Tobacco settlement funds allow UNMC Eppley Cancer Center to recruit national expert in gastrointestinal cancer and cancer drug development

Jean Grem, M.D., the head gastrointestinal cancer researcher/clinician

at the National Cancer Institute in Bethesda, Md., will be joining the

Eppley Cancer Center at the University of Nebraska Medical Center this

spring to direct the Gastrointestinal Oncology Program and the Oncology

Drug Development Program. She also will serve as professor in the oncology/hematology

section of the Department of Internal Medicine.

Dr. Grem is an outstanding recruit, said Harold M. Maurer, M.D., UNMC

chancellor. We could not have done it without the Tobacco Settlement Funds.

She will be leading a critical area in our cancer treatment efforts.

Funded through Legislative Bill 692, the Nebraska Tobacco Settlement

Biomedical Research Development Fund provided a total of $10 million in

fiscal year 2001-02 to the states four biomedical research institutions

UNMC, the University of Nebraska-Lincoln, Creighton University and Boys

Town National Research Hospital.

The four institutions have elected to use the funds in three strategic

areas to recruit and retain outstanding biomedical researchers, to support

key research programs by obtaining and upgrading major research equipment,

and to support research projects to improve racial and ethnic minority

health in Nebraska.

Dr. Grem is a great hire for the UNMC Eppley Cancer Center, said Ken

Cowan, M.D., Ph.D., director of the UNMC Eppley Cancer Center. She is

a nationally recognized expert on gastrointestinal cancer and the area

of drug development and evaluation and has had a very successful clinical

trials program at NCI.

The Tobacco Settlement money was crucial for her recruitment, as it

will provide the funds for her to set up a core lab at UNMC for Pharmacokinetic/

Pharmacodynamic research. She will be able to assist anyone at UNMC in

running Phase I drug development clinical studies involving cancer and

non-cancer research.

Dr. Grem is currently collaborating with a Cooperative Oncology Group

to develop a multi-institutional clinical trial to determine the effectiveness

of new drug combinations in treating patients with cancers arising in the

colon and rectum. This trial will be opened at UNMC.

Her research involves looking for specific markers in tumors to determine

if it might be possible to predict whether a patient is likely to respond

to a particular drug. This research may one day allow oncologists to select

the most appropriate drugs to use based on the specific molecular features

of the tumor. She also is trying to determine if the drugs get into patients

at appropriate levels and into the appropriate targets in the tumor cells.

She wants to determine if the proteins in these cancer cells are being

inhibited. Its a critical piece in solving the mystery of cancer, Dr.

Cowan said.

Dr. Grem will collaborate with the UNMC College of Pharmacy, Dr. Cowan

said, and will be using state of the art separation techniques such as

high performance liquid chromatography and gas chromatography with various

detection methods for measuring drugs in biological samples including ultraviolet,

fluorescence and mass spectral detection.

A native of Oak Park, Ill., Dr. Grem earned her undergraduate degree

with honors from Purdue University and her medical degree with honors from

Jefferson Medical College in Philadelphia. She did her internship and residency

training at the University of Iowa Hospitals & Clinics and a clinical

and research fellowship in medical oncology at the University of Wisconsin

Clinical Cancer Center.

Following her fellowship, Dr. Grem joined the National Cancer Institute

in 1986 and has worked at the NCI ever since. During this time, she was

a colleague of Dr. Cowan, who worked at the NCI for 21 years before coming

to UNMC in 1999.

She was initially a senior investigator in the NCI Investigational Drug

Branch before being recruited to the former Medicine Branch in 1989. Since

last year, she has held the position of head of the Gastrointestinal Malignancies

Section, where her research focuses on the biochemical and molecular pharmacology

of antimetabolites and investigational anti-cancer agents in an effort

to develop therapeutic strategies for cancers in the gastrointestinal tract.

Gastrointestinal cancers include colon, rectal, stomach, pancreas, liver,

esophageal and bile duct cancer.

A prodigious researcher, Dr. Grem has had more than 150 articles published

in scientific journals. She presently serves as associate editor of Clinical

Cancer Research and the Journal of the National Cancer Institute and is

a member of the editorial board of Cancer Chemotherapy and Pharmacology.

While doing her fellowship at Wisconsin, Dr. Grem was involved in one of

the initial Phase I clinical trials of the cancer drug paclitaxel (Taxol®).

At the NCI, her research group includes five research nurses, two data

managers, two oncology fellows, and five other medical oncologists. She

currently has eight open clinical protocols with about 50 active patients.

I was very impressed by the enthusiasm and collegiality of the faculty

and staff during my initial visit to UNMC, Dr. Grem said. I am excited

about the opportunity to help build a multi-disciplinary, translational

clinical research program. I hope to develop strong collaborations with

faculty in gastroenterology, surgical oncology, radiation oncology and

the UNMC Eppley Cancer Center.

She expects to begin working at UNMC in the late spring of 2003.

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