Bringing vital cancer research to Tasmanian patients

A/Prof Louise Nott’s story

About Dr Louise Nott

Associate Professor Louise Nott is passionate about breaking down barriers so more Tasmanian cancer patients can access vital cancer research and clinical trials.

She is a strong advocate for local research, ensuring her patients have access to the latest treatment options closer to home, instead of traveling to mainland Australia for life-saving treatments.

As a highly regarded medical oncologist in Tasmania, A/Prof Nott is the Director of Medical Oncology for Icon Group and cares for cancer patients at Icon Cancer Centre Hobart, alongside her work in the public health system.

A/Prof Nott is widely published and has acted as principal and sub investigator on more than 50 oncology clinical trials.

Here, A/Prof Nott shares where her passion for medical oncology and cancer research started and the value she sees in clinical research for Tasmanian cancer patients and their families.

“When I was a trainee doctor completing a fellowship at Queen Elizabeth Hospital in Adelaide, I saw first-hand the impact of a clinical trial,” says A/Prof Nott.

“A new drug was being studied in a phase one trial for metastatic bowel cancer and I remember this young patient who had very young children and had exhausted her treatment options was able to be recruited to the trial.

“She responded well to the treatment, and it was the most amazing thing to be part of being able to give her more time with her family.

“Every single treatment we use, is only here because of a clinical trial.”

A/Prof Nott says that seeing treatments being developed that truly made a difference for patients inspired her to get involved.

After completing her fellowship, A/Prof Nott returned to her home state of Tasmania

working as a medical oncology consultant in the public hospital system. There, she witnessed the inequities in access to clinical trials, particularly for those living in regional and rural areas.

“I could see the value that clinical trials brought to patients and their families, but there were so many barriers for local patients. How to get patients, especially regional, rural and those from lower socioeconomic areas, to participate in clinical research on an even basis,” says Louise.

In 2018, A/Prof Nott joined Icon Cancer Centre Hobart with a dream of developing a research program and three years later, she began Icon’s first clinical trial in Hobart.

Since then, A/Prof Nott has led the development of a comprehensive research unit at Icon Cancer Centre Hobart, offering over 20 clinical trials to more than 100 public and private patients.

She says this work complements research being done in the public sector.

“It’s about increasing the breadth of clinical trial access to all Tasmanians. We carefully choose research projects that focus on unmet needs for our group of patients,” says A/Prof Nott.

“I’ve seen many patients travel interstate for cancer treatment, spending long periods away from family and friends at a critical time in their illness. Where we can, giving them treatment options closer to home is so important.”

Already Icon’s involvement in trials of a new class of drugs called antibody conjugates in the treatment of breast cancer have proved successful.

They’re clever drugs that use an antibody attached onto a receptor on a cell surface to deliver a chemotherapeutic agent.

“The chemo is released into the cancer cell. So, it’s more targeted to the cancer, but perhaps more importantly, that chemotherapy is just delivered inside or around the tumour cell, rather than scattered throughout the body”, says A/Prof Nott.

A/Prof Nott says following the trials, this class of drug is now in regular use and in many instances has less severe side effects for patients.

Icon’s clinical trials also focus on improving quality of life for patients. A/Prof Nott and her team are currently investigating ways to prevent toxicity and peripheral neuropathy caused by the standard treatments for gastrointestinal cancer that effects up to 30% of patients.

“We want to run studies that are going to give us results that will help our patients. That’s where the big difference is, and that’s why investigator-initiated research is so important, because we’re answering the questions that we ask every day,” says A/Prof Nott.

“Our work really does make a big difference. If there are donors out there who want to see their money go into research that is going to have a significant impact on patients’ lives,  this is the way to go.”

A/Prof Nott says her approach to patient care was shaped during her childhood on a Tasmanian farm.

“I think the care aspect was built into me from a young age. If there were triplet lambs, we would rear them on bottles as best we could. Perhaps that did shape who I am today and why I care about my patients so much.”

It is this caring nature that fuels A/Prof Nott’s passion for helping others and to continue her work towards delivering better access to clinical trials for all patients – no matter where they live.

“Mostly, I’m especially grateful to our patients and their families, whose trust and willingness to participate in a trial inspires us every day,” says A/Prof Nott.

“I hope to be remembered as someone who broke down barriers to achieve equitable healthcare in Tasmania.

“We want research to be part of our standard of care – every patient that walks through our doors should be offered the option of participating in clinical research if they wish to. That’s where I’d love for us to land.”

In late 2024, A/Prof Louise Nott was named as a finalist the 2025 Australian of the Year Awards for Tasmania for her work in ensuring cancer patients in the state receive the same access to care and treatment innovations as those on the mainland.

Icon Cancer Foundation funds one of A/Prof Nott’s research projects. Find out more New studies on compression therapy and osteoarthritis treatment – Icon Cancer Foundation

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