The panel discussion during Cancer Crosslinks 2019 was about the need to implement precision diagnostic methods in Norwegian health care. In the panel from the left: Kristin Vinje, Vice-Dean at the Faculty of Mathematics and Natural Sciences, University of Oslo, Bjørn Tore Gjertsen (hidden in picture), Professor at Haukeland University Hospital and University of Bergen, Hege G. Russnes, Senior Consultant and Researcher at Oslo University Hospital, Ola Myklebost, Professor at University of Bergen and Christian Kersten, Senior Consultant at Center for Cancer Treatment, Sørlandet Hospital. All photos: Fullscreen Visuals

Getting genomics into healthcare: look to the UK

Discussing health care at Cancer Crosslinks 2019

During Cancer Crosslinks 2019, one thing was crystal clear: there is a need to include broader genomic testing into treatments for cancer patients in Norway.

“We are lacking behind here in Norway!”

Professor Ola Myklebost, from the Department of Clinical Science at the University of Bergen, was definitely ready for action in the panel debate at Cancer Crosslinks 2019, fittingly named “Call for Action”.

The panel and the audience of about 300 people had just listened to the talk given by James Peach. He is the Precision Medicine Lead at UK Medicines Discovery Catapult, Alderly Park, and prior to this, he was the Managing Director at the main programme for Genomics England from 2013 to 2017 and led the UK’s Stratified Medicines Program.

Peach told the audience how they have been implementing precision medicine into the public health care system (NHS) in the UK, using genomic testing, during the last decade. He demonstrated how the industry is part of this public endeavour, how political support and investment contributed to industry development, and how they addressed complex issues like sharing health data and using artificial intelligence.

It started with very little.

“In 2010, we had no structure”, Peach told the audience.

James Peach presenting at Cancer Crosslinks 2019

Sequencing 100,000 genomes
Thanks to all the British cancer patients who consented to Genomics England using their data, and a lot of common public-private efforts, Genomics England has now reached its goal of sequencing 100,000 whole genomes from NHS patients, according to their webpage. It takes a lot to accomplish this number, but luckily there are things to learn from the UK effort.

“Circulating tumour DNA testing is absolutely necessary”, Peach said from the podium.

The Life Science Sector deal from the British government outlines this public-private effort. It shows how significant government commitment, funding and strategic actions triggered investment and initiatives from the life science industry. You can read the entire document at the official webpage of the British Department of Business, Energy and Industrial Strategy, following this link.

James Peach visited Norway earlier as a speaker at Cancer Crosslinks 2012. Returning now, he was truly surprised about the current state of precision medicine in Norway.

Concerned about Norway
In an interview with Oslo Cancer Cluster, James Peach shared a concern as an answer to the question “What impressions are you left with after this conference?” 

“It has left me quite concerned about the state of precision medicine in Norway. I thought you would be looking forward to the things you could do, but it turns out that there are actually some things that you should have done already.”

“Like what things?” 

“Like universal application of a cancer panel test that is commercially feasible and deals around getting your data shared appropriately.”

Do you think we can have a Genomics Norway?”

“Of course. It is probably about combining two things. One is that you got to get the basic stuff right. People need to have access to gene tests for their clinical care. Luckily the people here are a group of experts who are all connected to each other and who understand the system. It is not a massive system. I think there is a real chance to choose an area where Norway could do it exceptionally well. What that area is, is for you to choose.”

Concerns in Norway
Back in the panel discussion, Hege G. Russnes, Pathologist, Senior Consultant and Researcher at Oslo University Hospital, was getting involved:

“We need more information to help clinicians make therapy decisions. (…) Norway has no plan or recommendation for multi gene tests.”

Christian Kersten, Senior Consultant at the Center for Cancer Treatment at Sørlandet Hospital, agreed.

“I’m the clinician, I treat patients, patients die because of metastasis. I have been treating cancer patients for 20 years now and I feel it increasingly difficult to keep the trust of the patient.”

“If you ask the patients, they will sign the papers with consent of sharing data in 99% of the cases”, Myklebost added.

“We are only 5 million, we do not have to reinvent the wheel. Erna Solberg should invite James Peach for a cup of tea”, Christian Kersten said, finishing up the panel talk.

 

The entire panel debate is available to watch at the webcast webpage:

WATCH THE PANEL DEBATE

 

More on UK Medicines Discovery Catapult 

Did this brief article make you interested in the work that James Peach and UK Medicines Discovery Catapult does? In this short video, Peach explains the challenges with access to health data for drug discovery and how to overcome them:

 

More from Cancer Crosslinks 

We have more from Cancer Crosslinks 2019 coming up. Stay tuned and subscribe to our newsletter, and you will not miss videos of the talks and interviews with the other distinguished speakers at the conference.

Aaron M. Goodman, MD, speaks at Cancer Crosslinks 2019 about his research from UC San Diego Health.

Cancer Crosslinks LIVE streaming

Presenter at Cancer Crosslinks 2019.

Today, Thursday 17 January, we broadcast LIVE from our conference Cancer Crosslinks at Oslo Cancer Cluster Innovation Park.

Please join us and hear from a distinguished panel of international and Norwegian experts as they discuss the Next Wave of Precision Oncology, share new perspectives, and address the challenges and opportunities ahead. The subtitle of this year’s 11th Cancer Crosslinks is “Next Wave Precision Oncology – Connecting the Dots for Improved Patient Care”.

The broadcast starts at 9 AM and last until the conference ends at about 4 PM. Please follow the link to watch LIVE:

LIVESTREAM HERE

 

If you would like to know more about the international speakers at Cancer Crosslinks 2019, please read this article.

From the left: Professor Naiyer Rizvi, Dr. Marco Gerlinger and Dr. Aaron Goodman. Photos: Columbia University Medical Center / ICR / UC San Diego Health

International speakers at Cancer Crosslinks

International speakers at Cancer Crosslinks 2019

How can research help implement the next wave of precision oncology for patients? Meet the experts behind the research.

 

These leading international experts are part of the programme at Oslo Cancer Cluster Innovation Park, 17 January.
Not signed up for the 11thCancer Crosslinks yet? Join in here!

 

Professor Naiyer Rizvi is an internationally recognized leader in the treatment of lung cancer and immunotherapy drug development. He is the director of both thoracic oncology and of immunotherapeutics for the division of haematology and oncology at Columbia University Medical Center, Herbert Irving Comprehensive Cancer Center, New York, USA.

Prior to joining Columbia University Medical Center, his clinical research at Memorial Sloan Kettering Cancer played a significant role in the FDA approval path of a new class of immunotherapies, called immune checkpoint inhibitors, for melanoma and lung cancer.

Rizvi studies mechanisms of sensitivity and resistance to immunotherapy. Through genetic testing of tumours, he has been able to improve the understanding of why immune checkpoint inhibitors work in certain patients.

Rizvi is also studying why certain cancers do not respond to immune checkpoint inhibitors. This way we can find better ways to harness the immune system to attack cancer cells.

He oversees phase 1 immunotherapy research in solid tumours at Columbia University Medical Center and is conducting key clinical studies of novel immunotherapy drugs and immunotherapy combinations to help more patients in the fight against cancer.

Professor Naiyer Rizvi

During Cancer Crosslinks, Professor Rizvi will give the opening keynote speech titled: “Sensitivity and resistance to immuno-oncology: Biological insights and their translation into precision treatment”.

 

Dr. Aaron Goodman, MD, is a haematologist and medical oncologist specialized in treating a variety of blood cancers, including acute myeloid leukemia (AML), acute lymphocytic leukemia (ALL) and multiple myeloma. He holds a position as Assistant Professor of Medicine at the Moores Cancer Center at UC San Diego Health in La Jolla, California.

Dr. Goodman performs stem cell transplants for cancer treatment. He also treats people with rare haematologic disorders using experimental therapeutics.

His research interests include immunotherapy and cellular therapy treatment for haematologic malignancies and identifying biomarkers for response to immunotherapy.

Dr. Aaron Goodman

During Cancer Crosslinks, Dr. Aaron Goodman will present and discuss the clinical aspects of tumour mutational burden and other tissue agnostic biomarkers for cancer immunotherapy.

 

Dr. Randy F. Sweis is an Assistant Professor in the haematology/oncology section at the University of Chicago. He works with cancer immunology, developmental therapeutics and biomarkers, with a clinical interest in phase 1 clinical trials and genitourinary malignancies. His laboratory research involves the identification and targeting of tumour-intrinsic immunotherapy resistance pathways.

Dr. Sweis is the recipient of numerous awards. In 2017, he was elected to co-lead TimIOs, an international project aimed at tackling tumor heterogeneity to enhance immunotherapy responses supported by the Society for Immunotherapy of Cancer (SITC).

Dr. Randy F. Sweis

During Cancer Crosslinks, Dr. Randy F. Sweis presents his work on immunophenotypes: The T cell-inflamed tumour microenvironment as a biomarker and its clinical implications.

 

Dr. Marco Gerlinger is a clinician scientist at the Center for Evolution and Cancer at the Institute of Cancer Research in London. He develops novel techniques to detect and track intra-tumour heterogeneity in solid tumours to define evolutionary plasticity and common evolutionary trajectories in cancers.

Dr. Gerlinger uses genomics technologies for treatment personalization. He treats patients with gastrointestinal cancers at The Royal Marsden NHS Foundation Trust.

One of the key aims of his work is to develop strategies to improve predictive and prognostic biomarker performance and the efficacy of drug therapy in heterogeneous cancers.

He contributes to The Darwin Cancer Blog– on mutational evolution of cancer.

Dr. Marco Gerlinger

During Cancer Crosslinks, Dr. Marco Gerlinger will share the latest insights into cancer evolution and discuss the limits of predictability in precision cancer medicine. 

 

Professor Dr. med. Lars Bullinger is Professor of Hematology and Oncology and Medical Director of the Department of Hematology, Oncology and Tumor Immunology at Charité University Medicine Berlin.

He is a partner in the Innovative Medicines Initiative project HARMONY (Healthcare alliance for resourceful medicines offensive against neoplasms in haematology) aiming to use big data to deliver information that will help to improve the care of patients with haematologic cancers.

In this video from June, you get a preview of the subject he will talk about at Cancer Crosslinks: 

During Cancer Crosslinks, Dr. Lars Bullinger will give an international keynote speech about haematological cancers, emerging treatment opportunities and the impact of big data. 

 

James Peach is the Precision Medicine Lead at UK Medicines Discovery Catapult, Alderly Park, UK. Prior to this role, he was the Managing Director at the main programme for Genomics England from 2013 to 2017.

Peach is a precision medicine strategist and operational leader with investment, commercial and public sector experience across cancer, rare diseases, and genetics. James Peach gave the opening keynote at Cancer Crosslinks 2012 – at that time as the Director for Stratified Medicine at Cancer Research UK, London.

In this video James Peach explains the challenges with access to health data for drug discovery and how to overcome them:

During Cancer Crosslinks, James Peach will present his perspectives on the implementation of precision medicine in the UK and discuss the status, lessons learned and the way forward. 

 

Not signed up for Cancer Crosslinks yet? Join in here!

 

 

Promising treatment for late stage cancer

MetAction has used targeted gene therapy to give patients with metastatic cancer a treatment method. The future of this work is now in danger.

Late stage cancer is still a real challenge for modern medicine. The gene mutations multiply and are difficult to control. However, the research group MetAction, based at the Oslo University Hospital, has used targeted gene therapy to give patients with metastatic cancer a treatment method.

The results have been very promising, but all the good work could go to waste.

Targeted Gene Theraphy has been described as one of the new important weapons in the fight against cancer for two decades now. Norwegian hospitals still lack an infrastructure to facilitate this type of treatment.

Meet MetAction
MetAction started as a research project in 2014 to explore the possibilities of targeted gene therapy, but ended in 2017 because of a lack of funding. The project made use of modern genetic tools, combined with knowledge across the cancer treatment spectrum, to help patients with late stage cancer.

Cancer Specialist Anne Hansen Ree explained how it all started at this year’s Cancer Crosslinks in January.

– We had this idea to use targeted gene therapy for people who suffered from late stage cancer to deal with the types of mutations common for this group, she said.

With this idea as a backdrop they started developing a research project.

– To do this we had to put together quite a large project with a lot of new diagnostic tools, as well as specialists with the knowledge to interpret the data and find patients that were willing to join the study, she explained.

During the project, MetAction found that they could give at least half of the patients in their study a treatment based on the genetical data collected.

A patient group previously labelled “terminally ill” could actually receive effective treatment.

You can read about the cancer patient Grete and how she was successfully treated with late stage stomach cancer by MetAction in this article in the Norwegian newspaper VG (in Norwegian).

Knowledge in danger
All the knowledge and competence the MetAction group has established in this field is now in danger of disappearing.

– It’s sad to see that all the good work from this project could vanish and that a patient group loses out on a possible treatment method, said molecular pathologist and doctor Hege Russnes.

Both Russnes and Ree emphasized that the research group both want to and should continue.

Join the debate
Last year at the yearly political get-together event “Arendalsuka” Oslo Cancer Cluster and meeting-co-hosts posted the question: “Why can’t we have a second-opinion board for patients that have run out of options, like in Denmark?” Now that a Norwegian Expert Panel is about to come to fruition–as promised by the Norwegian Minister of Health, Bent Høie–it presents an excellent possibility to include personalized gene treatment as a viable treatment option for patients with late stage cancer. We will discuss this possibility during our meeting in Arendal next week.

8 AM Wednesday 15 August, MetAction will present their project and we will discuss possibilities for future cancer treatment as part of this year’s Arendalsuka. Come and join our event there.

Or simply follow our live stream on Facebook!

Bekjemper kreft med gentilpasset behandling

Gentilpasset behandling har siden begynnelsen av 2000-tallet blitt beskrevet som et av de nye, viktige våpnene som kan bekjempe kreft.

Hør forsker Hege G. Russnes og professor Anne Hansen Ree, her fra Cancer Crosllinks i januar i år, fortelle om deres forskningsprosjekt MetAction, og hvordan de tar i bruk gentilpasset behandling for å gi et behandlingstilbud til en pasientgruppe som har manglet det tidligere. Nå avsluttes prosjektet og du kan høre her hvorfor forskerne synes det er både feil og trist.

Forskningsprosjektet, som varte fra 2014 til 2017, ble ledet av Ree, kreftforsker og professor Gunhild Mari Mælandsmo, molekylærpatolog og lege Hege Russnes ved Oslo universitetssykehus, samt kreftkirurg og lege Kjersti Flatmark.

I forrige uke fikk de også forsiden på VG. Og det med god grunn: Ved bruk av genterapi og tverrfaglig kompetanse gir de hjelp til nye pasientergrupper og løfter norsk kompetanse innen gentilpasset behandling.

Les saken i VG her.

10th Cancer Crosslinks: Precision Treatment Reviewed

For the tenth time the cancer experts gathered to share knowledge and ideas at Oslo Cancer Cluster Innovation Park. Cancer Crosslinks 2018 presented a diverse program covering themes from immuno-oncology to cachexia, to big data.

 

Cancer research is changing rapidly. Immunotherapy and precision medicine has revolutionized cancer treatment. This year’s Cancer Crosslinks took a closer look at developments over the last decade, and highlighted “Precision Treatment: Exploiting Recent Advances – Fast and Furious?”.

Weber Gazed into the Crystal Ball
The leading immunotherapy expert professor Jeffrey S. Weber visited Cancer Crosslinks for a second time. Weber has worked with immunotherapy for 30 years.  He provided an overview on recent advances. He shared new data showing that the combination of a certain vaccine and a type of immunotherapy called Checkpoint inhibitors, are especially effective against cancer. He also gazed into the crystal ball and made predictions on the future of cancer treatment. Weber is optimistic and thinks there are several promising combinations of precision treatments on the horizon.  He believes we can hope for a survival rate of 70-80 percent for people with certain cancers.

A Fiber Diet is Recommendable
Professor Laure Bindels from Belgium explored the theme of Microbiome, Cancer and Cachexia. Diet can be an important tool to fight cancer and cancer symptoms. Her research on mice indicates that changing to a fiber-rich diet can prevent undernourishment and increase the survival rate for cancer patients.

Hege Russnes and Anne Hansen Ree introduced us to the MetAction project where they conduct extended personal diagnostic testing to give cancer patients better and more effective treatment.

From the USA, we were introduced to precision treatment of gynecological cancer from Douglas A. Levine.  He was followed by Professor Andreas Engert, who raised the hot topic of establishing joint European guidelines for treatment across Europe for hematological cancer.

A Big Maybe to Big Data
The last speakers of the day where Assistant Professor Marcela Maus from Harvard Medical School, and Elisabeth Wik and Marc Vaudel from the University of Bergen. Professor Maus explained the use of CAR T- cells in cancer treatment. CAR-T Cells are T-cells with modified receptors to make them more effective against certain diseases, in this case cancer.

Elisabeth Wik and Marc Vaudel, with backgrounds from cancer research and computer science, discussed the use of big data in cancer research and treatment. Will big data revolutionize cancer treatment? The answer is maybe. We don’t know yet, it has potential.  We need to continue exploration, research, and collaboration to find out.

Download the Presentations
For those of you who missed the event or would like to revisit:

You may watch most of the presentations here.

You can download presentations from the meeting here:

Opening and Welcome with Jutta Heix from Oslo Cancer Cluster and Anne Kjersti Fahlvik, Executive Director Innovation, The Norwegian Research Council.

Jeffrey S. Weber. Opening Keynote: Cancer Immunotherapy – The Journey So Far and Where We Are Heading.
Jeffrey S. Weber, Professor, Deputy Director and Co-Director, Melanoma Program, Laura and Isaac Perlmutter Cancer Center, New York University Langone Medical Center, New York, USA.

Laure Bindels. International Keynote: The Microbiome, Cancer and Cachexia.
Laure Bindels, Louvain Drug Research Institute, Université catholique de Louvain, Belgium.

Hege G. Russnes and Anne Hansen ReeFrom Feasibility to Utility in Precision Medicine – Experiences from the first Norwegian Study of NGS-Based Therapy Decisions in Advanced Cancer.
Hege G. Russnes, Senior Consultant and Researcher, Oslo University Hospital, Norwegian Radium Hospital, Norway
Anne Hansen Ree, Professor, Akershus University Hospital, University of Oslo, Norway

Douglas A. Levine. International Keynote: Precision Medicine for Gynecologic Cancers – Opportunities and Obstacles.
Douglas A. Levine, Professor, Director of Gynecologic Oncology, Laura and Isaac Perlmutter Cancer Center & Head, Gynecology Research Laboratory, NYU Langone Medical Center, New York, USA.

Andreas Engert. International Keynote: Roadmap for European Hematology Research and Hodgkin Lymphoma: (Immuno)therapy, Late Effects and the Way Forward.
Andreas Engert, Professor for Internal Medicine, Hematology and Oncology, University Hospital of Cologne, Germany.

Marcela V. Maus. International Keynote: The Next Generation of Engineered T-cells for Immunotherapy of Hematological and Solid Tumors.
Marcela V. Maus, Assistant Professor, Harvard Medical School & Director of Cellular Immunotherapy, Cancer Center, Massachusetts General Hospital, Boston, USA.

Marc Vaudel  and Elisabeth Wik: Making Sense of Big Data for Oncology Patients – Vision and Reality
Marc Vaudel, Center for Medical Genetics and Molecular Medicine, Haukeland University Hospital and KG Jebsen Center for Diabetes Research, Department of Clinical Science, University of Bergen, Norway
Elisabeth Wik, Centre for Cancer Biomarkers, University of Bergen and Department of Pathology, Haukeland University Hospital, Norway

Follow the 10th Cancer Crosslinks: Stream and Program

Thursday January the 18th it’s time for the 10th Cancer Crosslinks here at Oslo Cancer Cluster Innovation Park. Hospital personnel, researchers and everybody interested get together for an update on – and to discuss – the latest within cancer research.

 

This year’s conference will focus on Precision Treatment in cancer research with the headline: Exploiting Recent Advances – Fast and Furious?

Check out the program here.

Follow the stream
Registration for the event is now closed, but the whole event will be streamed and broadcasted here at the website. Just follow this link and you can follow the event live:

Follow the stream here.

Targovax Releases Positive Clinical Results

Targovax has received very positive results regarding the survival rate of patients with pancreatic cancer.

Immune-oncology aims to help the body’s own immune system fight cancer and the ambition is to address the unmet need for long-term survival for patients with advanced cancers.

13 of 13
The company specializes in immune-oncology and is a member of Oslo Cancer Cluster. It recently released information revealing that 13 of 13 test subjects where alive after one year of treatment in a stage two clinical trial study. In addition, an active immune response–meaning the immune system was triggered to attack the cancer–was observed in as much as 11 of 13 patients.

No allergic reactions
These results came after the number of test subjects were reduced from 19 to 13 to see if allergic reactions stalled with reduced dosages of the TG01; Targovax’s lead RAS immunotherapy product. And luckily, no serious allergic reactions were observed,

Magnus  Jäderberg MD, Chief Medical Officer of Targovax, said:

– We are delighted that we maintain a strong immune response and one-year survival rate with the reduced dosing  regimen, essentially  equivalent  to  and  consistent with the previously  reported data  from the  main cohort.

These new results are so positive that stock market analysts DnB Markeds predict a serious stock market rise for Targovax.

 

About Targovax

Arming the patient’s immune system to fight cancer

Targovax is a clinical stage company focused on developing and commercializing novel immuno-oncology therapies to target, primarily, treatment-resistant solid tumors. Immuno-oncology is currently one of the fastest growing therapeutic fields in medicine.

In July, 2016 the Company listed its shares on Oslo Axess.

Read more

 

Podcast on cancer research and development

Oslo Cancer Cluster member Radium Hospital Research Foundation, Radforsk, has launched their own podcast. The podcast is named Radium, and is about cancer research and development of new cancer treatments, as well as updates on Radforsk´s portfolio companies.

Radium has so far made nine episodes, and the ambition of Jónas Einarsson, CEO Radforsk and Elisabeth Kirkeng Andersen, communication manager in Radforsk, is to make one new episode a week. The podcasts are in Norwegian, if they do not interview people from abroad, as they did in the Cancer Crosslinks special.

Einarsson and Andersen is usually joined by guests in the studio, and so far they have had guests from Oslo Cancer Cluster members; PCI Biotech, Ultimovacs, Targovax, Vaccibody, Oncoinvent, as well as Roy Larsen and Øyvind Bruland, talking about Algeta, Nordic Nanovector and Oncoinvent.

Upcoming epiosodes will include guests such as Professor Håvard Danielsen from Institute for Cancer Genetics and Informatics, Anne Lise Ryel, General Secretary in the Norwegian Cancer Society and CEO, Kjetil Hestdal in Photocure.

Here you may find all podcast episodes launched so far.

PERMIDES project going forward with project manager hired

PERMIDES_Gupta_web

Oslo Cancer Cluster and NCE Smart Energy Markets together with four European clusters in medicine and IT managed to land a prestigious Horizon 2020 EU project this spring. The official kick-off for the project is September 7th to 8th in Karlsrue and project manager Gupta Udatha is hired to work in both Oslo and Halden to implement the project from Norwegian side.

 

Project manager Gupta Udatha He works at both the Norwegian Centres of Expertise located in Eastern Norway, i.e. Oslo Cancer Cluster and Smart Innovation Østfold. The PERMIDES project aims at establishing fruitful collaborations between the bio-pharmaceutical and IT sectors in the European region to advance the field of personalised medicine through the development of novel digital solutions with cancer as the model disease.

– Gupta has an amazing background from bioinformatics and big data analytics of biopharmaceutical data. We are confident he is going to drive this project forward in a satisfactory way, says Ketil Widerberg, CEO Oslo Cancer Cluster and Dieter Hirdes, F & I Coordinator Smart Innovation Østfold company as a leader NCE Smart Cluster in a joint comment.

The PERMIDES project will start 1 September and with a kick-off meeting in Karlsruhe 7th to 8th September.