Study Participant Strides Ahead with His Doctors, His Research Team & the Best Therapy (Dog) Ever

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Bob Kehm, center, with two of his doctors, neurosurgeon Norberto Andaluz, MD, left, and neuro-oncologist Richard Curry, III, MD, right, at the kickoff for UC Health Research Week. Photo by Cindy Starr / Mayfield Clinic.

Bob Kehm helped kick off UC Health Research Week 2012 on Tuesday at University Hospital with a story that merged coincidence with collaboration and hope. The coincidence involved the 62-year-old West Chester man’s best buddy, “Jake,” a 165-pound Newfoundland and therapy dog that Mr. Kehm had trained for duty. The collaboration involved Mr. Kehm’s multidisciplinary team of physicians at the Brain Tumor Center at the UC Neuroscience Institute, one of four institutes of the UC College of Medicine and UC Health. And the hope comes in the form of a novel brain cancer vaccine study for which Mr. Kehm qualified.

Mr. Kehm, a trim, athletic man who last month zipped through the Walk Ahead for a Brain Tumor Cure 5k in 23 minutes and 13 seconds, began training with Jake two years ago, and the pair soon qualified as a therapy team.

Bob Kehm and “Jake,” the therapy dog he helped train

“About half-way through our experience, eight or nine months ago, we qualified to come to University Hospital,” Mr. Kehm said. “We’d been here three or four times as a therapy team when I myself had to come here as a patient, with a glioblastoma multiforme — it’s called a stage 4 brain cancer in my language. And by a shared coincidence, this is the only hospital where Jake and I go into the neurosurgery area, because Jake’s a big enough dog that people who aren’t real mobile can just reach their arm out to pet him. And very coincidentally, I ended up in the neurosurgery area myself.”

Norberto Andaluz, MD, a neurosurgeon with the UC Neuroscience Institute and Mayfield Clinic, removed as much of the glioblastoma as possible. Unlike solid tumors that have clear borders, the glioblastoma tumor is diffuse and infiltrative and therefore difficult to remove. Following surgery, Mr. Kehm underwent radiation treatment under the guidance of the UC Brain Tumor Center’s Luke Pater, MD, at the Precision Radiotherapy Center in West Chester, Ohio.

And almost simultaneously, Mr. Kehm said, he was enrolled in a research study at the UC Brain Tumor Center under the care of Richard Curry III, MD, a medical neuro-oncologist. As a study participant, Mr. Kehm is helping scientists investigate the potential benefits of a vaccine designed to help the immune system inhibit the growth of cancer cells that contain the EGFRvIII protein.

“In addition to surgery and radiation, they poke me in the leg six times once a month for the experimental vaccine,” he said. “I’m not sure what’s helping me, but something’s doing it and I give credit to the docs and everyone else. This vaccine may have made an impact on how well I’m doing right now.”

Because the vaccine study is “blinded,” however, Mr. Kehm does not know whether he is receiving the actual vaccine or a placebo.

Serving as master of ceremonies for the Research Week kickoff, Stephen Strakowski, MD, Vice President of Research for UC Health and the Dr. Stanley and Mickey Kaplan Professor and Chair of the Department of Psychiatry and Behavioral Neuroscience, praised Mr. Kehm and other study participants as the “real heroes” of clinical research.

“We work with them at a time that is the most difficult in their lives,” Dr. Strakowski said. “They realize that even if this research doesn’t help them, it hopefully will help the next person. It’s just not possible to say enough about the courage of our patients who participate in research and how thankful we are that they do. Because without them, we couldn’t make the advances in healthcare that really change how people get better.”

Mr. Kehm praised all who have cared for him within the UC Brain Tumor Center and UC Health. “Considering it’s cancer, it’s been a very good experience,” he said. “I almost have no symptoms, although I do have some memory loss.”

And, he added, he was “not happy” with his 7:29 pace in the Walk Ahead 5k. Still, it was good enough to beat his neuro-oncologist, Dr. Curry, by 13 seconds.

UC Health Research Week, “Collaborate to Innovate,” concludes today.

–Cindy Starr

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