Birmingham

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Overview
Our Centre 

At Birmingham ECMC we are committed to developing and delivering the next generation of personalised therapies. Led by Professor Gary Middleton, we enjoy an international reputation for innovation in this field, driving the development of novel, stratified medicine studies in partnership with our CRUK Clinical Trials Unit. A nationally-renowned cancer genomics hub, our experimental research also benefits from collaborations with Genomics Birmingham, led by centre Theme Lead Professor Andrew Beggs.

As the leading national cancer recruiter to the 100,000 Genomes Project, we strive to utilise this data to benefit our patients, offering novel, personalised experimental treatments. We deliver our research at one of the largest teaching hospital trusts in England, University Hospitals Birmingham NHS Foundation Trust, which sees and treats more than 2.2 million people every year.

Launched in 2015, The National Lung Matrix Trial constitutes a step change in our approach to stratified medicine, matching specific therapies to key genetic changes in patients’ cancer cells. The largest precision medicine study in non-small cell lung cancer globally, the trial has benefited from national adoption across the ECMC network. Its initial findings, recently published in Nature, will have a significant impact on future study designs, addressing the challenge of matching therapies to genomically complex tumours, and the need for corresponding pre-clinical models.

A new strategic focus is brain cancer, led by Professor Colin Watts. Working in collaboration with the CRUK Clinical Trials Unit, Professor Watts has devised and developed the newly-launched Tessa Jowell Brain Matrix. This highly-innovative platform seeks to accelerate the development of stratified brain tumour trials, an area of significant unmet need. It will be delivered at ten centres across the UK, the majority of which are ECMCs.

The development of innovative immunotherapeutic strategies is another key strength of our centre, informed by Birmingham-led discovery science. Notable recent studies include PEPS2, led by Professor Gary Middleton, whose outcomes support the adoption of Pembrolizumab into standard of care guidelines for performance status 2 non small cell lung cancer patients.

We are also a leading centre developing experimental haematology studies, and are the hub of the Trials Acceleration Programme, a national network of 12 clinical centres, which has recruited more than 1000 patients to 20 prospective clinical trials, since its launch in 2012.

November 2020 sees the launch of the Bladder Cancer Centre, led by Birmingham’s Dr Rik Bryan, working in collaboration with the Universities of Oxford, Cardiff and Manchester. The Bladder Cancer Translational Research Consortium, the Centre’s first programme, is an international collaboration for translational research into high-risk non-muscle-invasive bladder cancer.

Our Patient Population
University Hospitals Birmingham NHS Foundation Trust (UHB) is one of the largest teaching hospital trusts in England, serving a regional population of 2.9 million people, alongside a national and international population. The Trust's 20,000 members of staff see and treat more than 2.2 million people every year. The Trust is home to some of the country’s leading clinical research institutions, and is dedicated to developing and implementing groundbreaking treatments, technologies and techniques.
 
Organisations affiliated with Birmingham ECMC:
Our location 
Birmingham, West Midlands. We have excellent rail links (Birmingham New Street station, with local services from there to University station), and are at the hub of the UK's motorway network. We are also close to Birmingham International Airport (driving time of approximately 30 minutes).
Contact the Centre Manager:
Fayeon Fyfield-Calder
ecmcbham@contacts.bham.ac.uk
 
Address 
The University of Birmingham
College of Medical and Dental Sciences
School of Cancer Sciences
Academic Department of Surgery
4th Floor, Queen Elizabeth Hospital
Edgbaston
Birmingham, B15 2TH
Team Members
An image of the Birmingham ECMC Leads, Professor Gary Middleton
Adult Centre Lead
Expertise: 
Adult
Professor Gary Middleton is a Medical Oncologist who specialises in lung cancer and colorectal cancer. He has many years of experience in patient treatment, and also in development of novel clinical trials.  Appointed to a chair of Medical Oncology at Birmingham in 2013, he has built up a strong clinical and translational research programme. In addition to leading the Birmingham ECMC, Gary is the Clinical Director for the CRUK Birmingham Centre and Lead for the Birmingham CRUK Clinical Academic Training Programme.
 
A key interest is in stratified approaches to patient treatment. Gary has a strong presence in UK stratified medicine clinical trials including as Chief Investigator for the National Lung Matrix Trial.
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ECMC Project Manager
Expertise: 
Adult

Fayeon co-ordinates the operational delivery of the Birmingham ECMC, working closely alongside Centre lead Professor Gary Middleton, the Theme Leads and Management Group. She supports the activities of the ECMC-funded staff, facilitates access to innovative research studies, and drives forward key experimental cancer initiatives. She promotes collaborative interactions between the ECMC and the CRUK Birmingham Centre, seeking opportunities to align their strategic objectives.

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Operational Team

Cancer Research UK Senior Research Nurse
Expertise: 
Adult
+44 (0)121 414 6781
Adult Expertise
Treatment Modalities 
Radiotherapy
Immunotherapy
Small Molecules
Surgery
Facilities/Translational Research 
  • CQC registered oncology trials unit
  • Dedicated 24 hour stay facilities (including weekends)
  • Radiopharmacy
  • On-site pharmacy
  • Biobanking facilities
  • Dedicated research staff
  • Snap freezing facilities
  • On-site ITU (intensive treatment unit)
  • On-site central lab

 

 

Cancer Types

We have expertise in both solid tumours and haematological malignancies.

All haematological, lung, colorectal, head and neck, bladder, hepatobiliary, sarcoma, breast, Barrett's Oesophagus, MGUS
Drugs/Treatment Modalities 
  • Platform trials
  • Advanced cellular therapies
  • Combination therapies
  • Oncolytics viral therapy
Radiotherapy 
We have regular access to photon radiotherapy.
We have research expertise in the following:
  • Intensity Modulated Radiotherapy (IMRT)
  • Image Guided Radiotherapy (IGRT)
  • 4-Dimensional Radiotherapy (4DRT)
  • Stereotactic Radiotherapy (SBRT/SABRT)
Molecular Diagnostic Testing
We have the following available on a routine basis to our patients. 
  • Single gene testing
  • Disease specific NGS panel testing (next generation sequencing)
  • Large NGS panel testing
  • WGS (whole genome sequencing)- possibly specific cases

This is available for tumours and for ctDNA (circulating tumour DNA)

Our average turnaround time for diagnostic testing is 5 days. All patients are profiled for EGFR, ALK, ROS1, NTRAK, BRAF for lung. Similar panels in other disease types. 

Paediatric Expertise
Paediatric Expertise 

The Birmingham Paediatric ECMC is based at Birmingham Children’s Hospital, at the heart of the city at our Steelhouse Lane site. The unit provides specialist care for patients under the age of 16, with thriving teenagers and young adults (16-24) service managed in conjunction with University Hospitals Birmingham at the Queen Elizabeth Hospital.

The centre sees approximately 250 new cases per year across a wide geographical area, and frequently accepts referrals for early phase trial participation from centres nationwide. BCH is also the central hub for the Midlands Paediatric Oncology Shared Care Centres network which sees collaboration with smaller units across the Midlands.

The centre is currently in the process of facilities redevelopment, with the unit having outgrown its current home on ward 15 and oncology outpatients. In summer 2017 the £40 million, cancer and rare diseases centre is due to be completed; bringing world class facilities to what is already a world class care provider.

 
The Team:

BCH has an experienced medical and research team with 8 consultant paediatric oncologists and 6 consultant paediatric haematologists, many of whom are national or international clinical trial leads. The research team itself consists of 3 Senior Research Nurses, 4 data managers and a trials coordinator.

 

Paediatric Experience:

The cancer research team at BCH was established in 1984 and during this time over 5000 patients have participated in over 200 programmes of research within the department. With such a long history of providing innovative care to children and young adults, BCH has a well-established infrastructure for the management and provision of early phase clinical trials, and so also has European Network of Clinical Trials (ITCC) status.

The department has an extensive and diverse study portfolio with 61 studies currently active or in set-up at site with 21 of these being phase I or phase II clinical trials. The department also has an extensive basic science and observational research interest with 22 active studies, many of these provided in conjunction with the University of Birmingham with whom we have a close working relationship, with 3 of our consultant team holding academic titles with the University.

The unit has a strong track record with providing excellent patient care on clinical trials and has been awarded the West Midlands Clinical Research Network prize for patient engagement and recruitment for 2015/16.

Case Study
Case Studies 

The National Lung Matrix Trial is the largest precision medicine trial in non-small cell lung cancer globally. The trial targets specific types of cancer by investigating the genetics of each tumour and how it responds to a wide variety of drugs. It is a clinician-led collaborative study between the University of Birmingham, Cancer Research UK, Astra Zeneca and Pfizer. Sponsored and coordinated by the University of Birmingham’s Cancer Research UK Clinical Trials Unit, it is led by Professor Gary Middleton as Chief Investigator, with support from our ECMC-funded team.

Around 42,000 people are diagnosed with lung cancer in the UK every year, with around 35,000 deaths from the disease. The initial results of the National Lung Matrix Trial were published in Nature (DOI: 10.1038/s41586-020-2481-8) in July 2020 and provide invaluable insights into the effective treatment of genomically-diverse cancers. The trial is still open to recruitment, with a new combination arm opening in 2020.

Initial findings of the National Lung Matrix Trial 

 

The Birmingham ECMC is supported by world class scientists, providing meaningful opportunities for collaborative engagement in the delivery of translational medicine in the research and treatment of cancer