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DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE

                                                                                           REPORT ON PHILANTHROPY | FALL 2020

THESE TIMES
CALL ON US
FOR MORE.
OUR COMMUNIT Y
HAS RESPONDED.

          Researchers Pivot                          Alumni Back                                      Norris Cotton Cancer
          to Concentrate on                          Geisel Campaign                                  Center Focuses on
          COVID-19........................... p. 3   Priorities.......................... p. 12       Innovation.............p. 20
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
FEATURES

      3
      SAVING LIVES,
                                                                       IN FOCUS
                                                                     08 T
                                                                         he Economics of Vaccine
                                                                        Development
      SERVING SCIENCE                                               09 Snapshot of Federal Grants
      Cutting-edge COVID-19 research
      gave our patients options                                     10 R
                                                                        esearch Briefs
      not available in most rural
      communities.                                                14 S
                                                                      eeding Change within Medicine

                                                                  16 M
                                                                      ilestone Gift Funds Geisel Student
                                                                     Scholarships

                                                               18 I ncreasing Our Capacity to Care

                                                              24 A
                                                                  lumni Gifts Launch Entrepreneurial
                                                                 Accelerator

                                                             26 D
                                                                 onors, Fiscal Year 2020

                                                            28 G
                                                                iving Highlights

     12
                                                           31 Pinnacle Society

      SUPPORTING OUR
      STUDENTS
                                                       Giving in Action
      Alumni and donors get behind                    Fall 2020
      Geisel’s campaign goals
      with groundbreaking gifts                       Executive Director
      to scholarships and student                    Kate Villars
      wellness programming.
                                                     Managing Editor
                                                    Lauren Seidman

                                                    Editorial Assistant
                                                    Patti Green

                                                 Design Production
                                                Farah R. Doyle

                                                Contributors
                                                Audra Burns, Timothy Dean,
                                               Jennifer Durgin, Susan Green, Kendall Hoyt, PhD,
                                               Sue Knapp, Lara Stahler

                                              Cover Photograph
                                              Yujia Shentu ’23 volunteers at Dartmouth-Hitchcock

      20
                                             Medical Center’s Farmacy Garden, which helps
                                             provide food to those in need in our community.
                                             Photo by Mark Washburn.

                                             Photography
                                            Mark Washburn (except where noted)

                                            Produced by
                                            Office of Development and Alumni Relations
      MOTHER. MENTOR.                      Dartmouth-Hitchcock | Geisel School of Medicine
      SCIENTIST.                           at Dartmouth

      ENTREPRENEUR.                       One Medical Center Drive, HB 7070
                                          Lebanon, NH 03756
      Norris Cotton Cancer Center
      scientists like Arti Gaur, PhD,    Websites
      excel at bringing discoveries to    dartmouth-hitchcock.org/donate
      the marketplace.                   dhgeiselgiving.org
                                         geiselmed.dartmouth.edu/campaign
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
LEADERSHIP LETTER

                                    THESE TIMES.
These times are most often described        George Floyd, Geisel students began         that’s carried us through this year. As
as difficult, extraordinary, challenging,   steering efforts to address the racism      health care professionals, scientists,
and unprecedented. But let’s be             that exists in our own community,           and educators, we are called to the
honest. The nine months since a novel       and continue that work today. When          vital work of creating healthier, more
coronavirus upended life as we knew it      these times called for selflessness,        resilient, and more equitable commu-
have been heartbreaking, lonely, scary,     our medical students led by example.        nities. We must confront the persistent
and frustrating.                            Doctors, nurses, and staff across the       racism and inequities that lead to un-
Yet they’ve also been inspiring. From       Dartmouth-Hitchcock Health sys-             acceptable disparities in nearly every
the moment the first case of COVID-19       tem have shown commitment and               aspect of modern life—including health
in our region was diagnosed at Dart-        resourcefulness in caring for patients      care. That’s why Geisel and D-H have
mouth-Hitchcock Medical Center and          during the pandemic. Our Connected          launched multiple initiatives to address
the Geisel School of Medicine moved         Care team dramatically expanded use         the policies, practices, and cultural
its curricula online, to the ongoing        of telemedicine appointments in order       norms that perpetuate bias, racism, and
protests against endemic racism in          to ensure continuity of care for people     inequity within our institutions and to
America, our faculty, students, care-       at home. Then, as conditions allowed,       better support our employees, students,
givers, and neighbors have stepped up.      our care teams worked together to           and patients from underrepresented
These times call on us for more, and        adapt our operations to safely and          and disadvantaged groups. This work
our community has responded.                successfully re-open for in-person          will not be easy nor quick. It will require
                                            appointments and procedures. When           sustained engagement and investments.
Last spring, Geisel and Dartmouth-                                                      These times call on us for listening
Hitchcock (D-H) researchers, in             these times called for creativity, our
                                            providers envisioned different ways         and self-examination, and we are
collaboration with Dartmouth College                                                    committed to this undertaking.
colleagues, quickly pivoted to focus on     to deliver their care.
COVID-19 diagnostics and treatments.        Throughout the crisis, you—our donors,      Flexibility, selflessness, creativity,
That work enabled D-H to provide            friends, and volunteers—have stood          generosity, listening and self-examina-
accurate and rapid coronavirus testing      with us. You used your connections          tion—in these ways and so many more,
early in the pandemic, and to offer         to ensure that our frontline staff were     our community has responded to the
patients with COVID-19 the most             equipped with personal protective           challenges of these times, and we are
promising treatments through clinical       equipment (PPE). You aided those            deeply grateful.
trials—options not routinely available      in need with gifts to our COVID-19
in rural communities. When these            Community Relief Fund, D-H’s HOPE
times called for flexibility, our           Fund for employees, and Geisel’s student
scientists and clinicians took action.      emergency fund. You participated in a
In-person classes and clinical rotations    virtual Prouty and virtual CHaD Hero
ended abruptly for Geisel students,         to raise money for Dartmouth’s and
an enormous disruption in their             Dartmouth-Hitchcock’s Norris Cotton                DUANE A. COMPTON, PHD
medical education. But they have            Cancer Center and the Children’s                  Dean, Geisel School of Medicine
demonstrated the resilience, empathy,       Hospital at Dartmouth-Hitchcock.
and determination we need from our          And in the midst of great economic
future physicians. While adapting to        uncertainty, you stayed the course with
online learning, students like Yujia        your crucial support for research, mental
Shentu ’23 also volunteered their time      health, medical student scholarships,
to distribute fresh produce to food         and so much more. When these times
                                            called for generosity, you moved us                  JOANNE M. CONROY, MD
pantries, help frontline workers with
                                            with your kindness.                                          CEO and President,
childcare, and serve in nonclinical
                                                                                                   Dartmouth-Hitchcock and
roles in hospitals. After the murders of    Looking ahead, we will act with the
                                                                                                 Dartmouth-Hitchcock Health
Ahmaud Arbery, Breonna Taylor, and          same commitment and resourcefulness

                                                GIVING IN ACTION | FALL 2020 • 1
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
DHART (Dartmouth-Hitchcock Advanced
Response Team) nurse Adam Bean
transports a patient from another hospital
to the COVID-19 Unit at DHMC.                  CALL
                                              ON US
                                              TIMES
                                              THESE

                                             TO CARE
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
S A V I NG
L IV E S ,
S E R VI NG
SCIENCE
Clinical Research in                                                                                         Robert Trembley, MD, was
                                                                                                             the first patient enrolled in
Our Rural Community                                                                                          DHMC’s remdesivir trials.

                                                            BY LAUREN SEIDMAN

R
       obert Trembley, MD, is no stranger            before known asymptomatic spread and

                                                                                                      I. MARCH 2020
       to illness. As a primary care physician       mask recommendations.
       in Vermont’s Northeast Kingdom for               Soon after arriving home in Vermont,
over 30 years, he treated countless patients         both Trembleys started to develop symptoms.
in a rural health center, at North Country           While his wife felt better after a couple of
Hospital, and in local nursing homes. And            days, Trembley couldn’t shake a low-grade
as a person with cancer, he’s undergone              temperature and an overwhelming sense
treatment for both Hodgkin’s disease and             of weakness. He wasn’t experiencing any
acute myeloid leukemia (AML).                        respiratory symptoms, but he was suspicious.
   “I survived potent chemotherapy,                     With coordination from John Hill Jr.,
a bone marrow transplant, and ongoing                MD, one of Trembley’s hematologists at
challenges of graft versus host disease,” says       Dartmouth-Hitchcock Medical Center
Trembley. “All of which put me at high-risk          (DHMC), Trembley was admitted to North
for COVID-19.”                                       Country Hospital. He needed IV fluids and
   When SARS-CoV-2, the virus that causes            oxygen. A chest X-ray showed inflammation
COVID-19, began spreading in the United              in his lungs. The next day, his COVID-19
States in early March, Trembley and his              swab came back positive.
wife, Carol, were in Florida. They headed               “Dr. Hill arranged for me to be transferred
back north by car, staying twice along the           to DHMC right away,” Trembley says,
way with friends and, once, at a hotel. They         “because that very day was the start of the
used hand sanitizer, cleaned surfaces, and           remdesivir trial.”
avoided crowds, but this was in the days

                                                 GIVING IN ACTION | FALL 2020 • 3
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
R
                                      emdesivir, an antiviral medication, is

           II. REMDESIVIR
                                      now known to be one of the few drugs
                                      that may shorten recovery time for a
                              patient with COVID-19. But in March 2020,
                              open-label (non-placebo-controlled) clinical
                              trials of remdesivir as a COVID-19 treatment
                              were just beginning. DHMC was one of
                              the first 20 U.S. sites to participate in the
                              worldwide trial and the only site participating
                              in New Hampshire or Vermont.
                                 “COVID-related research displays our
                              agility and ability to activate studies,” says
                              Leigh Burgess, vice president of Dartmouth-
                              Hitchcock’s (D-H) Office of Research
                              Operations. “It also demonstrates the
                              Dartmouth-Hitchcock mission of advancing           understand both what they’re agreeing to
                              health by providing each person the best           and that they are free to bow out at any time.
                              care, in the right place, at the right time,       Patients and their research nurse establish a
                              every time.”                                       deep, trusting relationship, with a lot of one-
                                 In what can typically take two to three         on-one interaction throughout the course of
                              months, a team of experts in research              a trial. But for COVID-19 clinical trials the
                              operations, including Jami Wilson, director        research nurses had to do most of their work
                              of the Clinical Research Unit and director         from outside patients’ rooms because of the
                              of research nursing at DHMC, and principal         contagiousness of the disease and the need
                              investigator Richard Zuckerman, MD,                to minimize the number of people coming
                              MPH, opened two therapeutic studies of             into contact with these patients.
                              remdesivir in a remarkable eight days. These          Robert Trembley was the first patient
                              Phase III trials were designed to gather           enrolled in DHMC’s remdesivir trials. He
                              information about safety and efficacy by           had come to DHMC specifically to take part
                              studying different populations and different       in the research and was ready to consent
                              treatment durations, as well as using the drug     upon arrival. He recalls being in his bed in
                              in combination with other supportive care.         the COVID Unit with signed consent form
                                  “With any novel virus there is no              in hand, and his research nurse, by phone,
                              standard of care,” says Wilson. “This was          asking him to bring the form to the window
                              an international pandemic and everyone             so she could take a photo of it. But he was
                              worked together to get the trials up and           too weak to get out of bed.
                              running because we didn’t have two months             He doesn’t remember doing this, but it
       Above: Jami Wilson,    to figure it out.”
       director of the                                                           was around that time that he’d texted his
       Clinical Research         Wilson explains that in any clinical trial, a   wife, “On six liters of oxygen. Not good.”
       Unit and director of
       research nursing at    research nurse is the patient’s primary point      Shortly after that, Trembley was put on a
       DHMC.                  of contact. They make sure trial participants      ventilator.

By the *
NUMBERS 477                                               177                    109                      1,333
*data accurate as                active                   therapeutic            opened                   trial
of August 2020                   studies                  trials                 studies,                 enrollments,
                                                                                 2020 to-date             2020 to-date

                                 Clinical Research at Dartmouth-Hitchcock
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
“This outbreak has
                                                  reminded us why it’s
                                                  so important for our
                                                  academic medical center
                                                  to be involved in clinical
                                                  trials and groundbreaking
                                                  research.”

                       “
                             This outbreak has reminded us why it’s          for its ability to prevent “cytokine storm” in
III. LENZILUMAB

                             so important for our academic medical           organ transplant patients and in patients with
                             center to be involved in clinical trials        refractory leukemia and lymphoma. The hope
                       and groundbreaking research,” says Richard            is that it can do the same to protect coronavirus
                       Zuckerman, director of D-H’s Transplant and           patients from the cytokine storm that often
                       Immunocompromised Host Program, program               leads to the need for mechanical ventilation.
                       director for the Infectious Disease Fellowship,          “Dartmouth connectivity was key to
                       and associate professor of medicine at the            bringing the lenz trial here,” says Lewis. Of
                       Geisel School of Medicine. “As a clinician, to        the 17 sites participating in the randomized,
                       quickly get an agent that may have efficacy is        placebo-controlled Phase III study, DHMC
                       so important. Even if we don’t have a huge            was one of the first four medical centers to
                       volume of patients with COVID-19, it shows            initiate the trial—once again in just eight
                       the community that we are poised to offer             days. An alumnus of Dartmouth’s medical
                       cutting-edge medicine and we care to bring it         school, Dale Chappell MED’99, MBA, is chief
                       to the medical center in a safe way.”                 scientific officer for the drug’s developer,
                           In May, Zuckerman began serving as co-            Humanigen, and Michael Zubkoff, PhD, an
                       principal investigator on another drug trial          associate dean at Geisel, faculty director of
                       with Lionel Lewis, MD, medical director               the Center for Health Care at the Tuck School
                       of the Dartmouth Clinical Trials Office,              of Business, and director of the MD-MBA
                       co-director of Dartmouth’s and Dartmouth-             Program at Dartmouth, put Chappell in
                       Hitchcock’s Norris Cotton Cancer Center               touch with Lewis.
                       (NCCC) Early Phase Clinical Trials Oncology              This study will comprise 300 adult patients
                       Group, and professor of medicine at Geisel.           at sites including DHMC, the Mayo Clinic,
                       The drug, lenzilumab (or “lenz”), is different        and hospitals at the University of Southern
                       from remdesivir in that it’s not an antiviral         California and in Brazil. Participating patients
                       medication but a monoclonal antibody.                 sick enough to need oxygen will get either lenz
                       Monoclonal antibodies are laboratory-made             or a placebo. If the drug works, Humanigen
                       versions of proteins naturally produced by the        will ask the Food and Drug Administration
                       immune system in response to invading viruses         (FDA) to authorize its emergency use. Results
                       or other pathogens. In some patients with             are expected in November 2020.
Above: Richard         COVID-19, signaling proteins called cytokines
Zuckerman, MD,                                                                  “It was so important to our hospitalized
                       that activate immunity go into overdrive, and
MPH, principal                                                               patients at DHMC to have us involved in
investigator on        the immune system goes haywire. The massive
the remdesivir and     inflammation that results damages lungs and           this research,” Zuckerman says. “Now we
lenzilumab trials at                                                         had options.”
DHMC.                  other organs. Lenz has already been studied

                                                 GIVING IN ACTION | FALL 2020 • 5
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
A
                                                  fter five days on a ventilator, Robert     useful treatment option to as many people as

IV. ANTIBODIES
             AND CORONAVIRUS IMMUNITY
                                                  Trembley was extubated.                    possible.”
                                                     “I think the very early intervention        To date, plasma collected at DHMC has
                                        was instrumental in turning things around            gone to patients at the medical center and
                                        for me,” Trembley says. “If I hadn’t been close      to patients at hospitals in Southern New
                                        enough to an academic medical center with            Hampshire, which experienced a greater
                                        the option of the clinical trial, I would likely     early surge of people sickened with the novel
                                        have remained at my community hospital and           coronavirus. Likewise, people who’ve recovered
                                        been treated with hydroxychloroquine, put on a       from COVID-19 have traveled to DHMC from
                                        ventilator, and that’s it. The timeline of getting   across the region in order to donate their blood.
                                        to DHMC and getting on remdesivir created            “The response from our community has been
                                        a window of opportunity for me that made a           amazing,” says Jenna Khan, MD, assistant
                                        difference in my survival.”                          director of the Transfusion Medicine Service
                                           While Trembley was recovering, Zbigniew           at DHMC and assistant professor of pathology
                                        “Ziggy” Szczepiorkowski, MD, PhD, D-H’s              and laboratory medicine at Geisel. “People have
                                        section chief of Laboratory Medicine, director       been eager and willing to do anything they can
                                        of Transfusion Medicine Service and of the           to help others suffering from the disease.”
                                        Blood Donor Program, and professor of                   A single blood draw can provide plasma
                                        pathology and laboratory medicine at Geisel,         for up to two patients—as well as samples
                                        had started evaluating the use of blood plasma       for research. Investigators throughout D-H,
                                        rich in antibodies as a COVID-19 treatment.          Geisel, NCCC, and Dartmouth College are
                                        Supported by federal government agencies             using these and other donated samples by
                                        including the FDA, and with the Mayo Clinic          enlisting volunteers to further understand
                                        serving as the Institutional Review Board, the       COVID-19 disease and the body’s response
                                        DHMC program was making plasma collection,           to it. In one such collaboration, Peter Wright
                                        processing, and access to treatment easier for       D’64, MED’65, professor of pediatrics at
                                        patients throughout Northern New England.            Geisel, Margaret Ackerman, PhD, professor of
                                           “Treatments with convalescent plasma, or          microbiology and immunology at Geisel and a
                                        plasma from patients who have recovered from         professor at the Thayer School of Engineering,
                                        a disease, date back to the Spanish Flu of 1918,”    Jiwon Lee, PhD, of Thayer, and colleagues
                                        says Szczepiorkowski. “The belief is that plasma     from the biotech firm Adimab and from the
                                        makes a difference, but we’re still waiting for      University of Texas-Austin, are studying the
                                        results of randomized, controlled trials.”           breadth of immune responses in the blood and
                                                                                             in the respiratory secretions of patients who
                                            Because plasma is known to be safe and           have recovered from COVID-19. The groups are
                                        anecdotal evidence suggests it can help patients,    profiling and isolating the effective antibodies
                                        in the spring the FDA authorized its emergency       for use as therapeutics and to inform potential
                                        use as an Investigational New Drug, or IND.          vaccine efforts.
                                        (The FDA further expanded the emergency
                                        use of convalescent plasma in August 2020.)             “We have a strong consortium at Dartmouth
                                        The designation allowed DHMC to provide              pulling together expertise in immune
                                        plasma to anyone who met the criteria for            responses,” says Wright, an infectious disease
                                        it—hospitalized in an Intensive Care Unit and        specialist, “and the Clinical Research Unit
                                        about to be intubated—and the outcomes will          at D-H has been extraordinarily helpful in
                                        contribute to the understanding of its efficacy.     coordinating and accommodating our work.”

                                            “We felt that if we believe this might work         Lionel Lewis also notes the benefits of
                                        as a COVID-19 treatment, we have to offer            working in a small, tight-knit community.
                                        it,” Szczepiorkowski says. “There are other          “Geisel and College scientists walk the same halls
                                        sites conducting randomized controlled trials        as D-H clinicians. We don’t feel like two separate
                                        of convalescent plasma and we need those,            institutions. And the more collaborations we
                                        but for us the right choice was to join the          have, the more successes we’ll have.” Successes
                                        Mayo Clinic’s protocol and get this potentially      for patients like Robert Trembley.

                                                DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE • 6
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
Plasma collected at DHMC
                                                                                      has gone to patients at
                                                                                      the medical center and to
                                                                                      patients at hospitals in
                                                                                      Southern New Hampshire,
                                                                                      which experienced a
Zbigniew “Ziggy”
Szczepiorkowski,                                                                      greater early surge of
MD, PhD, principal
investigator on                                                                       people sickened with the
the convalescent
plasma program.                                                                       novel coronavirus.

                           F
                                  ive months after contracting              are underserved by academic medical
        V. AUGUST 2020

                                  COVID-19, Trembley says he’s back         centers. We get to bring things to our rural
                                  to baseline. Or, according to his wife,   population that generally wouldn’t be
                            “even better than” his previous baseline.       available.”
                            He doesn’t feel like he’s had significant           “During a health crisis, a really scary time,
                            residual effects from the disease, perhaps,     we’re able to offer patients treatments that
                            in part, because of the health challenges       let them stay close to home,” says Wilson, the
                            he’s already faced.                             director of research nursing. And she notes
                               “This experience has made me even            that these options are available to patients
                            more determined to be consistent about          facing any number of health crises—not
                            exercising and doing the things that help       just COVID-19. There are currently more
                            keep me healthy,” he says. “I received          than 450 research studies actively enrolling
                            exceptional care and I’m so fortunate. Now      at DHMC, and Dartmouth-Hitchcock
                            I’m just enjoying each day as it comes.” With   Manchester is ramping up its abilities to
                            the permission of his care team, Trembley’s     enroll study participants in the southern
                            been able to spend most of the summer in        region of New Hampshire.
                            Massachusetts, swimming, boating, and              “I’m extremely grateful that I had the
                            relaxing on the beach.                          opportunity to be part of a clinical trial,”
                               For everyone involved in Trembley’s          says Trembley. “Everyone at DHMC did
                            treatment or other research at D-H, it’s        a superb job and I want to extend my
                            stories like his that drive them. Lewis says,   profound and sincere thanks.”
                            “Rural populations in developed countries

                                                                                             PHASE III
                                                                                             Large participation (1,000 to 3,000) to allow
                                            PHASE II                                         researchers to collect data on safety and
       PHASE I                              Studies a new drug, device, or
                                                                                             efficacy of a drug or treatment and to com-
                                                                                             pare the new treatment to the standard
       Determines the safety of a           treatment with 100 to 300 partici-               treatment or to placebo. This phase may be
       treatment, device, or drug           pants with condition or disease for              randomized and blinded by assigning par-
       in a small group of people.          the target of the treatment. It’s                ticipants randomly to the groups with the
       Also called nonblinded               designed to determine if the drug                new treatment, standard treatment, or pla-
       as both researchers and              or device is an effective treatment              cebo, when relevant. A blinded study means
       volunteers know what                 for a specific disease, has any side             patients and/or doctors do not know which
       medication is being used.            effects, or has any risks.                       treatment they are receiving.

                                                                   The Phases of a Clinical Trial
THESE TIMES CALL ON US FOR MORE - OUR COMMUNITY HAS RESPONDED - Dartmouth-Hitchcock | Geisel School of ...
W
                          hen I led Medicine Grand Rounds at Dartmouth-Hitchcock
                          Medical Center on January 10, 2020, we discussed the

    The
                          scientific, economic, and logistical factors that make
               epidemic vaccine development especially challenging. I shared a
               chart that illustrated the growing frequency and intensity of new

Economics of
               outbreaks around the world and noted that it was already out of
               date given the reports of unidentified viral pneumonia circulating
               in China. The discussion was lively, but did we know how deeply
               invested we would all become in finding solutions to these problems
               in the coming months?

  VACCINE         With forecasts indicating that COVID-19 could claim 40 million lives
               and reduce global economic output by $12 trillion by the end of 2021,
               there is not a moment to lose.
DEVELOPMENT        Well over 300 vaccine candidates are now in development, with
               scientists, corporations, and nations racing for the finish line. Before
               the pandemic, I’d been collaborating with Christopher Snyder, PhD,
               the Joel Z. and Susan Hyatt Professor in Economics at Dartmouth
               College, on a paper outlining mechanisms to address market failures for
               epidemic vaccines. Companies are often reluctant to respond to smaller
               outbreaks such as Ebola or Zika in part because they have to redirect
               personnel and facilities away from other more profitable projects to
               focus on an outbreak with an uncertain future. In some ways, high
               demand and global competition suddenly seemed like a great problem
               to have. However, uncoordinated free market competition may actually
               hinder efforts to develop a COVID-19 vaccine.
                  In a free market, vaccines will go to the highest bidder, which will
               drive up the price—by a factor of 13 according to our research—and
               reduce access. Furthermore, protectionist measures on the part of
               any one nation could hamper the pace of progress since vaccine
               development expertise, manufacturing capacity, and supply chains
               are highly distributed around the world.
                   Dr. Snyder and I, along with our colleague Dimitrios Gouglas from
               the Coalition for Epidemic Preparedness Innovations (CEPI), make
               the case for a global coordination mechanism much like the one that
               Gavi, the Vaccine Alliance, launched earlier this year to procure large
               amounts of vaccine from multiple developers. An advance purchase
               commitment from such an entity would reduce the cost and risk of
               development and allow vaccine to be allocated on the basis of need,
               prioritizing individuals most likely to transmit the virus or suffer severe
               consequences from it. Equitable allocation is not just the right thing
               to do; it also provides the highest probability of ending the pandemic
               in the shortest period of time.
                  Pandemics are transnational issues that no one country can solve
               alone. The challenge in the years ahead is to develop institutions and
               tools that will allow nations to address these problems collectively.
               An advance purchase mechanism takes one important step in that
               direction, allowing nations to pool and coordinate resources to produce
               pandemic vaccines as a global public good.

               Kendall Hoyt, PhD, is an assistant professor of medicine
               at the Geisel School of Medicine and a lecturer at the
               Thayer School of Engineering at Dartmouth. She is the
               author of Long Shot: Vaccines for National Defense.
Snapshot of Federal Grants
    Federal grants support the work of researchers throughout Dartmouth-Hitchcock and the
Geisel School of Medicine. Below is a sample of recent grant awards and the studies they support.

 $19.9M                                                             $3M
     A collaboration between Geisel and the                              The Center for Technology and Behavioral
     University of New Hampshire to enhance                              Health (CTBH) at Geisel received a 5-year,
     biomedical research capabilities in the state                       $3 million grant from the National Institutes
     as part of the New Hampshire IDeA Network                           of Health to test the effectiveness of digital
     of Biomedical Research Excellence (NH-INBRE)                        behavioral intervention tools in high-risk
     continues with a five-year, $19.9 million grant                     patients who suffer from Type 1 diabetes—a
     from the National Institutes of Health.                             condition that is difficult and expensive to
                                                                         manage. The study is led by Catherine Stanger,
                                                                         PhD, a deputy director for CTBH and an

 $15.5M
                                                                         associate professor at Geisel.

                                                                    $1.5M
     The National Cancer Institute (NCI) has
     renewed its Cancer Center Support Grant to
     Dartmouth’s and Dartmouth-Hitchcock’s Norris
     Cotton Cancer Center (NCCC), continuing core                        A four-year, $1.5 million grant from the
     funding for the only Comprehensive Cancer                           National Cancer Institute was awarded to
     Center north of Boston. The five-year, $15.5                        investigators at Dartmouth’s and Dartmouth-
     million grant will provide continued core                           Hitchcock’s Norris Cotton Cancer Center
     support for NCCC’s clinical care and research                       (NCCC) to build and validate machine learning
     missions. The prestigious designation as a                          approaches to non-small cell lung cancer
     Comprehensive Cancer Center indicates that                          (NSCLC) that can reveal relationships between
     NCCC is one of only 51 centers in the United                        clinical and pathologic findings, patient genetic
     States recognized by the NCI for its leadership                     profiles, and drug resistance—and lead to
     and resources.                                                      better, personalized treatment strategies for
                                                                         NSCLC patients. Saeed Hassanpour, PhD, a
                                                                         computer scientist at NCCC and an associate

 $6.4M
                                                                         professor of biomedical data science and
                                                                         epidemiology at Geisel, leads the study.

                                                                    $12.5M
     Two federal grants are helping Dartmouth-
     Hitchcock (D-H) expand support for children
     and families impacted by trauma and parental
     substance misuse. Project Launch, funded
     by the Substance Abuse and Mental Health                            Michael Whitfield, PhD, chair of the
     Services Administration, as well as Partners to                     Department of Biomedical Data Science at
     Promote Safety, Permanency and Well-Being                           Geisel, is principal investigator on a five-year,
     for Families Affected by Substance Abuse                            $12.5 million grant from the National Institutes
     (P2P), funded by the Children’s Bureau of                           of Health to establish a Center for Quantitative
     the Administration for Children and Families,                       Biology at Geisel that brings together and
     involve cross collaboration across different                        enhances initiatives in computational biology,
     departments of D-H, including psychiatry,                           bioinformatics, and experimental genomics
     population health, pediatrics, and obstetrics                       across Dartmouth.
     and gynecology.

                                              GIVING IN ACTION | FALL 2020 • 9
RESEARCH BRIEFS

                                                                                     Kurt Wehde

  Monitoring
  Wastewater for
  COVID-19

                                                                                     Promising New
                                                                                     Test to Measure
                                                                                     Brain Function
                                                                                        A collaboration between the Geisel School of
                                                                                     Medicine and Northwestern University is shedding
                                                                                     light on the effects of the Human Immunodeficiency
                                                                                     Virus (HIV) on the central nervous system (CNS). Jay
                                                                                     Buckey, Jr., MD, who led the study, says, “We thought
     The presence of SARS-CoV-2—the virus that causes COVID-19—                      we’d find that HIV affects the ear, but what seems to
  in municipal wastewater can give an early warning that the virus is                be affected is the brain’s ability to process sound.”
  re-emerging in that area. A team of Dartmouth-Hitchcock (D-H)                         Using tests that measure not whether a person can
  researchers led by Isabella Martin, MD, and Jacqueline Hubbard,                    hear a sound but how the sound is processed by the
  PhD, is now measuring the level of the virus in wastewater in                      brain, investigators found that the auditory-neuro-
  specific communities or individual institutions such as nursing                    physiological responses to certain speech cues were
  homes, prisons, and colleges throughout New Hampshire and                          disrupted in HIV-positive adults, even though they
  Vermont. With these warnings, community leaders and public                         performed normally on hearing tests—confirming
  health officials could more promptly manage outbreaks.                             that these hearing difficulties are grounded in the
      Wastewater surveillance will not replace human diagnostics, but                CNS. Researchers are using auditory processing as a
  is expected to complement it. Especially in institutional settings,                “window” into brain function, which may lead to a
  it could provide an efficient, cost-effective, and less invasive signal            better understanding of many disorders that strike
  of a significant spread of SARS-CoV-2.                                             the brain—not just HIV.
     A generous gift from Vickie and Ken French enabled D-H to                          Buckey says, “We think these tests hold a lot
  launch this important work.                                                        of promise as a way to assess the brain easily and
                                                                                     objectively.”

     Co-leading the wastewater surveillance project team for D-H are
     (l-to-r) medical microbiologist Isabella Martin, MD, and clinical chemist          Jay Buckey, Jr., MD, is a professor of medicine at Geisel,
     Jacqueline Hubbard, PhD. Both are assistant professors of pathology                director of the Space Medicine Innovations Laboratory
     and laboratory medicine at Geisel. The project coordinator is Gregory              at Dartmouth, and an adjunct professor at the Thayer
     Tsongalis, PhD, vice chair for research and director of the Laboratory             School of Engineering.
     for Clinical Genomics and Advanced Technology in the Department of
     Pathology and Laboratory Medicine at D-H.

                                              DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE • 10
Preserving
                                                              Jon Gilbert Fox

Independent
Primary Care
Practices
                                             Rob Strong

                                                              VISTA Keeps the
                                                              Immune System Quiet
                                                              Against Cancer
    The COVID-19 pandemic has led to severe finan-               A team of researchers at Dartmouth’s and Dartmouth-Hitchcock’s
cial stress for both hospitals and physician practices,       Norris Cotton Cancer Center (NCCC), led by Randolph Noelle, PhD,
raising serious concerns that many may either close           have identified some of the molecules that the immune system uses to
or be purchased by larger organizations. Carrie Colla         temper immunity. While these molecules are usually good, they also limit
D’01, PhD, a health economist and member of a                 the magnitude of the immune response to cancer. The team has learned
team of researchers at The Dartmouth Institute                that turning off these “brakes” on immunity allows a stronger therapeutic
for Health Policy and Clinical Practice, is using her         response to cancer. VISTA is one of these molecules.
expertise to fight for policy change that would help             “We have learned that keeping your immune system quiet is a challen-
to preserve independent primary care practices.               ging and very active process,” says Noelle. “VISTA may be a valuable target
   As co-author on a recent study that showed                 in regulating the immune response in cancer and autoimmunity.”
independent primary care practices provide equal                 An antibody specific to VISTA identified by the Noelle Lab is currently
quality care to integrated health systems, Colla notes        in Phase I clinical trials at Dartmouth-Hitchcock.
that these practices need and deserve support during
this time of disruption. “The policy implications of
this research are clear,” says Colla. “With COVID-19
                                                                  Randolph Noelle, PhD, is the Thomas S. Kosasa, MD, Professor at Geisel and
wreaking financial havoc on smaller health care                   member of the Immunology and Cancer Immunotherapy Research Program
organizations, policy makers—both at the federal                  at NCCC. Noelle is the co-founder of ImmuNext, a company that develops
                                                                  immunoregulatory drugs.
and state levels—should ensure that purchases of
practices and hospitals adhere to current antitrust
law. They should also consider financial support for
those most threatened by the pandemic.”

   Carrie Colla, PhD, is a professor of The Dartmouth
   Institute. In 2020 Colla was named an Emerging
   Leader in Health and Medicine Scholar by the
   National Academy of Medicine.

                                                                                                                   RESEARCH BRIEFS

                                                          GIVING IN ACTION | FALL 2020 • 11
SUPPORTING                                            UR STUDENTS
          Alumni-Donors Answer the Call

  For medical students, the challenges and opportunities of their chosen
  career path are greater than ever. Yet Geisel School of Medicine
  students—and the faculty, staff, alumni, and donors who support
  them—are as committed and passionate as ever.
  When the pandemic disrupted nearly every aspect of life, including in-person medical
  education and training, Geisel students didn’t hesitate to ask themselves “how can I help?”
  The examples are many. They set up networks to help health care workers in multiple regions
  find childcare. They secured and distributed personal protective equipment. They worked
  with rural health clinics to provide access to food for people in need. And they helped conduct
  a regional population health survey to guide COVID-19 responses.
  Then, when police killings of unarmed Black people spurred protests nationwide, Geisel
   students advocated for renewed commitments and actions within their own medical
     school. Because of the tireless work of these students and the support of faculty, staff,
       and senior administrators, Geisel is now launching several new initiatives to eliminate
        all forms of racism, to better support underrepresented minority students, and to
          create a truly equitable and inclusive academic community. The philanthropic support
                                        of alumni and donors will be critical to propelling
                                          these efforts—and to achieving Geisel’s larger vision
                                            to Educate Complete Physicians. Gifts of all sizes
                                              can advance diversity, equity, and inclusion. (See
                                                contact information in adjacent column.)

                                                                                         Photos by
                                                                                          Jeffrey Andree, Paul Reitano,
                                                                                            Kata Sasvari, Rob Strong,
                                                                                             Mark Washburn, Kurt Wehde
Educating the
BY JENNIFER DURGIN &
    LAUREN SEIDMAN

                          COMPLETE PHYSICIANS
                          Our World Needs
Geisel seeks to
increase scholarship
                          Educate Complete Physicians is one of four unifying themes
support for its           within Geisel’s $200-million fundraising campaign, which is part of

students, to set the      Dartmouth College’s The Call to Lead campaign. With the support
                          of generous donors, Geisel will prepare the “complete physicians”
standard nationally for   that our world needs—physicians who provide medically excellent,
                          highly compassionate, and culturally sensitive care, and who
educating complete        work to improve health systems. Through its curriculum, thought
                          leadership, and student programming and supportive services,
physicians, and to        Geisel will set the standard nationally for medical education and
                          for creating a healthy, equitable learning environment.
create a healthy,            Thanks to the generosity of Geisel and Dartmouth College
                          alumni, fundraising goals for the Educate Complete Physicians
equitable learning        priority are within reach.
environment. Gifts
from visionary donors           Learn more about Geisel’s other campaign goals:
are helping achieve             Strengthen Healthcare Systems, Innovate to Overcome
                                Cancer, and Build the Foundation for Children’s Health.

those goals.                    Visit: GeiselCampaign.Dartmouth.edu

                          TO DISCUSS MAKING A GIFT, CONTACT ROBERT HOLLEY,
                          Senior Associate Director of Development for Geisel School of Medicine:
                          Robert.D.Holley@Dartmouth.edu or 603-369-1129
Seeding
UR STUDENTS

              CHANGE WITHIN MEDICINE
              Geisel’s Revolutionary Approach to Student Mental Health
SUPPORTING

              I
                  t’s no secret that medical school is extremely demanding,      says Duane Compton, PhD, dean of the Geisel School of
                  creating high levels of stress among students. Nationally      Medicine. Launched in late 2019, the program is a top priority
                  nearly one-third of medical students report symptoms of        for Geisel, has a fundraising goal of $5 million, and is part of
              depression and related illness, and one in ten have considered     The Call to Lead campaign.
              suicide. These higher-than-average rates persist throughout           Healthy Students, Healthy Physicians provides and continues
              residency and physicians’ careers—and have a direct impact         to plan a variety of training and supports, including mental
              on quality of life, productivity, and patient care, according      health screening, increased access to individual and group
              to several studies. At the Geisel School of Medicine, surveys      counseling, and wellness and resiliency programming—all at no
              of MD students have found that they are not immune from            cost to students. Geisel MD, MD-PhD, and MD-MBA students
              these issues.                                                      can utilize the program, and it will be available to students from
                 Thanks to a $2M gift from a Dartmouth College alumnus           The Dartmouth Institute for Health Policy and Clinical Practice
              and his spouse, Geisel has launched Healthy Students, Healthy      by 2021. Fundraising to further expand these offerings is
              Physicians, a new comprehensive mental health and wellness         ongoing. Duncan notes that while general awareness of mental
              program that prepares Geisel graduates to meet the stresses        health issues has improved, they remain highly stigmatized in
              and challenges of their profession without sacrificing their       the field of medicine. A program like Healthy Students, Healthy
              own health.                                                        Physicians is a vital step in ending that stigma.
                 “This gift is allowing Geisel to launch a truly revolutionary      “We want to create a community in which developing
              program that sets our medical school apart as a model for other    resilience is part of physician training and seeking mental health
              institutions,” says Matthew Duncan, MD, MED’01, an assistant       care is seen as a sign of strength and not a personal weakness
              professor of psychiatry at Geisel and leader of the program.       or professional liability,” says Duncan. “This gift will help plant
                “We hope the generosity, vision, and leadership of these         the seeds of cultural change within the practice of medicine.”
              donors will inspire others to support this pioneering program,”

                          FAST, FREE SUPPORT

              T
                     ailored to medical students’ unique schedules, the          communities and health care systems,” says Duncan. “Our
                     program offers flexible hours for individual and group      new counselor has joined a task force of faculty, staff, and
                     counseling in two locations near the Geisel campus,         students focusing specifically on the mental health needs of
              as well as video and phone appointments. Students who              our underrepresented minority students and, later this fall,
              call the dedicated Geisel Counseling phone line to schedule        they will set forth a proposal for expanded workforce and
              a non-emergency appointment are guaranteed a response              programming to meet these needs.”
              within 48 hours, and offered a first appointment within seven         Another resource that will soon be available to students
              days. Counseling is available throughout students’ entire          through Healthy Students, Healthy Physicians is the Interactive
              time at Geisel with no limits to number of appointments            Screening Program (ISP), a 27-item questionnaire that screens
              and no billing hassles.                                            for stress, depression, alcohol and drug abuse, and eating
                 In August 2020, a licensed mental health counselor              disorder symptoms. Used by more than 25 medical schools
              with experience in race-based trauma and the mental                and more than 120 higher education institutions, the ISP
              health impacts of structural racism joined the Healthy             helps students understand if what they’re feeling is normal
              Students, Healthy Physicians counseling team. “Students            stress or something more serious. Counselors receive the
              from underrepresented minority groups often face additional        encrypted results and can engage with the student—who
              stressors, especially in predominantly white academic              remains anonymous—to give an assessment, open a dialogue,
                                                                                 and point the student to additional resources as needed.

                                                 DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE • 14
“Many of our students are experiencing common life
or school-related stressors that are resolved through a                       HEALTHY
supportive approach or coaching,” explains Duncan. “For
those who meet the diagnostic criteria for a formal mental                    STUDENTS,
                                                                              HEALTHY
health disorder, counseling is most useful and appropriate.
The ISP is one more tool we can use to identify the students
who could benefit from any of these types of help.”
                                                                              PHYSICIANS
           RESILIENT                                                          Making an Impact on the
           FUTURE                                                             Lives of Medical Students
           PHYSICIANS

O
          ther Healthy Students, Healthy Physicians offerings
          include Mental Health First Aid Training that
                                                                                                   Total students served
          teaches students, faculty, and staff how to identify,
understand, and respond to signs of mental illnesses;
wellness and resiliency workshops, seminars, and electives
on topics such as mindfulness, meditation, and cognitive                            100                                 Percentage of
behavioral therapy; and a stigma reduction workgroup to                                                                  student body

                                                                                                     25%
increase discussions about mental illness among physicians                                                                 that has utilized
                                                                                                                            counseling
and the importance of seeking help.
                                                                                                                            services
   With philanthropic support from additional donors,                         AS OF OCT. 1, 2020
Geisel hopes to broaden services to the program. A dedicated
psychiatrist could provide assessments, medication                            DATA                                       Cost to students
                                                                              SHOWS
management, and continuity of care to Geisel students.
A neuropsychologist could provide neuropsychological
evaluations—tests that are essential to students in need of
reasonable accommodations in order to have equal access to                                              $0
the academic environment.

                                                                                   9.54
   In the meantime, program data and survey results
gathered since the program launched demonstrate a high                                                 Student likelihood of
level of satisfaction among students. One hundred medical                                              recommending Geisel Counseling
                                                                                        AVERAGE      to a classmate on a 0-10 scale
students have received confidential counseling through
                                                                                                   (0 Not at all likely, 10 Extremely likely)
the program so far, and a vast majority indicated that
they are very likely to recommend Geisel Counseling to a
classmate. Healthy Students, Healthy Physicians leaders will
continue to measure the program’s success through the use
of anonymous surveys and confidential reporting.
   Duncan sometimes uses an athletics analogy to explain
the importance of mental health supports for medical
students. “If you recruit a top athlete, you provide them with
athletic trainers and supports to help them keep their bodies
in peak physical condition. Likewise, we want to provide
medical students with mental health supports and resiliency
training to help them navigate the stresses of medical school                                     “Taking part in this
and perform at their very best throughout their careers—
which benefits everyone, especially their patients.”                                         program is probably the
                                                                                           single most helpful thing
                                                                                           I’ve ever done for myself.”
                                                                                                                          —anonymous student

                                                    GIVING IN ACTION | FALL 2020 • 15
MILESTONE GIFT
               Funds Geisel
                 Student
               Scholarships
               The scholarship support that Tlalli Moya-Smith ’20
               received while at Geisel is helping her pursue her
               goal of working with underserved communities.

               A
                        new $10 million gift commitment from a Dartmouth           general practice and internal medicine for nearly 40 years
                        medical school alumnus is the third largest gift in        before retiring in 1997. Like many of his classmates, he
                        the school’s history and the largest commitment            has been a long-time supporter of the medical school. “I
               received to date by the Geisel School of Medicine as part           hope my gift will encourage the development of the next
               of The Call to Lead, Dartmouth’s comprehensive fundraising          generation of primary care physicians,” Gasteyer says.
               campaign. Combined with a bequest commitment of                        When received, these gifts will establish endowments
               approximately $1 million from a second alumnus, the gifts           that together are expected to provide more than $500,000
               will add $11 million to the school’s scholarship endowment,         a year in additional scholarship aid to Geisel students—a
               significantly increasing financial aid for medical students.        nearly 15 percent increase in the total amount available
                  The groundbreaking $10 million gift, to be fulfilled             today. As the endowments grow over time, so, too, will their
               through a bequest, will provide scholarship support for             annual distributions.
               medical students at Geisel based on their demonstrated                 “These incredible commitments will make a Dartmouth
               financial aid need. “As I look back over a fulfilling and           medical education possible for more students with financial
               rewarding life, I consider my admission to the medical
UR STUDENTS

                                                                                   need and reduce the debt burden that so many of our
               school at Dartmouth, and the supportive and humanistic              students graduate with,” says Duane Compton, dean of
               teaching I received there, as perhaps the finest gift I have        Geisel. “Reducing this debt is a top priority because it helps
               ever received,” says the first donor, who prefers to remain         ensure that students’ choice of medical specialty is driven
               anonymous. He noted his particular interest in supporting           by their passions and desire to serve, and not by earning
               students who hope to provide primary care, such as family           potential.”
               medicine, geriatrics, pediatrics, and internal medicine—
               specialties that encourage and enable physicians to care               These philanthropic commitments come at a time
               for people in their communities. “It is my hope that future         when Dartmouth is doubling down on its long-standing
               graduates will one day no longer be burdened by student             dedication to ensuring affordability for all students through
                                                                                   financial aid. In response to the current economic crisis and
SUPPORTING

               debt as they begin their professional careers,” he says.
                                                                                   increasing student need, the College recently reaffirmed its
                  Together with the bequest commitment from alumnus                campaign goal to secure $500 million in endowed funds to
               Ted Gasteyer D’54, MED’55, the two gifts advance progress           support graduate and undergraduate students.
               toward Geisel’s campaign goal of raising $20 million in new
               scholarship support for medical students. Gasteyer was in

                                                      DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE • 16
On June 5, 2020, Geisel students and Dartmouth-Hitchcock
 THESE
 TIMES

 ON US
  CALL

         employees took part in the national White Coats for Black
         Lives movement, standing in solidarity with those speaking
         out against the death of George Floyd.
TO ACT
Increasing Our
 Capacity to Care
DARTMOUTH-HITCHCOCK MEDICAL CENTER’S
NEW PATIENT PAVILION

      *          200 +                 396
 By the          Patients are denied
                 access to DHMC each
                                       Total current inpatient
                                       beds at DHMC, of
 NUMBERS         month because of a
                 lack of capacity
                                       which 316 are in single-
                                       occupancy rooms
N
                                            ewborns in distress. Teenagers with appendicitis. Men
                                            and women with sudden-onset seizures, life-threatening
                                            injuries, brain bleeds. Again and again, Dartmouth-Hitchcock
                                   Medical Center (DHMC) is forced to send patients elsewhere for care,
                                   simply because there aren’t enough beds. More than 200 critically ill
                                   and badly injured children and adults are turned away every month.
                                   Instead of receiving superb, sophisticated care close to home, near
                                   families and loved ones, these patients are sent to medical centers
                                   hours away, at great cost and inconvenience—and at added risk from
                                   the delay in receiving care.
                                   Dartmouth-Hitchcock (D-H) recently took a major step in addressing
                                   this problem. On July 22, 2020, a small group gathered to break
                                   ground for a new Patient Pavilion. This facility, scheduled to open
Renderings courtesy of HDR.        by 2023, not only will provide 64 additional single-occupancy rooms
                                   to meet current needs but also include unfinished space to allow
                                   for future expansion.
                                   Dartmouth-Hitchcock Health (D-HH) and D-H Board Chair Ed
                                   Stansfield remarked at the ceremony, “When our community needs
                                   us, we must be ready to take action, and this new Pavilion is the
                                   evidence of that.”
                                   Also at the groundbreaking, Charlie Plimpton, the Chair of the
                                   Board’s Finance Committee, outlined the project’s financial viability,
                                   and he highlighted the role that donors will play. “In order for D-H to
                                   sustain its uniquely essential mission as an academic health system,
                                   an increase in philanthropic support becomes essential.” Plimpton
                                   and his wife, Barbara Nyholm, made the inaugural commitment to
                                   support the construction.
                                   D-H and D-HH CEO and President Joanne M. Conroy, MD, reiterated
                                   that the team at D-H is committed to providing world-class health
                                   care in our region. “We know that the demand continues to grow
                                   in the communities we serve, and thus the demonstrated need for
                                   the Pavilion. It really is a testament to our community that, in the
                                   midst of all the uncertainty facing the country, we are still going
                                   ahead with this project.”

   64 +                       $150M                                       2022-23
   New single-occupancy       Projected cost of                           Expected completion
   inpatient rooms, with      five-floor (~200,000                        date when the building
   the flexibility to add     sq. ft.) facility                           will be ready for patients
   another 64 in the future
MO T HE R.
MENT O R.
SCI E NT I ST .
ENT R E P RE NEU R.
Arti Gaur and Her
Fearless Pursuit
                                                                                                            Arti Gaur, PhD.

                                                                   BY JENNIFER DURGIN

F
     or scientists like Arti Gaur, PhD, entrepreneurship         “Make sure the consequences of your discoveries
     is essential to achieving their ultimate goal:          reach humanity,” she says “and you can’t just go from lab
     dramatically improving patients’ lives.                 to humanity. You need things like intellectual property,
   “If you truly are passionate about making a difference,   you need venture capitalists, you need to talk to them,
please follow through,” Gaur tells the students she          present to them, and convince them that your project
mentors in her lab at Dartmouth’s and Dartmouth-             is an endeavor that they should fund.”
Hitchcock’s Norris Cotton Cancer Center. An assistant           Gaur has done all of those things, herself, multiple
professor of neurology at the Geisel School of Medicine,     times. She admits it’s been a steep learning curve. In her
Gaur applies her training as an immunologist to study        many years of scientific training, she never learned how
the development and treatment of brain tumors. She           to bring a discovery to the marketplace. Those lessons
insists that her students conduct their scientific and       came later, when pure frustration and grief set her on a
academic work with “absolute rigor and excellence.” But      path toward entrepreneurship.
she also pushes them further.

                                   DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE • 20
“You can’t just go from
                                                                        lab to humanity. You need
                                                                        things like intellectual
                                                                        property and venture
                                                                        capitalists,” says Gaur.

In early 2020, Gaur and Dartmouth chemist Glenn Micalizio, PhD,
(far right) met with Barry Schweitzer, PhD, D’82 (far left) of the
Technology Transfer Office and Jamie Coughlin (second from
right) of the Magnuson Center for Entrepreneurship to discuss a
promising new therapy for brain cancers.

                       NO TIME TO WASTE

        G
                    aur was in the second year of her doctoral                 “My child taught me how to be fearless and
                    training at the University of Cologne                   focus on what really matters,” says Gaur. She draws
                    when her mother was diagnosed with                      on this fearlessness, this determination in the face
         B-cell lymphoma—the very cancer she had                            of a devastating illness, to power her science, her
         studied as a graduate student at the University of                 entrepreneurship, and her mentorship of students.
         Rochester. Her mother died six months after her                        Gaur wants to find ways to monitor cancer
         diagnosis, not from the cancer but from the side                   treatments in real time to prevent “horrific,
         effects of the cancer treatment.                                   systemic side effects,” to detect brain diseases
             “I used to think the saddest day of my life was                early, to deliver treatments directly to tumors,
         when my mother passed away,” recalls Gaur. Then,                   to recognize unhealthy changes in the immune
         shortly after she became an assistant professor                    system—and she wants to achieve all this as
         at Geisel and received the National Brain Tumor                    quickly as possible. She knows that when a loved
         Society’s prestigious Daniel Paul Bogart Chair of                  is suffering, there is no time to waste.
         Research, her second child was diagnosed with                         Gaur already holds seven patents that range from
         Rett Syndrome, a severe neurological condition                     diagnostic biomarkers and potential treatments
         that would require a lifetime of round-the-clock                   for brain tumors to tiny wireless devices to detect
         care. “My husband and I were devastated, burned                    cancer and deliver targeted therapies. She also
         down to ashes.” They had to build a new normal                     leads a multi-institutional, prospective clinical trial,
         for themselves, their family, and their research                   which aims to establish ways to diagnose, predict
         programs. (Gaur’s husband, Makul Sharma, PhD,                      outcomes, and monitor treatments for brain tumor
         is a professor of earth sciences at Dartmouth who                  patients using only a few milliliters of blood.
         studies geological processes.)

                             The Cancer Center ranks sixth nationally
                         for entrepreneurship among National Cancer
                Institute-designated Comprehensive Cancer Centers.

                                                              GIVING IN ACTION | FALL 2020 • 21
LEARNING THE SCIENCE
            AND THE INDUSTRY

“
      Dr. Gaur embodies exactly what I was looking            New York City-based Mount Sinai Health System. After
      for,” says Jordan Isaacs, a third-year graduate         the fellowship, Ravi will continue her doctoral research
      student in Geisel’s Program in Experimental and         in Gaur’s lab, investigating potential vulnerabilities in
Molecular Medicine. Gaur is helping Isaacs pursue             brain tumors that could become therapeutic targets.
both her PhD in Cancer Biology, Pharmacology,                    For Isaacs, the focus of her laboratory work so far
and Molecular Therapeutics and her ambitions to               has been a new “drug-like” steroid that appears highly
work in venture capital. Isaacs wants to be the one           effective in treating brain cancers and was created by
assessing which technologies, new therapies, and              Dartmouth chemist Glenn Micalizio, PhD. Isaacs is
other innovations to support. In her first year at            also working closely with Dartmouth’s Technology
Dartmouth, Isaacs became a Healthcare Fellow at               Transfer Office, which will help Micalizio and Gaur
Ulysses, a local biotech venture fund. “I was able to         move the therapy from academia to industry—a
see the full picture of how to bring a drug from the          critical step on the way to clinical trials in patients.
bench where I’m working to really being looked at as          Dartmouth’s Magnuson Center for Entrepreneurship
a potential investment,” says Isaacs.                         and the Technology Transfer Office use their
   Divya Ravi, another PhD student in the Gaur lab, is        knowledge of intellectual property, private industry,
learning about biomedical entrepreneurship as a Mount         and venture capital to assist researchers at Dartmouth.
Sinai Innovations Partner—a competitive program at the        (See adjacent article about the Accelerator.)

            RIGHT PARTNERS, RIGHT STRATEGY

T
      he collaboration with Micalizio is one of several       evade the immune system. Lodestone is now pitching
      for Gaur. She is also co-founder of a new               its technology as a way to monitor new therapies in
      company with Axel Scherer, PhD, a professor             real time, thereby reducing the risks of clinical trials
at Caltech. Gaur and Scherer are developing wireless          for both patients and companies. Using this approach,
nanoscale sensors that can be implanted in the body           Lodestone recently secured a major federal grant (details
to monitor signs of health and disease—and ultimately         below) that will fund the development of the technology,
detect cancers early. That’s especially important for         making it more appealing for investors and moving it
brain cancers, which are almost always detected too           closer to clinical trials.
late for life-saving treatment. The technology is still          Philanthropy has also been critical to Lodestone’s
years away from testing in humans, but if Gaur and            progress. In 2018, Diamond received the J. Brian and
Scherer can attract enough financial support through          Allie J. Quinn Scholars award, which helped him find
federal grants, investors, and philanthropists, they can      the right strategy for Lodestone and develop himself
accelerate that timeline.                                     as a faculty entrepreneur.
   Another collaborator of Gaur’s is Solomon                     “The collaborations and idea sharing that came
Diamond, PhD, at Dartmouth’s Thayer School and                out of the Quinn Scholars is just so much more
co-founder of Lodestone Biomedical. Lodestone                 than the dollars,” says Diamond. As a requirement
struggled for years to attract funding and investors,         of the Quinn award, Diamond presented to several
despite having a remarkable imaging technology                experienced biotech entrepreneurs and investors.
based on magnetic nanoparticles.                              Their guidance, along with Gaur’s, led to a $400,000
   “We needed a collaborator with deep subject matter         Small Business Innovation Research (SBIR) grant from
expertise and a track record of experience in translational   the National Cancer Institute (NCI). Dartmouth-
work,” says Diamond. “That search led us to Arti.”            affiliated companies have secured more than 20
    With Gaur as a scientific advisor, Lodestone refined      such NCI-SBIR grants in the last decade—making it
its market strategy. Tumors are not isolated islands,         sixth in entrepreneurship among all NCI-designated
Diamond learned. They are living communities of cells         comprehensive cancer centers.
that are constantly interacting with and attempting to

                               DARTMOUTH-HITCHCOCK | GEISEL SCHOOL OF MEDICINE • 22
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