Meet the MPI's

The objectives
of iCCaRE

is to fight prostate cancer in the Black community all over the world

Dr. Roxana S. Dronca, M.D.

MAYO CLINIC

The research interests of Roxana S. Dronca, M.D., are in the field of tumor immunology, with a particular interest in malignant melanoma and genitourinary malignancies. Her goal is to understand the interaction of immune and endocrine systems in modulating the anti-tumor immune response, study the dynamics and mechanisms of systemic immune regulation in cancer, and develop innovative approaches to cancer therapy utilizing chemotherapy and immunotherapy agents administered in an individualized fashion — synchronized to patient-specific endogenous anti-tumor immune dynamics.

Dr. Dronca’s additional research focus is to study the signaling pathway of B7-H1/PD-1 and its role in impaired host immunity in melanoma patients. For this project, Dr. Dronca is closely collaborating with other Mayo Clinic researchers to identify the mechanisms of clinical activity and resistance of these novel immunotherapeutic agents, and to develop and validate immunological biomarkers that could predict response to anti-PD-1/PD-L1 therapies and guide individualized treatment administration.

Focus Areas

  • Melanoma. This research focuses on understanding the mechanisms of neuroendocrine systemic immune regulation in cancer, and elucidating the bioperiodicity of systemic immunity and the timing of chemotherapy and immunotherapy in metastatic melanoma. Based on this work with other Mayo investigators, the team has found that delivery of cytotoxic-lymphodepleting chemotherapy in unique aspects of this dynamic immunobiologic interaction between systemic immunity and cancer appears to have therapeutic implications in regards to timing of chemotherapy and immunotherapy in patients with metastatic melanoma.
  • Tumor immunology. This research focuses on understanding the molecular and cellular regulatory mechanisms in tumor T cell interactions in order to develop effective cancer immunotherapies. Dr. Dronca is particularly interested in the molecular mechanisms by which PD-L1 (B7-H1) promotes tumor survival and impaired function of host immunity in advanced cancers.
  • Biomarkers in cancer. Although immune checkpoint PD-1 blockade has recently emerged as an effective therapy for advanced cancer, only a restricted proportion of patients reports durable responses and to date no objective ways to identify targeted PD-1+ T cells responsive to this therapy have been validated. Dr. Dronca has been collaborating to establish the role of Bim expressed by tumor-reactive CD8 T cells and soluble B7-H1 (PD-L1) as new biomarkers to determine the efficacy of anti-PD-1 tumor immunotherapy in patients with metastatic melanoma and other advanced malignancies.

Significance to patient care

Given the variability in response to these novel immunotherapeutic agents and the desire to extend their long-term benefit to more patients, Dr. Dronca has become increasingly aware of the urgent need for the development of biomarkers that can help predict treatment outcomes and ensure that these treatments, which may have significant toxicities, are offered to patients more likely to benefit. Therefore, she has been collaborating on the development of an individualized strategy based on the sensitivity of peripheral blood tumor-reactive PD-1+CD8+ cytotoxic T lymphocytes (CTL) to anti-PD-1/PD-L1 blockade.

cal noninvasive biomarkers that would help inform clinical decision-making by selecting patients with melanoma (and possibly other malignancies) who are most likely to benefit from PD-1 and PD-L1 blockade, or early identification of patients who are acquiring resistance during the course of administration.

In addition, one of Dr. Dronca’s main goals is to develop innovative approaches to cancer therapy utilizing chemotherapy and immunotherapy agents administered in an individualized fashion, synchronized to patient-specific endogenous anti-tumor immune dynamics, and increase the efficacy of these therapies without added toxicities or costs.

Professional highlights

  • Associate scientific advisor, Science Translational Medicine, 2015-2016
  • Advisory board member, melanoma specialist, Elsevier Practice Update, 2015-present
  • Member, Food and Drug Administration (FDA) Cellular, Tissue and Gene Therapies Advisory Committee (CTGTAC), 2015

Professional details

Primary Appointment
  1. Consultant, Division of Hematology/Oncology, Department of Internal Medicine
  2. Director, Mayo Clinic Comprehensive Cancer Center
Administrative Appointment
  1. Chair, Division of Hematology/Oncology, Department of Internal Medicine
Academic Rank
  1. Professor of Oncology

Education

  1. Mayo Clinic Scholar
    Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic College of Medicine and Science
  2. Fellow – Hematology/Oncology
    Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine
  3. Resident
    Hematology/Oncology, Programs in Rochester, Mayo School of Graduate Medical Education, Mayo Clinic College of Medicine
  4. Chief Resident
    William Beaumont Hospital
  5. Resident – Internal Medicine
    William Beaumont Hospital
  6. Transitional Resident
    Iuliu Hatieganu University of Medicine and Pharmacy
  7. MD Iuliu Hatieganu University of Medicine and Pharmacy
  8. Baccalaureate Studies – Mathematics and Informatics
    Emanuil Gojdu

iCCaRE Pilot Projects

Pilot Project 1

will develop a Virtual Robot Assistant (ViRA) for Black men newly diagnosed        

Pilot Project 2

Will assess the impact of patient-centered home cancer care                                          

Pilot Project 3

Will develop ViRA to improve quality of life in Black prostate cancer survivors

Pilot Project 4

Will assess and address social determinants of health needs of sub-Saharan African immigrant prostate cancer survivors  

Pilot Project 5

Will explore how biological factors contribute to poor mental health of prostate cancer survivors