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Jonathan Harris Institute of Health and Biomedical Innovation Overview of New Therapies for Ovarian Cancer & Prostate Cancer

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Page 1: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Jonathan Harris

Institute of Health and Biomedical Innovation

Overview of New Therapies for

Ovarian Cancer & Prostate Cancer

Page 2: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Overview of New Therapies for

Ovarian Cancer & Prostate Cancer

Prostate and Ovarian cancer

Big picture changes in cancer research

Old style chemo and the new approach

New drugs in the clinic and early phase

studies

Page 3: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Prostate and ovarian

cancer Societal impact

20,000 men living with

advanced

prostate cancer

1400 women

diagnosed

with ovarian cancer

each year*

*PCFA/Ovarian Cancer Australia Statistics

Page 4: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Prostate and ovarian

cancer Societal impact

20,000 men living with

advanced

prostate cancer

1400 women

diagnosed

with ovarian cancer

each year

Page 5: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Prostate and ovarian cancer Similarities.......

and differences

•Hormone dependent

•Impact fertility

•“Hidden” cancers

•Difficult to treat when

advanced

•Side effects of treatment

•Surgical approaches

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cancer-info/cancerandresearch/progress/cancer_drugs

Cancer: One disease many drugs

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Strengthening ties between health

professionals and researchers

Page 8: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Antibodies and immune

killer cells deal with

developing cancer

Your immune system and artificial

antibodies

Page 9: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

Whole genome screening and the

beginnings of personalised medicine

Welcome to the era of the

$5000 genome sequence

Cancer treatment is no

longer one size fits all

Page 10: Overview of New Therapies for Ovarian Cancer & Prostate Cancer · Overview of New Therapies for Ovarian Cancer & Prostate Cancer Prostate and Ovarian cancer Big picture changes in

The old chemotherapy: Molecular sledgehammer approach, one size fits all

Stopping cancer cells

divide and multiply

Genome damage

Starving tumour cells

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The New strategy: Highly specific drugs tuned to a particular cancer

Whole tumour genome scans identify weak points in

tumour biology.

Personalised medicine:

Define subpopulations of

patientswith specific

“druggable” mutations.

Tailor selective molecules

to individual or combined

targets

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New to the clinic: Abiraterone (Zytiga) for hormone resistant prostate cancer

Prevents resynthesis of testosterone that would otherwise

drive tumour growth.

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New to the clinic: Denosumab for protection of bone in advanced prostate cancer

Blocks osteoclast (bone chewing cells)

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In Clinical Trials: Olparib (AZD 2281) for late stage ovarian cancer

blocks DNA repair in tumour cells

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In Clinical Trials: Bevacizumab (Avastin) for late stage ovarian cancer

Prevents capillary network formation

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In the lab: Protease inhibitors for control of proliferation and metastasis

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In the lab: Cancer stem cells that lead to tumour regrowth: an important target for

new therapies

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With thanks to

Distinguished Professor Judith Clements

and her research group

Professor Frank Gardiner

Professor Andreas Obermair