Formed in 2010, Snowdome seeks to improve outcomes for Australians with blood cancers (myeloma, lymphoma, leukaemia). The charity’s aim is to ‘unlock new treatments’ by channelling government and philanthropic investment into early phase human clinical trials of next-generation drugs and therapies.

So how is pathology involved?

Molecular pathology techniques are used to diagnose all blood cancers including myeloma, leukaemia and lymphoma.

Pathology testing also shows how a person is responding to a novel treatment during clinical trials, and for patients who may have exhausted other options, access to these treatments can be lifesaving.

Snowdome funds projects based at several different institutions including the Peter MacCallum Cancer Centre and Epworth HealthCare.

Nicole Brooks, Research Program Manager, Molecular Oncology and Cancer Immunology Department (MOCI) Epworth HealthCare said;

“As researchers, we want to ask more questions and as a result of the efforts of the Snowdome Foundation, Epworth Medical Foundation and other philanthropic organisations we are in a fortunate position to continue our research efforts.

“Our research is not just tinkering in the lab in the way many people might think. Rather, a group effort to provide desperate patients an alternative option and when we can prove that something is actually working, we can then make a case to get access to new drugs for more patients.”

As cancer therapy is increasingly delivered as precision treatment, this requires precision diagnostics.

Dr Piers Blombery is a Consultant Haematologist and medical lead of Peter Mac’s Molecular Haematology Laboratory. This lab runs an Australia-wide genomic testing service which from a blood sample can identify genes or genetic irregularities known to drive cancer.

“For the patient it’s no more difficult than a standard blood test, and the information we get is very powerful in guiding and personalising their treatment,” says Dr Blombery.

“It often means we can rule out approaches that won’t work, or will have a very poor response, and instead go down treatment pathways that should get the best results.”

For example, every year about 1000 Australians are diagnosed with chronic lymphocytic leukaemia (CLL). Genomic testing can reveal whether these patients have either an IGHV or TP53 gene irregularity.

Both are clinically important. CLL patients with an IGHV irregularity respond well to standard chemo-immunotherapy, and this treatment can give them long-term remissions.

“Alternatively, we also know CLL patients with a TP53 irregularity will likely have a very poor response to standard chemo-immunotherapy,” Dr Blombery says.

“These patients do better on novel agents such as BTK inhibitors or BH3-mimetic agents which are currently accessible through clinical trials or compassionate access programs.”

“It is genomic testing that allows us to find these irregularities and ensure patients get the treatments most likely to work for them.”

Dr Blombery also said when performing genomic testing, new clinically important gene irregularities can be discovered. These are passed to researchers who are looking to better understand the fundamental drivers of cancer.

“The more of these gene irregularities we know of, the more we can develop potential new anti-cancer drugs and also personalise treatments so patients have better outcomes.”

Miriam Dexter, CEO of Snowdome Foundation, said;

“Based on international evidence, we know that patients have better outcomes on clinical trials, but many people will be unaware that due to our small population, Australian patients are rarely included in blood cancer trials”.

“That is the mission of Snowdome, to ensure more early phase clinical trials are initiated here in Australia.”

The type of research we fund is not confined to the laboratory, but relies on pathology testing to monitor success and manage patient welfare, as well as the development of companion diagnostic tests that are the gateway to novel therapies.”

To learn more about Snowdome Foundation visit snowdome.org.au

IMAGE: Supplied by Snowdome Foundation, taken at Cartherics Lab (MHTP).

The post How Snowdome Foundation is making hope real in the blood cancer battle first appeared on Know Pathology Know Healthcare.

Ros began her healthcare career as a nurse, training at the Royal Melbourne Hospital 50 years ago and spent the last few years of her career working as a pathology collector before retiring at Christmas last year.

Ros was first diagnosed with breast cancer in 2011. She was called back for further examination after an abnormal breast screen and then underwent a fine needle aspiration biopsy and a lumpectomy. This confirmed she had breast cancer that was spreading to her lymph nodes.

Doctors treated Ros using chemotherapy and radiation therapy during which pathology was vital to guide treatment.

Blood tests every three weeks tracked her health during chemotherapy as drug doses must be carefully monitored for side effects.

“Pathology was fantastic” said Ros. “Without it, the doctors would be pouring quite toxic drugs into me without knowing what was going on!”

Although now in remission for her breast cancer, she was diagnosed with Chronic Lymphocytic Leukaemia (CLL) about a year ago.

A blood test showed abnormal red and white blood cell counts. Further blood tests and a bone marrow biopsy confirmed that Ros had CLL. Luckily the disease was caught in its infancy. She has no symptoms and at the moment she does not require treatment.

Doctors use the results of frequent blood tests and annual bone marrow biopsies to monitor her and assess disease progression.

“Throughout the last five years pathology has been a big part of my life, with regular blood tests as well as the bone marrow biopsy and lymph node biopsy I’ve been no stranger to the pathology team!”

The post “Throughout the last five years pathology has been a big part of my life” – tests help Ros fight 2 types of cancer first appeared on Know Pathology Know Healthcare.