CAROLYN D. RUNOWICZ, MD

MIAMI, FL

Research Active
Obstetrics & Gynecology - Gynecologic Oncology NPI registered 21+ years 32 publications 1985 – 2017 NPI: 1881691210
Uterine NeoplasmsCisplatinOvarian NeoplasmsPapillomaviridaeAntineoplastic AgentsUterine Cervical NeoplasmsAntineoplastic Combined Chemotherapy ProtocolsBreast NeoplasmsNeoplasm Recurrence, LocalCombined Modality TherapyPaclitaxelDrug Administration ScheduleInfusions, IntravenousAmifostineMagnetite Nanoparticles

Practice Location

885 SW 109 AVE
MIAMI, FL 33199-0001

Phone: (305) 348-3627

What does CAROLYN RUNOWICZ research?

Dr. Runowicz studies various aspects of cancer treatment, specifically looking at how tiny particles known as magnetoelectric nanoparticles can deliver cancer drugs directly to tumor cells, improving effectiveness while minimizing damage to healthy tissues. She has researched treatments for ovarian, cervical, and breast cancers, exploring different methods such as drug delivery systems and preventive medications. Her work includes evaluating the role of immunotherapy and analyzing guidelines to help patients with high risks of developing breast cancer by recommending medications that can lower their risk.

Key findings

  • 15 out of 200 mice with cancer were completely cured using magnetoelectric nanoparticles loaded with paclitaxel after three months of targeted treatment.
  • In a study on ovarian cancer, treatment with magnetoelectric nanoparticles cleared cancer cells within 24 hours using a magnetic field.
  • Tamoxifen reduced the risk of estrogen receptor-positive breast cancer by a significant amount in women over 35 who are at higher risk, with substantial effectiveness noted in postmenopausal women.
  • 80% of women with larger tumors responded positively to a combination treatment of cisplatin and topotecan, leading to an average survival of nearly 45.6 months.
  • Women with multiple HPV types faced a 21-fold higher risk of developing cervical pre-cancer, illustrating the significant impact of HPV on cervical cancer development.

Frequently asked questions

Does Dr. Runowicz study ovarian cancer?
Yes, Dr. Runowicz conducts significant research on ovarian cancer, focusing on innovative treatments and drug delivery methods to target cancer cells directly.
What treatments has Dr. Runowicz researched for breast cancer?
She has researched pharmacologic interventions like tamoxifen and raloxifene, which can significantly reduce the risk of developing breast cancer in women at higher risk.
Is Dr. Runowicz's work relevant for patients at risk of cervical cancer?
Yes, her research includes studies on HPV and cervical dysplasia, providing insights that can help women understand their risk and explore preventive measures.

Publications in plain English

Biodistribution and clearance of magnetoelectric nanoparticles for nanomedical applications using energy dispersive spectroscopy.

2017

Nanomedicine (London, England)

Hadjikhani A, Rodzinski A, Wang P, Nagesetti A, Guduru R +4 more

Plain English
This study looked at how magnetoelectric nanoparticles (tiny particles that can be used in medicine) are distributed and removed in mice. Researchers found that smaller nanoparticles (10 nanometers) were cleared from the body quickly and evenly, while larger ones (100 and 600 nanometers) took longer and varied in their removal from different organs. This is important because understanding how these nanoparticles behave in the body can help improve their use in medical treatments. Who this helps: Patients benefiting from advanced nanoparticle therapies.

PubMed

Targeted and controlled anticancer drug delivery and release with magnetoelectric nanoparticles.

2016

Scientific reports

Rodzinski A, Guduru R, Liang P, Hadjikhani A, Stewart T +6 more

Plain English
This study looked at a new way to deliver cancer drugs directly to tumor cells while avoiding harm to normal cells using special nanoparticles called magnetoelectric nanoparticles (MENs). The researchers found that when these MENs, loaded with the cancer drug paclitaxel, were treated with a magnetic field, they could successfully deliver the drug to cancer cells and completely cure 15 out of 200 tested mice after three months. This method is important because it allows for targeted treatment that reduces side effects and improves the chances of successfully eradicating cancer. Who this helps: This benefits cancer patients by providing a more effective treatment option.

PubMed

Use of pharmacologic interventions for breast cancer risk reduction: American Society of Clinical Oncology clinical practice guideline.

2013

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

Visvanathan K, Hurley P, Bantug E, Brown P, Col NF +14 more

Plain English
This study updated guidelines for using medications to reduce the risk of breast cancer. Researchers reviewed 19 studies and found that medications like tamoxifen can significantly lower the risk of estrogen receptor-positive breast cancer in women over 35 who are at higher risk. For postmenopausal women, options like raloxifene and exemestane may also be beneficial. These findings are important because they help healthcare providers make informed decisions about preventing breast cancer in women who have a higher risk. Who this helps: This helps patients at increased risk of breast cancer and their doctors.

PubMed

Magneto-electric nanoparticles to enable field-controlled high-specificity drug delivery to eradicate ovarian cancer cells.

2013

Scientific reports

Guduru R, Liang P, Runowicz C, Nair M, Atluri V +1 more

Plain English
Researchers developed a new way to deliver cancer-fighting drugs specifically to ovarian cancer cells using tiny particles called magneto-electric nanoparticles (MENs). In their tests, they found that when a magnetic field was applied, these particles helped the drug paclitaxel enter cancer cells much more effectively while leaving healthy cells unharmed. The treatment completely cleared the cancer cells within 24 hours, showing a significant advancement in targeting cancer therapy. Who this helps: This helps ovarian cancer patients by providing a more effective and targeted treatment option.

PubMed

Ovarian cancer immunotherapy: opportunities, progresses and challenges.

2010

Journal of hematology & oncology

Liu B, Nash J, Runowicz C, Swede H, Stevens R +1 more

Plain English
This research paper examines new ways to treat advanced ovarian cancer using the body's immune system. It highlights various immune-based treatments being tested, including vaccines that may not only help shrink tumors but also prevent them from coming back. The study emphasizes the need for effective treatments, especially since ovarian cancer has low survival rates, and discusses both the potential benefits and challenges of these new therapies. Who this helps: This helps patients with advanced ovarian cancer seeking better treatment options.

PubMed

American society of clinical oncology clinical practice guideline update on the use of pharmacologic interventions including tamoxifen, raloxifene, and aromatase inhibition for breast cancer risk reduction.

2009

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

Visvanathan K, Chlebowski RT, Hurley P, Col NF, Ropka M +14 more

Plain English
This study reviewed updated guidelines on medications that can help reduce the risk of breast cancer. Researchers found that taking tamoxifen for five years cuts the risk of developing breast cancer in younger women for at least ten years, especially for a type of cancer tied to estrogen. For postmenopausal women, both tamoxifen and raloxifene are effective at reducing the same type of breast cancer, but raloxifene has fewer serious side effects. Who this helps: This information helps patients at higher risk for breast cancer and their doctors make informed decisions about prevention options.

PubMed

Prolonged topotecan infusion with cisplatin in the first-line treatment of ovarian cancer: an NYGOG and ECOG study.

2006

Gynecologic oncology

Hochster HS, Plimack ER, Mandeli J, Wadler S, Runowicz C +5 more

Plain English
This study looked at how well the chemotherapy drugs cisplatin and topotecan work together in treating women with advanced ovarian cancer. Researchers found that among 60 patients, 80% of those with larger tumors responded to the treatment, and overall, patients lived an average of nearly 45.6 months, with a 5-year survival rate of 41%. The combination was effective, but many patients faced severe side effects like low blood cell counts, although these were manageable. Who this helps: This benefits women with advanced ovarian cancer and their doctors.

PubMed

Should patients with ovarian cancer receive intraperitoneal chemotherapy following initial cytoreductive surgery?

2006

Nature clinical practice. Oncology

Runowicz C

PubMed

Interim guidance for the use of human papillomavirus DNA testing as an adjunct to cervical cytology for screening.

2004

Obstetrics and gynecology

Wright TC, Schiffman M, Solomon D, Cox JT, Garcia F +6 more

Plain English
This study looked at how HPV DNA testing can be used alongside traditional cervical cancer screening methods for women over 30. It found that if both HPV DNA tests and cytology results are negative, women can safely wait 3 years before being screened again. Additionally, if a woman has a negative cytology but positive HPV DNA, she should be tested again in 6 to 12 months instead of going through an unnecessary follow-up procedure. Who this helps: This guidance benefits women undergoing cervical cancer screening and their doctors.

PubMed

Phase II trial of the combination of bryostatin-1 and cisplatin in advanced or recurrent carcinoma of the cervix: a New York Gynecologic Oncology Group study.

2004

Gynecologic oncology

Nezhat F, Wadler S, Muggia F, Mandeli J, Goldberg G +4 more

Plain English
This study looked at combining two drugs, bryostatin-1 and cisplatin, to treat advanced cervical cancer. Out of 14 patients who participated, 80% saw their cancer worsen, while only 20% had stable disease after treatment, with no patients showing any improvement. This research matters because it suggests that this combination of drugs is ineffective for patients with advanced or recurring cervical cancer, highlighting the need for more research into better treatment options. Who this helps: Patients with advanced cervical cancer.

PubMed

Patterns of failure after the multimodality treatment of uterine papillary serous carcinoma.

2003

International journal of radiation oncology, biology, physics

Sood BM, Jones J, Gupta S, Khabele D, Guha C +5 more

Plain English
This study looked at how well women with a type of aggressive uterine cancer called uterine papillary serous carcinoma (UPSC) responded to combined treatments of surgery, chemotherapy, and radiation from 1988 to 1998. Out of 42 women, 69% faced a return of the cancer within a few years, and only 43% were still alive five years later. The findings show that most recurrences happened in areas like the abdomen and pelvis, highlighting the need for better treatment approaches, such as whole abdominal radiotherapy, to improve survival chances. Who this helps: This helps patients with uterine papillary serous carcinoma and their doctors in developing more effective treatment plans.

PubMed

American Cancer Society guidelines for the early detection of cancer: update of early detection guidelines for prostate, colorectal, and endometrial cancers. Also: update 2001--testing for early lung cancer detection.

2001

CA: a cancer journal for clinicians

Smith RA, von Eschenbach AC, Wender R, Levin B, Byers T +9 more

Plain English
This research paper updates the American Cancer Society's recommendations for screening tests to detect prostate, colorectal, and endometrial cancers early. It emphasizes the importance of regular health check-ups to identify potential cancer cases and provides new guidelines for testing high-risk individuals for lung cancer using advanced imaging technology. These updates aim to increase the effectiveness of cancer detection and improve patient outcomes. Who this helps: This benefits patients at risk for these cancers and their healthcare providers.

PubMed

Preventive mastectomy.

1999

Health news (Waltham, Mass.)

Runowicz C

PubMed

A phase II double-blind randomized study of the simultaneous administration of recombinant human interleukin-6 and recombinant human granulocyte colony-stimulating factor following paclitaxel and carboplatin chemotherapy in patients with advanced epithelial ovarian cancer.

1999

Gynecologic oncology

Hochster H, Speyer JL, Mandeli JP, Runowicz C, Wadler S +3 more

Plain English
This study looked at whether a specific growth factor, interleukin-6 (IL-6), could help patients with advanced ovarian cancer tolerate higher doses of chemotherapy. Out of 50 patients, 37 could be evaluated; those receiving IL-6 experienced lower platelet counts in their first treatment cycle (11,000 compared to 24,000 for the placebo group), but there were no significant differences in overall treatment delays or the need for blood transfusions. This is important because while IL-6 may offer some benefits, it did not significantly improve chemotherapy delivery, suggesting more research is needed. Who this helps: This study could benefit patients with advanced ovarian cancer who are undergoing chemotherapy.

PubMed

Activity and pharmacodynamics of 21-Day topotecan infusion in patients with ovarian cancer previously treated with platinum-based chemotherapy. New York Gynecologic Oncology Group.

1999

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

Hochster H, Wadler S, Runowicz C, Liebes L, Cohen H +4 more

Plain English
This study looked at the effects of a 21-day infusion of topotecan, a chemotherapy drug, in patients with ovarian cancer who had already received platinum-based treatment. Out of 24 patients, 35-38% showed some response to the treatment, with the time before their cancer progressed averaging 26 weeks. These findings are significant because they indicate that this extended treatment method is both effective and well-tolerated, suggesting it could be a promising option for ovarian cancer patients with previous chemotherapy. Who this helps: This helps ovarian cancer patients seeking new treatment options after platinum-based chemotherapy.

PubMed

Fibroid face-off.

1999

Health news (Waltham, Mass.)

Runowicz C

PubMed

Lymphedema after cancer.

1998

Health news (Waltham, Mass.)

Runowicz C

PubMed

A new alternative to estrogen: raloxifene.

1998

Health news (Waltham, Mass.)

Runowicz C

PubMed

Viral characteristics of human papillomavirus infection and antioxidant levels as risk factors for cervical dysplasia.

1998

International journal of cancer

Ho GY, Palan PR, Basu J, Romney SL, Kadish AS +4 more

Plain English
This research examined how different types and amounts of human papillomavirus (HPV) and certain vitamins affect the risk of developing cervical pre-cancer (known as cervical intraepithelial neoplasia, or CIN). It found that women with multiple HPV types had a 21-fold higher risk, while those with HPV type 16 had a 62-fold higher risk. Additionally, higher levels of vitamins C and E in the blood were linked to a lower risk of CIN, suggesting that proper nutrition may help protect against this condition. Who this helps: This benefits women at risk of HPV infection and cervical cancer.

PubMed

PSC833: initial clinical results in refractory ovarian cancer patients.

1998

Current opinion in oncology

Fields A, Hochster H, Runowicz C, Speyer J, Goldberg G +8 more

PubMed

Müllerian mixed tumors: CT characteristics with clinical and pathologic observations.

1997

AJR. American journal of roentgenology

Smith T, Moy L, Runowicz C

Plain English
This study looked at CT scans of Müllerian mixed tumors, which are aggressive tumors that grow quickly and often come with a poor outlook for patients. Researchers found that these tumors showed specific patterns on the scans, like areas of low density and irregular growth, and they spread more often through the lymphatic system rather than the bloodstream. Understanding these characteristics helps doctors better plan surgeries and manage treatment for patients. Who this helps: This benefits patients with Müllerian mixed tumors and their doctors.

PubMed

Expression of retinoic acid receptor-beta 2 mRNA in normal cervical epithelium and cervical squamous cell carcinoma.

1997

International journal of oncology

Comerci J, Hallam S, Goldberg G, Runowicz C, Fields A +2 more

Plain English
This study looked at the levels of a specific receptor called RAR-beta 2 in both normal cervical tissue and cervical cancer tissue. The researchers found that the expression of RAR-beta 2 was lower in cancer tissue, with levels ranging from 0.33 to 1.40 and an average of 0.89, compared to a consistent level of 1.0 in normal tissue. This is important because changes in this receptor could play a role in how cervical cancer develops and responds to treatment. Who this helps: This research benefits patients with cervical cancer and their doctors by providing insights that could lead to better treatments.

PubMed

The potential role of amifostine in conjunction with cisplatin in the treatment of locally advanced carcinoma of the cervix.

1996

Seminars in oncology

Wadler S, Goldberg G, Fields A, Anderson P, Beitler JJ +3 more

Plain English
This study looked at how well a drug called amifostine could work alongside cisplatin and radiation therapy to treat advanced cervical cancer. Researchers found that while combining cisplatin with radiation showed only a slight benefit in preventing cancer from returning, adding amifostine introduced some risks, like low blood pressure. Testing amifostine further could lead to better treatment options for patients battling this disease. Who this helps: This helps patients with locally advanced cervical cancer.

PubMed

A phase I trial of cyclosphosphamide and carboplatinum combined with interleukin-3 in women with advanced-stage ovarian cancer.

1995

Gynecologic oncology

Speyer JL, Mandeli J, Hochster H, Runowicz C, Wadler S +5 more

Plain English
Researchers studied the combination of a new growth factor, interleukin-3, with standard chemotherapy drugs cyclophosphamide and carboplatin in women with advanced ovarian cancer. They found that giving interleukin-3 after chemotherapy helped protect patients' platelet counts better than giving it before, and higher doses of the drug were more effective at keeping platelet levels stable. This matters because maintaining healthy platelet levels can reduce complications from chemotherapy, potentially improving patients' quality of life during treatment. Who this helps: Patients undergoing aggressive treatment for ovarian cancer.

PubMed

Audiological findings in a Phase I protocol investigating the effect of WR 2721, high-dose cisplatin and radiation therapy in patients with locally advanced cervical carcinoma.

1995

The Journal of laryngology and otology

Rubin JS, Wadler S, Beitler JJ, Haynes H, Rozenblit A +3 more

Plain English
This study looked at how a drug called WR 2721 can protect patients with cervical cancer from hearing loss caused by a chemotherapy drug called cisplatin and radiation treatment. Out of 11 patients tested, 45% experienced significant changes in their hearing, particularly at higher frequencies, but did not show major issues with lower speech frequencies. This is important because it shows that WR 2721 may help reduce hearing damage while patients undergo cancer treatment. Who this helps: Patients with locally advanced cervical cancer undergoing chemotherapy and radiation therapy.

PubMed

Pilot trial of cisplatin, radiation, and WR2721 in carcinoma of the uterine cervix: a New York Gynecologic Oncology Group study.

1993

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

Wadler S, Beitler JJ, Rubin JS, Haynes H, McGill F +5 more

Plain English
This study looked at combining a drug called WR2721 with cisplatin and radiation therapy to treat cervical cancer. Researchers tested different doses of WR2721 in 20 patients and found that the highest safe dose to use is 825 mg/m2 per day for five days, although some patients experienced side effects like low blood pressure and other serious but manageable reactions. This matters because it could enhance the effectiveness of cervical cancer treatments while keeping side effects under control. Who this helps: Patients with cervical cancer undergoing radiation and chemotherapy.

PubMed

Management of hypocalcemic effects of WR2721 administered on a daily times five schedule with cisplatin and radiation therapy. The New York Gynecologic Oncology Group.

1993

Journal of clinical oncology : official journal of the American Society of Clinical Oncology

Wadler S, Haynes H, Beitler JJ, Goldberg G, Holland JF +5 more

Plain English
This study looked at the effects of a drug called WR2721 when given alongside cisplatin and radiation therapy in women with cervical cancer. The researchers found that WR2721 quickly lowered parathyroid hormone levels, while calcium levels changed very little at first and then decreased by just 7% over five days. However, some patients experienced significant drops in calcium levels, highlighting the need for monitoring and using calcium supplements to manage these effects. Who this helps: This research benefits women with cervical cancer undergoing treatment, as well as their doctors in managing side effects.

PubMed

Preoperative transcatheter embolization of abdominal pregnancy: report of three cases.

1993

Journal of vascular and interventional radiology : JVIR

Kerr A, Trambert J, Mikhail M, Hodges L, Runowicz C

PubMed

A rapid DNA probe test for detecting human papilloma virus types 6/11 and 16 in biopsy specimens.

1989

Molecular and cellular probes

Todd JA, Jou L, Shen JT, Van Dinh T, Baker VV +5 more

Plain English
This study focused on a new, quick test to find specific types of human papillomavirus (HPV), specifically types 6/11 and 16, in biopsy samples from the genital area. The test was shown to be very effective, correctly identifying 88% of HPV type 6/11 cases and 89% of type 16 cases, with a high accuracy rate of 99% for both types. This new method is faster and easier than older tests and can analyze tissue samples without damaging them, which is important for further examination. Who this helps: This benefits patients being tested for HPV and doctors diagnosing and managing HPV-related conditions.

PubMed

Continuous infusion fluoropyrimidines as salvage therapy for patients with advanced ovarian carcinoma.

1988

Gynecologic oncology

Goodman HM, Dottino PR, Kredenster D, Mark M, Runowicz C +1 more

Plain English
This study looked at a treatment approach called continuous infusion fluoropyrimidines for patients with advanced ovarian cancer whose initial treatments did not work. Among nine patients treated over two years, eight showed some improvement, with only a few experiencing severe side effects. This is important because it offers a potentially effective option for patients who have exhausted other treatments while keeping side effects manageable. Who this helps: This helps patients with advanced ovarian cancer who have not responded to standard therapies.

PubMed

Reversible central nervous system toxicity associated with high-dose chlorambucil in autologous bone marrow transplantation for ovarian carcinoma.

1987

Cancer treatment reports

Ciobanu N, Runowicz C, Gucalp R, Frank M, Charuvanki V +2 more

PubMed

Elevation of serum CA 125 prior to diagnosis of an epithelial ovarian carcinoma.

1985

Gynecologic oncology

Bast RC, Siegal FP, Runowicz C, Klug TL, Zurawski VR +3 more

Plain English
This study looked at the levels of a substance called CA 125 in the blood of a patient before she was diagnosed with ovarian cancer. Researchers found that her CA 125 levels were higher than normal about 10-12 months before doctors detected the cancer. Being able to measure CA 125 might help doctors catch ovarian cancer earlier, which is important for better treatment outcomes. Who this helps: This helps patients by potentially allowing for earlier diagnosis of ovarian cancer.

PubMed

Frequent Co-Authors

S Wadler G Goldberg H Hochster C Cohen J J Beitler H Haynes Rakesh Guduru Ping Liang Sakhrat Khizroev

Physician data sourced from the NPPES NPI Registry . Publication data from PubMed . Plain-English summaries generated by AI. Not medical advice.