{"slug":"pioneer","tag":"pioneer","variants":["pioneer"],"description":"People who opened a field: first treatments, first trials, first movements.","count":19,"kinds":{"person":19},"related":[{"slug":"hero","tag":"hero","shared":19},{"slug":"advocate","tag":"advocate","shared":3},{"slug":"patient","tag":"patient","shared":1}],"records":[{"id":"susan-love","kind":"person","name":"Susan Love","route":"/people/susan-love/","tldr":"Her Breast Book gave women the information to question their surgeons; she co-founded the National Breast Cancer Coalition and in 2008 recruited hundreds of thousands of women into research through the Army of Women."},{"id":"cicely-saunders","kind":"person","name":"Dame Cicely Saunders","route":"/people/cicely-saunders/","tldr":"Nurse, social worker and doctor who opened St Christopher's Hospice in 1967 and established that pain in advanced cancer could be prevented with regular oral morphine and attention to the whole person."},{"id":"elisabeth-kubler-ross","kind":"person","name":"Elisabeth Kübler-Ross","route":"/people/elisabeth-kubler-ross/","tldr":"Her 1969 book On Death and Dying, based on interviews with terminally ill patients in a Chicago hospital, made it acceptable for doctors to talk with patients about dying and helped launch the American hospice movement."},{"id":"sidney-farber","kind":"person","name":"Sidney Farber","route":"/people/sidney-farber/","tldr":"In 1947-48 he showed that the folate antagonist aminopterin could send childhood leukaemia into remission, the first drug ever to do so. He then built Dana-Farber and, with Mary Lasker, won the 1971 National Cancer Act."},{"id":"gertrude-elion","kind":"person","name":"Gertrude Elion","route":"/people/gertrude-elion/","tldr":"Without a doctorate, she and George Hitchings designed drugs to block DNA building blocks. Their 6-mercaptopurine of 1951 remains part of the cure for childhood leukaemia; she won the Nobel Prize in 1988."},{"id":"jane-cooke-wright","kind":"person","name":"Jane Cooke Wright","route":"/people/jane-cooke-wright/","tldr":"At Harlem Hospital in the 1950s she showed methotrexate could shrink breast and skin cancers, tested drugs on patients' own tumour cells, and in 1964 was the only woman among the seven founders of ASCO."},{"id":"emil-freireich","kind":"person","name":"Emil J Freireich","route":"/people/emil-freireich/","tldr":"At the NCI in the early 1960s he and Emil Frei gave children four drugs at once, VAMP, against fierce opposition, and turned a uniformly fatal leukaemia into a curable one. He also worked out platelet transfusion."},{"id":"emil-frei","kind":"person","name":"Emil \"Tom\" Frei III","route":"/people/emil-frei/","tldr":"With Emil Freireich he showed that combinations of drugs could cure childhood leukaemia, then extended the idea to Hodgkin lymphoma and to adjuvant treatment after surgery."},{"id":"donald-pinkel","kind":"person","name":"Donald Pinkel","route":"/people/donald-pinkel/","tldr":"As the founding director of St. Jude Children's Research Hospital in 1962 he designed Total Therapy, combining drugs with treatment of the brain and spinal fluid, and raised childhood leukaemia cure rates from near zero to about half within a decade."},{"id":"bernard-fisher","kind":"person","name":"Bernard Fisher","route":"/people/bernard-fisher/","tldr":"He argued that breast cancer is a systemic disease from early on, then proved in randomised trials that lumpectomy with radiation equals mastectomy and that tamoxifen after surgery, and even before cancer, saves lives."},{"id":"jimmie-holland","kind":"person","name":"Jimmie Holland","route":"/people/jimmie-holland/","tldr":"A psychiatrist who set up the first full-time psychiatry service in a cancer hospital at Memorial Sloan Kettering in 1977, founded the field's societies and journal, and made distress a vital sign in cancer care."},{"id":"judah-folkman","kind":"person","name":"Judah Folkman","route":"/people/judah-folkman/","tldr":"In 1971 he proposed that tumours cannot grow beyond a few millimetres without recruiting blood vessels, and that blocking them could treat cancer. Dismissed for decades, the idea produced bevacizumab and a class of drugs."},{"id":"brian-druker","kind":"person","name":"Brian Druker","route":"/people/brian-druker/","tldr":"He pushed a shelved kinase inhibitor through the laboratory and into a 1998 trial when few believed a targeted pill could work. Imatinib made chronic myeloid leukaemia a disease people live with, and became the model for targeted therapy."},{"id":"tasuku-honjo","kind":"person","name":"Tasuku Honjo","route":"/people/tasuku-honjo/","tldr":"He discovered the PD-1 molecule on T cells in 1992 and showed it acts as a brake on immune attack. Blocking it produced nivolumab and pembrolizumab, now used across dozens of cancers; Nobel Prize 2018."},{"id":"harald-zur-hausen","kind":"person","name":"Harald zur Hausen","route":"/people/harald-zur-hausen/","tldr":"Against the consensus that herpes was to blame, he proposed in 1976 that papillomaviruses cause cervical cancer and isolated HPV16 and HPV18 from tumours in 1983-84, making vaccination and HPV testing possible. Nobel Prize 2008."},{"id":"ian-frazer","kind":"person","name":"Ian Frazer","route":"/people/ian-frazer/","tldr":"In 1991 he and Jian Zhou made HPV virus-like particles in the laboratory, the basis of the vaccines that could eliminate cervical cancer. Australia, where the vaccine was rolled out first, is on course to do so."},{"id":"jian-zhou","kind":"person","name":"Jian Zhou","route":"/people/jian-zhou/","tldr":"A Chinese virologist whose skill in expressing viral proteins made the first HPV virus-like particles in 1991. He died in 1999 at 42, seven years before the vaccine reached the public."},{"id":"mary-claire-king","kind":"person","name":"Mary-Claire King","route":"/people/mary-claire-king/","tldr":"In 1990 she showed that a single gene on chromosome 17, BRCA1, causes inherited breast and ovarian cancer, when most of the field doubted such a gene existed. Genetic testing and risk-reducing care followed."},{"id":"janet-rowley","kind":"person","name":"Janet Rowley","route":"/people/janet-rowley/","tldr":"Working part-time at her dining-room table in 1972, she showed the Philadelphia chromosome in CML is a swap between chromosomes 9 and 22. Cancer had a genetic cause, and imatinib later hit the fused gene."}]}