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May 3, 2004 |
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Top
Stories |
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Legislation and Regulation |
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Clinical
Research |
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Pharmaceutical
News |
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Association
News |
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Calendar |
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Job &
Fellowship Connections |
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Monthly Journal |
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eNews
Archives |
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Tandem BMT Meetings
Feb 10 - 14, 2005
Keystone, Colorado |
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(Note: Answers to this interactive poll are anonymous.)
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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?
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Registry for matching trainees with mentors |
(3)
12% |
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Grant writing course at the Tandem BMT Meetings |
(1)
4% |
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Interactive online sessions on basic biostatistics |
(6)
25%
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Career
counseling and an online job bank |
(6)
25% |
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In-residence clinical research methodology course |
(8)
33% |
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Calendar |
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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
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Top
Stories |
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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.
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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.
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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.
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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 |
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Legislation and Regulation |
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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.
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Clinical
Research |
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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.
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Association
News |
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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.
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