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Minority children less likely to survive leukemia treatment




Canada passes bill regulating stem cell research

  
November 3, 2003
  
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Legislation and Regulation
   
Clinical Research
   
Pharmaceutical News
   
Association News
   
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Tandem BMT Meetings
Feb 13 - 17, 2004
Orlando, Florida

 
 
ASBMT Monthly Poll
Should hematology/oncology fellowship programs have specific tracks and curricula for clinical investigators?
 
Yes, but there will never be sufficient funding.
Yes, but these programs exist and are adequate.
No, current training is sufficient.
The Red Sox will never win the Series in my lifetime.

view results

(Note: Answers to this interactive poll are anonymous.)

Last Month's Poll Results

Faced with the same challenges as the Society’s founders 10 years ago, which of the following priorities would you put in first place for the coming 10 years?
 
Promotion of collaborative research (245) 41%
   
Further elevation of the national meeting (96) 16%
   
Regulatory and third-party payer issues (149) 25%
   
Enhancement and expansion of the journal (106) 18%
 

Calendar

• November
American Society of Human Genetics (ASHG)
53rd Annual Meeting
Nov. 4-8
Los Angeles Convention Center
Los Angeles, California

National Marrow Donor Program (NMDP)
16th Annual Council Meeting
Nov. 14-16
Hilton Minneapolis Hotel
Minneapolis, Minnesota

European Society for Gene Therapy (ESGT)
11th Annual Meeting
Nov. 14-17
Edinburgh International Conference Centre
Edinburgh, Scotland

• December
American Society of Hematology (ASH)
45th Annual Meeting
Dec. 6-9
San Diego Convention Center
San Diego, California

American Society for Cell Biology (ASCB)
43rd Annual Meeting
Dec. 13-17
Moscone Convention Center
San Francisco, California

2004
• January
American Society of Transplantation (AST)
8th Annual Winter Symposium
Jan. 15-18
Westin Kierland Resort
Scottsdale, Arizona

• February
6th International Congress on New Trends in Immunosuppression
Feb. 5-8
Salzburg Congress Centre
Salzburg, Austria

2004 Tandem BMT Meetings
(Combined ASBMT and IBMTR/ABMTR annual meetings)
Feb. 13-17
Coronado Springs Resort
Orlando, Florida

• March
American Association for Cancer Research (AACR)
95th Annual Meeting
March 27-31
Orange County Convention Center
Orlando, Florida

European Group for Blood and Marrow Transplantation (EBMT)
30th Annual Meeting
March 28 - 31
Palau de Congressos de Catalunya
Barcelona, Spain

• April
American Society of Pediatric Hematology/Oncology (ASPH/O)
17th Annual Scientific Meeting
April 29-May 2
Westin St. Francis Hotel
San Francisco, California

• May
International Society for Cellular Therapy (ISCT)
10th Annual Meeting
May 7-10
Dublin, Ireland

World Marrow Donor Association (WMDA)
5th International Donor Registry Conference
May 26-29
Keio University Mita Campus
Tokyo, Japan

• July
Federation of Clinical Immunology Societies
4th Annual Conference
July 18-23
Montreal, Quebec

International Society for Experimental Hematology (ISEH)
33rd Annual Scientific Meeting
July 17-20
New Orleans, Louisiana

• October
American Society for Histocompatibility and Immunogenetics (ASHI)
30th Annual Meeting
Oct. 1-6
San Antonio Convention Center
San Antonio, Texas

American Association of Blood Banks (AABB)
57th Annual Meeting
Oct. 23-26
Baltimore, Maryland

2005
2005 Tandem BMT Meetings
(Combined ASBMT and IBMTR/ABMTR annual meetings)

Feb. 10-14
Keystone Resort
Keystone, Colorado

 
  
Top Stories
 
3D tissues can be grown from human embryonic stem cells
Human embryonic stem cells can be directed to grow into 3D tissues using biodegradable polymer scaffolds, according to research published in the Oct. 28 issue of the Proceedings of the National Academy of Sciences. Using growth factors, researchers induced differentiation into structures with characteristics of developing neural tissues, cartilage and liver; these tissues appear to retain their function when implanted in mice.
   
Embryonic stem cell research pioneers expect clinical trials to begin within five years
Clinical trials involving embryonic stem cells will start within five years, predict James Thomson of the University of Wisconsin-Madison and John Gearhart of Johns Hopkins University in Baltimore. At a media briefing at the National Press Club, they said political opposition and limited federal funding have delayed efforts.
 
Adult stem cells may not prove as effective as embryonic stem cells
To test the effectiveness of adult stem cells, researchers modified bone marrow stem cells in mice to produce easily detected proteins, then injected the cells into other mice. Instead of turning into other cell types, these stem cells fused with them. While this finding may offer new therapeutic uses for adult stem cells, they seem to be ineffective in regenerating and replacing damaged tissues.
 
Gene therapy caused cancer in two French boys
Experimental gene therapy treatment used to cure two French boys suffering from x-linked severe combined immunodeficiency triggered a gene causing overproduction of T cells, giving them leukemia. Doctors used a virus to carry a therapeutic copy of the defective gene, and the virus improperly activated the gene for childhood leukemia. Both boys have been successfully treated with chemotherapy.
 
Minority children less likely to survive leukemia treatment
Black children with acute lymphoblastic leukemia are significantly more likely than white children to have higher-risk prognostic features and less likely to have hyperdiploid blast cells, but their five-year event-free and overall survival rates are not significantly different, according to a study published in the Oct. 15 issue of the Journal of the American Medical Association. A second study in the same issue found that while five-year survival rates have improved over the years, Asian/Pacific Islander, black, American Indian/Alaskan Native and Hispanic children have lower survival rates than white children.
&
  
 

A Word from President Joseph Antin, M.D.

It is generally held here in Boston that the End of the World will be heralded by the Red Sox winning the World Series. Because we no longer have to worry about Armageddon in that incarnation, it is safe for us to contemplate the future of medical research as charted in the new NIH Roadmap. If you aren’t familiar with the plan that was introduced by the National Institutes of Health this past month, the details are online.

The Roadmap has 28 initiatives but in essence focuses on three areas for the future of biomedical research:

• New technologies for studying and understanding how diseases work on a molecular level
• New processes for studying drugs in clinical trials, especially in high-risk but potentially high-return research and unexplored areas
• Better cooperation among research teams in academic centers and community-based practices

If indeed this is a more effective plan than other recent government attempts at roadmaps, members of our Society and our patients may be well-positioned to benefit from the announced repositioning of NIH resources. Several aspects of the Roadmap seem almost written with stem cell transplantation in mind.

Our academic centers are poorly equipped to train fellows and junior faculty in clinical research. Most of the time, the training of a clinical scientist is an arduous task with little formal structure, a great deal of mentoring, and substantial amounts of trial and error. Recognition of research achievements in clinical medicine requires patience and a long timeline that tends to discourage many junior people, who may be reluctant to adopt a career path that doesn’t bear fruit for years. A Multidisciplinary Clinical Research Workforce Training Program is proposed to prepare pre- and post-doctoral candidates for clinical investigations. Well-trained clinical investigators will be increasingly important because clinical investigations are certain to become increasingly complex. The hope is that with adequate funding and a curriculum guideline in place, the NIH can lead us to a new generation of high-quality training programs and a surge of highly productive clinical scientists. It sounds great. We’ll need to see what transpires.

Another proposal that is likely to bear short-term fruit is an emphasis on clinical research networks. I know of one exemplary model: the BMT Clinical Trails Network that puts our field in the vanguard of that initiative.

One thing that isn’t in doubt: It will be essential for members of our field and our Society to take leadership roles as the NIH begins to follow its new Roadmap.

– Joe

 
Legislation and Regulation
 
Canada passes bill regulating stem cell research
Canada’s House of Commons has approved legislation that would permit research using embryonic stem cells but bans human cloning. The bill also bans payment to sperm and egg donors and would prohibit the creation of embryos solely for science. However, final passage of the bill is uncertain.
 
Clinical Research
 
  Scientists identify source of bone marrow stem cells
Two studies on genetically engineered mice have uncovered the niche, or biological environment, where bone marrow stem cells reside. These scientists used different techniques to increase the number of osteoblasts that make up the niche areas, more than doubling the number of stem cells produced. The results of these studies are published in the Oct. 23 issue of the journal Nature.

  Growth of inner ear hair cells from embryonic stem cells may provide treatment for hearing loss
By encouraging embryonic stem cells from mice to differentiate into hair cells, then transplanting them into the ears of chicken embryos, scientists have found a way to regenerate hair cells in the inner ear, according to a study published in the October issue of the Proceedings of the National Academy of Sciences. Once in the chicken embryos, these cells expressed genes and proteins of adult hair cells and grew as existing hair cells would.

  Stem cells can help regenerate damaged nerves
Stem cells can be used to regenerate damaged nerve fibers, according to a study presented at the 127th annual meeting of the American Neurological Association. A study in rats, using stem cells from mice, showed that stem cells supply key nutritive molecules and protect against harmful ones, allowing nerves to regenerate as long as six months after the injury.

  Adult blood stem cells show promise in treating heart disease
Adult human blood peripheral stem cells will differentiate into cardiomyocytes, mature endothelial cells and smooth muscle cells in vivo, according to a study published in the October issue of the journal Circulation. Research in mice, using adult peripheral blood CD34+ cells injected into the tail vein, showed all three types of cells in the infarct and peri-infarct regions of mice hearts two months later.

 
 
Pharmaceutical News
 
Miltenyi Biotech signs agreement to market Baxter Healthcare products
Miltenyi Biotech GmbH and Baxter Healthcare Corp. have signed an agreement giving Miltenyi Biotech exclusive rights to distribute, market and sell Baxter’s cellular therapy products worldwide – with the exception of China, Japan, Korea and Taiwan – for the next five years. Products included in the agreement are the Isolex 300i Magnetic Cell Selection System v2.5 and the Cytomate Cell Processing System, as well as preservation and expansion bags used for cytopreservation and cell cultures and biologic reagents.
 
 
Association News
 

  Major national health plans using ASBMT standardized RFI
Many of the largest national health plans are using the ASBMT standardized Request for Information (RFI) forms that were introduced in January this year. 


  New investigator awards deadline is Dec. 1
Two new investigator awards – one supported by ESP Pharma and the other by Fujisawa Healthcare – have a Dec. 1 deadline. Young clinical and laboratory investigators in the field of blood and marrow transplantation are encouraged to apply.


  Position statement on BMT for non-Hodgkin’s lymphoma
An ASBMT Position Statement on the role of cytotoxic therapy with hematopoietic stem cell transplantation in the treatment of diffuse large cell B-cell non-Hodgkin’s lymphoma appears in the October issue of Biology of Blood and Marrow Transplantation. The statement is based on a recently published evidence-based review.


  When marrow fails
Two of the major causes of deadly marrow failure – aplastic anemia and myelodysplastic syndromes – are addressed in the current issue of Blood and Marrow Transplantation Reviews. The presentation, based on a symposium at the 2003 Tandem BMT Meetings, provides insights into the pathobiology of the diseases and new treatment options emerging from recent clinical trials.


  Free ASBMT membership for trainees
Post-doctoral fellows and physicians-in-training for blood and marrow transplantation are eligible for free ASBMT membership in 2004. The recruitment program has increased in-training enrollments in the Society from 26 to 120 in the past three months.


  Strong pre-registration for 2004 Tandem BMT Meetings
Early registration for the 2004 Tandem BMT Meetings is outpacing the attendance record set at this year’s meetings. Abstract submissions for the Feb. 13-17 sessions in Orlando are up 13 percent and are 77 percent ahead of the most recent Orlando meeting in 2002. Online registration, housing reservations and general information can be found on the ASBMT Web site.


  Guidelines for HLA matching of unrelated donors
Guidelines for HLA matching of unrelated hematopoietic cell donors have been issued by the National Marrow Donor Program (NMDP) and appear in the October issue of Biology of Blood and Marrow Transplantation. The guidelines are presented in the format of answers to frequently asked questions. BBMT Vol. 9, No. 10, pages 610-615.


  FOCIS conference headed to Montreal in July
The 4th annual conference of the Federation of Clinical Immunology Societies will convene July 18-23 in Montreal, Quebec. ASBMT is a member of the federation. The abstract deadline is Jan. 24.

 
 
  

Copyright © 2003 American Society for Blood and Marrow Transplantation. All rights reserved.

The editor for ASBMT eNews is Andrew L. Pecora, M.D.

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