Leukemia (AML/MDS)

Myelodysplastic syndromes, or MDS, are a group of malignancies affecting blood cells. About half of MDS patients go on to develop acute myeloid leukemia (AML), which is the most common leukemia in adults. Together, these diseases affect nearly 16,000 Americans each year.

The incidence of MDS is expected to rise as the population ages. There’s no curative therapy for most patients with MDS. Although the five-year survival rate for AML has vastly improved since the 1970s, it’s still only less than 30%. In addition, half of AML and MDS patients will succumb to complications from their disease or treatment. Clearly, now is the time to find more effective therapies for both of these diseases.

MD Anderson’s AML/MDS Moon Shot will combine the latest treatment technologies and genetic knowledge to identify the most promising new treatments and move them into a clinical setting in a faster, more efficient way.

Our Approach

  • Goals

    • Goals - LeukemiaIdentify a subset of patients with lower risk MDS that may benefit from early intervention due to predicted prognosis
    • Identify new therapeutic targets in patients with MDS.  This will allow the development of new, badly-needed treatment strategies
    • Identify molecular mechanisms that drive transformation from MDS to AML.  This will allow the development of interventions that could halt this process, and it has obvious implications for our understanding of the pathogenesis of AML
    • Understand mechanisms of resistance to hypomethylating agents in high-risk MDS.  Resistance is a major road block to cure in MDS, and understanding this process will significantly and  rapidly improve outcome in these patients
    • Double the five-year survival rate for AML by discovering new molecular targets of this disease and developing new prognostic tools
    • Improve quality of life for patients suffering from the effects of chronic disease and treatment complications
    • Explore and improve upon new methods of stem cell transplantation using umbilical cord blood and employing immune system attack cells and natural killer cells, as well as developing new treatment modalities such as antibodies to avoid relapse post-transplant
    • Improve screening of high-risk individuals, such as those who have long-term exposure to chemicals in the home or workplace

     

  • Research

    Research - LeukemiaMore than 80% of our patients already are benefiting from ongoing clinical trials of novel targeted therapies, immunotherapies and stem cell transplantation. Other research avenues are actively being pursued for new studies.

    Our research goals include:

    • Identifying the risk factors and mechanisms that cause MDS and its progression to AML
    • Understanding why AML/MDS becomes resistant to treatment
    • Developing early treatment strategies for low-risk MDS patients
    • Discovery of new targets for both diseases
    • Improve on current stem cell transplant modalities that are curative for a fraction of our patients
  • Infrastructure

    Structure - LeukemiaSince 1970, MD Anderson has maintained an extensive research database for MDS and leukemia that contains data from more than 31,000 patients, and our tissue bank has 11,000 samples. This data has been instrumental in helping researchers worldwide understand the relationships between MDS and AML and develop drugs that target known genetic factors of these diseases.

    We will build upon this information and create a collaboration that allows MD Anderson researchers to more easily share this data with each other and with other institutions. The infrastructure will expedite the discovery process through real-time analysis from a variety of systems.  We hope to add data from at least 1,800 new patients each year to build our knowledge of these diseases.

  • Goals

    • Goals - LeukemiaIdentify a subset of patients with lower risk MDS that may benefit from early intervention due to predicted prognosis
    • Identify new therapeutic targets in patients with MDS.  This will allow the development of new, badly-needed treatment strategies
    • Identify molecular mechanisms that drive transformation from MDS to AML.  This will allow the development of interventions that could halt this process, and it has obvious implications for our understanding of the pathogenesis of AML
    • Understand mechanisms of resistance to hypomethylating agents in high-risk MDS.  Resistance is a major road block to cure in MDS, and understanding this process will significantly and  rapidly improve outcome in these patients
    • Double the five-year survival rate for AML by discovering new molecular targets of this disease and developing new prognostic tools
    • Improve quality of life for patients suffering from the effects of chronic disease and treatment complications
    • Explore and improve upon new methods of stem cell transplantation using umbilical cord blood and employing immune system attack cells and natural killer cells, as well as developing new treatment modalities such as antibodies to avoid relapse post-transplant
    • Improve screening of high-risk individuals, such as those who have long-term exposure to chemicals in the home or workplace

     

  • Research

    Research - LeukemiaMore than 80% of our patients already are benefiting from ongoing clinical trials of novel targeted therapies, immunotherapies and stem cell transplantation. Other research avenues are actively being pursued for new studies.

    Our research goals include:

    • Identifying the risk factors and mechanisms that cause MDS and its progression to AML
    • Understanding why AML/MDS becomes resistant to treatment
    • Developing early treatment strategies for low-risk MDS patients
    • Discovery of new targets for both diseases
    • Improve on current stem cell transplant modalities that are curative for a fraction of our patients
  • Infrastructure

    Structure - LeukemiaSince 1970, MD Anderson has maintained an extensive research database for MDS and leukemia that contains data from more than 31,000 patients, and our tissue bank has 11,000 samples. This data has been instrumental in helping researchers worldwide understand the relationships between MDS and AML and develop drugs that target known genetic factors of these diseases.

    We will build upon this information and create a collaboration that allows MD Anderson researchers to more easily share this data with each other and with other institutions. The infrastructure will expedite the discovery process through real-time analysis from a variety of systems.  We hope to add data from at least 1,800 new patients each year to build our knowledge of these diseases.

Our Team

The Moon Shot leaders are charged with galvanizing the large and integrated team that will move forward in a milestone-driven manner to convert scientific knowledge into drugs, tests, devices and policies that can benefit patients as quickly as possible.

  • Hagop Kantarjian, M.D

    Hagop Kantarjian, M.D

    Chair and Professor, Leukemia
  • Guillermo Garcia Manero, M.D.

    Guillermo Garcia-Manero, M.D.

    Professor, Leukemia
  • Hagop Kantarjian, M.D

    Hagop Kantarjian, M.D

    Chair and Professor, Leukemia

  • Guillermo Garcia Manero, M.D.

    Guillermo Garcia-Manero, M.D.

    Professor, Leukemia

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Our Stories

These MD Anderson patients are surviving and thriving after their cancer diagnoses. What we’ve learned from their cancer journeys provides the launch platform for the AML/MDS Moon Shot.

  • Jerry Reidy

    Jerry Reidy

    MDS

    Jerry Reidy of Aurora, Colo., went in for a routine cholesterol check in late summer 2008. When the results came back, his family doctor gave him a call. He was diagnosed with myelodysplatic syndrome. Reidy says at first he wasn’t too worried because he didn’t have symptoms. Then he started reading about MDS and contacted MD Anderson.” Now in a Phase 1 clinical trial, Reidy continues his work in the family metal refinishing business, plays softball frequently and exercises with a trainer twice a week. He is grateful that the clinical trial is going so well. “The last time I went in for a check-up, Dr. Manero looked at my chart and said, ‘How are you feeling?’ “Then he looked at me and said, ‘Why do I ask? You look like a million bucks.’” Read the full story…

  • Holly Easley

    Holly Easley

    MDS

    Holly Easley began her cancer journey five years ago when she was diagnosed with myelodysplastic syndrome. After two types of chemotherapy and a stem cell transplant, she says she loves life and is improving daily. Easley describes her first experience at MD Anderson as “mind-blowing,” she was surprised to see so many patients here from all over the world. She says it’s the best place in the world to receive treatment. “All of the doctors brainstorm the best possible treatment for you. Where else can you get that?” Read the full story…

  • Kenneth Woo

    Kenneth Woo

    AML

    In May 2003, Kenneth Woo was enjoying eight years of living cancer-free, having overcome his second bout with Hodgkin’s disease in May 1995. But after that eight-year stretch, he began experiencing more health problems. He was diagnosed with acute myelogenous leukemia.

    After clinical trials and a stem cell transplant, Woo is free from the AML that threatened to take his life. As a result of his experience, he’s a firm believer in donating stem cells every chance he gets. He also continues to give back to MD Anderson, volunteering at the hospital and working with the Anderson Network, a patient-to-patient support organization, as a mentor and supporter for other patients. Read the full story…

  • Jerry Reidy

    Jerry Reidy

    MDS

    Jerry Reidy of Aurora, Colo., went in for a routine cholesterol check in late summer 2008. When the results came back, his family doctor gave him a call. He was diagnosed with myelodysplatic syndrome. Reidy says at first he wasn’t too worried because he didn’t have symptoms. Then he started reading about MDS and contacted MD Anderson.” Now in a Phase 1 clinical trial, Reidy continues his work in the family metal refinishing business, plays softball frequently and exercises with a trainer twice a week. He is grateful that the clinical trial is going so well. “The last time I went in for a check-up, Dr. Manero looked at my chart and said, ‘How are you feeling?’ “Then he looked at me and said, ‘Why do I ask? You look like a million bucks.’” Read the full story…

  • Holly Easley

    Holly Easley

    MDS

    Holly Easley began her cancer journey five years ago when she was diagnosed with myelodysplastic syndrome. After two types of chemotherapy and a stem cell transplant, she says she loves life and is improving daily. Easley describes her first experience at MD Anderson as “mind-blowing,” she was surprised to see so many patients here from all over the world. She says it’s the best place in the world to receive treatment. “All of the doctors brainstorm the best possible treatment for you. Where else can you get that?” Read the full story…

  • Kenneth Woo

    Kenneth Woo

    AML

    In May 2003, Kenneth Woo was enjoying eight years of living cancer-free, having overcome his second bout with Hodgkin’s disease in May 1995. But after that eight-year stretch, he began experiencing more health problems. He was diagnosed with acute myelogenous leukemia.

    After clinical trials and a stem cell transplant, Woo is free from the AML that threatened to take his life. As a result of his experience, he’s a firm believer in donating stem cells every chance he gets. He also continues to give back to MD Anderson, volunteering at the hospital and working with the Anderson Network, a patient-to-patient support organization, as a mentor and supporter for other patients. Read the full story…

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