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The Comparative Oncology Program A Whitepaper for the Campaign Steering Committee THE VISION Many of the most pressing health challenges such as cancer can be addressed, even solved, by engaging one of humans’ lifelong allies: companion animals. When scientists and clinicians from both the human and veterinary worlds work together as teams, solutions to human health dilemmas can be discovered more rapidly and efficiently. By seamlessly merging the worlds of human and veterinary cancer research to discern the biologic underpinnings of tumors, developing novel biomarkers and treatments, the new Comparative Oncology Program will ultimately improve outcomes in both human and companion animal patients. This innovative approach will expedite the commercial availability of novel anti-cancer agents by compressing the often lengthy drug development timeline by as much as half a decade. Now is the right time, with the availability of research resources and the long-standing partnership between the world’s top School of Veterinary Medicine and a NCI-designated Comprehensive Cancer Center to innovate the approach to treating cancer. THE RIGHT TIME AND THE RIGHT PLACE Cancer is a public health hazard. Nearly 1.4 million Americans will be diagnosed this year alone. Although there are 14 million survivors in the United States, it is anticipated that more than 600,000 will die from cancer and cancer-related causes this year. Over the next 20 years, cancer is anticipated to grow from 14 million new diagnoses globally each year to 22 million. Partnerships that bring the understanding of cancer across the animal/human continuum must expand in order to overcome this devastating disease. The traditional models for studying cancer in the laboratory such as mouse models have proven to be poorly predictive of what will actually happen to human patients. Mice lack many key characteristics of human cancer. Man’s companion animals such as dogs are proving to be a more predictive complementary model of human malignancies. After all, these animals cohabitate with their humans and are therefore exposed to the same environmental carcinogens. In fact, naturally occurring cancers in canines tend to share common pathologic and molecular features of cancers that develop in humans. Thus, studying cancers in companion animals will much better inform the study of human carcinogenesis, tumor progression, metastasis and treatment response or resistance. In essence, this is what is defined as comparative oncology. There is no better time than now for UC Davis to leverage its considerable strengths in oncology research (both in the lab and in the clinic) across the veterinary and human spectrum in order to ultimately improve patient outcomes. THE OPPORTUNITY With recognized strength in One Health, UC Davis brings to bear an impressive collection of faculty who work with animal health, human health, basic science and environmental science. The synergy of these four constitutes the university of the 21st century. The UC Davis One Health Institute, supported through funding from the NIH and USAID, has already made breakthrough discoveries using animal models to inform human health. With the availability of established UC Davis strengths in tumor biology, genomics, metabolomics, agriculture and engineering, the university is prepared to use its existing tools and resources to better understand human cancer biology. The strengths that UC Davis brings to bear will inform the diagnosis and treatment of pet dogs—nearly one million of which are diagnosed with cancer each year. And because of the biological similarity with humans, that knowledge will certainly advance the treatment of human cancers. Because naturally occurring cancers in dogs more closely resemble human cancers, treatment testing in canines will bring expanded and quicker knowledge to the treatment of malignancies in humans. 1 Comparative oncology uniquely partners veterinary oncologists with human medical oncologists, the pharmaceutical industry and academic centers, all working to improve knowledge and outcomes for treating both animals and humans with cancer. This opportunity to treat beloved pet animals while informing ways to save human lives is impossible to overlook. Already UC Davis has been engaged in five clinical trials of novel anti-cancer therapeutics that are being tested initially in companion animals prior to their testing in humans. Nonprofits such as the Morris Animal Foundation and the Sean Parker Foundation have invested in the field. As awareness is extended about the benefit to both dogs and humans, hope is growing that there will be novel treatments and effective pharmaceuticals developed quicker, more efficiently and with less toxicity. The idea of curing cancer across the veterinary and human spectrum has already attracted a significant private gift to the School of Veterinary Medicine from a grateful patient and models the potential to grow the program with further private investment. In addition, the Cancer Center’s Comparative Oncology is recognized as a formal research program by the National Cancer Institute. Comparative oncology opens the door to better understanding how to effectively treat canine cancer and reduce pain and suffering for beloved pets. Clinical trials with pet animals reveal information that is beneficial to dogs and humans alike. Information on toxicity, drug dose and schedule, predictive biomarkers, response to therapy, toxicity and other critical data are ascertained. Because of the similarity in both environmental risk factors and tumor biology, the parallels are changing the way we understand cancer. Animals in the trials are treated and closely supervised by board-supervised veterinary oncologists who are invested in finding ways to treat and move cancer to remission. The challenge of addressing the disease in pets is urgent since more than half of all dogs over the age of 10 are diagnosed with cancer. Already, the UC Davis School of Veterinary Medicine and Comprehensive Cancer Center researchers have found success in translating the results of a canine cancer clinical trial to a human clinical trial and have laid the infrastructure of knowledge to expand its capacity for other innovative treatments. UC Davis is poised to work closely with its own investigators and pharmaceutical companies in the cancer drug discovery process in order to provide a necessary intermediary step to move new anti-cancer drugs through clinical trials. Cancer therapies often take more than a decade to move from discovery to validation and ultimately to market. It can take up to $2 billion in investments to move one drug forward to clinical trials. And then, about 60% of those drugs fail in human trials. Already working with pharmaceutical industry partners, UC Davis is making breakthroughs in many drug discovery projects, including the treatment of pediatric tumors to lessen the devastating side effects of chemotherapy while preserving its curative properties. For example, ongoing work with canine brain tumors in the area of overcoming radiation resistance has led to FDA-approved human trials. Additionally, an innovative immunotherapy trial in dogs with melanoma and sarcoma, which showed remarkable responses in these animals, is now being translated into human trials. The knowledge base, infrastructure and team strength is in place at UC Davis to expand its partnerships with industry. The potential payoffs are self-evident: new treatments will get approved and be available for patient use quicker because they were validated in more clinically relevant canine patients instead of mice. Clinicians of the 21st century are trained in cross-disciplinary areas in order to translate the relationship between animal and human health into tangible new therapies against cancer. Funding for this proposed program is envisioned to expand UC Davis’ training of graduate students, postdoctoral fellows and new faculty in oncology in both animal and human settings. Already, a faculty member in the School of Veterinary Medicine, who is trained and certified in Internal Medicine with a subspecialty of Oncology, began her training at the UC Davis Comprehensive Cancer Center in a cutting-edge partnership that will further her understanding of the animal-human health continuum. She will bring back that knowledge to the classroom to train future clinical leaders. This support for students and young faculty would be greatly enhanced with support for this kind of innovative learning and teaching. 2 MOVING FORWARD This program will require expansion of existing space as well as new equipment to advance the treatment of the patients. The Comparative Oncology Program will attract up to five new faculty in the areas of pharmacological genetics and drug development and will seek endowment funding for these positions. The program has recently leveraged a $5 million pledge from a grateful client of the Veterinary Medical Teaching Hospital to develop a new medical oncology position devoted to cancer therapy benefitting both animals and people. These additional positions will allow recruitment of faculty in multiple areas of need including pharmacogenomics (drug-genetic interactions), bioinformatics and medicinal chemistry. The program will need current use funding to accelerate innovation and leverage current resources. Staff support will be needed to support the program’s infrastructure. In addition, the expanded program will allow for seed funding to investigators who have a funding gap for feasibility testing, particularly in pharmacological toxicity. With a solid grounding in entrepreneurship, the School and the Cancer Center will further engage with the Graduate School of Management to continue to grow its capacity for cancer innovation start-up companies (three are already in development). The total cost is estimated to be $50 million. 3