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research / researchcancer prevention, aspirin, NSAIDs, CAPP trials, colorectal chemoprevention, population scienceBispecific T-cell Engager Pioneer

Ernest Hawk

欧内斯特·霍克

MD, MPH

🏢The University of Texas MD Anderson Cancer Center(德克萨斯大学MD安德森癌症中心)🌐USA

Vice President and Division Head, Cancer Prevention and Population Sciences; Professor, Division of Cancer Prevention and Population Sciences癌症预防与人群科学部副总裁兼部门主任;癌症预防与人群科学系教授

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Key Contributions

👥Biography 个人简介

Ernest Hawk, MD, MPH is Vice President and Division Head of Cancer Prevention and Population Sciences at MD Anderson Cancer Center, where he has built one of the largest and most comprehensive cancer prevention programs in the United States. His career spans more than three decades of chemoprevention research with a particular focus on the role of aspirin and non-steroidal anti-inflammatory drugs (NSAIDs) in reducing cancer incidence across multiple tumor types, including colorectal, esophageal, and other gastrointestinal malignancies. Dr. Hawk was a central figure in advancing the CAPP (Concerted Action Polyp Prevention) trials, which provided critical randomized controlled evidence on aspirin's protective effects in individuals with Lynch syndrome — one of the most important chemoprevention findings of the past two decades. He has led or co-led major NCI-funded prevention consortia and has authored over 300 peer-reviewed publications. Beyond bench-to-bedside research, Dr. Hawk is a forceful advocate for translating prevention discoveries into public health policy and clinical guidelines. He has served in leadership roles within the American Association for Cancer Research (AACR) and the NCI, and his program at MD Anderson integrates epidemiology, biomarker science, behavioral research, and clinical chemoprevention trials into a unified prevention framework.

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🧪Research Fields 研究领域

Cancer Prevention — Aspirin and NSAID-Based Chemoprevention Across Multiple Tumor Types癌症预防——阿司匹林和NSAIDs在多种肿瘤类型中的化学预防
CAPP (Concerted Action Polyp Prevention) Trials — Aspirin in Lynch Syndrome and Colorectal PreventionCAPP试验——阿司匹林在Lynch综合征和结直肠癌预防中的应用
Population-Based Cancer Risk Reduction Strategies and Policy Translation基于人群的癌症风险降低策略与政策转化
Biomarker Discovery for Chemoprevention Efficacy and Risk Stratification化学预防疗效和风险分层的生物标志物发现
Cancer Prevention Program Leadership and Multi-Institutional Trial Networks癌症预防计划领导与多机构试验网络

🎓Key Contributions 主要贡献

Aspirin and NSAID Chemoprevention — Mechanistic and Clinical Evidence

Made foundational contributions to understanding how aspirin and NSAIDs suppress carcinogenesis through COX-2 inhibition, prostaglandin modulation, and non-COX pathways. Led and contributed to multiple clinical chemoprevention trials evaluating aspirin, sulindac, and celecoxib in high-risk colorectal, esophageal, and other GI cancer populations. His synthesis of mechanistic and clinical data helped establish the evidence base that led the U.S. Preventive Services Task Force (USPSTF) to consider aspirin recommendations for colorectal cancer prevention.

CAPP Trial Contributions — Aspirin in Lynch Syndrome

Contributed to the CAPP2 and CAPP3 trial programs examining long-term aspirin supplementation in individuals with Lynch syndrome (hereditary nonpolyposis colorectal cancer). The CAPP2 trial demonstrated a significant reduction in Lynch syndrome-associated cancers with two or more years of aspirin use, and subsequent dose-optimization work through CAPP3 refined optimal dosing. These results provided the strongest randomized evidence that a simple, inexpensive agent could markedly reduce hereditary cancer risk.

Cancer Prevention Program Building at MD Anderson

Constructed and leads MD Anderson's Division of Cancer Prevention and Population Sciences, integrating epidemiology, behavioral science, biomarker-based risk stratification, and interventional chemoprevention trials. Under his leadership, the division has operated dozens of active prevention trials across lung, colorectal, breast, liver, and other cancer sites, and trained a generation of prevention oncologists through structured fellowship and mentorship programs.

Biomarker-Driven Risk Stratification for Prevention

Championed the use of validated biomarkers — including tissue arachidonic acid metabolites, prostaglandin E2, and genomic risk signatures — to stratify individuals most likely to benefit from chemopreventive interventions. This precision prevention framework aims to move beyond population-level recommendations toward individualized risk-benefit calculations, improving the efficiency of chemoprevention trial design and clinical uptake.

Representative Works 代表性著作

[1]

Cancer Prevention: A Path to the Clinic

Cell (2021)

Comprehensive review of the scientific and translational landscape of cancer prevention, outlining priority areas for moving chemopreventive discoveries from laboratory to clinical practice.

[2]

Aspirin Use and Risk of Colorectal Cancer According to BRAF Mutation Status

JAMA (2012)

Large epidemiological study demonstrating differential aspirin protection based on BRAF mutation status in colorectal cancer, informing molecularly stratified chemoprevention strategies.

[3]

Cancer Chemoprevention: A Rapidly Evolving Field

Science (2010)

Landmark review synthesizing the state of cancer chemoprevention across multiple cancer types, identifying key mechanistic pathways and barriers to clinical implementation.

[4]

Aspirin and the Risk of Colorectal Cancer in Relation to the Expression of COX-2

New England Journal of Medicine (2007)

Pivotal study revealing that aspirin's colorectal cancer chemoprevention effect is concentrated in COX-2-overexpressing tumors, providing the first molecular basis for targeted aspirin prevention strategies.

🏆Awards & Recognition 奖项与荣誉

🏆AACR Distinguished Public Service Award
🏆MD Anderson Cancer Center Olga Keith Wiess Distinguished University Professorship
🏆NCI Director's Award for Cancer Prevention Leadership
🏆Society for Prevention Research Distinguished Scientist Award

📄Data Sources 数据来源

Last updated: 2026-04-06 | All information from publicly available academic sources

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