. 

 



Dolly the sheep cloners considering work on human embryos




Stem cell injections help patients with congestive heart failure

  
May 3, 2004
  
If you are unable to view these articles or access the links, please visit the ASBMT Web Site at www.asbmt.org to read this issue. To be removed from this distribution list, please see instructions at bottom.
 
Top Stories
   
Legislation and Regulation
   
Clinical Research
   
Pharmaceutical News
   
Association News
   
Calendar
   
Job & Fellowship Connections
    
Monthly Journal
   
 eNews Archives
Members:
update email  here
  
 Non-members:
 subscribe here

ASBMT HOME

Tandem BMT Meetings
Feb 10 - 14, 2005
Keystone, Colorado

 
 
ASBMT Monthly Poll
In the past 12 months, have you been involved in a lawsuit involving medical care -- as a defendant, plaintiff or an expert witness?
Yes
No
My work doesn’t place me in a position where I’m likely to be involved in such lawsuits
Other

view results

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

Last Month's Poll Results

There may be ways that ASBMT can be of greater service to trainees. Which one of these do you think holds the most promise?
Registry for matching trainees with mentors (3)
12% 
   
Grant writing course at the Tandem BMT Meetings (1)
4% 
   
Interactive online sessions on basic biostatistics

(6)
25%
 

   
Career counseling and an online job bank (6)
25%
   
In-residence clinical research methodology course (8)
33%
 

Calendar

May
International Society for Cellular Therapy (ISCT)
10th Annual Meeting

May 7-10
The Burlington Hotel
Dublin, Ireland

California Blood Bank Society (CBBS)
with the National Marrow Donor Program (NMDP)
2nd Annual International Umbilical Cord Blood Transplantation Symposium

May 14-15
Hilton Los Angeles Airport
Los Angeles, California

American Society of Transplantation (AST)
American Transplant Congress

May 14-19
Hynes Convention Center
Boston, Massachusetts

World Marrow Donor Association (WMDA)
5th International Donor Registry Conference

May 26-29
Keio University Mita Campus
Tokyo, Japan

• June
Canadian Hematology Society (CHS)
Annual Meeting

June 2
London Convention Centre
London, Ontario

Canadian Blood and Marrow Transplant Group (CBMTG)
Biennial Meeting

June 3-6
London Convention Centre
London, Ontario

American Society for Clinical Oncology (ASCO)
40th Annual Meeting

June 5-8
Ernest N. Morial Convention Center
New Orleans, Louisiana

International Society for Stem Cell Research (ISSCR)
2nd Annual Meeting

June 10-13
Boston Seaport Hotel
Boston, Massachusetts

• July
International Society for Experimental Hematology (ISEH)
33rd Annual Scientific Meeting

July 17-20
New Orleans Marriott
New Orleans, Louisiana

Federation of Clinical Immunology Societies (FOCIS)
4th Annual Conference

July 18-23
Palais de Congres de Montreal
Montreal, Quebec, Canada

September
International Conference on Advances Against Aspergillosis
Sept. 9-11
Grand Hyatt San Francisco
San Francisco, California

Yale University and National Marrow Donor Program (NMDP)
Safeguarding Adult and Pediatric Stem Cell Donors: Basic Science, Clinical, and Ethical Issues

Sept. 21-22
Bethesda, Maryland

October
American Society for Histocompatibility and Immunogenetics (ASHI)
30th Annual Meeting

Oct. 1-6
San Antonio Convention Center
San Antonio, Texas

American Society for Blood and Marrow Transplantation (ASBMT) with the International Society for Cellular Therapy (ISCT)
4rd Annual Conference on Mesenchymal and Nonhematopoietic Stem Cells

Oct. 14-16
Wyndham Hotel
New Orleans, Louisiana

 
  
Top Stories
 
Stem cells produce hair follicles and hair
Scientists at the University of Pennsylvania have identified stem cells in the hair follicles of mice; when transplanted into skin, these cells grow into hair follicles and produce hair. According to an article published on the Web site of the journal Nature Biotechnology, the transplanted cells began to grow hair follicles in four weeks.
   
Dolly the sheep cloners considering work on human embryos
The Roslind Institute in Scotland, where Dolly the sheep was cloned, is considering applying to the Human Fertilization and Embryology Authority for a license to perform therapeutic cloning of human embryos. The researchers say it would be “immoral” not to use therapeutic cloning for stem cell research.
 
Stem cell research fund planning informational Web site
The New Jersey Stem Cell Research Endowment Fund is planning a Web site, called BioMed Zone, to provide information about stem cell research to pharmaceutical and biotech companies looking to forge partnerships with medical researchers. The fund will use money provided by pharmaceutical companies to help stem cell researchers.
   

A Word from President Armand Keating, M.D.

“Medical research won a major courtroom victory,” said the editorial in the Wall Street Journal. “The winner is every American who has a stake in biomedical research that underpins so many life-saving treatments and cures.”

A jury in Seattle this past month decided in favor of the Fred Hutchinson Cancer Research Center and several of its investigators in a case involving the informed consent of leukemia patients in clinical trials some 20 years ago.

First, in the interest of full disclosure, my disclaimer: Early in my career, I was a post-doctoral fellow at “the Hutch.” My recollections are of a remarkably scrupulous and diligent institution that adhered to the highest standards -- a model worth emulating at my own center.

But the families of five former patients didn’t think so. Their relatives were enrolled in a T-cell depletion trial two decades ago. The patients died of graft failure in a study designed to decrease the occurrence and severity of graft-versus-host disease. They sued.

The jury listened to eight weeks of testimony and then deliberated for six days. Their unanimous conclusion was that the patients gave informed consent for their participation in the trials, and that a “reasonably prudent” patient would likely have enrolled given what was known at the time.

Any loss of life is tragic. Clearly the objective of those investigators in the early 1980s was to accomplish a cure, or at least prolong the life of some very ill patients. Carefully considered and well-controlled clinical trials are the only way to advance medical knowledge beyond theory. Trials frequently offer the only hope for patients to beat yet-unbeatable diseases.

There were multiple allegations in the lawsuit, but the court narrowed the issues to informed consent. Much more was at stake than the reputation and finances of an outstanding research center and its investigators. A verdict favorable to the investigators was crucial for the continuation of good clinical research. A different decision from the jurors would have said it’s OK to apply today’s knowledge, medical standards and consent rules to studies conducted decades ago.

A “guilty” verdict could have been chilling for innovative studies. Research centers might understandably be reluctant to enroll very ill patients whose deaths might later be blamed on the trial rather than on the disease. Only the “safest” clinical studies would be considered. Advances in cancer therapy generally, and hematopoietic cell transplants in particular, would become incrementally minor -- if any.

We can take away two messages from Seattle: It is right to do research to cure fatal diseases, but it’s also essential that patients be fully informed when they enroll in a clinical trial. Patients have a right, and we owe them the opportunity, to weigh benefits and risks of their own survival, as well as the benefits for patients down the road.

The Journal applauded our colleagues in Seattle for standing on principle and not taking the easier route of settling with the plaintiffs. Credit is due them for enabling many desperately ill patients to benefit from future clinical trials.

- Cheers, Armand

 
Legislation and Regulation
 
Many voters support ending Bush administration limits on stem cell research
Two out of three voters in 18 states support overriding the Bush administration’s limits on federal government funding for stem cell research. The survey, conducted on behalf of the Results for America project of the Civil Society Institute, also show that 70 percent of independent voters support funding for stem cells over and above the Bush restrictions.
   
Clinical Research
 
  Stem cell injections help patients with congestive heart failure
Heart function in patients with congestive heart failure significantly improved after injections of adult stem cells into the damaged tissue, according to findings presented at the annual meeting of the American Association for Thoracic Surgery. Researchers at the University of Pittsburgh performed cardiac bypass surgery on 20 patients; 10 received autologous stem cell injections. After the procedure, the average ejection fraction rates of patients receiving stem cells was 46.1 percent, compared with 37.2 percent for those not receiving the cells.

  Bone marrow cells differentiate into brain stem cells
Stromal cells taken from adult human bone marrow can be converted into stem cells that meet the criteria for transplantation into the brain, according to research presented at the American Academy of Neurology’s annual meeting. Scientists at the University of Ulm in Germany cultured stromal cells with growth factors; studies are currently under way in animals to determine the best way to administer the cells into the brain.

  Stem cell-derived nerves migrate through the spinal cord in rats
Using motoneurons grown from embryonic stem cells in mice, scientists at the Johns Hopkins School of Medicine implanted these cells into rats, where they survived for more than a month in the spinal cord. In addition, these cells migrated into the ventral roots of rats after treatment with a Rho kinase inhibitor to overcome myelin inhibition.


  People may soon be able to grow new teeth, forget dentures
Within two years, a professor at King’s College in London hopes to be able to use stem cells to grow a new set of teeth in people. This procedure has already been tested in mice. The British Dental Association praised the research, which may lead to normal tooth growth in as little as two months after transplantation.
 
  Association News
 

  Payers get updated standardized RFI
The 2004 revision of the ASBMT standardized Request for Information (RFI) has been released to third-party payers. The new forms have enhancements that make them even easier for transplant centers to complete. The interactive forms can be downloaded from the ASBMT Web site.

  4th Mesenchymal and Nonhematopoietic Stem Cells Conference in October
Mesenchymal stem cell biology, stem cell plasticity, and cell therapy for cardiac, pulmonary and neurologic diseases will be addressed in the 4th Annual Mesenchymal and Nonhematopoietic Stem Cells Conference on Oct. 14-15 at the Wyndham Hotel in New Orleans. ASBMT is a co-sponsor.

  ACCME Board of Directors drafts new CME standards
In a unanimous vote, the directors of the Accreditation Council for CME have approved revised “Standards for Commercial Support” and sent the standards to member organizations for approval. A major concern with a previous initial draft was a stipulation precluding physicians from teaching if they had a conflict of interest. The new revision includes no such prohibition but does require that everyone who is in a position to present or control CME content must disclose all relevant financial relationships with any commercial interest. A refusal to disclose is a disqualification for being a CME teacher, author or member of a planning committee.

  Partners sought for adenovirus surveillance
The College of Public Health at the University of Iowa has received an NIAID R01 grant to conduct national surveillance for adenovirus. Fifteen partner labs are being sought to help capture a U.S. national sample of adenovirus isolates over a three-year surveillance period. Funds are budgeted for each collaborating site. The deadline is May 14.

  Physician at Massachusetts General completes GvHD research
The recipient of a New Investigator Award from ASBMT and Orphan Medical Inc., has submitted a final report on this research into bone marrow transplant failures in patients with leukemia and other blood diseases.

  New investigator evaluates differentiation of cancer cells
The recipient of a new investigator award from ASBMT and Roche Laboratories has submitted a mid-project progress report on his work in differentiation and destruction of cancer cells.

  University of Minnesota physician completes T-cell research project
The recipient of a New Investigator Award from ASBMT and Fujisawa Healthcare has submitted a final report on his research on prevention of graft rejection after bone marrow transplantation.

  Spanish edition of patient handbook will be published
A Spanish-language edition of Bone Marrow & Blood Stem Cell Transplants: A Guide for Patients, a popular BMT InfoNet handbook, will be published in June. Pre-orders are being taken online.

 
 
  

Copyright © 2004 American Society for Blood and Marrow Transplantation. All rights reserved.

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

E-newsletter services provided by the medical editors at Ascend Media.

Do you have news, responses or opinions to share with us? Please e-mail the association office at enews@asbmt.org
  

ASBMT eNews is sent as a membership benefit of the American Society for Blood and Marrow Transplantation. If you would prefer not to receive future issues and want to remove your name from our mailing list, please -click here-
 

 
Sponsored by an unrestricted educational grant from