The Evolution of Hodgkin Lymphoma Treatment: A Glance in the
Transcription
The Evolution of Hodgkin Lymphoma Treatment: A Glance in the
Summer 2008 • Volume 6 • Number 2 Today The Evolution of Hodgkin Lymphoma Treatment: A Glance in the Past and What’s Ahead By Jo Cavallo A North American Educational Forum on Lymphoma September 26 – 28, 2008 San Francisco, CA www.lymphoma.org/edforum2008 TABLE OF CONTENTS Letter............................................... 2 LRF News........................................ 3 Clinical Trials................................... 4 Patient Programs............................. 5 Lymphoma Update........................... 6 Research.......................................... 8 Public Policy & Advocacy................ 10 Chapters......................................... 12 Development...................................14 LRF ONLINE: Register online at www.lymphoma. org to receive the e-mail edition of Lymphoma Today and stay informed about the latest news in lymphoma. lthough Hodgkin lymphoma is an extremely rare cancer—comprising less than one percent of all cases of cancer in the U.S.—it was the discovery of the disease by British doctor Thomas Hodgkin in 1832 and subsequent research in the cancer that led to the first successful treatment for Hodgkin lymphoma a century later. Today, that pioneering research is credited with the development of not just effective treatments against Hodgkin lymphoma, but other cancers as well. Here is how those discoveries turned Hodgkin lymphoma from a fatal disease into a highly curable one and how past and current research is altering the long-term health outlook for survivors. A Look Back The use of radiotherapy in the early 1930s was the first breakthrough treatment in Hodgkin lymphoma (HL), but it would be another 30 years before radiation technology was sufficiently advanced with the advent of the linear accelerator to improve patient survival. “In the l950s and ‘60s the observation was made that if you treated large fields [of the body] with adequate doses of radiation of between 35 gray and 45 gray, you rarely saw recurrences of Hodgkin lymphoma in the treated areas,” says David Straus, MD, Attending Physician, Lymphoma Service, Memorial Sloan-Kettering Cancer Center in New York City. Those observations were later proven correct when Henry Kaplan, MD, and Saul Rosenberg, MD, from Stanford University School of Medicine, launched the first randomized prospective studies on the treatment of Hodgkin lymphoma, and other lymphomas, using high-beam radiation and statistical analysis to determine the validity of using aggressive treatment to cure Hodgkin patients. “Dr. Kaplan devised the so-called extended field radiation therapy approach, which used this regional type of treatment systemically,” says Dr. Straus. “Basically, he divided the body in half by the diaphragm and the so-called mantle port, which was the neck, the center of the chest and under the arms and the inverted Y, which was the lymph nodes in the back of the abdomen, pelvis and groin region.” (continued on page 6) www.lymphoma.org 1 Letter The quarterly newsletter of the Lymphoma Research Foundation Content Copyright 2008 All rights reserved FOUNDERS Ellen Glesby Cohen Barbara Freundlich Jerry Freundlich Chairman Andy Madoff President Suzanne Bliss Dear Friends, We are pleased to bring you an excellent article on Hodgkin lymphoma in this issue of Lymphoma Today, featuring interviews with Sandra Horning, MD (Stanford University Medical Center), David Straus, MD (Memorial Sloan-Kettering Cancer Center) and Anas Younes, MD (MD Anderson Cancer Center). You will also find info on current clinical trials that are being conducted for patients with rare lymphomas in this issue. Our LRF chapter structure continues to grow and we are happy to announce that both our Arizona and New Jersey Chapters have just formed affiliates in Tucson and Northern New Jersey, respectively. These two new volunteer groups will extend the reach of the Foundation into additional communities. We look forward to reporting the growth LRF expects to see as a result of their efforts in future issues. Our Lymphomathon program continues to expand and we hope you enjoy reading about the first eight events of 2008. We remember the very first Lymphomathon in Chicago and cannot believe that this year LRF will have 15 events involving over 5,000 people. How LRF has grown! Advocacy represents another area of program growth for LRF. Our new Director of Public Policy and Advocacy, Meghan Gutierrez, is not only working on moving forward LRF’s national priorities, but is also planning training sessions for our volunteers. We hope that many of you will be able to attend these sessions and will become active public policy advocates for LRF in the near future. LRF’s 13th annual North American Educational Forum on Lymphoma is planned for September 26-28, 2008 in San Francisco. You should have received the formal program brochure outlining another outstanding weekend long program. If you did not receive this or need more information, please call us at (800) 500-9976 or visit us on the web at www.lymphoma. org/edforum2008. We are once again presenting this program with our wonderful colleagues in Canada at the Lymphoma Foundation Canada. Finally, we are still seeking funds for both the Werner Family Follicular Challenge Grant and the Prince Family CLL/SLL Challenge Grant. By contributing to one of the challenge grants, your donation will be matched dollar for dollar. We extend our very heartfelt thank you to all of you who have already contributed to one of these challenges. For more information, please contact Sue at (800) 235-6848. We hope you have a wonderful summer and look forward to seeing you at the Educational Forum in September! Sincerely, Andy Madoff Chairman of the Board 2 Lymphoma Today Suzanne Bliss President BOARD OF DIRECTORS Andy Madoff, Chairman of the Board & CEO Errol M. Cook, Immediate Past Chairman & CEO Michael Ditzian, Executive Vice President Tom Condon, Treasurer Evelyn Lipori, Secretary Richard I. Fisher, MD Chairman, Scientific Advisory Board Morton Coleman, MD Chairman, Medical Affiliates Board Joseph R. Bertino, MD Heidi Dieter Robert E. Fischer Barbara Freundlich Jerry Freundlich Thomas L. Harrison Nancy Januszewski Marie L. Matthews George Ntim Steven J. Prince Leonard M. Rosen Michael Werner EDITORIAL BOARD Managing Editor: Jennifer Mills, LMSW, MPH Content Editor: Carolyn Bell, MSW Design Editor: Brian Tomlinson, MPA, BSW Design: cobaltdesigngroup.com Contact LRF 8800 Venice Boulevard, Suite 207 Los Angeles, CA 90034 Telephone (310) 204-7040 (800) 500-9976 Fax (310) 204-7043 115 Broadway, 13th Floor New York, NY 10006 Telephone (212) 349-2910 (800) 235-6848 Fax (212) 349-2886 Email: [email protected] Website: www.lymphoma.org Lymphoma Today is published by the Lymphoma Research Foundation for the purpose of informing and educating our readers about lymphoma and to keep them informed of ongoing work and accomplishments of the Lymphoma Research Foundation, with the ultimate goal of finding cures for lymphoma. Because each person’s body and response to treatment is different, no individual should indulge in self-diagnosis or embark upon any course of medical treatment that is described in Lymphoma Today without first consulting with his or her physician. The Lymphoma Research Foundation is not responsible for the medical care or treatment of any individual. LRF News What 2007 Ed Forum Attendees Have Said “I was extremely impressed with the expertise of the presenters and the whole flow of the conference. We could not have been taken better care of.” “The amount of information could have been much more overwhelming if it had not been cushioned by care and attention.” “The effort to provide contact with others of similar diagnoses was particularly appreciated!” 13th Annual North American Educational Forum on Lymphoma “The selection of topics was representative of many patient concerns.” “The breakout sessions on my type of lymphoma were by far the most valuable and connecting with fellow patients. It was very hopeful.” September 26 - 28, 2008 About the Ed Forum The North American Educational Forum on Lymphoma is the most comprehensive lymphoma-specific educational conference in North America! This 2½ day annual program provides people with lymphoma and their loved ones with critical information about making the best decisions on treatment options, patient support issues and the latest in lymphoma research. New for 2008 Expanded Conference Structure: More disease- and treatment-specific breakout sessions, an expanded and new research panel format, comprehensive clinical trials education by disease type, special post-conference workshops and much more! Expert Speaking Faculty: Hear a variety of presentations and have your specific questions answered by our expert speaking faculty comprised of over 25 lymphoma specialists and patient support experts from around the world. Unrivaled Networking: Meet other people with your same type of lymphoma from around the world and exchange ideas and experiences. Networking opportunities include: welcome reception, meals, extended breaks and disease-specific breakout sessions. Intensive Special Post-Conference Workshops: Following the conclusion of the program with lunch on Sunday, LRF and partners will offer the opportunity to learn more about one of three topics. These two hour topic-specific sessions will cover a range of concepts and include perspectives from multiple speakers. “The program was well done…all staff and speakers worked seamlessly with a good discussion between speakers and audience. Thank you!” “Program provided me with helpful info in understanding my lymphoma.” “This was great for our needs.” “Very good how you helped attendees interact so often with fellow patients. We were given very useful updates.” Whether you are a first time attendee or you have attended in the past, you will not want to miss this unique opportunity to learn and network! This year’s agenda will include more disease-specific information and special topics than ever before. For more information or to register Call: (800) 500-9976 Web: www.lymphoma.org/edforum2008 www.lymphoma.org 3 Clinical Trials Clinical Trials Open for Patients with Rare Lymphomas RESEARCH STUDY Have You Had a Bone Marrow or Stem Cell Transplant? We are looking for people who: • Had a transplant between 9 months and 2 years ago • Are living with their disease or free of disease after a successful transplant •Are at least 18 years old (and at least 16 years old at the time of transplant) •Speak English •Have telephone service If you answered yes to each of these questions, you may be eligible to join a study that will test a program designed to help people experiencing problems and concerns reported by some people who have undergone hematopoietic stem cell transplant for treatment of cancer and related diseases. To determine whether you are eligible to join the study, you will be asked to complete a 20 minute telephone screening interview that includes questions about your background and your thoughts and feelings about your illness and transplant. If you are found to be eligible and if you decide to join the study, you will complete study procedures from your home, directed by a study staff member. The study includes two telephone interviews, spaced over about 4 months. One will take about 45 minutes and the other will take about 60 minutes. Between the two interviews you will be asked to complete four 30-minute study sessions that involve writing about various topics. You will be compensated for your time. To hear more about this study, contact Lisa Wu at (212) 659-5586 or lisa.wu@ mssm.edu. This study is being conducted at Mount Sinai School of Medicine and is funded by the American Cancer Society. It has been approved by the Mount Sinai Institutional Review Board (GCO# 06-0391 approved through 9/17/08). 4 Lymphoma Today Talk to a Trained Helpline Staff Member Darinaparsin for Lymphoma ZIOPHARM Oncology, Inc. is sponsoring a Phase II clinical study that administers the new investigational cancer therapeutic darinaparsin to patients diagnosed with non-Hodgkin lymphoma. Darinaparsin is a type of organic arsenic. Ideas for modern chemotherapy came from early 20th century studies of arsenic. For example, in the early 1930s, inorganic arsenic was used to treat chronic myelogenous leukemia (CML) and resulted in dramatic effects—but also some serious side effects. Unlike inorganic arsenic, preclinical studies indicate that there are relatively few serious toxicities associated with organic arsenics such as darinaparsin. Clinical Study #SGL2003 is currently enrolling patients diagnosed with non-Hodgkin lymphoma. To qualify for enrollment, patients must be over 18 years old and have received at least one prior therapy for their lymphoma. Patients who are allergic to arsenic, have had certain heart problems (such as congestive heart failure or arrhythmia) within the last 6 months, have uncontrolled infection, poorly controlled seizures, neurological deficits, confusion, or dementia would not be eligible to participate. Previous studies with darinaparsin in patients with lymphoma and other tumors indicate that this investigational drug is generally well tolerated. Mild to moderate side effects that have been associated with this drug in lymphoma patients include fatigue, nausea, and dizziness, amongst others. More serious but rare episodes that may have been related include wheezing, fever with a low white blood count, and fall. Patients who are enrolled in this study will receive darinaparsin infusions intravenously (into a vein) for five consecutive days at approximately the same time each day. The infusions will take approximately one hour to administer. About 22 days after these infusions, a new 5-day cycle of darinaparsin Information on your diagnosis (800) 500-9976 [email protected] Monday-Friday 8am-5pm PST treatment would begin. Patients may receive up to six of these cycles. In this study thus far, darinaparsin has induced clinical responses in patients diagnosed with a number of different types of lymphomas. For more information on this study, go to www.clinicaltrials.gov or contact Jeffrey Davis, Clinical Trial Manager via email at [email protected] or telephone at (617) 259-1641. XmAb2513 for Hodgkin Lymphoma or Anaplastic Large Cell Lymphoma Xencor, Inc. is sponsoring a Phase I study of XmAb2513 to evaluate the safety, tolerability, and pharmacokinetics in patients with Hodgkin lymphoma (HL) or anaplastic large cell lymphoma. This is an open-label, multi-dose, single-arm, Phase I dose escalation study of XmAb2513 to define the maximum tolerated dose or recommended dose(s) for further study, to determine safety and tolerability, to characterize pharmacokinetcs and immunogenicity, and to evaluate antitumor activity of XmAb2513 in patients with HL and anaplastic large cell lymphoma (non-cutaneous). Eligible patients will have Hodgkin lymphoma or anaplastic large cell lymphoma (non-cutaneous) and will have received two or more prior therapeutic regimens. There will be no intra-patient dose escalation. (continued on page 7) Patient Programs Patient Education Programs: Helping People Affected by Lymphoma Worldwide T he Lymphoma Research Foundation (LRF) offers a comprehensive series of in-person patient education programs and informational teleconferences and webcasts/podcasts that provide upto-date information about the disease to patients, survivors and loved ones worldwide. During 2007, LRF’s patient education programs served 85 percent more people than ever before in the Foundation’s history and this growth trend continues in 2008. To learn more about any of LRF’s patient education and support programs, please contact the Lymphoma Helpline at (800) 500-9976 or [email protected]. Lymphoma Workshop: Understanding Lymphoma Basics and Current Treatment Options LRF hosted four Lymphoma Workshop programs in Arizona, Seattle, Omaha and Chicago. Two Lymphoma Workshop programs are scheduled for Fall 2008Bloomington, MN and Brooklyn, NY. These regional, full-day educational programs provide information about lymphoma, current treatment options and patient support issues. Lymphoma Workshop programs are sponsored by the Lymphoma Research Foundation and supported through unrestricted educational grants from: Genentech BioOncology/ Biogen Idec (National Presenting Sponsor), Millennium Pharmaceuticals (National Platinum Sponsor) and Merck Oncology (National Gold Sponsor). • Scottsdale, AZ—On Saturday, March 15, 2008, Thomas Miller, MD (Arizona Cancer Center) chaired the Arizona Lymphoma Workshop, which had nearly 400 people in attendance. • Seattle, WA—On Saturday, May 10, 2008, Oliver Press, MD, PhD (Fred Hutchinson Cancer Research Center) chaired the Seattle Lymphoma Workshop, which had over 250 people in attendance. • Omaha, NE—On Saturday, June 21, 2008, Julie M. Vose, MD (University of Nebraska Medical Center) chaired the Nebraska Lymphoma Workshop, which had 80 people in attendance. • Chicago, IL—On Saturday, June 28, 2008, Leo I. Gordon, MD (Robert H. Lurie Comprehensive Cancer Center of Northwestern University) and Stephanie A. Gregory, MD (Rush University Medical Center) co-chaired the Chicago Lymphoma Workshop, which had over 265 people in attendance. Ask the Doctor Almost 1,000 people have attended one of LRF’s Ask the Doctor About Updates on Lymphoma Treatment Options programs in one of the following cities: Chicago, Dallas, Fort Lauderdale,New Brunswick,Washington, New York, Los Angeles, Philadelphia and Phoenix. One additional program is scheduled for Fall 2008- Minnesota. These two-hour topic-specific programs combine a presentation by a leading lymphoma specialist with an extensive question and answer session. Ask the Doctor programs are held in collaboration with local chapters and are supported through an unrestricted educational grant from Millennium Pharmaceuticals (National Presenting Sponsor). Teleconferences Teleconferences are hour-long interactive telephone programs that provide an opportunity to learn more about lymphoma, treatments and promising research from a leading lymphoma expert. Over 1,200 people from around the world have already participated in LRF’s teleconferences this year. To access the archived versions or to learn about upcoming teleconferences, visit www.lymphoma.org/teleconferences. • TreatmentUpdatesforCutaneousT-Cell Lymphoma: Multidisciplinary Care On April 16, 2008, LRF partnered with the Cutaneous Lymphoma Foundation and CancerCare to present this teleconference featuring Pierluigi Porcu, MD (The Ohio State University Comprehensive Cancer Center), Larisa J. Geskin, MD, FAAD (University of Pittsburgh School of Medicine) and Kevin D. Cooper, MD (University Hospitals Case Medical Center). The topics discussed included: an overview and diagnosis of cutaneous T-cell lymphoma (CTCL), working with dermatologists and oncologists to better manage care, symptom management and quality-of-life considerations. This teleconference was supported through an unrestricted educational grant from Merck Oncology. • Updates on Chronic Lymphocytic Leukemia/ Small Lymphocytic Lymphoma (CLL/SLL) Part I: Overview and Treatment Options On June 26, 2008, LRF partnered with the CLL Information Group and CancerCare to present this teleconference featuring Michael Keating, MB, BS (MD Anderson Cancer Center) and Thomas Kipps, MD, PhD (University of California San Diego, Moores Cancer Center). The topics discussed included: an overview of CLL/SLL and treatment options. The second part of this series was held on July 24, 2008. This teleconference series was supported through an unrestricted educational grant from Cephalon Oncology. Webcasts/Podcasts More than 7,500 lymphoma patients, survivors and loved ones have accessed LRF’s webcast/podcast programs. This is more than double the number of people who accessed these programs last year. Topics include: understanding lymphoma; disease-specific information; research and treatment options; patient/caregiver support; and, lymphoma in your teens, twenties and thirties. There are more than 35 webcasts/podcasts available by visiting www.lymphoma.org/webcasts. n www.lymphoma.org 5 Lymphoma Update The Evolution of Hodgkin Lymphoma Treatment: A Glance in the Past and What’s Ahead (continued from page 1) Besides radiation therapy, the 1960s and ‘70s also herald in the use of two other major advances in the treatment of Hodgkin lymphoma: staging laparotomy, in which the spleen is removed to determine early or advanced stage Hodgkin lymphoma, and the use of combination chemotherapy drugs to treat HL. Records show that phase I clinical trials testing nitrogen mustard, a mustard gas derivative, to treat terminally ill Hodgkin eventually it became standard practice to give both radiation therapy and chemotherapy to all patients to try and cure the disease. “The idea was to give systemic treatment even for early stage disease, and to give radiation therapy to the areas that might be at risk for recurrence. And in advanced disease, we began to add radiation therapy, because we found that patients who had been given chemotherapy only were at particular risk for recurrence,” says Dr. Straus. Whether radiation therapy in addition to combination chemotherapy is necessary in most patients is currently under investigation. “One of the major challenges is trying to quickly and effectively explore the wealth of possible new treatment options that are available. We have far too few patients participating in clinical trials and we have many more agents than we can expeditiously evaluate.” lymphoma patients were being done as early as 1948. “Some of the first work in the development of chemotherapy was the work with nitrogen mustard in the late ‘40s in Hodgkin lymphoma and that’s what really launched the use of chemotherapy for the treatment of cancer,” says Dr. Straus. Later, researchers would experiment with two combinations of chemotherapy drugs, vinblastine and chlorambucil, to treat Hodgkin lymphoma. But the major advancement in the use of chemotherapy to successfully treat Hodgkin lymphoma was not realized until the mid-‘60s, when the National Cancer Institute began investigating a combination of four chemotherapy drugs: mustargen (nitrogen mustard), vincristine (oncovin), procarbazine and prednisone (MOPP). “Results from the MOPP trials showed a dramatic improvement in patients with advanced Hodgkin lymphoma and that helped launch the use of combination chemotherapy drugs in all cancers. Hodgkin lymphoma and other lymphomas have really been the model for combination chemotherapy in medical oncology,” says Dr. Straus. Although radiation therapy alone was used initially to treat early stage Hodgkin lymphoma and chemotherapy alone was given to treat advanced stages of the disease, 6 Lymphoma Today Refining Treatment Even though MOPP was proving to be successful in treating Hodgkin lymphoma, evidence also began appearing that it had the potential to cause serious long-term health consequences such as sterility and secondary cancers and by the 1990s, MOPP was essentially replaced as a first-line treatment by a less toxic, more effective regimen of adriamycin, bleomycin, vinblasine and decarbazine (ABVD), which is still widely used today. But better treatments were not the only advancements being made in the care of Hodgkin lymphoma patients. By the 1980s, the practice of removing a patient’s spleen to evaluate extent of disease was being replaced with noninvasive imaging technology like computed tomography (CT) scans, which can capture detailed images of internal organs and spot enlarged lymph nodes. “There were several important changes in the care of Hodgkin lymphoma patients that occurred over the last 25 years,” says Anas Younes, MD, Professor of Medicine and director of Clinical and Translational Research, at the Department of Lymphoma and Myeloma at MD Anderson Cancer Center in Houston. “The first one is we don’t do surgical staging anymore, we only do clinical staging based on CT scans and bone marrow biopsies.” Another major advancement in the care of Hodgkin lymphoma patients, according to Dr. Younes, was a reduction in both the amount of radiation given to treat the cancer—from 45 gray to approximately 30 gray—and the amount of body radiated. “The radiation field has shrunk significantly, and that was a very important change,” says Dr. Younes. “Now the standard radiation field is what we call involved field radiation therapy, which means that only the involved node would get the radiation therapy, whereas in the past, it used to be an extended field in which even the uninvolved nodal sites received radiation.” Less exposure to radiation, says Dr. Younes, may result in fewer late health effects from the treatment, such as secondary cancers and heart disease, but it will be decades before researchers know for sure. “Most of the radiation-induced secondary cancers occur with prolonged follow-up, so we would need 20 to 25 years of follow-up to do comparisons. The goal of these evolutionary changes in treatment is to not only improve the cure rate, but to also decrease treatmentrelated toxicities,” says Dr. Younes. Improving Long-Term Survivorship Because Hodgkin lymphoma is commonly diagnosed in young adults between the ages of 15 and 35—nearly 10 percent to 15 percent of all cases of HL are diagnosed in children and teenagers—developing treatment protocols that reduce the possibility of long-term and late health effects is especially welcome news to a population potentially facing a lifetime of ongoing medical care. “When you’re dealing with individuals who are 25 to 30 years of age, you’re looking at 50 plus years of survival after treatment. The expertise that goes into the management of Hodgkin lymphoma starts with the pathologist making the correct diagnosis, proceeds through the radiologist for staging and then to the choices of chemotherapy by the medical oncologist and the radiation therapy by the radiation oncologist,” says Sandra Horning, MD, Professor of Medicine, Division of Oncology, Stanford Lymphoma Update University Medical Center in California. “And the rational for that is not only do you want to cure Hodgkin lymphoma, because there are many ways to cure it, but you want to accomplish the least complicated cure. That’s the goal.” Participating in clinical trials, says Dr. Horning, is one way to ensure that young adults accomplish the goal of surviving Hodgkin lymphoma with as few health complications as possible. “When you participate in clinical trials by definition you’re going to get the right staging studies, you’re going to be under close surveillance and you’re almost always going to get state-ofthe art therapy. Although about 80 percent of children are treated under clinical trials, the numbers plummet for young adults,” says Dr. Horning. Adhering to long-term follow-up medical care to spot late effects and making lifestyle changes to reduce health risks are another.“For instance, secondary lung cancer essentially doesn’t occur without smoking as a co-factor and it’s really important that survivors reduce cardiac risk factors. Having normal blood pressure, good cholesterol and weight control and exercise are important goals for Hodgkin survivors,” says Dr. Horning. A Look Ahead Even though Hodgkin lymphoma is highly curable with current available treatment— between 80 percent and 95 percent of patients are cured of their disease—numerous clinical trials are underway to find safer, more effective treatments in both the frontline and relapsed setting. “There are promising monoclonal antibodies targeting CD30 and CD40 like SGN-35 and SGN-40, some of which are already in phase I and phase II trials,” says Dr. Younes. Rituximab (Rituxan), a monoclonal antibody targeting CD20 and widely used to treat several types of B-cell nonHodgkin lymphoma, is being studied in clinical trials in patients with the rarer form of Hodgkin lymphoma, lymphocyte predominate Hodgkin lymphoma. Rituximab is also being added to the ABVD regimen in the treatment of classical Hodgkin lymphoma in clinical trials, “because we feel that rituximab can deplete reactive B lymphocytes in the microenvironment and make the cancer cells more susceptible to chemotherapy,” says Dr. Younes. There are also small molecule agents being tested in Hodgkin lymphoma, including several histone deacetylase inhibitors such as MGCD0103, vorinostat (SAHA), LBH589; mTOR inhibitors, including RAD001 (everolimus) and CC1779 (temsirolimus); the immunomodulatory agent lenalidomide (Revlimid); and JAK2 inhibitors. Some of these small molecules are already in clinical trials and early results have demonstrated promising clinical activity. “Future trials will incorporate several small molecules and monoclonal antibodies to improve the efficacy of this new approach,” says Dr. Younes. Clinical trials are also being planned to determine whether PET scans can be used to measure chemotherapy effectiveness during treatment. “I’m drafting a new study that will look at the response during treatment as measured by PET scans. So a more intensive approach will be given for those whose scans are positive and a less intensive approach will be given to those who are PET negative during treatment,” says Dr. Straus. If history is a lesson of things to come, the future is looking very bright for continued advances in the treatment of Hodgkin lymphoma and—as history has shown— that bodes well for other cancers too. n Clinical Trials Open for Patients with Rare Lymphomas (continued from page 4) XmAb2513 is a humanized monoclonal antibody that targets the antigen CD30, a molecule expressed on the surface of a number of tumor cell types. XmAb2513 has been engineered to contain an XmAbFc domain to greatly increase its cytotoxic potency. XmAb2513 shows superior activity in recruiting primary human immune cells to kill tumor cells in in vitro models and is active in blocking tumor growth in rodent models. XmAb2513 was humanized with Xencor’s XmAbFv technology and was well-tolerated Find More Information on Hodgkin Lymphoma W hether you were diagnosed recently or are a long-term survivor of Hodgkin lymphoma, LRF is here to help. The following resources may be accessed by visiting www.lymphoma.org or calling (800) 500-9976: Understanding Hodgkin Lymphoma: A Guide for Patients (This booklet is currently being revised. The new edition will include updated information on survivorship and long-term care issues). Hodgkin Lymphoma Fact Sheet Webcast on Hodgkin Lymphoma The 2008 North American Educational Forum on Lymphoma, featured on page three, will include two separate sessions on Hodgkin lymphoma. The second session will focus specifically on long-term and late effects of the disease. For more information, please visit www.lymphoma.org/ edforum2008. in primate models. XmAb2513 is readily manufactured using standard monoclonal antibody production methods. Treatment is given every two weeks for four doses. Patients with a complete response, partial response, or stable disease may continue until disease progression or a max of 8 doses. All patients will complete three months of follow-up. For more information, contact Xencor, Inc. Jeff Bloss, MD at (626) 737-8054 or [email protected] or Rolando Enoch, MS at (626) 737-8072 or [email protected]. Please refer to ClinicalTrials.gov identifier NCT00606645. n www.lymphoma.org 7 Research Shaping the Next Generation of Lymphoma Researchers L These two-year fellowships help attract the best scientific talent to careers in lymphoma and allow them to pursue promising leads under the guidance of a sponsor. Brook. She received an MS in Molecular Biology and Genetics as well as a PhD in Cellular and Molecular Biology at Masaryk University in Brno, Czech Republic. Dr. Nemajerova is investigating whether p73, a gene that is silenced or completely lost in many B-cell lymphomas/leukemias, is an important tumor suppressor and DNA stability factor in B-cell lymphomas. She hypothesizes that B-cells deficient in p73 are prone to DNA damage and rearrangements, resulting in the development of lymphoma. Hudan Liu, MS, PhD Patrick Ng, PhD Dr. Liu is a postdoctoral researcher in the Department of Pathology and Laboratory Medicine at the University of Pennsylvania. She received a PhD in Cell and Developmental Biology from Rutgers, State University of New Jersey in Piscataway, NJ. Dr. Liu is examining the mechanisms behind the abnormal activation of the Notch1 gene and how this influences the development of T-cell acute lymphoblastic leukemia/ lymphoma (T-ALL). She hopes these findings will identify new targets against which drugs can be developed. Dr. Ng is a Postdoctoral Research Fellow in the Division of Oncology at Stanford University Medical School in Stanford, CA. He earned a BA in Molecular Cell Biology at the University of California, Berkeley and a PhD in Immunology at the University of California, Los Angeles. The ultimate goal of the project is to use a patient’s own cells to develop “custom made” fusion proteins that, when injected back into the patient, will “educate” the immune system to mount a natural attack against the cancer, while sparing normal tissue. Dr. Ng is currently working with animal models. RF is pleased to announce our latest grantees. These awardees were selected by LRF’s Scientific Advisory Board and represent some of the brightest young talent to emerge in the field of lymphoma research. 2008 Post-Doctoral Fellowships Alice Nemajerova, PhD Dr. Nemajerova is a Postdoctoral Research Associate in the Department of Pathology at the State University of New York at Stony Hudan Liu, MS, PhD 8 Lymphoma Today Steven Park, MD Dr. Park is a Clinical Research Fellow at the University of Washington Medical Center Alice Nemajerova, PhD Patrick Ng, PhD and Fred Hutchinson Cancer Research Center in Seattle, WA. He earned a BA in Integrative Biology from the University of California, Berkeley and an MD from the University of California, Davis. Dr. Park is developing a new method to deliver potentially curative doses of radiation to lymphoma cells (also known as radioimmunotherapy or RIT) while minimizing radiation exposures to normal organs. He believes that this novel system will produce excellent outcomes while limiting toxicity. Christian Steidl, MD Dr. Steidl is a Research Fellow in the Department of Pathology at the British Columbia Cancer Agency in Vancouver, Canada working with Dr. Randy Gascoyne. He received an MD from Westfalische Steven Park, MD Christian Steidl, MD Research Previous Fellows Reflect on LRF’s Impact on Their Careers Wilhelms University and a PhD equivalent in pathology from Witten-Herdecke University in Germany. Dr. Steidl will be examining purified malignant and non-malignant cells from Hodgkin affected lymph node tissues by a variety of high-resolution genetic analyses and correlating the findings with treatment outcomes in a large number of cases. The results will help identify patients unlikely to succeed with standard therapy and make them candidates for innovative, alternative treatment options. Jing Yang, PhD Dr. Yang is a postdoctoral fellow in the Division of Cancer Medicine at the MD Anderson Cancer Center in Houston, TX. She received a PhD in molecular biology from Xiangya Medical School, Central South University in Changsha, China. Jing Yang, PhD Brian Till, MD Dr. Yang recently created novel antibodies (human ß2-microglobulin monoclonal antibodies) capable of killing mantle cell lymphoma cells in the laboratory and mouse models. Dr. Yang will examine the biological pathways in which these antibodies cause cell death in mouse models and develop strategies for improving their effectiveness as cancer therapies. 2008 Career Development Award This three-year program funds training of clinicians who will participate in developing new therapeutics and diagnostic tools for lymphoma. Brian Till, MD Dr. Till is a Senior Fellow in Medical Oncology at the Fred Hutchinson Cancer Research Center and University of Washington in Seattle, WA. He received a BS in Biology from the Catholic University of America in Washington, DC and an MD from The University of Chicago in Chicago, IL. Dr. Till is testing a new treatment for non-Hodgkin lymphoma which involves genetically engineering a patient’s T-cells to help them recognize and kill lymphoma cells. He will also be exploring ways to make these methods more effective. n Beyond the grant period, the Lymphoma Research Foundation (LRF) continues to follow the careers of its fellows over time. Many cite their support from LRF as the pivotal point in their training that solidified their commitment to lymphoma and provided critical resources to ignite their research and leadership careers in a competitive environment. Based on data collected earlier this year, eighty-one percent of former LRF fellows enter academia, 12 percent work for industry and 7 percent practice in a private office. Here is what a few former fellows had to say when asked to discuss how the fellowship LRF provided contributed to their career: “LRF provided me with my first grant support as a Fellow. I now have an independent research laboratory for over 20 investigators. Former trainees from my laboratory are now pursuing research in their own laboratories.” Dean W. Felsher, MD, PhD Stanford University “It gave a jump start to my professional career as a research scientist, and an educator. It helped me in achieving my first faculty position (Assistant Professor) in the University where I worked as a post doctoral research associate.” Bhavana J. Dave, PhD University of Nebraska Medical Center “Prior to coming to the US, I had experience exclusively as a clinician devoted to medical oncology. The fellowship funded my initial translational research in a US gene therapy lab, and critically enabled my career as a physician-scientist with a focus on clinical trials of innovative biological therapies. A decade later, I am fully committed to this career path that the LRF supported when I needed it most.” Jesus Gomez-Navarro, MD Pfizer Global Research and Development www.lymphoma.org 9 Public Policy & Advocacy Lymphoma Research Tops LRF Policy Agenda Volunteers Urged to Advocate for Cancer Research Funding F ederal investment in medical research remains a high priority for the Lymphoma Research Foundation (LRF) in 2008. Great scientific and medical breakthroughs have been developed for a variety of chronic diseases, including lymphoma, through the federal National Institutes of Health (NIH) and the National Cancer Institute (NCI). Despite doubling the NIH budget between 1998 and 2003, policy makers in Washington, DC now threaten the progress made by NIH during this time period by proposing insufficient funding for the Institutes. The budget proposed by the President, by failing to keep pace with inflation, would reduce the number of scientists and researchers working to identify new treatments and cures for chronic illness, and in turn affect the millions of patients who rely on these innovative therapies. The Senate has taken an initial step toward providing a significant boost in NIH funding in FY 2009, but strong and sustained effort will be required to see substantial funding increases in the final spending bill. The Foundation supports a 6.5 percent increase to the NIH budget, which would bring it to a total of over $30 billion. By visiting the Public Policy section of the website, members of the lymphoma community can send letters directly to their legislators, making sure their voice is heard. LRF advocates can play a significant role in supporting the government’s commitment to cancer research by contacting their legislators and urging them to support funding increases for NIH and NCI. Template letters and talking points are available on the LRF website for advocates and volunteers to use when reaching out to legislators about this critical issue. By visiting the Public Policy section of the website, members of the lymphoma community NJ Advocacy: Utilizing the Power of My Lymphoma Experience By Nancy Januszewski, NJ Advocacy Chair and LRF Board Member L ymphoma is the best thing that ever happened to me. Well… not exactly; however, enduring the most difficult challenge of my life has certainly enhanced my personal and spiritual growth. My lymphoma experience, first as a patient and now as a survivor, continually reminds me that anything is possible and we can in fact change the world. After I completed my treatment, I was determined to use my personal experience as an American living with cancer to help 10 Lymphoma Today can send letters directly to their legislators, making sure their voice is heard. Another important policy initiative supported by LRF is the creation of a blood cancer research program with in the Congressionally Directed Medical Research Programs (CDMRP), located in the Department of Defense. For the past eight years, LRF and the blood cancer community have proposed that Congress expand the CDMRP to include a blood cancer effort. The Lymphoma Research Foundation is again urging Congress to provide $10 million in FY 2009 to fund a full range of blood cancer research. In March 2008, LRF improve the lives of others struggling with a lymphoma diagnosis. In this quest, I learned that as advocates, the entire lymphoma community has a crucial role to play in conquering this disease. My participation in the Scientist<>Survivor Program of the American Association for Cancer Research (AACR) helped me to understand the unique power my lymphoma experience provides me. This April, I had the privilege of participating for a third time in this enriching advocates sent over 400 letters to members of the United States Senate, urging them to support this initiative. As a result, over twenty Senators signed a letter supporting the blood cancer research program, more than double the number of legislators who supported the effort last year. To learn more about the legislation mentioned in this article, or to view all of LRF’s 2008 policy priorities, visit the Public Policy section of the LRF website. n program at the AACR annual meeting. The program exposes patient and survivor advocates to cutting-edge research and broadens our understanding of the fundamental topics in cancer research. Just as importantly, this program fosters collaboration between the scientific and advocacy communities. The most profound aspect of my participation in this year’s program was what I learned from the diverse group of participants from around the world who represented a wide range of cancer advocacy organizations. Their experiences raised my awareness of cultural, geographical and economic barriers to cancer care of which I was unaware. It is vital to Development Friends For The Cure & The 2008 Summer Solstice F riends For the Cure (Friends) is a group of people who come together throughout the year to contribute their time and talents to raise money and awareness for the Lymphoma Research Foundation. On June 25, 2008 the Friends Committee welcomed over 350 people to the Summer Solstice Benefit at the Charles Nolan Studio in New York City. A fantastic success, the event raised over $58,000 this year, which is a 60 percent increase from 2007. We would like to extend our heartfelt thank you to everyone who contributed to the Summer Friends Committee members (left to right): Jessica Kleiman, Zhanna Segal, Natalie Bloom, and Corinne Kotler share our experiences and perspectives in order to accurately and completely identify the challenges and opportunities in our conquest of cancer. That is why, when others ask me what we can do with the lymphoma experience we have in our backpacks, I tell them that we can use what we have learned to help others and one another. Collectively, we have the power to make a difference and ultimately find a cure for lymphoma. To learn more about Nancy’s experience at this year’s AACR Annual Meeting, please visit the Public Policy section of the LRF website at www. lymphoma.org. Natalie Bloom , Event Chair & Michael Glassm LRF supporte an, r Samantha Shanken Baker and Jennifer Leary of Wine Spectator Magazine Solstice and offer our congratulations to the Committee for an amazing job well done. The evening was held in a beautiful loft like space, offering great views and fun music. Guests enjoyed cocktails from Bombay Sapphire, wine from Cupcake Vineyard and Kenwood Vineyard, champagne from Perrier Jouet and ice cold Samuel Adams beer. Guests had the opportunity to bid on great silent auction packages or purchase raffle tickets for the chance to win a prize—all while enjoying the company of other young professionals, LRF supporters and volunteers. We would like to thank our Event Sponsor Diamond Carter Trading, our Solar Sponsor Hearst Magazines and our Terrestrial Sponsor Richards Capital Management. We would also like to say a special thank you to Wine Spectator for their continuous support of the Lymphoma Research Foundation and the many fundraising events hosted throughout the year. We would also like to thank the following in kind donors who provided the delicious desserts—Godiva, Magnolia Bakery, Crumbs Bakery, Garrett’s Popcorn, l.a.s.t. bite, Ciao Bella Gelato—as well as all of the individuals who donated silent auction or raffle prizes. The success of this event would not have been possible without the hard work and commitment from our Committee. This year’s event chair, Natalie Bloom, said that she “was so proud to be involved with planning the Summer Solstice Benefit because the end result was amazing. Small collective actions yield big results and everyone who contributed to this event has played their part to help find a cure for lymphoma.” John Diamond and friends from Diamond Carter Trading, Event Sponsor Andy Madoff, Chairman and CEO of LRF’s Board of Directors, became involved with LRF through various volunteer capacities four years ago. When told about the success of the benefit Andy said, “thank you to everyone who participated in this event. It’s wonderful to see so many young professionals tirelessly working on and supporting this very important cause. The young professionals who are currently involved with LRF could potentially be the future leaders of the Foundation.” To view photos of the event, please visit www.lymphoma.org and click on the Programs & Events tab. For more information about Friends For the Cure or the 2008 Summer Solstice, please contact Taylor Zitay at [email protected] or (646) 465-9103. n www.lymphoma.org 11 Chapters Lymphoma Events Increase Awareness and Raise Funds for Research & Programming Lymphomathons Break New Records E very year, volunteers from around the country gather together in big cities and small communities to raise awareness and funds for lymphoma research through the Lymphoma Research Foundation’s (LRF) Lymphomathon program. These non-competitive 5Ks are fun for the whole family. LRF expresses its heartfelt appreciation to all those who contributed to the first eight walks in 2008. South Florida Date: March 2, 2008 Amount Raised: $33,000 Walk Co-Chairs: Donna and Jerry Kaplan Dallas Date: April 26, 2008 Amount Raised: $96,000—with the additional funds anticipated, they are expected to join the “$100,000 Club” Walk Chair: Steve Phillips, PhD 12 Lymphoma Today New York City Date: April 26, 2008 Amount Raised: $241,000 New Jersey Date: May 4, 2008 Amount Raised: $168,000 Walk Chair: Patty Oswald Michigan Date: April 26, 2008 Amount Raised: $32,000 Volunteer Committee: Doug La Rowe, Milt and Bridgett Ezzard, Maureen Fernandez, Emily Chartow and Vernice Woolen Minnesota Date: June 7, 2008 Amount Raised: $118,000 Walk Co-Chairs: Alex and Jane Gohar Chapters Lymphomathons March 2 4 Delray Beach, FL April 26 4 Belleville, MI April 26 4 Dallas, TX April 26 4 New York, NY May 4 West Windsor, NJ 4 June 7 4 Minneapolis, MN June 8 4 Seattle, WA June 8 4 San Francisco, CA August 24 Chicago, IL September 13 Little Rock, AR September 20 Philadelphia, PA October 18 Stamford, CT November 2 Roxbury, NJ November 9 Phoenix, AZ Save the Date San Francisco Date: June 8, 2008 Amount Raised: $90,000 Walk Chair: Geoffrey Williams The Lymphoma Research Foundation (LRF) and event co-chairs Bruce Cheson, MD and Christine Cheson, invite you to participate in a unique opportunity in the DC area. Seattle Date: June 8, 2008 Amount Raised: $30,000 Walk Chair: Christina Long Committee Members: Tim and Terri McLean, Nancy Press and Daniel Suk November 15 Irvine, CA 4 completed LRF Announces Two New Chapter Affiliates Tucson Affiliate Northern New Jersey Affiliate Dawn Kulesa recalls being diagnosed with an indolent non-Hodgkin lymphoma on June 5, 2007 and wondering, like many others, “how could this happen to me?” Nancy Januszewski’s story on LRF’s website immediately appealed to her. Through LRF’s Lymphoma Support Network she and Nancy connected. “I was the true recipient of all of LRF’s goodness,” says Dawn and “now I want to take action and help others.” In March 2008, while attending the Arizona Lymphoma Workshop in the Scottsdale area, Dawn was in awe of the quality of experts who dedicated their Saturday to the program and the entire room of survivors. She decided to take the next step and spearhead the Arizona Chapter’s establishment of a Tucson Affiliate. For more information and to get involved, please visit www. lymphoma.org/arizona. The Lymphoma Research Foundation’s (LRF) New Jersey Chapter is pleased to welcome its first affiliate in Northern New Jersey. Karen Dorne first became involved with the New Jersey Chapter four years ago, following her son’s diagnosis of diffuse large B-cell lymphoma at the age of 31. Her commitment to enabling LRF to achieve its mission expands throughout New Jersey and beyond. She currently serves on the Board of Directors of the New Jersey Chapter, is the President of the Northern New Jersey Affiliate and hosts third party events, such as the annual Lymphoma Tennis Tea Party. The Affiliate plans to host its first Lymphomathon on November 2, 2008. For more information or to join them in the quest to achieve LRF’s mission, please visit www.lymphoma.org/newjersey. n The Second Annual Lymphoma Research Ride will take place on Sunday, September 21, 2008 in Montgomery County, MD. Registration will begin at 8:00 AM and the ride will officially start at 9:00 AM. Event co-chair, Dr. Cheson, is a world-renowned scientist, Professor of Medicine, Head of Hematology and Director of Hematology Research at Lombardi Comprehensive Cancer Center at Georgetown University Hospital. As chair-elect of LRF’s Scientific Advisory Board, Dr. Cheson knows first hand how every dollar raised helps move scientists one step closer to finding a cure! Three Easy Ways to Find Out More Web: www.lymphoma.org/ride2008 E-mail: [email protected] Call: (800) 235-6848 LRF would like to extend its sincere gratitude to this year’s sponsors: Platinum—Genentech BioOncology/ Biogen Idec Gold—Cephalon Oncology, Celgene and M&T Bank Silver—BB & T and Millennium Pharmaceuticals Other Proud Sponsors—The Barnesville School, Cannondale, Comcast and Washingtonian. www.lymphoma.org 13 Development Tom Condon welcomes everyone. Children sell hand made goods and donate proceeds to LRF. Golfers Enjoy a Fun Family Day in Sunny California T he Second Annual Condon Family & Friends Charity Golf Classic was held on April 26, 2008 in Santa Barbara, CA. The day started out with a golf tournament, followed by a cocktail hour and dinner where the golfers were joined by family members, friends and neighbors who all came out to support LRF. The event raised almost $80,000, bringing the two year total to over $160,000! We would like to express our appreciation to everyone who participated or volunteered their time. Thank you to our sponsors: Eagle Sponsors: Employees of China Pavilion, Ichiban Sushi and Pavilion Garden; Lisa Lee and Peter Chen; The Condon Family Foundation; and, Bobby Webb. Birdie Sponsors: CKE Restaurants; DIANI; Environmental Specialized Solutions, Inc.; Enterprise Rent-A-Car; The Handtman Family Foundation; Mike and Nancy Harahan; Maps.com; Harlan Thompson and Capital Guardian; and, Personal Investment Management. Happy Hour Sponsor: Brad & Alisa Haley. We would especially like to thank all of the children who sold hand made origami and wine charms to golfers throughout the day and generously donated the profits to LRF. “Our goal for the tournament was to spread the word about lymphoma and garner support for LRF. We were so touched by the positive response we received this year and are greatly looking forward to another wonderful event in 2009,” said Tom Condon, 2008 Golf Committee Member. For more information about the Condon Family & Friends Charity Golf Classic, please contact Taylor Zitay at (646) 465-9103. n Second Annual Luncheon Offers Fashion and Fun! T he Second Annual Luncheon Benefiting the Lymphoma Research Foundation was held on March 17, 2008 at St. Andrews Country Club in Boca Raton, FL. This year’s event raised over $108,000 bringing the two year total to over $215,000! Guests enjoyed presentations by Suzanne Bliss, LRF President, Michael Yudell, President of LRF’s Delaware Valley/ Philadelphia Chapter, and Errol Cook, former CEO & Chairman of LRF’s Board of Directors, among others. Neiman Marcus presented a runway show that brought the latest in designer fashion trends and provided great entertainment for the 300 women 14 Lymphoma Today in attendance, including chair of the event Judy Bronsteen and co-chairs Elisabeth Dalfen and Mitzi Oreman. We would like to thank our sponsors— Platinum Sponsors: Gladys Cook, Jane & Martin Greenberg Foundation, Elaine Sarnoff and a generous anonymous donor; Gold Sponsors: M.L. Marks, Chickie Silver and Edith Stein. “Michael Yudell was our inspiration for the very first Luncheon last year and we look forward to many more wonderful events in the future,” said Judy Bronsteen. Please stay tuned for information regarding the 2009 Luncheon. n Mitzi Oreman, Judy Bronsteen & Elisabeth Dalfen (left to right) Jane Yudell, Mike Yudell, Jacqui Rick with daughter Sophia (left to right) Development Love to Find a Cure Gala Raises $44,000 Two days before Valentine’s Day, over 200 people gathered in the Twin Cities to experience delicious tastings of signature entrees from ten top chefs at the Lymphoma Research Foundation’s (LRF) Minnesota Chapter 2008 Love to Find a Cure. The event raised over $44,000. Nick Olsen’s eight-year old daughter presented the first annual Minnesota Inspiration Award to him in a moving speech that left few dry eyes in the audience. A sincere thank you goes to local NBC anchors, Diana Pierce and Pat Evans, for their energy and dedication while serving as master of ceremonies. The Twin Cities lymphoma community and the local Minnesota Chapter invite you to stay tuned for the 2009 date and participate in what will undoubtedly be another stellar event. n Chicago Golf Classic Postponed to September Inclement weather postponed the Lymphoma Research Foundation’s Inaugural Chicago Golf Classic. The new date for this exciting event is Monday, September 8, 2008. The event will still be held at the Briarwood Country Club in Deerfield, IL, as originally planned. Limited sponsorships and playing spots are still available. For more information or to get involved, please contact Jessica Simon at (312) 263-1616. Your Donation to Lymphoma Research Can Be Matched Dollar for Dollar T oday, your contribution, of any size, can be doubled by giving to one of the Lymphoma Research Foundation’s (LRF) challenge grants. These grants are designed to enhance LRF’s ability to continue funding cutting edge research in the areas of follicular lymphoma and chronic lymphocytic leukemia/ small lymphocytic lymphoma (CLL/SLL). Details of each are highlighted below. For more information or to discuss these grants in more detail, please contact LRF’s President, Suzanne Bliss, at (800) 235-6848. Werner Family Follicular Lymphoma Research Challenge Grant If LRF is able to raise $3 million it will receive an additional $1 million towards its Follicular Lymphoma Research Initiative. Michael Werner, LRF Board of Directors member and follicular lymphoma survivor, launched this challenge with his family to contribute to promising research in the treatment of the disease. The Follicular Lymphoma Research Initiative aims to develop novel therapeutic strategies for the treatment of the disease and your contribution can help fund research toward this goal. Prince Family CLL/SLL Lymphoma Research Challenge Grant Watching his father go through a CLL/SLL diagnosis, treatment and death at a relatively young age, Steve Prince made the commitment to join the fight against lymphoma. One of his numerous initiatives includes the Prince Family CLL/SLL Lymphoma Research Challenge Grant, in which his family commits to supporting translational research targeting CLL/SLL by matching every donation, dollar for dollar, up to $1.5 million. Why Support These Challenge Grants? • L RF’s research program is governed by 45 world-renowned lymphoma experts. • All grants submitted to the Foundation undergo a rigorous peer-review selection process and awards are highly competitive. • A t the present time, neither follicular lymphoma nor CLL/SLL are curable. • 85 cents of every dollar spent at LRF goes to research and programming. • Advances made in these disease may unlock mysteries in other types of lymphoma and beyond to other cancers. Until We Find a Cure— LRF is Here to Help You Numerous resources exist to provide education and support to patients, survivors and loved ones affected by lymphoma. Specific resources on follicular lymphoma and CLL/ SLL are highlighted below: Follicular Lymphoma Visit www.lymphoma.org and click on “For Patients” to access disease-specific fact sheets, webcasts and other resources. CLL/SLL Visit www.cllinfogroup.org for up-to-date, accurate information specifically focused on CLL/SLL. The trained public health and mental health professionals on our Lymphoma Helpline are here to help. Please call them at (800) 500-9976 with any questions. n www.lymphoma.org 15 Calendar Lymphomathons Fundraising Events Patient Programs March 2 4 Delray Beach, FL April 26 4 Belleville, MI April 26 4 Condon Family and Friends Charity Golf Classic Santa Barbara, CA Lymphoma Workshops May 10 4 Seattle, WA April 26 4 Dallas, TX April 26 4 New York, NY May 4 West Windsor, NJ 4 June 7 4 Minneapolis, MN June 8 4 Seattle, WA June 8 4 San Francisco, CA August 24 Chicago, IL September 13 Little Rock, AR September 20 Philadelphia, PA October 18 Stamford, CT June 21 4 Omaha, NE June 28 4 Chicago, IL June 25 4 Friends for the Cure event New York, NY October 18 Minneapolis, MN November 8 New York, NY August 4 Lymphoma Research Foundation Annual Golf Classic Greenwich, CT Ask the Doctor About Lymphoma March 26 4 Washington, DC August 10 Falmouth Road Race Falmouth, MA September 8 Midwest Golf Classic Briarwood Country Club Deerfield, IL April 16 4 New York, NY April 23 4 Los Angeles, CA May 14 4 Philadelphia, PA June 14 4 Scottsdale, AZ September Minnesota North American Educational Forum on Lymphoma September 26-28 San Francisco, CA November 9 Phoenix, AZ October 6 Lymphoma Research Foundation Annual Gala New York, NY Teleconferences April 16 4Cutaneous T-Cell Lymphoma November 15 Irvine, CA 4 event completed July 24 4CLL/SLL: Part II November 2 Roxbury, NJ June 26 4CLL/SLL: Part I NONPROFIT ORGANIZATION US POSTAGE PAID Lymphoma Research Foundation 115 Broadway, 13th Floor New York, NY 10006 RETURN SERVICE REQUESTED LRF is launching a new follicular electronic newsletter! Sign up at www.lymphoma.org If you received more than one copy of Lymphoma Today, kindly notify us at (800) 235-6848. NEW YORK, NY PERMIT #370