Ralph B. D'Agostino Jr, Ph.D.Wake Forest School of Medicine

Ralph B. D'Agostino Jr, Ph.D.

Core Director,
Office of Research

Clinical Interests

Lung Cancer, Cancer Prevention, Epidemiology, Head and Neck Cancers, Pediatric Trauma, Cancer Symptom Management, Prostate Cancer, Diabetes, Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus in Adolescents, Breast Cancer

Contact Information

Academic: 336-716-9410 | Department: 336-716-2011


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Education & Training

  • A.B., Bowdoin College, 1988
  • A.M., Harvard University, 1989
  • Ph.D., Harvard University, 1994
Ralph B. D'Agostino Jr, Ph.D.

Ralph B. D'Agostino Jr, Ph.D.

Core Director, Comprehensive Cancer Center
Professor, Biostatistical Sciences
Office of Research

Research Interests

Diabetes Mellitus, Type 1; Diabetes Mellitus, Type 2; Insulin Resistance; Humans; Atherosclerosis
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Contact Information

Academic: 336-716-9410 | Department: 336-716-2011


Related Links

Recent Publications

The impact of hospice services in the care of patients with advanced stage nonsmall cell lung cancer. Duggan KT, Duffus SH, D'Agostino RB Jr, Petty WJ, Streer NP, Stephenson RC.. J Palliat Med. 2017;20(1):29-34.

Pepsin in saliva as a biomarker for oropharyngeal reflux compared with 24-hour esophageal impedance/pH monitoring in pediatric patients. Fortunato JE, D'Agostino RB Jr, Lively MO.. Neurogastroenterol Motil. 2017;29(2):e12936.

Predictors of increased carotid intima media thickness in youth with type 1 diabetes: the SEARCH CVD Study. Shah AS, Dabelea D, Fino NF, Dolan LM, Wadwa RP, D'Agostino R Jr, Hamman R, Marcovina S, Daniels SR, Urbina EM.. Diabetes Care. 2016;39(3):418-425.

Prognostic molecular subtypes of low-grade cancer of the appendix. Levine EA, Votanopoulos KI, Qasem SA, Philip J, Cummins KA, Chou JW, Ruiz J, D'Agostino R, Shen P, Miller LD.. J Am Coll Surg. 2016;222(4):493-503.

Transcatheter aortic valve replacement versus surgical valve replacement in intermediate-risk patients: a propensity score analysis. Thourani VH, Kodali S, Makkar RR, Herrmann HC, Williams M, Babaliaros V, Smalling R, Lim S, Malaisrie SC, Kapadia S, Szeto WY, Greason KL, Kereiakes D, Ailawadi G, Whisenant BK, Devireddy C, Leipsic J, Hahn RT, Pibarot P, Weissman NJ, Jaber WA,.. Lancet. 2016;387(10034):2218-2225.

Prostate-specific membrane antigen-targeted liposomes specifically deliver the Zn(2+) chelator TPEN inducing oxidative stress in prostate cancer cells. Stuart CH, Singh R, Smith TL, D'Agostino R Jr, Caudell D, Balaji KC, Gmeiner WH.. Nanomedicine (Lond). 2016;11(10):1207-1222.

Gene expression signatures of effector immune cell abundance are significantly associated with recurrence risk in colon cancer [abstract]. Alistar AT, Chifman J, D'Agostino R Jr, Miller LD.. Cancer Immunol Res. 2016;4(1 Suppl):A011.

Retrospective analysis of cisplatin nephrotoxicity in patients with head and neck cancer receiving outpatient treatment with concurrent high-dose cisplatin and radiotherapy. Faig J, Haughton M, Taylor RC, D'Agostino RB Jr, Whelen MJ, Porosnicu Rodriguez KA, Bonomi M, Murea M, Porosnicu M.. Am J Clin Oncol. 2016;():.

A novel R848-conjugated inactivated influenza virus vaccine is efficacious and safe in a neonate nonhuman primate model. Holbrook BC, Kim JR, Blevins LK, Jorgensen MJ, Kock ND, D'Agostino RB Jr, Aycock ST, Hadimani MB, King SB, Parks GD, Alexander-Miller MA.. J Immunol. 2016;197(2):555-564.

The mitochondrial metabolism inhibitor CPI-613 in combination with mFOLFIRINOX for pancreatic adenocarcinoma [abstract]. Alistar AT, Desnoyer R, D'Agostino R.. J Clin Oncol. 2016;34(4 Suppl):264.

Simultaneous targeting of Eph receptors in glioblastoma. Ferluga S, Tome CM, Herpai DM, D'Agostino R, Debinski W.. Oncotarget. 2016;7(37):59860-76.

Anthracycline-associated T1 mapping characteristics are elevated independent of the presence of cardiovascular comorbidities in cancer survivors. Jordan JH, Vasu S, Morgan TM, D'Agostino RB Jr, Melendez GC, Hamilton CA, Arai AE, Liu S, Liu CY, Lima JA, Bluemke DA, Burke GL, Hundley WG.. Circ Cardiovasc Imaging. 2016;9(8):e004325.

Adjuvanting an inactivated influenza vaccine with flagellin improves the function and quantity of the long-term antibody response in a nonhuman primate neonate model. Holbrook BC, D'Agostino RB Jr, Parks GD, Alexander-Miller MA.. Vaccine. 2016;34(39):4712-4717.

A novel R848-conjugated inactivated influenza virus vaccine is safe and efficacious in a neonate nonhuman primate model [abstract]. Holbrook B, Kim J, Blevins L, Jorgensen M, Kock N, D'Agostino R Jr, Aycock ST, Hadimani M, King SB, Parks G, Alexander-Miller M.. Eur J Immunol. 2016;46(Suppl 1):31.

5-alpha reductase inhibitors and the risk of prostate cancer mortality in men treated for benign prostatic hyperplasia. Wallner LP, DiBello Jr, Li BH, Van Den Eeden SK, Weinmann S, Ritzwoller DP, Abell JE, D'Agostino R Jr, Loo RK, Aaronson DS, Richert-Boe K, Horwitz RI, Jacobsen SJ.. Mayo Clin Proc. 2016;91(12):1717-1726.

Chronic statin administration may attenuate early anthracycline-associated declines in left ventricular ejection function. Chotenimitkhun R, D'Agostino R Jr, Lawrence JA, Hamilton CA, Jordan JH, Vasu S, Lash TL, Yeboah J, Herrington DM, Hundley WG.. Can J Cardiol. 2015;31(3):302-307.

Urinary F2-isoprostanes and metabolic markers of fat oxidation. Il'yasova D, Wagenknecht LE, Spasojevic I, Watkins S, Bowden D, Wang F, D'Agostino RB Jr.. Oxid Med Cell Longev. 2015;2015():729191.

Association of parental history of diabetes with cardiovascular disease risk factors in children with type 2 diabetes. Law JR, Stafford JM, D'Agostino RB Jr, Badaru A, Crume TL, Dabelea D, Dolan LM, Lawrence JM, Pettitt DJ, Mayer-Davis EJ.. J Diabetes Complications. 2015;29(4):534-539.

Insulin sensitivity and arterial stiffness in youth with type 1 diabetes: the SEARCH CVD study. Shah AS, Black S, Wadwa RP, Schmiege SJ, Fino NF, Talton JW, D'Agostino R Jr, Hamman RF, Urbina EM, Dolan LM, Daniels SR, Marcovina SM, Dabelea D.. J Diabetes Complications. 2015;29(4):512-516.

Lack of significant association between serum inflammatory cytokine profiles and the presence of colorectal adenoma. Henry CJ, Sedjo RL, Rozhok A, Salstrom J, Ahnen D, Levin TR, D'Agostino R Jr, Haffner S, DeGregori J, Byers T.. BMC Cancer. 2015;15():123.

Genome wide identification of new genes and pathways in patients with both autoimmune thyroiditis and type 1 diabetes. Tomer Y, Dolan LM, Kahaly G, Divers J, D'Agostino RB Jr, Imperatore G, Dabelea D, Marcovina S, Black MH, Pihoker C, Hasham A, Hammerstad SS, Greenberg DA, Lotay V, Zhang W, Monti MC, Matheis N.. J Autoimmun. 2015;60():32-39.

Inclusion of flagellin during vaccination against influenza enhances recall responses in nonhuman primate neonates. Kim JR, Holbrook BC, Hayward SL, Blevins LK, Jorgensen MJ, Kock ND, De Paris K, D'Agostino R Jr, Aycock ST, Mizel SB, Parks GD, Alexander-Miller MA.. J Virol. 2015;89(14):7291-7303.

Myocardial extracellular volume is elevated in cancer survivors treated with anthracycline-based chemotherapy compared to cancer-free peers and newly diagnosed and untreated cancer patients: a single-center observational study of the. Jordan JH, Vasu S, Morgan T, D'Agostino R, Melendez GC, Hall M, Hamilton C, Arai A, Liu S, Liu C-Y, Lima J, Bluemke D, Hundley W.. J Am Coll Cardiol. 2015;65(10 Suppl):A1081.

Trends and characteristics of self-reported case presentation of diabetes diagnosis among youth from 2002 to 2010: findings from the SEARCH for Diabetes in Youth Study [letter]. Saydah SH, Imperatore G, Henkin L, D'Agostino R Jr, Divers J, Mayer-Davis EJ, Dabelea D, Klingensmith G, Pihoker C, Lawrence JM.. Diabetes Care. 2015;38(6):e84-e85.

Change in adiposity minimally affects the lipid profile in youth with recent onset type 1 diabetes. Shah AS, Dolan LM, Dabelea D, Stafford JM, D'Agostino RB Jr, Mayer-Davis EJ, Marcovina S, Imperatore G, Wadwa RP, Daniels SR, Reynolds K, Hamman RF, Bowlby DA, Maahs DM, Wagenknecht LE.. Pediatr Diabetes. 2015;16(4):280-286.

Interferon beta and interferon alpha 2a differentially protect head and neck cancer cells from vesicular stomatitis virus-induced oncolysis. Westcott MM, Liu J, Rajani K, D'Agostino R Jr, Lyles DS, Porosnicu M.. J Virol. 2015;89(15):7944-7954.

Longitudinal association between television watching and computer use and risk markers in diabetes in the SEARCH for Diabetes in Youth Study. Li C, Beech B, Crume T, D'Agostino RB Jr, Dabelea D, Kaar JL, Liese AD, Mayer-Davis EJ, Pate R, Pettitt DJ, Taplin C, Rodriguez B, Merchant AT.. Pediatr Diabetes. 2015;16(5):382-391.

Arterial stiffness in adolescents and young adults with and without type 1 diabetes: the SEARCH CVD study. Shah AS, Wadwa RP, Dabelea D, Hamman RF, D'Agostino R Jr, Marcovina S, Daniels SR, Dolan LM, Fino NF, Urbina EM.. Pediatr Diabetes. 2015;16(5):367-374.

The association between gastrostomy tube placement, poor post-operative outcomes, and hospital re-admissions in head and neck cancer patients. Mays AC, Worley M, Ackall F, D'Agostino R Jr, Waltonen JD.. Surg Oncol. 2015;24(3):248-257.

Clinical performance of the DigniCap system, a scalp hypothermia system, in preventing chemotherapy-induced alopecia [abstract]. Rugo HS, Klein P, Melin SA, Hurvitz SA, Melisko ME, Moore A, Park GD, Bageman E, D'Agostino R, Hoeve ESV, Cigler T.. J Clin Oncol. 2015;33(15 Suppl):9518.

Assessing endothelial dysfunction in adolescents and young adults with type 1 diabetes mellitus using a non-invasive heat stimulus. Shah AS, Gao Z, Dolan LM, Dabelea D, D'Agostino RB Jr, Urbina EM.. Pediatr Diabetes. 2015;16(6):434-440.

The anti-proliferative effects of RF EMF amplitude-modulated at tumor specific frequencies and mediation by calcium [abstract]. Jimenez H, Zimmerman JW, D'Agostino R, Yi XH, Brezovich I, Wang MH, Pennison MJ, Chen DQ, Kuster N, Costa F, Barbault A, Blackman CF, Pasche B.. J Clin Oncol. 2015;33(15 Suppl):11079.

Relation of pre-anthracycline serum bilirubin levels to left ventricular ejection fraction after chemotherapy. Vera T, D'Agostino RB Jr, Jordan JH, Whitlock MC, Melendez GC, Lamar ZS, Porosnicu M, Bonkovsky HL, Poole LB, Hundley WG.. Am J Cardiol. 2015;116(11):1752-1755.

Re: 'prevalence of diagnosed and undiagnosed type 2 diabetes mellitus among US adolescents: results from the continuous NHANES, 1999-2010' [letter]. Dabelea D, Lawrence JM, Pihoker C, Dolan L, D'Agostino RB Jr, Marcovina S, Mayer-Davis EJ.. Am J Epidemiol. 2014;179(3):396-397.

Standard forward-viewing colonoscopy versus full-spectrum endoscopy: an international, multicentre, randomised, tandem colonoscopy trial. Gralnek IM, Siersema PD, Halpern Z, Segol O, Melhem A, Suissa A, Santo E, Sloyer A, Fenster J, Moons LM, Dik VK, D'Agostino RB Jr, Rex DK.. Lancet Oncol. 2014;15(3):353-360.

Diabetes self-management education patterns in a US population-based cohort of youth with type 1 diabetes. Jaacks LM, Bell RA, Dabelea D, D'Agostino RB Jr, Dolan LM, Imperatore G, Klingensmith G, Lawrence JM, Saydah S, Yi-Frazier J, Mayer-Davis EJ.. Diabetes Educ. 2014;40(1):29-39.

IRP2 regulates breast tumor growth. Wang W, Deng Z, Hatcher H, Miller LD, Di X, Tesfay L, Sui G, D'Agostino RB Jr, Torti FM, Torti SV.. Cancer Res. 2014;74(2):497-507.

A pilot study of blood epinephrine levels and CREB phosphorylation in men undergoing prostate biopsies. Hassan S, Karpova Y, Flores A, D'Agostino R Jr, Danhauer SC, Hemal A, Kulik G.. Int Urol Nephrol. 2014;46(3):505-510.

Non-covalent assembly of meso-tetra-4-pyridyl porphine with single-stranded DNA to form nano-sized complexes with hydrophobicity-dependent DNA release and anti-tumor activity. Ghosh S, Ucer KB, D'Agostino R Jr, Grant K, Sirintrapun J, Thomas MJ, Hantgan R, Bharadwaj M, Gmeiner WH.. Nanomedicine (Lond). 2014;10(2):451-461.

No association of dietary fiber intake with inflammation or arterial stiffness in youth with type 1 diabetes. Jaacks LM, Crandell J, Liese AD, Lamichhane AP, Bell RA, Dabelea D, D'Agostino RB Jr, Dolan LM, Marcovina S, Reynolds K, Shah AS, Urbina EM, Wadwa RP, Mayer-Davis EJ.. J Diabetes Complications. 2014;28(3):305-310.

Is postmastectomy radiation therapy indicated in patients with close or positive margins? [abstract]. Bryan M, D'Agostino R, Brown D, Levine E, Howard-McNatt M.. Ann Surg Oncol. 2014;21(Suppl 2):33.

Smoking and arterial stiffness in youth with type 1 diabetes: The SEARCH Cardiovascular Disease Study. Shah AS, Dabelea D, Talton JW, Urbina EM, D Agostino RB Jr, Wadwa RP, Marcovina S, Hamman RF, Daniels SR, Dolan LM.. J Pediatr. 2014;165(1):110-116.

Trends in the prevalence of ketoacidosis at diabetes diagnosis: the SEARCH for Diabetes in Youth Study. Dabelea D, Rewers A, Stafford JM, Standiford DA, Lawrence JM, Saydah S, Imperatore G, D'Agostino RB Jr, Mayer-Davis EJ, Pihoker C.. Pediatrics. 2014;133(4):E938-E945.

Workstations with circutis for generating images of global injury. Hundley WG, D'Agostino RB, Hamilton CA, inventors; Wake Forest University Health Sciences, assignee.. United States patent US 8,660,327. 2014 Feb 25. 2014;():.

Trends in incidence of type 1 diabetes among non-Hispanic white youth in the United States, 2002-2009. Lawrence JM, Imperatore G, Dabelea D, Mayer-Davis EJ, Linder B, Saydah S, Klingensmith GJ, Dolan L, Standiford DA, Pihoker C, Pettitt DJ, Talton JW, Thomas J, Bell RA, D'Agostino RB Jr.. Diabetes. 2014;63(11):3938-3945.

Effect of fludrocortisone acetate on chronic unexplained nausea and abdominal pain in children with orthostatic intolerance. Fortunato JE, Wagoner AL, Harbinson RL, D'Agostino RB Jr, Shaltout HA, Diz DI.. J Pediatr Gastroenterol Nutr. 2014;59(1):39-43.

Retrospective analysis of the impact of HPV status and smoking on mucositis in patients with oropharyngeal squamous cell carcinoma treated with concurrent chemotherapy and radiotherapy. Vatca M, Lucas JT Jr, Laudadio J, D'Agostino RB, Waltonen JD, Sullivan CA, Rouchard-Plasser R, Matsangou M, Browne JD, Greven KM, Porosnicu M.. Oral Oncol. 2014;50(9):869-876.

Factors affecting successful isolation of human corneal endothelial cells for clinical use. Choi JS, Kim EY, Kim MJ, Khan FA, Giegengack M, D'Agostino R Jr, Criswell T, Khang G, Soker S.. Cell Transplant. 2014;23(7):845-854.

Association of pain and itch with depth of invasion and inflammatory cell constitution in skin cancer: results of a large clinicopathologic study. Yosipovitch G, Mills KC, Nattkemper LA, Feneran A, Liang TH, Lowenthal BM, Pearce DJ, Williford PM, Sangueza OP, D'Agostino RB Jr.. JAMA Dermatol. 2014;150(11):1160-1166.

Longitudinal assessment of concurrent changes in left ventricular ejection fraction and left ventricular myocardial tissue characteristics after administration of cardiotoxic chemotherapies using T1-weighted and T2-weighted cardiovascular magnetic. Jordan JH, D'Agostino RB Jr, Hamilton CA, Vasu S, Hall ME, Kitzman DW, Thohan V, Lawrence JA, Ellis LR, Lash TL, Hundley WG.. Circ Cardiovasc Imaging. 2014;7(6):872-879.

All Publications

For a listing of recent publications, refer to PubMed, a service provided by the National Library of Medicine.

For a list of earlier publications, visit the Carpenter Library Publication Search.

Professor, Biostatistical Sciences

Clinical Interests

Lung Cancer, Cancer Prevention, Epidemiology, Head and Neck Cancers, Pediatric Trauma, Cancer Symptom Management, Prostate Cancer, Diabetes, Type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus in Adolescents, Breast Cancer
Ralph B. D'Agostino Jr, Ph.D.

Ralph B. D'Agostino Jr, Ph.D.

Core Director, Comprehensive Cancer Center
Professor, Biostatistical Sciences
Office of Research

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