An Interview with Dr. John Leonard

While you may have known that Dr. John Leonard is the Director of the Lymphoma Program at Weill Cornell Medicine, leading one of the nation’s top lymphoma programs, did you know he’s also the Associate Dean for Clinical Research, the Associate Director of Clinical Trials at the Meyer Cancer Center, and the director of the Joint Clinical Trials Office at Weill Cornell Medicine and NewYork-Presbyterian?

Recently he sat down with the  Larry Schafer, the Vice Provost of External Affairs, to discuss the impact of philanthropy on scientific discovery at Weill Cornell Medicine:

LS: During your time here, how have you seen the institution directly benefit from philanthropic support?

JL: Well, philanthropy has obviously contributed to the success of our institution, but even more important, it has contributed to our success in solving problems. I think it really comes down to rounding out where our funding is coming from. Funding that comes from the federal government is limited and challenging because it doesn’t always adequately support our projects – you’re getting by on a shoestring. The pharmaceutical industry does great things, and is a huge supporter of biomedical research and a critical partner, but there are some scientific questions that are not a priority for that industry. So philanthropy and direct support to an institution like ours is central – not only for funding specific studies, but for building infrastructure and core needs – like a database or a biobank. Philanthropy is helping to put the pieces in place and underpinning so many of our efforts.

The full interview can be read at Milestones, the Weill Cornell Medicine institutional newsletter.

Dr. Richard Furman on Evaluating the Role of Idelalisib in Treating CLL

In this panel discussion from OncLive, Dr. Richard Furman evaluates the role of idelalisib in the treatment of patients with CLL.

Pembrolizumab Granted FDA Breakthrough Therapy Designation for Relapsed/Refractory Classical Non-Hodgkin Lymphoma

The Backstory

On April 18 the FDA granted the immunotherapy pembrolizumab (Keytruda) the Breakthrough Therapy Designation for the treatment of patients with relapsed or refractory classical Hodgkin lymphoma (cHL). The Breakthrough Therapy Designation indicates that the FDA perceives the drug candidate may represent a substantial improvement over existing therapies and that it warrants additional resources to help expedite the approval process.

What is pembrolizumab?

Pembrolizumab is a humanized monoclonal antibody that binds to programmed death receptor-1 (PD-1). PD-1, also called programmed cell death protein-1, binds to programmed death ligand-1 (PD-L1), initiating inhibitory, immunosuppressive signals in T cells. Tumor cells, like Hodgkin lymphoma cells, often take advantage of this PD-1 by increasing expression of PD-L1, turning off the T cells and helping them to evade a potentially damaging immune response. Pembrolizumab acts by binding to PD-1, blocking its inhibitory actions, thereby activating the T-cell response against cancer cells, and initiating cell death.  Pembrolizumab is already approved by the FDA for treatment of patients with unselectable or metastatic melanoma and for patients with non-small cell lung cancer whose tumors express PD-L1.

Why did the FDA grant pembrolizumab a Breakthrough Therapy Designation?

The new designation is based on preliminary date from the KEYNOTE-013 trial, which was last presented at the 2015 meeting of the American Society of Hematology, and the KEYNOTE-087 trial. In KEYNOTE-013, 64% of patients with brentuximab vedotin-refractory cHL responded, including 16% achieving a complete response. Results from the KEYNOTE-087 trial are not yet public but will likely be presented soon.

Were there any side effects?

Side effects were considered manageable and the most common included hypothyroidism, diarrhea, nausea, and pneumonitis.

How can you access pembrolizumab now?

Although the FDA has approved pembrolizumab for melanoma and lung cancer, it has not yet approved pembrolizumab for Hodgkin lymphoma. Patients interested in receiving immune checkpoint inhibitors are advised to seek out clinical trial options. Please visit our clinical trials website or contact our office (646-962-2064) for additional information.