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A Summer of Resilience, Victory and the FDA

The Summer of ’26 was a season of great victory for those in the melanoma community and everyone – lest we forget we all have skin!

    A MELANOMA VACCINE!

Just announced,  a vaccine is in development for late-stage melanoma! Keep in mind, it is not a traditional vaccine to be added to your wellness routine to prevent melanoma from ever developing. Instead, it is only for those patients who have undergone melanoma surgery to prevent a recurrence of the cancer.  Based on mRNA COVID-19 research, the immunotherapy vaccine is called Intismeran, and has been developed by Moderna and Merck. When combined with Keytruda, it reduced the risk of melanoma returning by 49%. The treatment is personalized as doctors take a tissue sample from a patient’s tumor, and then the mRNA shot teaches the immune system to spot and destroy those exact cancer cells. Intismeran is still  in development, a major Phase 3 trial, but it is expected on track for full approval. Of course with that comes hope that the future may offer an overall vaccine for melanoma and other cancers thanks to the discovery of mRNA and research. 

 

        BUT WAIT! THERE’S MORE!

Just weeks earlier, years of advocacy and determination by a collection of melanoma nonprofits, patients, and families, along with the international melanoma research community, finally resulted in victory as a stubborn FDA opened the door to new treatment for those with late-stage melanoma.

While those previously diagnosed with Stage 4 melanoma, such as Claire, have typically faced a 20% chance of surviving one year, the approval of Tudriqev ( formerly known in development as RP-1), now offers new promise as an immunotherapy. When combined with Opdivo, studies showed that nearly 84% of the responding patients gained three years of life with their family and friends with minimal side effects.  The Claire Marie Foundation has been proud to be part of this victory by joining in the fight with other melanoma nonprofits.

As Claire’s mom, CMF Co-Founder and CEO Marianne Banister not only testified before the FDA Advisory Panel, but also submitted a letter of record as to the importance of this drug to young people.  Her letter is attached below.  At CMF we feel this is a huge part of our mission of saving other young people from the heartache of losing Claire. It takes a village. Thanks to all who have joined us in this work, thank you for your dedication and for honoring Claire and her legacy of joy, color, beauty – and hope.

 

 

To: US Food and Drug Administration
From: Marianne Banister Wagonhurst
Co-Founder / CEO
Claire Marie Foundation
July 20, 2026

This October 16th will mark 12 years since we watched our beautiful 17-year-old
daughter Claire Wagonhurst succumb to the brutality of adolescent melanoma. No one
could prepare us for the emotionally and mentally shattering effect of watching our child
take her last breath, knowing it all could have been prevented had she been granted
access to life-saving drug therapies.

An athlete, artist, and vibrant young woman, we could only watch as Claire withered
away, becoming blind and immobile, a mere shell of herself. Claire would most likely be
with us today had she been granted access to trials for one of two drugs, both of which
have now become routine in melanoma care: Opdivo and Keytruda. Despite campaigns
on her behalf from her oncologist at Johns Hopkins and Senator Barbara Mikulski of
Maryland, Claire was denied access because she was not yet 18 years of age. Her
teenage body was mere months away from that of a “full adult” in trial terms, but the
answer was still no.

Ironically, a few months later, after Claire’s melanoma had advanced to her brain with
leptomeningeal disease, Keytruda was approved in July of 2014. Claire was one of the
first in the country to gain access to the drug; her age was no longer a factor. Our
oncologist was excited, deeming Keytruda’s impact significant and even “miraculous,”
but it came too late. Too late. Too late. Much, much too late. Claire passed three
months later.

Our family established the Claire Marie Foundation in honor of Claire, with the mission
of preventing melanoma in adolescents and young adults. It is a population ignored and
misunderstood by the medical community, even though melanoma is statistically at
“epidemic proportions”. Melanoma is the second most common cancer in
adolescents. It is the number one cancer in young adults under 30. It is the most
common cause of cancer death in young women aged 25-30. And, as in Claire’s
case, it can be triggered by hormonal changes of puberty and even pregnancy. But what
is essential to understand when it comes to the topic at hand of FDA drug approval is
this: melanoma in young people is more aggressive and more invasive than in
older adults, per a study by Johns Hopkins in 2014. There is no time to waste.

Allow me to restate more clearly. Adolescents and young adults diagnosed with a Stage
3 or Stage 4 melanoma, cannot wait for the FDA to reboot. Melanoma is an absolute
beast in the young body.
Replimune’s RP-1 may be the only thing to save them. By changing the rules at the 11th
hour, by denying access to this life-saving drug which has been well proven to be both
safe and effective, the FDA may as well sign their death orders. It is an unconscionable
and irresponsible act.

I offer a thought for consideration. In the English language, we have a word for
someone who has lost a spouse: widow or widower. We have a word for someone who
has lost their parents: an orphan. We do not have a word for someone who has lost a
child or a sibling. Perhaps because we simply cannot wrap our minds around the
concept. It’s too horrifying. Trust me. It is the most unfortunate of clubs. As a leader,
may you make the wise decision to grant approval and thus save other young people,
parents, siblings, and families from my fate.

Marianne Banister Wagonhurst
Co-Founder / CEO / Claire’s Mom
Claire Marie Foundation
marianne@clairemariefoundation.org
410-274-7938
www.clairemariefoundation.org
Federal 501 (c)-3 Tax ID #82-4164418

 

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Remember, Kids Count Too! The Fight for Cancer Research

Here’s some food for thought: Nearly 400,000 children and adolescents will be diagnosed with cancer globally this year. That means every three minutes, a parent is told their child has cancer. Trust me. No one can imagine nor prepare for the moment. There is simply the before and the after.  Life is never the same. Still, there is so much more hope for young patients, since we lost Claire nearly a dozen years ago. That is due in great part to the advocacy and commitment of researchers and to those who scramble to find funding, who make it all happen. But times are hard.

In 2025, the Trump administration enacted massive cuts to cancer research leading to a loss of $640 million in grants and awards. That means one in 30 active clinical trials were disrupted, blocking access to new treatments. 2026 is not looking much better – with additional cuts of more than 43% proposed. So while Federal dollars are slashed for overall cancer research consider how much more this affects children and adolescents where funding is a mere pittance of what is available.

  • The National Cancer Institute (NCI) allocates only about 4% of its budget to pediatric cancers, compared to over 96% for adult cancers.
  • Pediatric or adolescent cancers are often classified as “rare diseases,” ( often times inaccurately) making them less attractive to pharmaceutical investments compared to common adult cancers.
  • “Person-Years of Life Lost” rate is much higher than adult cancers  because they occur at a young age.
  • Treatments for children, particularly in sarcomas and brain cancer, can lag nearly two decades behind adult cancer advancements.
  • Low funding leads to fewer clinical trials and less access for those under 18 years which delays the development of new treatments and more long-term side effects for survivors.

What does all this mean to the future of young people with cancer? It means researchers and those who fight for funding must become more creative.  Nonprofit organizations funding pediatric research are becoming increasingly essential as pressure on the private sector intensifies to make up for federal cuts.  Tasha Museles, President of the Children’s Cancer Foundation, says these worries are what keep her up at night, along with fears of the far-reaching impact of the loss of research. “Any clinical trial that comes to a screeching halt is devastating not just for today and tomorrow but for decades to come.”

Dr. Robyn Gartrell, M.D., a Pediatric Oncologist and Research Physician with Johns Hopkins University School of Medicine, finds frustration in the fact that children are often eliminated from drug trials under the assumption that their systems are too sensitive, and the drug therapies could do more harm than good. In fact, Dr. Gartrell has found that the children can actually fare much better. “I’ll say, children have a higher tolerance and often survive what adults can’t. Case in point is CAR T Cells. Adult patients died from the immune response called cytokine release syndrome and while it is scary in children too, they often survive with fantastic supportive care as their bodies can handle things adults can’t.'” When asked why she keeps fighting the good fight, Dr. Gartrell says it is all about hope: ” Providing a drug to a child with a terminal cancer that allows them to not only plan for but go to college is an unreal feeling.”

You can learn more from our podcast  An Unexpected Life. Claire Marie Foundation Co-Founder and CEO Marianne Banister is joined by  Dr. Gartrell and Tasha Museles as they take a deep dive into this topic.  https://clairemariefoundation.org/podcast

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Thank You Baltimore Magazine #AwarenessSavesLives

It’s never easy to talk about, but we know by sharing Claire’s story and our family’s journey we can raise awareness of the beast that is melanoma and how it can sneak into a young person’s life. Thank you Baltimore magazine for sharing our story. #AwarenessSavesLives. Melanoma is the number two cancer in young people 8-29. Information on the 2018 dates for the Claire Marie Free Screening Program coming soon! 

Read the article here.

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