Research Summary

Laura Esserman, MD, MBA, an internationally recognized breast surgeon, breast oncology specialist, and visionary in personalized medicine, is revolutionizing breast cancer screening and treatment throughout our nation today.

As a Professor of Surgery and Radiology at the University of California, San Francisco (UCSF) and the Director of the UCSF Breast Care Center, Dr. Esserman's breast cancer work spans a spectrum from basic science to public policy issues and the impact of both on the delivery of clinical care. She is a provocative thought leader calling attention to and finding solutions for over-diagnosis and over-treatment of breast cancer, especially of DCIS.

Since 2002, Dr. Esserman has led the I-SPY TRIALS, a ground-breaking national public-private collaboration among NCI, FDA, more than 20 cancer research centers, and major pharma, biotech companies, and the not for profit sponsor, Quantum Leap Healthcare Collaborative. This trial model, which has now become an international model for translational research, designed to shave several years and tens of millions of dollars off the drug development process. The trial paradigm is now being developed for use in other disease domains, and she recently got FDA approval for an I-SPY Covid trial, designed to rapidly screen and confirm high impact treatments to reduce mortality and time on ventilators.

Additionally, Dr. Esserman led the creation of the University of California-wide Athena Breast Health Network, a learning system designed to integrate clinical care and research as it follows 150,000 women from screening through treatment and outcomes. As part of the network, she has spearheaded the development of the WISDOM study to learn how to improve breast cancer screening by testing and comparing the safety and efficacy of a personalized screening strategy informed by each woman's breast cancer risk and preferences against the standard of annual screening.

Dr. Esserman is a passionate and persistent advocate for her patients. She is keenly aware that many of her patients don't have 10 years to wait for the right treatment options. Her work is dedicated to accelerating the development of targeted, effective prevention and treatment options that can make a difference at the time when they are needed the most. Through these efforts, Dr. Esserman is helping to reshape the healthcare system, and changing it from a general population approach to a personalized and patient-centered care model.

Dr. Esserman has published more than 300 articles in peer-reviewed journals, and is regularly consulted by prestigious scientific, business, and consumer media including The New York Times, Wall Street Journal, Los Angeles Times, Health Magazine, Prevention Magazine, The Newshour, ABC World News, the NBC Nightly News, the CBS Evening News, and NPR's Science Friday.

Dr. Esserman was included as one of TIME Magazine's 100 Most Influential People of 2016, and was the recipient of the 2016 Stanford Business School Ernest C. Arbuckle Award and the 2016 Personalized Medicine World Conference Pioneer and Luminary Award. The San Francisco Business Times honored her with the Most Influential Women in Business Awards for 2018, and she also received the 2018 Giant of Cancer Care® in Cancer Diagnostics award. In 2024, she received the American-Italian Cancer Foundation Prize for Scientific Excellence in Medicine.

Research Funding

  • July 15, 2020 - June 30, 2025 - Surgical Oncology Training Grant , Principal Investigator . Sponsor: NIH, Sponsor Award ID: T32CA251070
  • March 1, 2020 - February 28, 2025 - Extending the Diversity, Reach, and Generalizability of the WISDOM Study , Principal Investigator . Sponsor: NIH, Sponsor Award ID: R01CA237533
  • September 8, 2017 - August 31, 2022 - I-SPY2 +: Evolving the I-SPY 2 TRIAL to include MRI-directed, adaptive sequential treatment to optimize breast cancer outcomes , Principal Investigator . Sponsor: NIH, Sponsor Award ID: P01CA210961
  • September 16, 2015 - August 31, 2021 - Elucidating the molecular and contextual basis for IDLE ultralow risk lesions and the tumor immune microenvironment of high risk in situ and invasive breast cancers , Principal Investigator . Sponsor: NIH, Sponsor Award ID: U01CA196406
  • September 18, 2014 - August 31, 2020 - Modeling the Impact of Targeted Therapy Based on Breast Cancer Subtypes , Principal Investigator . Sponsor: NIH, Sponsor Award ID: U01CA187945
  • September 20, 2004 - June 30, 2011 - Integrated Biomarkers to Characterize Breast Cancer Risk , Principal Investigator . Sponsor: NIH, Sponsor Award ID: U01CA111234

Education

Harvard University, A.B., 1977, History of Science
Stanford University, M.D., 1983, Surgery
Stanford University, School of Business, M.B.A., 1993, Health Policy

Honors & Awards

(partial list)

  • 2010
    CaBIG Advancing Innovation Award, Cancer Biomedical Informatics Grid
  • 2013
    Honors & invited plenary speech, "Risk- Based Screening and Prevention of Cancer as a Solution to Over-Diagnosis and Over-Treatment.” Women in Science Program Conference
  • 2013
    San Francisco American Cancer Society Soiree honors
  • 2014
    Award for Outstanding Achievement in Women’s Health, Journal of Women’s Health
  • 2014
    Award for excellence in translational oncology. 10th “Industry/Academia Translational Oncology” Symposium, Moores UCSD Cancer Center
  • 2016
    Stanford Graduate School of Business Earnest C. Arbuckle Award
  • 2016
    Personalized Medicine World Conference Luminary Award
  • 2016
    TIME 100 List of Most Influential People in the World
  • 2018
    20 Most Influential Moms of 2018, Family Circle
  • 2018
    OncLive Giants of Cancer Care Award from OncLive
  • 2020
    Brinker Award for Scientific Distinction in Clinical Research from Susan G. Komen
  • 2024
    American-Italian Cancer Foundation Prize for Scientific Excellence in Medicine

 

Selected Publications

  1. Petricoin EF, Wolf DM, Yau C, Wulfkuhle JD, Van't Veer L, Gallagher RI, Esserman LJ, Hirst GL, Brown-Swigart L, Yee D, I-SPY2 Trial Consortium Immune and Growth Factor Signaling Pathways Are Associated with Pathologic Complete Response to an Anti-Type I Insulin-like Growth Factor Receptor Regimen in Patients with Breast Cancer.  View on PubMed
  2. Fergus KB, Heise RS, Madlensky L, Fiscalini A, Sabacan L, Theiner S, Kapoor S, Soto IA, Blanco A, Ross K, Goodman-Gruen D, Scheuner M, Hu D, Heditsian D, Brain S, Arasu VA, Kaster A, Chapa L, Olopade OI, Eklund M, Tice JA, Ziv E, van 't Veer L, Esserman LJ, Shieh Y, Athena/WISDOM Network Collaborators and Advocate Partners Integrating breast cancer polygenic risk scores at scale in the WISDOM Study: a national randomized personalized screening trial.  View on PubMed
  3. Bui TBV, Wolf DM, Bruck MC, Moore K, Lien J, Choi SDW, Warhadpande S, Parizadeh A, Dillon D, Overmoyer B, Lynce F, I-SPY 2 Investigators, Nijman IJ, Burgering BMT, Harris IS, Esserman LJ, Veer LJV', Rosenbluth JM Organoid-evaluable clinical biomarkers predict drug responses and guide new breast cancer therapies.  View on PubMed
  4. Howard FM, Dolezal J, Hieromnimon H, Venters S, Kochanny S, Li A, Borowsky A, Symmans WF, Wolf D, Brown-Swigart L, Sun A, Basu A, Hirst G, Nguyen LC, Asare A, Kanaparthi S, Khramtsova G, Blenman K, Shan NL, Fan C, Tolaney SM, Somlo G, Hudis CA, Sikov W, McCart L, Watson M, Carey L, Stover DG, Veer LV, Esserman LJ, Perou CM, Pusztai L, Olopade OI, Huo D, Nanda R, Pearson AT Integration of Gene Expression and Digital Histology to Predict Treatment-Specific Responses in Breast Cancer.  View on PubMed
  5. Van Hassel J, Dimitroff K, Yau C, Mukhtar R, Boughey JC, Ladores V, Howard-McNatt MM, Jaskowiak N, Perlmutter J, DeMichele A, Yee D, Hylton N, Symmans WF, Veer LV, Rugo H, Esserman LJ, Shatsky R, Isaacs C, Kuerer H, Wallace AM, Prionas N, Tseng J, Reyna CR, Taunk N, Kesmodel S, Lee MC, Fox J, Piltin MA, Tchou J, Arciero CA, Postlewait LM, Sauder C, Rao R Impact of Time to Surgery Post Neoadjuvant Chemotherapy on Breast Cancer Outcomes: A Retrospective Study of Patients Enrolled in the I-SPY 2 Clinical Trial.  View on PubMed
  6. Hensley M, Lengfeld J, Stoesz S, Edwards M, Pass F, Hirst GL, Brown-Swigart L, van 't Veer L, Esserman LJ, Beckwith H, Yee D Detection of serum HER2 in patients treated with neratinib or trastuzumab: analysis of the I-SPY Trial.  View on PubMed
  7. Mukhtar RA, Dimitroff K, Yau C, Chien AJ, Connolly EP, Howard-McNatt M, Rao R, Ladores V, Golshan M, Sauder CA, Ahmed K, Lancaster R, Fox J, Gutnik L, Lee MC, Tchou J, Prionas N, Arciero CA, Reyna C, Kuerer H, Switalla K, Taunk N, Tuttle TM, Moran MS, Postlewait LM, Perlmutter J, DeMichele A, Yee D, Hylton N, Symmans WF, Rugo HS, Shatsky R, Isaacs C, Esserman LJ, Van't Veer L, Boughey JC Impact of Neoadjuvant Chemotherapy on Surgical Outcomes and Conversion to Node-Negativity in Invasive Lobular Breast Cancer: Analysis of Molecularly High-Risk Tumors by Histologic Subtype on the I-SPY2 Clinical Trial.  View on PubMed
  8. Kaur M, Dimitroff K, Boughey JC, Esserman LJ, Yau C, Tchou J, Quirarte A, Lee MC, Howard-McNatt MM, Switalla K, Kuerer H, Sauder C, Postlewait LM, Arciero C, Rao R, Wallace A, Reyna C, Ahmed K, Gutnik L, Taunk N, Perlmutter J, DeMichele A, Yee D, Hylton NM, Symmans WF, Rugo HS, Shatsky RA, Isaacs C, Rudra S, Pohlmann P, Ewing C, Wong J, Alvarado M, Jaskowiak N, Prionas N, Golshan M, Piltin MA, Olopade OI, Mukhtar RA Disparities in the Surgical Management of the Axilla by Self-Identified Race in the Multicenter Neoadjuvant I-SPY2 Trial.  View on PubMed
  9. Barnes LL, Parmeshwar N, Campbell M, Esserman L, Piper M Pilot Study: Investigating the Local Breast Microbiome in Implant-based Breast Reconstruction Using 16S rRNA Sequencing.  View on PubMed
  10. Balko J, Sun X, Hanna A, Ocampo A, Taylor B, Marshall J, Steele J, Axelrod M, Wescott E, Opalenik S, DeMichele A, Esserman L, Liu M, Nanda R, Wolf D, Swigart LB, Hirst G, Van 't Veer L, Xu Y Peripheral blood gene expression signatures of systemic immunity predict tumor microenvironment biology and therapeutic response in breast cancer.  View on PubMed
  11. Badal K, Maniam A, Otis SU, Esserman LJ Translating risk-based breast cancer screening to limited-resource settings.  View on PubMed
  12. O'Keefe TJ, Yau C, Iaconetti E, Jeong E, Brabham C, Kim P, McGuire J, Griffin A, Wallace AM, Esserman LJ, Harismendy O, Hirst GL Insights from a multi-institutional registry show duration of endocrine treatment for DCIS impacts second events.  View on PubMed
  13. Kaur M, Quirarte A, Shui AM, Vertido A, Clelland E, Rothschild H, Esserman LJ, Ewing C, Mukhtar RA Socioeconomic status impacts tumor biology, treatment, and outcomes in over 200,000 patients with invasive lobular carcinoma of the breast: an analysis of the National Cancer Database.  View on PubMed
  14. Leon-Ferre RA, Dimitroff K, Yau C, Giridhar KV, Mukhtar R, Hirst G, Hylton N, Perlmutter J, DeMichele A, Yee D, van 't Veer L, Rugo H, Symmans WF, Goetz MP, Esserman L, Boughey JC Combined prognostic impact of initial clinical stage and residual cancer burden after neoadjuvant systemic therapy in triple-negative and HER2-positive breast cancer: an analysis of the I-SPY2 randomized clinical trial.  View on PubMed
  15. Wolf DM, Yau C, Campbell M, Glas A, Barcaru A, Mittempergher L, Kuilman M, Brown-Swigart L, Hirst G, Basu A, Magbanua M, Sayaman R, Huppert L, Delson A, I-SPY2 Investigators, Symmans WF, Borowsky A, Pohlmann P, Rugo H, Clark A, Yee D, DeMichele A, Perlmutter J, Petricoin EF, Chien J, Stringer-Reasor E, Shatsky R, Liu M, Han H, Soliman H, Isaacs C, Nanda R, Hylton N, Pusztai L, Esserman L, van 't Veer L. Immune Subtyping Identifies Patients With Hormone Receptor-Positive Early-Stage Breast Cancer Who Respond to Neoadjuvant Immunotherapy (IO): Results From Five IO Arms of the I-SPY2 Trial. JCO Precis Oncol. 2025 Jun; 9:e2400776.  View on PubMed
  16. Parmeshwar N, Gozali A, Choi M, Knox JA, Bhaskerrao S, Lu Dugan C, Esserman L, Piper M Pilot Study: A Prospective Placebo-control Trial Evaluating Topical Tranexamic Acid in Postmastectomy Breast Reconstruction.  View on PubMed
  17. Johansson A, Dar H, Nordenskjöld A, Perez-Tenorio G, Tobin NP, Yau C, Benz CC, Esserman LJ, van 't Veer LJ, Nordenskjöld B, Stål O, Fornander T, Lindström LS Differential long-term tamoxifen therapy benefit by menopausal status in breast cancer patients: secondary analysis of a controlled randomized clinical trial.  View on PubMed
  18. Glencer AC, Esserman LJ Impact of IVF Restriction on Patients With Cancer and Surgeons.  View on PubMed
  19. Ramalingam K, Woody R, Glencer A, Schwartz CJ, Mori H, Wong J, Hirst G, Rosenbluth J, Onishi N, Gibbs J, Hylton N, Borowsky AD, Campbell M, Esserman LJ. Intratumoral Injection of mRNA-2752 and Pembrolizumab for High-Risk Ductal Carcinoma In Situ: A Phase 1 Nonrandomized Clinical Trial. JAMA Oncol. 2025 Mar 01; 11(3):288-292.  View on PubMed
  20. Li W, Onishi N, Gibbs JE, Wilmes LJ, Le NN, Metanat P, Price ER, Joe BN, Kornak J, Yau C, Wolf DM, Magbanua MJM, LeStage B, van 't Veer LJ, DeMichele AM, Esserman LJ, Hylton NM. MRI-Based Model for Personalizing Neoadjuvant Treatment in Breast Cancer. Tomography. 2025 Feb 27; 11(3).  View on PubMed

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