Chris E. Holmes
Associate Professor
Department of Medicine
University of Vermont
United States of America
Biography
Dr. Holmes has received her PhD University of Virginia Graduate School of Arts and Sciences, Department of Chemistry. Currently, she is Research Professor, Department of Psychiatry in university of vermont. She has successfully completed his Administrative responsibilities as Professor. Her research focuses on developing evidence-based clinical interventions to reduce venous and arterial thrombosis in patients with cancer through the optimum utilization of anticoagulation and anti-platelet therapy. The most recent clinical initiative is a novel quality-health services research study that is designed to capture thrombosis and bleeding outcomes in cancer outpatients initiating therapy.
Research Interest
Dr. Holmes’ research focuses on developing evidence-based clinical interventions to reduce venous and arterial thrombosis in patients with cancer through the optimum utilization of anticoagulation and anti-platelet therapy. The most recent clinical initiative is a novel quality-health services research study that is designed to capture thrombosis and bleeding outcomes in cancer outpatients initiating therapy. The program, Venous ThromboEmbolism Prevention in the Ambulatory Cancer Clinic (termed VTEPACC), is currently assessing a novel multidisciplinary approach to venous thromboembolism (VTE) prevention which includes patient center, personalized decision making. Additional collaborative and ongoing studies include a clinical trial using apixaban for VTE prophylaxis in patients with malignant glioma and an assessment of thrombosis risk associated with immunotherapy in metastatic cancer. In the area of translational science, Dr. Holmes’ group was the first to report that tumor genetics (KRAS status) is associated with VTE risk in metastatic colon cancer - an observation that offers a potentially novel future approach to VTE risk stratification. In addition, the lab has demonstrated distinct changes in platelet phenotype due to cancer and its treatment that result in the need for lower doses of anti-platelets drugs to successfully inhibit platelet function- an observation that has clinical significance for safe dosing of anti-platelet therapy in cancer patients.
Publications
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Ruades Ninfea JI, Burdette-Radoux S, Sands MO, Levis JE, Rincon M, Holmes CE, Wood M. Low dose metronomic cyclophosphamide, methotrexate (LDCM) and aspirin for patients with residual disease after neoadjuvant chemotherapy for stage II-III breast cancer.
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Lal I, Dittus K, Holmes CE. Platelets, coagulation and fibrinolysis in breast cancer progression. Breast Cancer Research. 2013 Jul 31;15(4):207.
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Holmes CE, Levis JE, Schneider DJ, Bambace NM, Sharma D, Lal I, Wood ME, Muss HB. Platelet phenotype changes associated with breast cancer and its treatment. Platelets. 2016 Oct 2;27(7):703-11.
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Sharma D, Brummelâ€Ziedins KE, Bouchard BA, Holmes CE. Platelets in tumor progression: a host factor that offers multiple potential targets in the treatment of cancer. Journal of cellular physiology. 2014 Aug 1;229(8):1005-15.