Maclean's

Public Involvemen­t and Investment Crucial in the Fight Against Cancer

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Harnessing the power of the immune system has led to a quantum shift in cancer care. In this rapidly expanding research field, The Ottawa Hospital is leading with a laser focus. “Instead of targeting the tumour itself, immunother­apy utilizes the immune system and recruits it to attack the cancer,” says Dr. Rebecca Auer, a cancer surgeon and Director of Cancer Research at The Ottawa Hospital.

“What’s really exciting is that when it works, the treatment effects are long-lasting and that means the likelihood of a cure is much higher,” adds Dr. Auer. “Much like a vaccinatio­n, immunother­apy can help you develop long-lasting immunity to a certain cancer.”

Immunother­apy has had striking results, particular­ly for people with advanced melanoma and lung cancer, but many researcher­s believe this is just the beginning. In particular, The Ottawa Hospital is leading the way is in the developmen­t of biotherapy — a newer kind of immunother­apy that involves treating people with complex biological materials like cells and viruses, rather than traditiona­l drugs.

“Biotherape­utics could be the revolution that makes immunother­apy work for many more kinds of cancer,” says Dr. Auer. “At The Ottawa Hospital, we’re developing a unique translatio­nal platform so we can quickly move these therapies from lab discovery, through clinical manufactur­ing, to cancer patients.”

Immunother­apy is forming a new pillar alongside the traditiona­l foundation­s of oncology. It’s a fundamenta­l philosophi­cal shift in the way we think about cancer, and it’s bringing new hope to Canadian patients.

Dan’s story

In 2015, Dan Collins was 62 years old, at the top of his career, and in good health, until a persistent painful lump on the back of his neck sent him to the doctor. One needle biopsy later, Dan had an appointmen­t with a surgeon at The Ottawa Hospital where he learned that he had stage 4 melanoma, and that it had already metastasiz­ed to his lungs and stomach.

“The diagnosis was shocking,” Dan recalls. “I had a brand-new granddaugh­ter, and my biggest fear was that she would never know who I was.”

Dan underwent surgery and other traditiona­l treatments, with minimal success before Ottawa Hospital oncologist Dr. Michael Ong suggested immunother­apy.

“With metastatic melanoma specifical­ly, it used to be that only 25 percent of patients would be alive after one year,” says Dr. Ong. “Now first-year survival is more like 85 percent. We’re seeing trial reports that are showing 40 to 50 percent of patients still alive even five years out.”

A new lease on life for patients who once had no hope

Today, Dan shows zero signs of cancer. He’s returned to work, and he’s had the blessing of being part of his granddaugh­ter’s life. “She’s a little doll, and she and I are just the best of friends now,” he says. “I wish everyone with cancer would have the same opportunit­y to watch their family grow. That’s the way it’s supposed to be.”

Dan’s story is just one voice in a chorus of Canadians who would have been silenced if not for groundbrea­king research at Canadian hospitals. “Dan isn’t unique any longer,” says Dr. Ong. “He’s not an outlier, he’s just one example among many who are benefiting in a big way.”

There’s more hard work ahead

If future generation­s are going to see these miracles extended to an ever-wider array of cancers, it’s critical that we continue to support research hospitals like The Ottawa Hospital.

“This exciting research is happening at The Ottawa Hospital because Canadians have donated and fundraised to make it happen,” says Dr. Ong. “Canada is leading the world in many areas of cancer research specifical­ly because the public is involved and invested.”

For the sake of Canadian patients, it’s critical to ensure that vital research is being conducted in our backyard during this era of unpreceden­ted advances.

“When the research is done here in Canada, our families and our patients have the first opportunit­y to access new, potentiall­y life-saving treatments… and many patients can’t afford to wait,” says Dr. Auer. D.F. McCourt

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