July 2024

Featured Publication

Joshua Richter, MD; Sundar Jagannath, MBBS, and colleagues

 

Linvoseltamab for treatment of relapsed/refractory multiple myeloma

Journal of Clinical Oncology. 2024 Jun 16. PMID: 38879802

 

A phase I/II first-in-human trial of linvoseltamab, a B-cell maturation antigen x CD3 bispecific antibody in relpased/refractory multiple myeloma (RRMM), showed that linvoseltamab 200 mg induced deep and durable responses at an acceptable safetly profile. At median follow-up of 14.3 months, the overal response rate was 71%, and median duration of response was 29.4 months. Linvoseltamab demonstrated high efficacy in patients with late-stage RRMM, including patients with high disease burden and high-risk features.

Faculty News

Karyn Goodman, MD, MS, was the discussant at the 2024 ASCO Annual Meeting Plenary Session for the abstract “Prospective Randomized Multicenter Phase III Trials Comparing Perioperative Chemotherapy (FLOT Protocol) to Neoadjuvant Chemoradiation (CROSS Protocol) in Patients with Adenocarcinoma of the Esophagus (ESOPEC Trial).”

 

ESOPEC (NCT02509286) is a multicenter prospective randomized trial comparing neoadjuvant CROSS (41.4Gy plus carboplatin/paclitaxel) followed by surgery versus perioperative FLOT (5-FU/ leucovorin/oxaliplatin/docetaxel) and surgery for the curative treatment of esophageal adenocarcinoma (EAC). Findings show that perioperative FLOT improves survival in resectable EAC compared to neoadjuvant CROSS.

 

Abstract presentations in the plenary session highlight scientific research with significant impact on oncology clinical practice. Experts in the field, serving as discussants, place findings into perspective and share implications for future research.

Samuel Waxman, MD, Professor Emeritus of Medicine (Hematology and Medical Oncology) and Oncological Sciences, received an honorary Doctorate Degree from SUNY Downstate Health Sciences University in May for his contributions to cancer treatment, including development of a transformative cure for acute promyelocytic leukemia. Dr. Waxman also holds an honorary Doctorate Degree from Hainan Medical University in China, conferred in December 2023 in recognition of his dedication to studying the link between cancer and aging. Dr. Waxman is the founder and CEO of the Samuel Waxman Cancer Research Foundation.

Grant Awards

Houssein Chhouri, PhD, postdoctoral fellow in the Arriaga Lab, was awarded an Early Investigator Research Award from the Department of Defense/Congressionally Directed Medical Research Programs for his project “Studying the Role of Exosomes in Promoting Prostate Cancer Metastasis and Resistance to Androgen Deprivation Therapy.” Dr. Chhouri’s research is focused on elucidating how exosomes promote metastasis and treatment resistance in prostate cancer. He will be co-mentored by Juan Arriaga, PhD, and Natasha Kyprianou, PhD.

Jonathan Anker, MD, third-year fellow in Hematology and Medical Oncology, received a Young Investigator Award from the Bladder Cancer Advocacy Network for his project "Characterizing and Modulating TREM1 on SPP1 Macrophages to Overcome Resistance to Immunotherapy in Urothelial Cancer.” The Young Investigator Award recognizes early-career researchers who conduct novel studies to enhance the well-being of bladder cancer patients.

New Faculty

Angela Liu, MD, has joined the Mount Sinai faculty as Instructor of Medicine (Hematology and Medical Oncology). She will be conducting clinical research on the proteomics of sickle cell disease, funded by a T32 grant in Emergency Medicine, with Jeffrey Glassberg, MD, and Susanna Curtis, MD. Dr. Liu will see patients with general hematologic conditions at Mount Sinai-Union Square and patients with sickle cell disease at the Mount Sinai Center for Advanced Medicine.

 

Dr. Liu earned her MD from Case Western Reserve University School of Medicine. She completed residency in Internal Medicine at Johns Hopkins Medicine and fellowship in Hematology and Medical Oncology at the Icahn School of Medicine at Mount Sinai, serving as Chief Fellow in her final year. Her active research projects include a study of anticoagulation strategies in patients with sickle cell disease and thrombosis.

Daniel Nathan, MD, has joined the Mount Sinai faculty as Instructor of Medicine (Hematology and Medical Oncology). He will conduct clinical research on the relationship between clonal hematopoiesis and inflammation, with funding from a T32 grant in Cancer Prevention and Control and mentorship by Bridget Marcellino, MD, PhD. Dr. Nathan will see patients at Mount Sinai-Union Square with a focus on benign hematology, cytopenias, and myeloid diseases.

 

Dr. Nathan earned his MD with Distinction in Research in Basic/Translational Science from Albert Einstein College of Medicine. He completed residency in Internal Medicine and fellowship in Hematology and Medical Oncology at the Icahn School of Medicine at Mount Sinai, serving as Chief Fellow in his final year. He is co-investigator on numerous ongoing research projects including genomic analyses of the BioMe cohort for clonal hematopoiesis enrichment prevalence across multiple inflammatory phenotypes. 

New Hem/Onc Fellows



The Division of Hematology and Medical Oncology welcomed eight new fellows on July 1.


The fellows, along with their medical schools and Internal Medicine residencies, are:

Fionnuala Crowley, MD

University College Cork School of Medicine

Mount Sinai Morningside/West


Irina Krybaeva, MD

Yale School of Medicine

The Mount Sinai Hospital


Ademola Ojo, MD

Obafemi Awolowo University College of Health Sciences

Howard University Hospital


Noah Osei, MD

University of Ghana Medical School

Harlem Hospital Center

Michelle Rudshteyn, MD

Rutgers New Jersey Medical School

The Mount Sinai Hospital


Dahniel Sastow, MD

Icahn School of Medicine at Mount Sinai

The Mount Sinai Hospital


Manik Uppal, MD

Weill Cornell Medicine

NewYork-Presbyterian/Weill Cornell Medicine


Graham Wehmeyer, MD

Weill Cornell Medicine

NewYork-Presbyterian/Weill Cornell Medicine

Roster of all fellows

Clinical Trials

Richard Bakst, MD, is the Proton Therapy Co-Chair for a multi-site phase II trial that studies the effect of pembrolizumab alone compared to the usual approach adjuvant chemo-radiotherapy after surgery in treating patients with recurrent head and neck squamous cell carcinoma with high-risk features including extranodal extension or positive margins. The trial utilizes proton beam radiotherapy in the radiation arm to reduce the risks associated with re-irradiation of the head and neck. It is currently open at The Blavatnik Family Chelsea Medical Center, Mount Sinai-Union Square and The Mount Sinai Hospital, and at the New York Proton Center.

 

The ECOG-ACRIN Cancer Research Group designed the trial and is conducting it with funding from the National Cancer Institute through its National Clinical Trials Network.

NCT04671667

Publications

Oliver Van Oekelen, MD, PhD; Samir Parekh, MBBS, and colleagues

 

Charting the course: Sequencing immunotherapy for multiple myeloma

American Society of Clinical Oncology Educational Book. 2024 June. PMID: 38875506


Novel immunotherapeutic strategies for multiple myeloma (MM)—such as chimeric receptor antigen (CAR) T-cell and bispecific antibody (bsAb) therapies—that aim to harness the immune system against MM cells exhibit efficacy in treating relapsed/refractory MM. This book chapter provides a summary of the recent clinical data on CAR T-cell and bsAB therapies, clinical challenges with the administration of bsAb, biological basis for resistance mechanisms, and optimal sequencing approaches following CART or bispecific failure to optimize outcomes. 

Radhika Malik, PhD; Aneel Aggarwal, PhD, and colleagues


Cryo-EM structure of the Rev1-Polζ holocomplex reveals the mechanism of their cooperativity in translesion DNA synthesis

Nature Structural & Molecular Biology. 2024 May 8. PMID: 38720088


Rev1–Polζ-dependent translesion synthesis (TLS) of DNA is crucial for maintaining genome integrity. Drs. Malik and Aggarwal and colleagues report the cryo-EM structure of Rev1–Polζ holocomplex in the act of DNA synthesis. The structure provides fundamental new insights into the mechanism of cooperativity between Rev1 and Polζ in TLS and identifies potential new druggable sites to suppress chemoresistance from first-line chemotherapeutics.

Steven Itzkowitz, MD, and colleagues

 

AGA Clinical Practice Update on management of inflammatory bowel disease in patients with malignancy: Commentary

Clinical Gastroenterology and Hepatology. 2024 May 14. PMID: 38752967

 

Patients with inflammatory bowel diseases (IBD) are at increased risk of cancer from long-standing intestinal inflammation and/or the use of immunosuppressive therapies. This clinical practice update from authors who are experts in the diagnosis and management of IBD discusses the risks of various malignancies in patients with IBD and the impact of available medical therapies on these risks, and provides recommendations for managing patients with IBD who develop a malignancy, or who have a history of cancer.

Zachary Avigan, MD (Hem/Onc fellow); Joshua Richter, MD

 

Continued success of venetoclax in t(11;14) multiple myeloma despite negative trials

Oncology. 2024 Jun 10. PMID: 38899981

 

Ventoclax is widely used as a targeted therapy in patients with relapsed/refractory MM with t(11;14) chromosomal translocation due to its clinical efficacy, despite not being FDA approved. Dr. Avigan and Dr. Richter review the mechanism of venetoclax activity in t(11;14) MM, the rationale for off-label use, and ongoing trials of novel venetoclax combination therapies.

Presentations and Events

Jerry Edward Chipuk, PhD, was an invited lecturer and session chair at the International Cell Death Society meeting in Ghent, Belgium, held in May. The title of his presentation was: “BAX-dependent mitochondrial outer membrane permeabilization: Exquisitely regulated to the point of death.”

Eirini Papapetrou, MD, PhD, and Christopher Sturgeon, PhD, are Co-Organizers of the 2024 iPSC-derived Hematopoiesis Symposium, to be held August 29 in conjunction with the 53rd Annual Meeting of the International Society for Experimental Hematology. Registration deadline for the hematopoiesis symposium is August 1.

John Mascarenhas, MD, is Co-Chair of the 42nd Chemotherapy Foundation Symposium®, to be held November 13-15 in New York. Registration is open now. 

Sacha Gnjatic, PhD, will be on the faculty for Cancer Immunotherapy Winter School, to be held February 11-14 by the Society for Immunotherapy of Cancer. Dr Gnjatic will present on T-Cell Receptor Sequencing as a biomarker for cancer. Early registration deadline is January 6. 

Tisch Cancer Institute Community Outreach and Engagement Retreat

A workshop focused on collaboration between research programs and the community to reduce cancer burden and promote equity in cancer care

Monday, September 30, 11 am–2 pm


Registration

Mobile Mammography Celebration

Program at 12 pm will focus on improving access to breast health care. Speakers include Laurie Margolies, MD; David Reich, MD; Neil Rofsky, MD.

MOUNT SINAI CANCER IN THE NEWS - CLICK HERE

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Remember to share breaking news and high impact news that might be appropriate for media coverage with the Press Office. This may include pending FDA drug/device approvals, studies/trial results being published in high-impact journals, and patient stories. The more lead time you can give the Press Office, the better—ideally, four weeks or when a paper is accepted by the journal. Embargoes will always be honored and news will only be released with your approval. Email the Press Office at NewsMedia@mssm.edu

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  TCI Connections  is a monthly publication of The Tisch Cancer Institute
Ramon Parsons, MD, PhD, Director
Janet Aronson , Editor
Past issues of  TCI Connections  are available on the TCI website