Day 1: November 20, 2025 
From Gaps to Action: Transforming Early Age Onset Cancer Detection, Diagnosis & Care Throughout Policy & Innovation

9:30 a.m. – 9:45 a.m.

Symposium Day 1 Opening

CCRAN is a national, patient-focused advocacy group, dedicated to improving the longevity and quality of life for all cancer patients in Canada through their persistent efforts in support, education, and advocacy for equal and timely access to effective therapies.

CCRAN's fifth annual pan-tumour Early Age Onset Cancer Symposium will build on the program of past symposia. Over the course of two days, it will once again invite clinicians, pathologists, researchers, policy professionals, patients and caregivers from within and outside Canada, across multiple tumour types, to address optimal care and treatment pathways, enhance the survivorship journey and further explore system-level challenges that limit early detection of EAOC.

Symposium Moderator:
Cassandra Macaulay, B.Sc., MHS, RTNM
Chief Research Officer, CCRAN   

9:45 a.m. – 10:00 a.m.

Welcome from CCRAN’s President & CEO

A warm welcome to all experts and participants, with reflection on: 

Filomena Servidio-Italiano, Hon B.Sc., B.Ed., M.A.
President & CEO, CCRAN   

Patient:
Jessica Dasler
Stage IV Colorectal Cancer Survivor; Patient Advocate; CCRAN's My Lung Mets and My Advocacy Coach  

10:00 a.m. – 10:30 a.m.

Addressing the Detrimental Impacts of Early Age Onset Cancer: Key Learnings from CCRAN's 2025 Early Age Onset Cancer Symposium

The objectives and outcomes of CCRAN’s 2024 Early Age Onset Cancer Symposium have been captured and summarized in a publication in Current Oncology.

The lead author of the publication will present the key findings, themes and calls to action as highlighted in the paper.


Presentation:
Dr. Michael Raphael, MD, FRCPC
Medical Oncologist, Early Age Onset CRC Cancer Clinic Lead, Odette Cancer Centre, Sunnybrook Health Sciences Centre; Co-Chair, Medical & Scientific Advisory Board, CCRAN

10:30 a.m. – 11:30 a.m.

A National Priority: Lowering the Screening Age for Colorectal Cancer

With colorectal cancer (CRC) now one of the fastest rising cancers in adults under 50, there is growing urgency to address gaps in early detection, beginning with re-evaluating Canada’s current screening guidelines.

Recent policy advancements in breast cancer, specifically the lowering of the screening age to 40, have demonstrated how emerging data and advocacy can accelerate reform. This shift has helped catalyze calls to apply the same urgency to CRC, which continues to show comparable epidemiological trends in younger populations but has yet to see parallel policy movement. This session will examine the case for lowering the CRC screening age in Canada. Experts will explore the systemic, jurisdictional, and access-related challenges that must be addressed to ensure equitable and earlier detection for high-risk, under-50 populations.

‍Key considerations include


Moderator:

Dr. Michael Raphael, MD, FRCPC
Medical Oncologist, Early Age Onset CRC Cancer Clinic Lead, Odette Cancer Centre, Sunnybrook Health Sciences Centre; Co-Chair, Medical & Scientific Advisory Board, CCRAN

Caregiver:
Amanda Conlon
Co-Founder & Executive Director, Circle Back Foundation; Cousin succumbed to Stage IV Cancer

Panel Discussion:
Dr. Aparna Parikh, MD
Director of CRC Medical Oncology Research & Young Adult Colorectal Cancer Center, Mass General Brigham Cancer Institute

Dr. Darren Brenner, Ph.D
Armstrong Investigator in Molecular Epidemiology; Associate Professor, Depts. of Oncology and Community Health Sciences; Division Head — Preventive Oncology; Director of Research — Forzani & MacPhail Colon Cancer Screening Centre; Director — Cancer Screening, Detection and Risk Reduction Program, University of Calgary

Dr. Gary Wild, MD, CM, Ph.D., FRCP(c)
Clinical Gastroenterologist & Professor of Medicine, McGill University Health Centre

Dr. Usmaan Hameed, MD, FRCSC
Colorectal Surgical Oncologist; Clinical Lead, GI Cancer Program & Division Head, General Surgery, North York General Hospital

11:30 a.m. – 12:30 p.m.

Considering Cancer in Young Adults: Elevating Awareness & Detection Readiness in Primary Care

As highlighted in CCRAN’s 2024 EAOC Symposium, improving the role of primary care in the early identification of cancer among young adults is a critical system priority. As the first point of contact, primary care professionals play a pivotal role in reducing diagnostic delays and advancing upstream intervention, ensuring cancer is considered earlier in the clinical journey with timely referrals to specialized care. Yet, a significant gap remains: many younger adults (< 50 years) in Canada do not have consistent or timely access to a primary care physician, which further compounds delays in cancer consideration and referral.

This session will explore how health systems can better equip primary care providers with the knowledge, tools, and confidence to recognize cancer in younger adults and support early detection through standardized education, clinical support, and integrated care pathways.  

Areas of focus will include:

Moderator:
Dr. Aisha Lofters, MD, Ph.D., CCFP
Family Physician, Women’s College Hospital; CIHR-PHAC Applied Public Health Chair; Associate Professor, Department of Family & Community Medicine, University of Toronto

Patient:
Michelle Burleigh
Acute Promyelocytic Leukemia Survivor; Patient Advocate; Founder & Patient Consultant, The Clarity Lab; Co-Chair, Canadian Immunocompromised Advocacy Network; Co-Chair, Cancer Action Now Alliance

Panelists:
Dr. Paul Dhillon, CCFP(EM), MBA
Rural Family Physician, Vancouver Coastal Health, BC; 39 Brigade Surgeon, Canadian Armed Forces; Clinical Associate Professor, UBC

Trudy Matwiy, RN, MN, NP
Master of Nursing/Nurse Practitioner, Family/All Ages; Nurse Practitioner Primary Care Program (NPPCP); Director of Primary Care, Nurse Practitioner Association of Alberta

Joan Heatherington, RN, B.Sc.N(H), MN, NP
Acute Care Gastroenterology Nurse Practitioner, Red Deer Regional Hospital  

12:30 p.m. – 1:15 p.m.

Health Break
Educational Videos

1:15 p.m. – 2:15 p.m.

Catching Cancer Early: Reframing the System Value of Early Detection in Young Adults

Early detection is often discussed in clinical terms, but its broader system-level value is equally significant. This session brings together a multi-disciplinary group of experts to examine how earlier diagnosis in younger adults contributes to improved outcomes, more efficient care delivery, and long-term cost savings. The conversation will also explore new directions in early detection, how emerging strategies, technologies, and care models are shaping the case for investment in early age onset cancer.  

This session contributes to a renewed understanding of the full system value of early detection, reframing it not just as a clinical goal, but as a foundational pillar of sustainable, patient-centered care.  

Experts in the field will explore:


Moderator:
Dr. Tanya Chawla, MBBS, FRCR, FRCPC
Associate Professor & Staff Radiologist, Joint Department of Medical Imaging, University of Toronto

Patient:
Laura Floyd, MA, JD
Stage III NSCLC Lung Cancer Patient; Patient Advocate

Panelists:
Eva Villalba, MBA, M.Sc.
VBHC Green Belt; Executive Director, Quebec Cancer Coalition; President, VBHC Learning Community

Dr. Craig Earle, MD, M.Sc., FRCPC
Chief Executive Officer, Canadian Partnership Against Cancer

Jennifer Carey, M.Org.M, BHSc, MRT(R)
Manager of National Advocacy, Canadian Association of Medical Radiation Technologists

Samar Saeed, RN, B.Sc.N, EMBA
Clinical Services Manager, Outpatient Oncology & Systemic Therapy, William Osler Health System

2:15 p.m. – 3:15 p.m.

Improving Access to Advanced Diagnostics: Comprehensive Genomic Profiling as a Gateway to Personalized Treatment of Metastatic Cancer

Early age onset cancers in individuals under 50 present distinct complexities, including more aggressive tumour biology, higher recurrence rates, and long-term treatment-related morbidity. For this population, personalized approaches that minimize toxicity and optimize efficacy are essential.

Comprehensive genomic profiling (CGP) is a key advancement in precision oncology, enabling genomic characterization of tumours to identify actionable mutations and guide targeted therapy decisions. Despite its potential, access to CGP remains limited across Canadian health systems. As oncology moves away from empirical treatment models, integrating CGP into standard diagnostic pathways offers a critical opportunity to improve outcomes for younger adults with cancer.

Experts will speak to:

Moderator:
Dr. Jason Karamchandani, MD  
Associate Professor, Departments of Pathology, Neurology and Neurosurgery, McGill University; President, Canadian Association of Pathologists

Patient:
Cynthia Mitchell
Cholangiocarcinoma Patient; Patient Partner and Advocate

Panelists:
Eddy Nason, MPhil, B.Sc.
Director, Health, Conference Board of Canada  

Dr. Robert Grant, MD, Ph.D., FRCPC
Medical Oncologist, Princess Margaret Cancer Centre, University Health Network  

Dr. Megan Mahoney, Ph.D.
Director, Scientific Affairs and Training, BioCanRx

Dr. Alan Spatz, MD, M.Sc.
Professor, Departments of Pathology & Oncology, McGill University; Chief, Department of Clinical Laboratory Medicine, MUHC; Medical Director, Optilab Montreal-MUHC network  

3:15 p.m. - 3:30 p.m.

Health Break
Featured Video: Multitarget FIT (mFIT) Prospective Screening Study for Early Detection of Colorectal Cancer

Meike de Wit, Ph.D
Department of Pathology, the Netherlands Cancer Institute, Amsterdam, the Netherlands

3:30 p.m. - 4:30 p.m.

Advancements in the Management of Lung Cancer

As precision oncology continues to evolve, lung cancer has become a leading example of how systemic and molecularly localized therapies are transforming cancer care. The integration of comprehensive genomic profiling (CGP) has redefined treatment strategies, enabling clinicians to tailor therapies based on tumour-specific biomarkers, improve patient outcomes, and minimize unnecessary toxicity.    

This clinician roundtable will explore the latest therapeutic developments in lung cancer, highlighting the practical application of genomic insights, evolving standards of care, and the importance of real-world evidence in treatment planning.  

Key discussion points will include:

Moderator:
Dr. Kevin Jao, MD, M.Sc., FRCPC
Adjunct Professor, Université de Montréal; Hemato-oncologist, Hôpital du Sacré Coeur de Montréal; Co-Chair, Lung Cancer Canada Medical Advisory Committee  

Patient:
Yuan Lew, M.Sc., MBA, PMP
Stage IVB Lung Cancer Survivor, EGFR Mutation; Patient Advocate

Clinician Roundtable:
Dr. Shaqil Kassam, MD, M.Sc., FRCPC
Medical Oncologist, Stronach Regional Cancer Centre  

Dr. Elizabeth David, MD, FRCPC
Vascular Interventional Radiologist, Sunnybrook Health Sciences Centre

Dr. Stephanie Snow, MD, FRCPC
Medical Oncologist, QEII Health Sciences Centre; Professor, Dalhousie University

Dr. Marcelo Cypel, MD, M.Sc., FACS, FRCSC
Surgical Director, Ajmera Transplant Centre, UHN; Surgical Director, UHN ECLS Program; Canada Research Chair, Lung Transplantation; Professor of Surgery, Division of Thoracic Surgery, University of Toronto, University Health Network; Senior-Scientist, Toronto General Research Institute  

Dr. Srinivas Raman, MD, FRCPC
Radiation Oncologist, BC Cancer Vancouver; Clinical Assistant Professor, Department of Radiation Oncology, UBC

4:30 p.m. - 5:25 p.m.

Harnessing the Immune System: Breakthroughs in Immunotherapy

Building on the prior discussion of evolving treatment pathways, this session will take a focused look at immunotherapy’s role in the early age onset cancer (EAOC) landscape. As a rapidly advancing field, immunotherapy continues to redefine cancer care, offering durable responses and improved survival across tumour types.  

This session will present the current and emerging role of immune-based strategies in managing EAOC, examining how younger patients’ unique immune biology may influence response, reviewing advancements in checkpoint inhibitors and cellular therapies, and highlighting opportunities to optimize patient selection through biomarker-driven approaches.

This session will explore:

Moderator:
Cassandra Macaulay
, B.Sc., MHS, RTNM
Chief Research Officer, CCRAN

Patient: 
Eric Hamilton
Stage IV Colorectal Cancer Patient; Patient Advocate
 
Panelists:
Dr. Mairi Lucas, MD
Medical Oncologist, BC Cancer, Surrey; Assistant Clinical Professor, University of British Columbia (UBC)

Dr. Anuradha Krishnamurthy, BS, MD
Assistant Professor of Oncology, Roswell Park Comprehensive Cancer Center

5:25 p.m. – 5:30 p.m.

Glance at Day 2. Closing Remarks from CCRAN’s President & CEO

Filomena Servidio-Italiano, Hon B.Sc., B.Ed., M.A.
President & CEO, CCRAN