosed with AML. Successful validation of our assays will therefore fill a critical unmet need in the field of AML, and the resulting product will be an optimized test ready for clinical use.

This grant is funded through a partnership between the St. Baldrick’s Foundation and the American Cancer Society.