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JULY 2009
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Lauren Muehl and Antoine Munf FEATURED ARTICLE

Finding Love at the Walk
Lauren Muehl meets husband Antoine Munfa at the Light The Night® Walk at the Brooklyn Bridge
READ MORE
TNT® Logo

FUNDRAISING UPDATES

Team In Training®
An Inaugural Marathon in Seattle  READ MORE

Hodgkin Lymphoma Survivor Joined by Sister, Mom at Nike Women's Marathon  READ MORE

Walk 13.1 Miles in Sunny Florida and Help
Save Lives
  READ MORE

Man & Woman of the Year
National winners of Man & Women of the Year 
READ MORE


PATIENT SERVICES

Co-Pay Assistance for Patients with Myeloma  READ MORE

My CML Tracker - New Online Resource  READ MORE

Featured Resources 
READ MORE

VOLUNTEER

United We Serve - You Can Volunteer for The Leukemia & Lymphoma Society  READ MORE

RESEARCH

LLS and The International Waldenstrom's Macroglobulinemia Foundation Partner to Advance Research READ MORE

Q&A w. Jonathan W. Friedberg M.D., Scholar in Clinical Research  READ MORE

ADVOCACY

Health Care Reform Takes Center Stage  READ MORE

FROM THE LLS BLOG  READ MORE



 

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PRESS RELEASES

Visit our Web site regularly to read the latest LLS press releases.

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Our imagination flies. We are its shadow on the earth. Vladimir Nabokov

FEATURED ARTICLE

Lauren Muehl and Antoine MunfaFinding Love at the Walk

Everyone finds love in different ways. Some find it in college.  Others in bars.  More than you think find it online. Lauren Muehl, of Manhattan, says she found it through her Dad. In 1997, her father, Charles G. Muehl, died of leukemia. Then, in 2003, Muehl saw an email about the The Leukemia & Lymphoma Society's (LLS) Light The Night® Walk at the Brooklyn Bridge and joined the fight against cancer. 

"I didn't want others to lose what I lost," she recalls. "Little did I know what I would gain that night." 

That night Muehl met Antoine Munfa.

"Antoine and I both went to college at Yale. We probably crossed paths hundreds of times, but we didn't meet until that night," says Muehl. "Two and a half years later, Antoine got down on one knee in front the lights of the Eiffel Tower, and asked me to marry him. To see the sparkle of the Eiffel Tower and the diamond brought back another set of 'bright lights' - the ones that lit up the sky the night we met at the Light The Night Walk. And the light that guided me to Antoine - my Dad. And although my Dad wasn't there in the flesh, I knew he was there in spirit - continuing to influence me as he always has done."   

Muehl, 29, and Munfa, 28, married in New York City on June 14, 2009.

Visit www.lightthenight.org
to learn about walks in your area.


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FUNDRAISING UPDATES

Team in Training® LogoAn Inaugural Marathon in Seattle

Team In Training (TNT) participants helped celebrate the inaugural Rock 'n' Roll Seattle Marathon on June 27. TNT sent 1,402 participants to Seattle, raising $4 million to support blood cancer research and patient services. The top fundraiser in Seattle for TNT was Carroll Rogers of Georgia, who raised $44,037.

The event organizer, Elite Racing, the Events Division of  the Competitor Group,  announced that TNT partipants have raised a remarkable $200 million over the 12 years that TNT has been involved in Elite events.

All TNT participants train in honor of patients with leukemia, lymphoma or myeloma. One participant, Gloria Davey, did the race in honor of her four-year-old grandson, Isaac, who was diagnosed with stage four lymphoblastic lymphoma when he was 19 months old.  As Issac endured his first year of treatment, Davey too set her own finish-line goal: to run a marathon in his honor and raise money for cancer research. 

"I'm over 50 and I'm not an athlete," Davey says, "so I thought it was impossible. My endurance sport is gardening. But my daughter-in-law asked me to do it with her, and with Issac as my inspiration, I knew I could," she said.

Davey ran her first marathon in San Francisco in 2007.  And then, since Issac was still in treatment, she did it again in Portland in 2008.  For Issac's final year of treatment, Davey ran the Rock 'n' Roll Seattle Marathon.  Two weeks later, Issac completed his treatment.

 "All along I thought I was the one giving - running marathons and raising money as I watched Issac get better - but, to my surprise, it turns out I'm the one who's blessed," Davey said.  "I learned how to run, and I got so much stronger and healthier."

TNT participants also went to Anchorage, Alaska, for the Mayor's Marathon and Half Marathon. TNT sent 400 participants, who raised $1.8 million. With this event, TNT hit the $75 million mark since first participating in the Anchorage marathon in 1995. Cathy Chisholm of Virginia was the top fundraiser, raising $30,000 in honor of her friend, who is a lymphoma survivor. Angela McCoy from South Texas, a breast cancer and lymphoma survivor, was the honored speaker at the pasta party. She and her husband, Steve, celebrated their 11th anniversary on race day!

To learn more about TNT visit
www.teamintraining.org.

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Marcella Marcheschi Hodgkin lymphoma survivor, Nike Women's Marathon participant, and her sister Gabriella Marcheschi

Hodgkin Lymphoma Survivor Joined by Sister, Mom at Nike Women's Marathon

Marcella Marcheschi was 26 when she heard the words that would forever change her life.

"I don't think words can explain what it feels like to be told you have cancer," says Marcheschi of learning of her diagnosis of Hodgkin lymphoma in January of 2008. "All of a sudden I wasn't a young healthy 20-something anymore. I had something in my body killing me."

A grueling regimen of chemotherapy, radiation and steroids was a test of endurance, but finally knocked out the cancer.

"I did my best to keep a positive attitude, but losing my hair did take its toll," recalls the San Francisco resident. "There's just something about waking up and all of the hair on your body is gone. Up to that point you know you're sick, but you can't see cancer on the outside so it's easy to pretend like everything is ok. But when you look at yourself in the mirror and see a bald head I think I speak for most cancer patients when we say that is the moment you feel like you start to lose yourself to this disease."

A family friend directed her to The Leukemia & Lymphoma Society (LLS) for help and support. "LLS was a great resource and gave me some really helpful information." Marcheschi soon learned about LLS's Team In Training® (TNT), the world's first, biggest and best sports training and fundraising program, and before she knew it, one of her friends had signed on to do a marathon in her honor. Then more friends, family members and coworkers began doing events in her honor. Marcheschi became an official honoree of TNT and was volunteering at events and sharing her story. She made a commitment to participate in an event herself, as soon as she regained her strength.

June 2009 marked the one year anniversary of the completion of Marcheschi's treatments. "What better way to celebrate one year of remission than to finally get out there and become a TNT participant?"

Marcheschi will be joined at the Nike Women's Marathon and Half Marathon, a Race to Benefit The Leukemia & Lymphoma Society, in San Francisco on October 18, 2009, by her sister, Gabriella, 30, also of San Francisco, and their mother, Maria Marcheschi, of San Mateo, Ca. They will be running the half marathon.

"I've never run in my life but I couldn't think of a better way to push myself to do something new and celebrate my health," says Marcheschi. "I heard about the Nike Women's Marathon from several TNT participants that have run it in the past. Everyone talks about what a great race it is and the incredible presence LLS has in it."

Marcheschi says she and her family feel an overwhelming desire to give back. "We're all so thankful for LLS and all the amazing things that have been accomplished through TNT. There's no doubt in my mind that I'm here today because of LLS and I will forever be grateful to the people who make the organization what it is. Cancer is scary and devastating, but TNT has proven that together we have the power to not just save more lives but ultimately we have power to potentially change the prognosis of cancer forever."

Visit www.teamintraining.org
to learn more about TNT.

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Walk 13.1 Miles in Sunny Florida and Help Save Lives

More than 38 million Americans consider themselves fitness walkers and more and more of those people are signing up to walk in marathons and half marathons, such as the inaugural 'Women's Running Magazine' Women's Half Image from 'Women's Running Magazine' Women's Half Marathon & 5K to benefit The Leukemia & Lymphoma Society Marathon & 5K to benefit The Leukemia & Lymphoma Society on November 22, 2009.

The flat, fast race course winding through the scenic downtown St. Petersburg waterfront, through quaint communities, past historic buildings and museums, makes this an ideal venue for walkers, both beginners and experienced. And, with a generous time limit, the course is ideal for walkers.

The Leukemia & Lymphoma Society's (LLS) Team In Training (TNT), the world's first, biggest and best sports training program, is currently recruiting participants to walk or run the half marathon in St. Petersburg. As more endurance events have allowed walkers to join their ranks, TNT has grown to include more participants who are moved by the cause of fighting blood cancer but are more interested in walking a half marathon than running one.

Certified coaches provide walkers months of exceptional training, helping participants attain their goals. The program includes walk-specific clinics on race strategies and technique, nutrition and hydration, and gear, and travel and lodging accommodations. As a member of TNT, participants also enjoy the camaraderie of a supportive team environment, and in return, raise money to help find cures for leukemia, lymphoma and myeloma and provide critical services to patients and their families.

"As a Team In Training coach of 15 years, I'm thrilled that we're now offering the "Women's Running Magazine" Women's Half Marathon because it's ideal for walkers of all levels," said Tom Dooley, national advisory walk coach for TNT. "It's a flat, walker-friendly, beautiful course that everyone can enjoy."

In addition to the half marathon in St. Petersburg, TNT is currently recruiting for other winter events, such as the Walt Disney World Marathon and Half Marathon, and the P.F. Chang's Rock 'n' Roll Arizona Marathon and Half Marathon. For more information call (800) 482-TEAM, visit
www.teamintraining.org.


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Man of the Year Dawson Grimsley, and Kansas Boy and Girl of the Year Reese Naylor and Braeden Gilbert
2009 Man & Woman of the Year Campaigns Raises
More Than Ever


A record-breaking number of candidates enabled The Leukemia & Lymphoma Society's (LLS) 2009 Man & Woman of the Year campaign to raise more money than ever in the history of the program. Final fundraising numbers are still being tabulated, but with 461 candidates from 54 cities, the participants raised more than $7.7 million to support blood cancer research and patient services.
 
Out of those 461 candidates, one man, Dawson Grimsley, of Wichita, KS, and one woman, Ari H. Jones of Fair Oaks, VA., have emerged as the national winners of the Man & Woman of the Year competition for being the top fund
raisers in the nation.
 

Grimsley, president and owner of Davis Moore-Auto Group in Wichita, raised $186,426, during the 10-week program in which every dollar raised counts as one vote, through a combination of auctions and sending emails soliciting donations from more than 100,000 friends, family and business associates. One of Grimsley's employees, Renee Dusek-Higgins, whose sister is a leukemia survivor, was Woman of the Year for the Kansas Chapter in 2007, and she nominated Grimsley this year.
 
"If you have ever thought about getting involved and want to make a difference, LLS's Man & Woman of the Year is an excellent way to do so," said Grimsley. "It is an amazing ride and an excellent way to give back. My team and I were relentless just like all the men, women and children fighting these blood cancers. Together we can make
difference!!!"
 

Jones, a metastatic thyroid cancer survivor, and mother of two, achieved her accomplishment of raising $139,630 with the help of more than 40 other mothers, calling themselves "Moms for a Cure." They held a Rock 4 a Cure event, with live entertainment, silent auction and gift boutique. They held candy sales, and conducted massive letter-writing and email campaigns. And the Melting Pot, a national chain of fondue restaurants, donated 20% of sales to the cause.

"We were suburban moms looking for a way to impact the community," says Jones. "By joining forces, we were able to raise more than $139,000 to improve the lives of cancer patients and their families through yard sales, letter writing, selling candy bars and networking to moms around the country. In 10 short weeks we were able to raise enough money to touch thousands of lives forever. What an extraordinary experience!"

Woman of the Year Ari H. Jones and National Capital Area Boy of the Year Alessandro Valeri Jones added that winning both the National Capital Area title and the national title in a difficult economic environment proves that a grassroots organization can really make a difference.

"LLS is greatly moved by the generosity and hard work of the candidates and campaign teams during the 2009 Man & Woman of the Year campaign," said Blair Fogle, national manager of the Man & Woman of the Year campaign.  "Nearly 500 Candidates proved that with passion and determination, unbelievable things are possible for our mission. They are true community leaders. Thank you does not even begin to express our gratitude for their efforts." 

Candidates run in honor of the Boy & Girl of the Year, who are local blood cancer patient survivors and sources of inspiration to others.  For more information about the Man & Woman of the Year program, click
here.
 

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PATIENT SERVICES

Copay assistance imageCo-Pay Assistance for Patients with Myeloma

When Kalimah Jenkins, 44, of Atlanta, went to the doctor suffering from excruciating bone pain and fatigue in 2004, she was shocked by the diagnosis: myeloma, a blood cancer that starts in a plasma cell in the marrow and affects the bones, the blood cells and other organs in the body. In fact, the struggle being waged by Jenkins, who is African American, brings to light a little-known fact: myeloma is twice as prevalent among African Americans as it is among Caucasian Americans.

Jenkins had her next shock when she realized how expensive it would be to pay for her treatments. She is currently being treated with a drug called Revlimid® , one of a growing arsenal of new therapies that have greatly improved survival rates for patients with this blood cancer. But the treatments are costly.

Fortunately, Jenkins' doctors at Emory Winship Cancer Institute informed her about a program offered by The Leukemia & Lymphoma Society (LLS) to help her pay for the drugs. LLS Co-Pay Assistance Program (www.lls.org/copay) provides up to $5,000 annually for qualified patients, to help pay for prescription drug co-pays and health insurance premiums.  Patients with private insurance, Medicare beneficiaries under Medicare part B and/or Medicare Part D, Medicare Supplementary Health Insurance or Medicare Advantage are eligible if they meet the income requirements.

In addition to myeloma, there are funds available for patients with other types of blood cancer.

"When they told me about this program, it was right in time because I was paying my insurance out of pocket and I was at the point of not being able to do it anymore," says Jenkins. "This program has helped me tremendously."

Cislyn Blackwood, 60, of Fresno, CA, has also benefited from the LLS Co-Pay Assistance Program. After being laid off from her job, and with her COBRA benefits running out, Blackwood, who also has myeloma, was desperate. Even with Medicare and supplemental insurance, she couldn't manage the costs of her treatments. In addition to being on and off treatment with Thalomid® , another effective myeloma drug, Blackwood is taking medication to manage the pain in her bones, and the debilitating side effects of treatment, including neuropathy and exhaustion.

"I reached a point where I couldn't pay any more and the co-pay program helped me cover my bills," Blackwood said. "There are a lot of people who aren't taking their medication because they can't afford it and the co-pay program really helps with that."

"Receiving a diagnosis of a blood cancer is overwhelming and that devastating news can be compounded by an inability to afford the treatments," said John Walter, LLS's president and CEO. "LLS is trying to do what it can to help alleviate this burden for patients."

For more information visit www.lls.or/copay or call (877) LLS-COPAY.

Archived Myeloma Teleconferences

Emerging Therapies in Leukemia, Lymphoma & Myeloma
 
This program featured Gail J. Roboz, MD, Associate Professor of Medicine, Director, Leukemia Program, Weill Medical College of Cornell University/New York-Presbyterian Hospital, New York, NY and John P. Leonard, MD, Richard T. Silver Distinguished Professor of Hematology and Medical Oncology, Professor of Medicine, Weill Medical College of Cornell University/New York-Presbyterian Hospital, Clinical Director, New York - Cornell Center for Lymphoma and Myeloma, New York, NY and Robert Z. Orlowski, MD, PhD, Director, Myeloma Section, Associate Professor, Departments of Lymphoma/Myeloma and Experimental Therapeutics, Division of Cancer Medicine, The University of Texas, MD Anderson Cancer Center, Houston, TX


Myeloma: Understanding Drug Therapy and Stem Cell Transplantation


This program featured Seema Singhal, MD, Professor of  Medicine, Director, Myeloma  Program, Robert H. Lurie Comprehensive Cancer Center, Northwestern University, Chicago, IL.


Additional Myeloma Resources:

Myeloma Disease web page

Booklets
Myeloma (PS39)
The Myeloma Guide-Information for Patients and Caregivers (PS49)


Please visit the LLS Community Discussion Boards:
http://community.lls.org/community/bloodcancer/livingwith/multiplemyeloma


 
We're pleased to highlight a new LLS blog post every issue. This month:


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My CML Tracker image
The Leukemia & Lymphoma Society Introduces a New Online Chronic Myelogenous Leukemia Resource and Tracking Tool

Measuring chronic myelogenous leukemia (CML) treatment
response is important. The Leukemia & Lymphoma Society (LLS) is pleased to introduce My CML Tracker , an interactive online tool to help you track medical appointments, medications, side effects and test results. The program went online this spring and already has nearly 200 registered users. Information about My CML Tracker will be sent via email to approximately 9,500 health care professionals this month so that more patients and caregivers can learn about this important tool.

Tracking your response to treatment is extremely critical to ensuring that you are receiving the correct therapy.  Gleevec® is the standard first-line therapy for newly diagnosed CML patients and Sprycel ® and Tasigna® are approved for people with CML who do not respond (or stop responding) to Gleevec, or for those who have intolerable side effects from Gleevec. However, many clinical trials are looking at other potential first-line treatments for CML. Clinical trials for patients with CML who do not respond (or stop responding) to Gleevec are investigating the benefits of increasing the dose of Gleevec versus changing therapy to Sprycel, Tasigna or investigational drugs. Approximately one-third of registrants to My CML Tracker report having discussed clinical trials with their physician. www.lls.org/cmltracker


Following are some additional CML Resources:

Webcast: Understanding CML: A Conversation With the Experts

This exciting Internet web cast begins with Brian J. Druker, M.D., discussing what's new for newly diagnosed patients with CML and continues with Neil P. Shah, M.D., Ph.D, discussing what's new for relapsed/refractory CML patients.

This is a complimentary online continuing education
activity.

Booklets
Chronic Myelogenous Leukemia (CML)

CML: A Guide for Patients (PS72)
My CML Tracker (PS71)

CML Tracker Pages (PS71A)


Please visit the LLS Community Discussion Boards:
http://community.lls.org/community/bloodcancer/livingwith/cml



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Featured Resources

We'd Like to Hear from You!
Please give us your feedback after you read an LLS Publication by completing our evaluation:
LLS Disease & Treatment Publications - Survey for Patients, Family and Friends

Featured Materials

Chronic Myelogenous Leukemia (CML)
CML: A Guide for Patients (PS72)

My CML Tracker (PS71)

CML Tracker Pages (PS71A)
Myeloma

The Myeloma Guide - Information for Patients and Caregivers (PS49)
Myelodysplastic Syndromes (MDS) (PS22)

All LLS publications are free. You may read them online or order copies.
 
July 09 Featured booklets










Upcoming Telephone Education Programs


There are no scheduled programs in August. Please take advantage of our free archived educational programs in any of the following areas:
 
Lymphoma Education Series
Leukemia Education Series
Myeloma Education Series

Myelodysplastic Syndromes Education Series

Survivorship Education Series
 
Interactive Journeys



Featured Web page

First Connection Match


Newly Diagnosed? Receive Support from a Peer Volunteer

The First Connection program provides newly diagnosed patients, caregivers and their families the opportunity to speak with someone who has "been through it" by talking with a trained Peer volunteer by phone.


Interactive Personal Journeys

These free educational programs are for patients, caregivers and healthcare professionals. Participate in these personalized and interactive programs to follow the stories and experiences of cancer survivors.

My Clinical Trials Journey image
My Clinical Trials Journey

This interactive program follows the stories and experiences of 3 cancer survivors who have participated in clinical trials: Steve, a CML survivor; Roger, a multiple myeloma survivor; and Kim, a lymphoma survivor. Ann Pirro, physician's assistant from Queens Medical Center provides expert insights along the way.
Visit My Clinical Trials Journey now
.
 


My Personal CLL Journey

My Personal CLL Journey

This interactive program follows the story and experience of Mike, a CLL survivor. Kanti Rai, MD, of the Long Island Jewish Hospital and nurse practitioner Nancy Driscoll provide expert insights along the way. Visit My Personal CLL Journey now.

 



My Persoanl CML Journey

My Personal CML Journey

This interactive program follows the stories and experiences of CML survivors Jack and Paul. David Porter, MD, of the University of Pennslvania Medical Center provides expert insights along the way. Visit My Personal CML Journey now.
 



My Personal Lymphoma Journey

My Personal Lymphoma Journey

This interactive program follows the stories and experiences of Kristina, Steve and Kim NHL survivors. John P. Leonard, MD, of New York-Presbyterian Hospital provides expert insights along the way. Visit My Personal Lymphoma Journey now.
 




My Personal MDS Journey

My Personal MDS Journey
This interactive program follows the story and experience of Charles,
a myelodysplastic syndromes survivor, and Dorothy, his wife and caregiver. Stephen P. Nimer, MD, of Memorial Sloan-Kettering Cancer Center provides  expert insights along the way.
Visit My Personal MDS Journey now.



Myelodysplasia and Other Hematopoietic Neoplasms:Clues to an Early Diagnosis imageFeatured LLS Program Virtual Lecture

Myelodysplasia and Other Hematopoietic Neoplasms:Clues to an Early Diagnosis -
Apr. 2009




OVERVIEW

This free activity consists of a Lecture Presentation, a Learning Assessment, and an Evaluation form. The content of this virtual lecture is derived from a satellite symposium presented on April 23, 2009, in Philadelphia, Pennsylvania.

MEDIUM: Virtual Lecture
INTERNET RELEASE DATE: June 30, 2009
CE AVAILABLE UNTIL: June 30, 2010

Estimated time to complete this activity: 1.5 hours



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VOLUNTEER
Volunteer for The Leukemia & Lymphoma SocietyHelping Hands

Last month First Lady Michelle Obama announced United We Serve
calling upon all American citizens to find ways to serve in their communities.

Patty Garrity is a volunteer for The Leukemia & Lymphoma Society's (LLS) New York City chapter. Garrity, a Hodgkin lymphoma survivor, is a First Connection volunteer, speaking to newly diagnosed patients about her own experience battling the disease. She is patient ambassador, an active member of the chapter's Patient Services Committee, has participated in LLS's advocacy initiatives and speaks at LLS educational workshops.

"LLS was a terrific resource for myself and my family when we were in the throes of feeling kind of isolated, and volunteering allows me to feel like I'm contributing back and making sure that people who are ill right now aren't feeling as isolated as we did at the time I was diagnosed."
 
Volunteers play a key role in helping The Leukemia & Lymphoma Society (LLS) in its relentless quest for a cure. From fundraising to patient services to advocacy, there are many ways to volunteer with LLS. To learn more about how to help, please visit the LLS Volunteer Page
.


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From the LLS Blog

The Leukemia & Lymphoma Society Blog is an interactive communication resource, updated regularly with news from LLS, as well as guest blog posts from those touched by blood cancer. LLS welcomes your comments on blog posts, as well as feedback to make this a better communication resource for you.

Here's the latest from the LLS blog:

Myeloma Patients Should Apply for Co-Pay Assistance


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RESEARCH

Researcher Image The Leukemia & Lymphoma Society and The International Waldenström's Macroglobulinemia Foundation Partner to Develop Cell Lines to Advance Research

The Leukemia & Lymphoma Society (LLS) and The International Waldenström's Macroglobulinemia Foundation (IWMF) have partnered in an initiative to develop stable and immortalized Waldenström macroglobulinemia (WM) cell lines that would be made widely available to researchers to test potential new treatments for WM.

WM occurs as low-grade B-cell non-Hodgkin lymphoma, characterized by B-lymphocytes in the bone marrow, and an abnormal level of the protein called monoclonal immunoglobulin M (IgM). The disease is slow-growing but a curative treatment has yet to be developed. Cell lines are invaluable in understanding the genetics and biology of cancerous cells. The development of a biologically stable and standardized representative WM cell line will enable researchers throughout the world to test their latest ideas on bioidentical cells and thus compare their results with those of other researchers.

Researchers agree that new cell lines are urgently needed as it is widely understood that the three most used existing WM cells lines may not accurately represent the disease.

"Numerous scientists studying WM report that one of the barriers to finding a cure is the lack of a standardized WM cell line," said LLS Chief Scientific Officer Louis J. DeGennaro, Ph.D. "Together, LLS and IWMF are committed to seeing this critical asset developed in a way so as not to fundamentally change the cellular and functional characteristics of the original tumor, and thus enable researchers to better understand the unique aspects of WM biology and advance more effective treatments for WM patients."

Under the agreement, LLS and IWMF will seek applications and select up to three laboratories to co-fund for up to $100,000 for one year. Continued funding, potentially for up to two additional years, will be contingent on available funds and assessments of progress toward the goal of developing suitable cell lines.

"IWMF has funded several research projects where WM cell lines have been utilized," said Tom Meyers, Ph.D., IWMF vice president of research. "In most cases it is difficult to compare some of the research results because the cell lines are different. This will no longer be the case if this cell line development is successful."

To read about the request for applications or to fill out an application, please visit the following links:

Waldenstroms Macroglobulinemia RFA Information Packet

Waldenstroms Macroglobulinemia RFA Grant Application


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Jonathan W. Friedberg M.D.
Q&A with Jonathan W. Friedberg M.D

Jonathan W. Friedberg M.D., is associate professor at the James P. Wilmot Cancer Center at University of Rochester Medical Center. Dr. Friedberg is a recipient of a Scholar in Clinical Research grant from The Leukemia & Lymphoma Society. His research is focused on targeted therapy for lymphoma.


What is the biomedical problem/issue that you are trying to resolve? 

Indolent and mantle cell non-Hodgkin's lymphomas remain incurable diseases with standard therapy and my work evaluates a new target of therapy for these B-cell lymphomas. The B-cell receptor appears to be critical in maintaining survival of both normal B cells and malignant B cells in the laboratory. Fostamatinib disodium (FosD) inhibits Syk, which is a protein that amplifies the survival signal from the B cell receptor. We have demonstrated safety and efficacy of Syk inhibition in early phase clinical trials. This project will explore rational combinations involving FosD for indolent and mantle cell lymphoma.

What's novel or innovative about your approach?

The B-cell receptor is a novel target of therapy for lymphoma patients. It is specific as a subset of lymphomas appears to rely on a signal from the B-cell receptor in order to survive. If we can successfully identify this subset of lymphomas, early inhibition of the B-cell receptor survival signal may effectively modify the natural history of these diseases to help patients.

How will your work one day help patients?

The Syk inhibitor drug, FosD, is already in clinical development for rheumatoid arthritis therapy. It represents an extremely promising novel targeted agent for the treatment of all types of B-cell lymphoma. I expect it will be most active in combination with other agents, including standard chemotherapy, monoclonal antibody therapy or other novel targeted agents. This project will explore rational treatment combinations in the laboratory, with plans to take the most promising and practical combination into the clinic.

Are you close to clinical trials?

Our first clinical trial of single agent FosD was completed and presented at the ASH annual meeting in 2008; a manuscript is in preparation. I expect additional clinical trials of FosD as a single agent will be initiated over the next year. I hope our data exploring rational combinations will lead to yet another clinical trial over the course of the award period.

What other projects are you excited about and believe will benefit patients?

It is truly an amazing time in indolent lymphoma therapies. I think we are now in an era of "targeted therapy", and hope that our new understanding of the biology of this complicated disease will enable us to choose patients for a specific therapy in a more rational way than previously. FosD is only one example of this type of treatment.  New inhibitors of the BCL-2 molecule are other examples of targeted therapies which are under development for the treatment of lymphoma.

I also am quite intrigued by recent data suggesting that the tumor microenvironment (cells that surround tumor cells), and the body's response to the tumor, is predictive of outcome for patients with indolent lymphomas.  This suggests that the tumor microenvironment may be another target of therapy, equally important to the tumor cells themselves. This is difficult to study in humans, but possible, and for this reason it is important to consider the effects of therapy not only on the tumor but also on the microenvironment of the tumor.

What are some of your hobbies and non-research interests?
 
Most of all, I am a parent to Julia (age 8) and Benjamin (age 5), and I'm interested in their growth and all associated activities. I enjoy reading both non fiction and fiction, and swim when I have time. 


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ADVOCACY

Health Care Reform Takes Center Stage
Capitol Image
When President Obama declared that le gislation overhauling the nation's health care system should be passed this year the stars seemed aligned to address the soaring costs and patchwork coverage Americans face. Consensus among key stakeholders, including the drug industry, insurance companies, business groups, unions, doctors, hospitals and patient groups, suggested that the status quo is unsustainable and that its time to perform radical surgery on the system.

However, as Washington now struggles with the framework and features of reform, Congress and the White House are stumbling in their attempt to forge an agreement.

Most of the debate centers on global issues of program structure, coverage for the uninsured and long-term cost. In the Senate, two bills are under discussion. The bill from the Finance Committee, with a more bipartisan approach, is expected to be merged with a decidedly more liberal bill from the Health, Education, Labor and Pensions  (HELP) Committee. And Democrats on three House panels of health jurisdiction have just released their own combined plan.

The bills share some common themes. Democrats in both houses of Congress want to require people to carry insurance, with subsidies provided to low and moderate income people. Health insurance coverage would be available through a new regulated market known as a health insurance exchange. The exchange would offer individuals and small businesses the ability to easily compare private coverage options. The partisan flash point in this debate is whether one of the plans in that exchange should be a "public" government-run plan. President Obama, along with many Democrats, favors a government-sponsored insurance plan that would compete with private insurers. Critics in the House and Senate believe the government option will run private insurers out of business and even inadvertently speed the erosion of employer-provided coverage.   

Long term cost of reforms is also of great concern, with each legislative approach suggesting a different method of paying for the system. The just released House bill would impose a surtax on wealthy Americans, beginning with a 1 percent levy for couples earning $350,000 and rising to 5.4 percent on income above $1 million.  

The plan under debate in the Senate Finance Committee might come in at about $1 trillion, though it envisions coverage for nearly all Americans, using controversial funding mechanisms. The Finance Committee proposal may include a new tax on some employer-provided health benefits and/or a requirement for employers to help pay the cost of insurance for some of their workers or face penalties that would support coverage of the uninsured and low income workers.   

While the President set a goal of having a bill on his desk by October, that timetable looks increasingly problematic. As the legislation becomes more specific there is no way to avoid making choices, and that has disrupted the earlier momentum. The public will now see more advertising and lobbying by affected groups and greater visibility by the President as he attempts to keep the process on track.

Blood cancer patients and their families naturally want to know how this will affect them and their treatment.
Will they be guaranteed insurance coverage? Will they have access to new therapies? Will they be protected from financial ruin? The specifics of what  benefit plans might include for cancer patients will likely be determined at a much later date following passage of reform legislation. Nevertheless, The Leukemia & Lymphoma Society has joined the cancer community in the establishment of principles
that should guide the crafting of health care reform and will be vigilant in representing blood cancer patients and their families as this debate progresses.

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