June Bulletin: Rosen Award, Hill Briefing, Policy Updates & More

Now Accepting Nominations for the Rosen Award

The Children's Cause for Cancer Advocacy is pleased to announce the Leonard M. Rosen Memorial Research Award of $10,000, to be granted annually to an individual who has made an outstanding contribution to childhood cancer policy and advocacy.
 
Relevant work should be related to advancing treatment and care for children, adolescents, and young adults and their families. Examples of areas of work include outcomes research, healthcare quality, delivery and cost, economics of drug development, and improved access to therapeutic agents. The award recognizes the importance of the unique challenges associated with the care and treatment of children with cancer that may not be associated with the treatment and care for adults with cancer. 
 
Individuals who are engaged in projects in the broad fields of childhood cancer policy and/or advocacy are encouraged to apply or be nominated by colleagues or mentors. Applicants are asked to submit a detailed Curriculum Vitae, including publications, a two-page statement of how the Rosen Award will be used to advance policy and advocacy, and two references.
 
The deadline for submission of applications in August 1, 2016.The inaugural Rosen Award will be made at the Children's Cause annual gathering in New York City in late October 2016.
 
The Rosen Award Nomination Form is now available at www.childrenscause.org/RosenAward. Thank you for sharing and nominating!
 


CCCA Capitol Hill Briefing Highlights Survivorship Issues

Briefing speakers (l-r): Dr. Smita Bhatia (Univ. of Alabama), Stacie Ritter, Madeline & Hannah Ritter, Dr. Anne Reilly (CHOP), Dr. Monica Gramatges (Texas Children's), Dr. Julie Wolfson (Univ. of Alabama)

Briefing speakers (l-r): Dr. Smita Bhatia (Univ. of Alabama), Stacie Ritter, Madeline & Hannah Ritter, Dr. Anne Reilly (CHOP), Dr. Monica Gramatges (Texas Children's), Dr. Julie Wolfson (Univ. of Alabama)

Children's Cause hosted a Congressional briefing this month that featured pediatric oncology experts sharing critical information about the unique needs and challenges faced by childhood cancer survivors over the short- and long-term. The event was attended by Congressional staff, as well as representatives from advocacy organizations and the National Institutes of Health. We thank the great line-up of speakers for sharing their time and expertise.
 
The presenters offered compelling evidence regarding the long-term medical and emotional impact faced by childhood cancer survivors, as well as the medical, geographic and financial challenges in accessing the care that is required throughout childhood and adulthood.
 
The Children's Cause is committed to ongoing efforts like these Hill briefings to raise awareness among Congressional and federal policymakers about the experiences and vulnerabilities faced by childhood cancer survivors throughout their lives. 
 
All of us at the Children's Cause send briefing speakers Madeline & Hannah Ritter our thanks and our congratulations: the twins graduated high school earlier this month! They'll begin their college careers this fall at Arcadia University. Read more about their survivorship journey on our website: Madeline & Hannah's Story.
 


Pediatric Cancer Policy Updates

Oncology Center of Excellence at the FDA:

The Children's Cause for Cancer Advocacy recently weighed in on the proposed establishment of a new Oncology Center of Excellence at the FDA, part of an agency-wide reorganization effort. In our letter to FDA Commissioner Califf, we gave our support for establishing such a center that is capable of reviewing cancer diagnostics, drugs and biologics for children with cancer. A PDF of our letter is available here.

In breaking news, the FDA's Dr. Richard Pazdur (bio) has been selected to serve as acting director of this new Oncology Center of Excellence. We offer our congratulations to Dr. Pazdur and extend our thanks to Commissioner Califf for continuing to advance this initiative.

Ask Congress to Support the ACE Kids Act:

The Children's Cause for Cancer Advocacy is proud to be supporting the Advancing Care for Exceptional (ACE) Kids Act (H.R.546/S.298), which would improve care for approximately two million children with medical complexities in the Medicaid program. The bill would provide more consistency for children with medical complexity as they often need to travel across state lines for care, which currently results in coverage issues since Medicaid coverage may differ from state to state. We are honored to join the nation’s leading children’s hospitals, along with the Children’s Hospital Association, to support this legislation. TAKE ACTION.

FDA Offers Guidance on Expanded Access to Investigational Drugs

The Food & Drug Administration recently released several documents intended to help patients and physicians navigate the process of accessing investigational drugs.  Also called “compassionate use,” the FDA move attempts to streamline the process by which patients – who may have limited treatment options – can secure drugs that are still being tested and not otherwise available outside a clinical trial.

Access to unapproved therapies requires cooperation between the FDA, the company developing the product and the patient’s health care professional.   For its part, FDA released a new form that physicians must complete as part of the process for requesting access to unapproved treatments for their patients.   The new form is estimated to take 45 minutes to complete, instead of the hours the previous form required.  Instructions for completing the updated form along with a question and answer document and guidance for the pharmaceutical industry on how they might charge for access to these therapies were also released by the FDA.


Research Highlights from ASCO

The American Society of Clinical Oncology (ASCO) held its annual meeting earlier this month in Chicago. Children's Cause was glad to attend this year's meeting, which brings together oncology professionals, organizations and other stakeholders. Here are just a few of the many research highlights out of this year's meeting that relate to childhood cancer survivorship:

  • Childhood Cancer Survivors Less Likely to Receive HPV Vaccine: A new study finds that 42% of 13-17 year olds in the general population have received the HPV vaccine, compared to just 22% of childhood cancer survivors in the same age bracket. This is troubling because those with compromised immune systems - including survivors of childhood cancer - are more susceptible to HPV and its complications if infected. (James Klosky, et. al, Abstract #10573

    • 1 in 4 Adult Survivors of Pediatric CNS Tumors Unable to Function Independently: This study analyzed the functional independence of more than 300 adult survivors of pediatric central nervous system tumors such as astrocytomas and medulloblastomas. Researchers looked at the survivors' employment status, marital status, driving ability, independent living status, and ability to manage their own personal care and routine needs. Forty percent were classified as independent, while 34% were deemed moderately independent and 26% were non-independent. Non-independent survivors reported worse physical and emotional quality of life. (Tara Brinkman, et. al, Abtract #10524)
    • Parents Report Feeling Under-Prepared for Late Effects & Survivorship: Parents of childhood cancer survivors reported feeling extremely or very well prepared for their child's treatment and daily care needs but feeling less prepared for future limitations their children may experience and for life after cancer in general. Parents reported feeling more confident when oncologists and providers helped prepare them for life after therapy. (Kate Greenzang, et. al, Abract #85)

Also at ASCO, Vice President Joe Biden was on hand to deliver remarks about the president's Moonshot Initiative. "Today, oncologists and cancer researchers realize that they can't [advance cancer progress] alone... What's required today extends beyond any individual or any individual discipline, beyond medicine itself... It requires somewhat of a change in mindset. It requires a lot more openness - open data, open collaboration and above all, open minds," he said. For video of the Vice President's speech, visit ASCO's Virtual Meeting Portal


Conference for Neuroblastoma Survivors: July 14-17

The Children's Neuroblastoma Cancer Foundation is holding a conference for Adolescent and Young Adult (ages 14-22) survivors of high-risk neuroblastoma, July 14-17 in Lombard, Illinois. The event will cover common issues facing these survivors including assuming responsibility for healthcare, transitioning to college, infertility, peer relationships and other psycho-social concerns. Space is still available -- email Jen Click at jsclick@gmail.com for more details and to register.

The AYA event is part of CNCF's 13th Annual Parent and Caregiver Education Conference, which brings together parents, caregivers, and neuroblastoma researchers to share information and learn about new treatment options and current research.


Save the Date for CureFest 2016: September 17-18

This year's CureFest on the National Mall will take place the weekend of September 17th. CureFest is a national festival held in Washington, D.C. during Childhood Cancer Awareness Month, bringing thousands of childhood cancer advocates and supporters together with the general public and tourists to raise awareness about pediatric cancer.

The event features informational booths, games and activities, live entertainment, and an awareness walk. For the first time this year, all events associated with CureFest are free of charge, although participants are still asked to register in advance

Jessica Kean
May Bulletin: Action Day brings 200 advocates to DC

RSVP Now: Capitol Hill Briefing on June 23

Children's Cause will host a Congressional briefing with childhood cancer survivors and experts on June 23rd from 12:00-1:30PM.

The afternoon briefing will illustrate and address the access and coverage issues faced by childhood cancer survivors, including recent research findings and best practice recommendations for managing long-term care.

Speakers will include Dr. Smita Bhatia and Dr. Julie A. Wolfson of the University of Alabama, Dr. Anne Reilly of CHOP, and Dr. Monica Gramatges of Texas Children's Hospital.

Learn more here or RSVP to jkean@childrenscause.org.


Childhood Cancer Action Day Propels STAR Act to a New Milestone

The 5th Annual Childhood Cancer Action Days, hosted by the Alliance for Childhood Cancer, took place this month, bringing our community together in Washington to advocate for the Childhood Cancer STAR Act and increased NIH funding.

Approximately 200 advocates attended this year's event, spending a full day in advocacy training followed by a day of pre-arranged visits with Congressional offices. Around the country, advocates joined in from home by asking Congress to #StepUp for the #STARAct.

Your Action Day efforts helped us reach a big milestone: more than half of the House of Representatives now supports this life-saving legislation!

One advocate in attendance, Stacie Ritter, shared her take on the experience with us. Read our blog for Stacie's perspective on this year's Childhood Cancer Action Day.


Children's Cause Endorses ACE Kids Act

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The Children's Cause for Cancer Advocacy is proud to be supporting the Advancing Care for Exceptional (ACE) Kids Act, which would improve care for approximately two million children with medical complexities in the Medicaid program. 

Children with cancer, like children with other medical complexities, often see multiple specialists and a variety of physicians.  There are over 30,000 children with cancer covered by the Medicaid system and the specialized care they require often takes them across state lines. Under the current Medicaid system, parents of children with cancer and other multiple, life threatening disabilities struggle to coordinate the complex, multi-state care of their kids. Only federal legislation can fix the fragmented system for children with medical complexity.

We are honored to join the nation’s leading children’s hospitals, along the Children’s Hospital Association, to support this legislation, which is voluntary for states, families, children’s hospitals and other providers. 

Learn more about this bill:


Quick Links: Recommended Reading

  • Keeping Cures on the Shelf: Our own George Dahlman, CEO of Children's Cause, wrote a perspective piece on drug shortages in this month's Journal of Clinical Pathways.

"Ultimately, the mitigation of drug shortages will be the result of vigilance on the part of all stakeholders. Maintaining that awareness and managing a quick response system requires that doctors and families become involved in the policy process that makes it work and the rapid reporting of individual instances." (Journal of Clinical Pathways / May 2016)

  • Rare Tumors May Cause ADHD-like Symptoms: A new study suggests that some kids diagnosed with a hyperactivity disorder who also have high blood pressure may instead have a rare tumor - pheochromocytoma or paraganglioma - causing ADHD-like symptoms. (NIH, May 16, 2016)
  • Poliovirus Therapy May Treat Glioblastoma: The FDA granted 'breakthrough' designation to a treatment modified from poliovirus that shows promise for treating advanced glioblastomas. The therapy is currently being investigated in adults but researchers at Duke hope to expand their trials to pediatric brain tumor patients by the end of this year. (OncLive, May 16, 2016)

Childhood Cancer in the Spotlight:


Children's Cause Achieves GuideStar Platinum Status

Children's Cause is proud to be one of the first organizations to receive the Platinum Seal of Transparency from GuideStar, the world's largest source of nonprofit information. GuideStar recently launched the Platinum participation level to help nonprofits celebrate their results with new metrics to report on our progress.

We're proud to use GuideStar Platinum to share our full and complete story with the world. We achieved Platinum by completing GuideStar's preceding participation levels of Bronze, Silver, and Gold. Each provided stakeholders with increasingly detailed organizational information ranging from basic contact information to programmatic details.

Check out our updated #GuideStarPlatinum profile here: 

http://www.guidestar.org/profile/11-3485631

Jessica Kean
April Bulletin: FDA hosts forum; CCCA announces Hill briefing

FDA Hosts Childhood Cancer Forum

An FDA-hosted Childhood Cancer Advocacy Forum last week provided opportunity for groups including the Children's Cause to engage with agency representatives around current drug development challenges and opportunities. The Forum included an update on oncologic drugs approved for pediatric use and clinical trial progress, as well as presentations on BPCA and PREA, compassionate use, pediatric Patient-Reported Outcomes, and more.
 
Among the highlights from the event:

  • On PREA: In a presentation about the effectiveness of the Pediatric Research Equity Act (PREA), the FDA's Dr. Margaret Thompson reported that 15 new oncology drugs were approved in 2015-2016. Of those, only one was approved for treatment in pediatrics: dinutuxinab for neuroblastoma. As Dr. Thompson noted: "This was actually unusual. Most years, all new drugs would be for adult indications." Of the 14 drugs approved for use in adults, none have had the PREA requirement applied. This has led various stakeholders, including Children'sCause, to question how PREA can be improved to make it more effective. Dr. Thompson discussed several possibilities for improving PREA, which include changing the pediatric study requirement from indication-based to mechanism-of-action based.
  • On Trial Eligibility: Dr. Christy Osgood discussed one way to increase pediatric access to adult clinical trials by expanding eligibility criteria to include adolescents in adult trials when the disease and/or target is the same. Opportunities might be also identified where alternative trial designs could allow a younger cohort in early phase trials for older patients. Dr. Osgood said logistical challenges can arise because adults and children are treated in different settings. But Dr. Osgood affirmed that the FDA is "supportive of models that include pediatric patients earlier in trial designs."
  • On Expanded Access: Another member of the FDA team, Dr. Ashley Ward, discussed expanded access or "compassionate use." Benefits to expanded access include the potential to offer hope to children who have exhausted all other options. Barriers mentioned included the additional resource burdens on the manufacturer (time, paperwork, and sometimes limited drug availability). The biggest barrier identified is the manufacturer's fear that an adverse event might disrupt or derail the drug's path to approval. Dr. Ward commented that this fear is largely unfounded based on FDA experience, and stakeholders need to work together to increase manufacterers' confidence in the expanded access process.

Children’s Cause President Susan Weiner co-chairs the Alliance for Childhood Cancer task force on PREA and BPCA and is working with the Alliance on a package of BPCA and PREA recommendations for this year’s reauthorization of the Prescription Drug User Fee Act (PDUFA).


Save the Date: Capitol Hill Briefing & Reception on June 23

Children's Cause will host a Congressional briefing with childhood cancer survivors and experts on June 23rd, followed by a Capitol Hill reception.
 
The afternoon briefing will illustrate and address the access and coverage issues faced by childhood cancer survivors, including recent research findings and best practice recommendations for managing long-term care. At the evening reception, Members of Congress, staff and the health care community will be invited to join us in honoring the leadership of the Childhood Cancer Caucus and learning about new Children's Cause initiatives.
 
More details will be coming soon, as we finalize the program and speakers.
 
If you are in the National Capitol area and have personal experience with survivorship access issues, we want to hear from you!
Please email us at jkean@childrenscause.org if you're interested in helping us make this event a success.


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There's Still Time to Register for Action Days!

It's not too late to register for the 5th Annual Childhood Cancer Action Days in Washington on May 16 & 17. This two-day Alliance for Childhood Cancer event brings our community together to advocate for important childhood cancer issues currently before Congress. Register here.
 
A strong showing of advocates at this year's Action Days is more crucial than ever, as the Childhood Cancer STAR Act is nearing the critical committee stage in the legislative process. There are now 200 House cosponsors of this bill! Sharing your story in Washington this spring will help us tip the scales toward securing passage of this historic, bipartisan legislation. 
 
Issues and Advocacy Training will take place Monday, May 16th at the Holiday Inn on Capitol Hill, followed by pre-arranged meetings with Members of Congress and their staff on Tuesday, May 17th.
 
Visit the Alliance for Childhood Cancer website for more information and to register.
 


Moonshot Update: Pediatric Oncologists Appointed to Blue Ribbon Panel; NCI Accepting New Ideas

The National Institutes of Health (NIH) announced a Blue Ribbon Panel this month to guide and inform Vice President Biden's National Cancer Moonshot Initiative. We were pleased to see some pediatric experts named to this distinguished panel, including Dr. Peter Adamson of Children's Hospital of Philadelphia and Dr. James Downing of St. Jude.
 
"This Blue Ribbon Panel will ensure that, as NIH allocates new resources through the Moonshot, decisions will be grounded in the best science," said Vice President Biden. The panel will serve as a working group of the National Cancer Advisory Board and will be focused on how to drive advances in several key areas targeted by the Moonshot. Childhood cancer has been specifically identified as one of those key areas of focus.
 
NCI is asking the health community for scientific ideas and suggestions to support the Moonshot. One of the categories the NCI is specifically seeking input around is pediatric cancer.
 
If you have a suggestion, visit the NCI's online platform Cancer Research Ideas before July 1. We'll be weighing in, and we hope you will, too.
 
Related reading: 


Guest Blog: Why DIPG Needs an Awareness Week

This month we featured a guest blog from Janet Demeter, founder and CEO of Jack's Angels Foundation. Janet recently secured the introduction of a House Resolution (H.Res.586) that would designate the fourth week in May as DIPG Awareness Week.
 
An excerpt: 
 
"H.Res.586 was introduced in January by Congressman Steve Knight (CA-25) and calls for elevated consideration for low-surival-rate cancers and years-of-life-lost in the research grant process with the NCI. [This resolution] is the first legislation to directly recognize DIPG but our goal is to raise awareness for all the hundreds of types and sub-types of pediatric cancer. By calling attention to one type of childhood cancer, we aim to elevate the profile of all childhood cancers."
 
Read on and then take action.


Remembering Leila Polintan, Former CCCA Staff

We are deeply saddened to announce the passing of Leila May Polintan, 39, a former Children's Cause staff member who battled breast cancer for the past several years. Leila managed programs and development for the Children's Cause before moving on to become Communications Director for Grantmakers in Health. Leila is remembered by those who love her as an involved community member, an avid reader, a devout Catholic, and beloved wife, daughter, sister and friend.
 
We remember Leila with affection as a delightful, charming and passionate young woman who played an integral role in the formative years of the Children's Cause. Our thoughts are with her family and loved ones during this difficult time.
 
Leila's obituary is available here.
 


Are you ready for mother's day?

Mother's Day is quickly approaching, and we want to take the opportunity to remind you of a few ways you can support Children's Cause when you shop online:

If you're shopping on Amazon, considering using AmazonSmile instead. You get the same item at the same price, but we get a donation from Amazon!

Shopping somewhere else online? Check out Goodshop first to see if your shopping merchant is one of the thousands of stores in their network. Goodshop's site will help you find great coupons -- and then donate a percentage to us!
 
>>> Sending flowers? Use Goodshop and they'll donate 7-8% of your 1-800-Flowers or ProFlowers total to us!

When you make a purchase through our Bravelets page, Children's Cause receives a $10 donation. Products including jewelry, watches and scarves are available in yellow or gold (the colors of childhood cancer awareness) and enscribed with the words "be brave." Shop Bravelets.

As always, you can make a donation directly to the Children's Cause in honor or memory of a loved one. Let us know it's a Mother's Day gift in the comment field of your donation, and we'll be sure to let the honored woman know. Thank you!
 

Jessica Kean