. 

 


Cord blood transplants enhance survival for babies with
Krabbe disease 


Statins may reduce risk of colorectal cancers
 
  
June 1, 2005
  
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ASBMT HOME

 BMT Tandem Meetings
Feb. 16-20, 2006
Honolulu, Hawaii

 

Are you finding it more or less difficult to participate in clinical trials?
 

 
Calendar

• June
3rd Annual International Umbilical Cord Blood Transplant Symposium
California Blood Bank Society (CBBS), with the National Marrow Donor Program (NMDP)
June 3-4
Hilton Los Angeles Airport
Los Angeles, California

Chronic GvHD: The Next Frontier in Transplantation Research
NIH Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-vs.-Host Disease
June 6
Marriott Bethesda North Conference Center
Bethesda, Maryland

International Society for Stem Cell Research (ISSCR)
3rd Annual Meeting
June 23-25
San Francisco Marriott
San Francisco, California

• July
Pan-Pacific Lymphoma Conference
University of Nebraska Medical Center
July 11-15
Hyatt Regency Kauai
Poipu, Hawaii

Society for Cryobiology
Cryo 2005, 42nd Meeting
July 24-27
University of Minnesota
Minneapolis, Minnesota

Aplastic Anemia & MDS International Foundation (AA&MDSIF)
Patient & Family Conference
July 28-30
Denver Airport Marriott
Aurora, Colorado

International Society for Experimental Hematology (ISEH)
34th Annual Scientific Meeting
July 30-Aug. 2
Glasgow, Scotland

• October
American Association of Blood Banks (AABB)
58th Annual Meeting
Oct. 15-18
Seattle Convention Center
Seattle, Washington

Aplastic Anemia & MDS International Foundation
with NCI and NIH Office of Rare Diseases

Bone Marrow Failure Scientific Symposium
Oct. 17-19
Loews L’Enfant Plaza Hotel
Washington, D.C.

American Society for Histocompatibility and Immunogenetics (ASHI)
31st Annual Meeting
Oct. 17-21
Hilton Washington Hotel
Washington, D.C.

International Society for Interferon and Cytokine Research (ISICR)
Annual Meeting
Oct. 20-24
Shanghai International Everbright Convention Center
Shanghai, China

International Cytokine Society (ICS)
Annual International Cytokine Conference
Oct. 27-31
Lotte Hotel Jamsil
Seoul, Korea

European Society of Gene Therapy (ESGT)
13th Annual Meeting
Oct. 29-Nov. 1
Hotel Hilton Prague
Prague, Czech Republic

• November
National Marrow Donor Program (NMDP)
18th Annual Council Meeting
Nov. 4-6
Hilton Minneapolis Hotel
Minneapolis, Minnesota

• December
American Society of Hematology (ASH)
76th Annual Meeting
Dec. 3-6
Ernest N. Morial Convention Center
New Orleans, Louisiana

American Society for Cell Biology (ASCB)
45th Annual Meeting
Dec. 10-14
Moscone Center
San Francisco, California

2006
BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)
Feb. 16-20
Hawaii Convention Center
Honolulu, Hawaii

2007

BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)
Feb. 8-12
Keystone Conference Center
Keystone, Colorado

2008
BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)
Feb. 13-17
Manchester Grand Hyatt Hotel
San Diego, California

 
  
Top Stories
 
Cord blood transplants enhance survival for babies with Krabbe disease
Stem cell transplants from umbilical cord blood enhance survival for babies born with Krabbe disease, according to a study published in the May 19 issue of The New England Journal of Medicine. Eleven newborns received transplants from unrelated donors, as did 14 older infants who had begun to show signs of the disease. All of the newborns are still alive, with the oldest 6 ˝ years old. 
   

Trimodal therapy may be best cancer treatment option
A treatment strategy that combines chemotherapy, radiation and a protein kinase inhibitor is much more effective against cancer than any combination of two treatment methods, according to scientists at the German Cancer Research Center and Heidelberg University Hospitals. In human skin cancer cells and in mice injected with these cells, the trimodal therapy was more effective in inhibiting the multiplication of cancer cells in vitro and triggered the suicide program in more vessel lining cells.
 

 
Guidelines for Human Embryonic Stem Cell Research released
Revised donor consent rules, prohibition on paying donors and limits to mixing human and animal cells are among the recommendations included in Guidelines for Human Embryonic Stem Cell Research, a 131-page report that a joint committee of the National Academies' Institute of Medicine and National Research Council have released. Compliance with the guidelines is voluntary, but the panel urged everyone involved in human embryonic stem cell research to abide by them.  
     
Stem cell pioneer forms research company
Jamie Thomson, the scientist who first isolated human embryonic stem cells, is forming Cellular Dynamics International, a company that will test new drugs on heart cells it plans to develop from stem cells. Cellular Dynamics will first develop tests made from kidney cells tweaked to mimic heart cells, a technique invented by company co-founder Craig January.
 

A Word from President Nelson Chao, M.D.

If you’re like me, you always have to pause for a moment or two before writing the phrase principal investigator.

It’s a moment that averts the common mistake of “al” versus “le.” I know it’s common because a Google search for “principle investigator” finds more than 119,000 published pages -- all with the misspelling, unless you’re confident that some of those pages are about investigating behavioral or moral principles.

There’s ample reason for concern these days about principal investigators, but it’s not all related to spelling. After steady growth throughout the 1990s, the number of PIs conducting clinical studies in the United States has declined 11 percent since 2001. The drop reflects a similar decline in the number of active clinical trials and the value of study grants for those trials.

These data come from the Tufts Center for the Study of Drug Development, which analyzed a database of more than 100,000 PIs who registered with the FDA to conduct clinical trials of investigational drugs between 1977 and 2004.

They found that turnover rates among PIs have nearly doubled in the short time since 2001, and that only 3 percent of all board-certified physicians are PIs. Furthermore, the proportion of female PIs to male PIs has been steadily decreasing and is significantly below the ratio of female-to-male board-certified physicians.

Incidentally, all of this is occurring while the number of investigators abroad has increased by 8 percent.

The capacity of our medical research community to conduct clinical trials is eroding at an especially inopportune time. "Baby Boomers" are aging, entering a period of life when the incidence curve for cancer and other chronic diseases bends sharply upward. Ironically, the number of new drugs and other therapies for cancer is increasing, as we better understand the biology of the disease. But each of these therapies requires well-thought-out clinical trials led by experienced investigators. There also is a great need for translational researchers, those who can help bridge the laboratory bench to the bedside.

The amount of oversight needed for clinical trails is enormous -- and rightfully so -- but the paperwork, the bureaucratic hoops and the “hassle factor” are surely a disincentive to investigators.

What can be done?

• Increase the number of mentored awards for clinical research from the NIH.

• Increase the incentives, both tangible and intangible, for leading clinical trials.

• Design and conduct courses on how to lead a clinical trial. (Maybe this is something ASBMT can do for hematopoietic stem cell transplantation and related fields.)

• Establish new fellowships for translational research.

The downward trajectory for clinical research projects and study grants is a genuine cause for alarm.

This is a ship that is not easily turned. It will take a culmination of forces to steer the vessel -- spelled with an “el” -- to a more favorable heading.

– Nelson

 
Legislation and Regulation
  Connecticut Senate approves stem cell research spending
The Connecticut Senate has approved spending $100 million over 10 years to fund stem cell research, including human embryonic stem cells. The bill, which would create an advisory board and peer review board to advance and oversee research, now goes to the House, where experts predict a longer debate. 
 
Clinical Research
 
  Statins may reduce risk of colorectal cancer
Statins, commonly used to control cholesterol and heart disease, appear to reduce the risk of colorectal cancer, according to a report in the May 26 issue of The New England Journal of Medicine. Researchers at the University of Michigan found that two statins, Zocor and Pravachol, reduced the incidence of colorectal cancer by 47 percent in Israeli patients. 

  Protein initiates cellular DNA repair, may help prevent cancer
The protein ATF2 helps initiate cellular DNA repair, which prevents the formation of genetic mutations, including those that cause cancer. According to a report published in the May 27 issue of the journal Molecular Cell, a protein kinase called ATM activates the protein.

  Revlimid shows promise in treating myelodysplastic syndrome
In tests of 115 people with myelodysplastic syndrome who were given Revlimid, 66 percent no longer needed blood transfusions about six months into the study, and three-fourths of them still don’t need transfusions a year later. Even more promising, signs of the genetic mutation that fuels the disease had diminished in 81 patients and disappeared in 51, according to a presentation given at the recent meeting of the American Society of Clinical Oncology. 

  Early environmental experiences can predispose to cancer development
In rats with a genetic defect similar to uterine leiomyoma and treated with diethylstilbestrol (DES) three to five days after birth, nearly every rat developed tumors by adulthood. The study, reported in the journal Proceedings of the National Academy of Sciences, researchers found that rats exposed to DES had more and larger tumors than unexposed rats that had the genetic defect, and rats without the genetic defect that were exposed to DES did not develop tumors. 

 
Pharmaceutical News
 
  Spectrum granted Investigational New Drug application for prostate cancer treatment
The U.S. Food and Drug Administration has granted an Investigational New Drug application to Spectrum Pharmaceuticals for its d-63153 hormone for prostate cancer treatment. The approval allows Spectrum to conduct Phase I/II trials in the United States. 
 
  Association News
 

  New definition for ‘stem cell transplantation’ proposed to Medicare
ASBMT and the American Society for Hematology have jointly submitted recommendations for a re-definition of stem cell transplantation in Medicare’s coverage determination manual. The Centers for Medicare and Medicaid Services (CMS) invited recommendations on new wording that would recognize stem cell transplant and high-dose chemotherapy as “both integral to the course of treatment and covered as a single entity.”


Task force will study quality in stem cell therapy outcomes
An ad hoc committee has been appointed to study the feasibility of transplant center-specific measures of quality in hematopoietic stem cell therapy outcomes. Chairing the committee is Dr. Roy Jones of M.D. Anderson Cancer Center.

Meeting with CBER will address cellular therapies
Representatives of ASBMT and other organizations in allogeneic transplantation, gene therapy, tissue banking, apheresis and biotechnology will meet with the FDA Center for Biologics Evaluation and Research (CBER) on June 24. Part of an ongoing series of twice-per-year meetings, recent sessions have addressed regulatory strategy for biological combination products and the regulatory distinction between and approaches to homologous vs. non-homologous therapies.

Physician's handbook to cellular therapy published
The AABB has published Cellular Therapy: A Physician's Handbook for medical professionals, attending physicians, house officers, students, nurses, technologists and other medical personnel. The handbook was developed with ASBMT, the International Society for Cellular Therapy and the National Marrow Donor Program. The editors are Drs. Edward Snyder and Rebecca Haley. 

Carreras leukemia foundation offers $50,000 fellowship
The Jose Carreras International Leukemia Foundation, jointly with the Friends of the Jose Carreras International Leukemia Foundation-U.S., is seeking applicants for its E.D. Thomas Post Doctoral Fellowship. The fellowship provides $50,000 per year and may be renewed for an additional two years. The deadline is Nov. 2.

NMDP offers free subscriptions to ‘Advances’ e-newsletter
The National Marrow Donor Program is offering a free subscription to Advances in Transplantation, a bi-monthly e-newsletter highlighting selected journal articles from the current and previous month. The subscription also includes three special meeting editions, summarizing research presented at the BMT Tandem Meetings, ASH and EBMT. Notices of upcoming NMDP medical education programs and resources also are included in the free subscription. 

BBMT reviews reduced-intensity allogeneic transplants
Reduced-intensity allogeneic stem cell transplants have been studied for more than 10 years in adults and children with malignant and non-malignant diseases. Still needed are large prospective randomized multicenter studies to define the appropriate patient population, optimal conditioning regimens and pre-transplantation immunosuppression, the role of donor lymphocyte infusions, duration of hospitalization, overall survival, differences in long-term effects and cost-benefit ratio. Dr. Prakash Satwani and colleagues at Columbia University’s Herbert Irving Comprehensive Cancer Center provide a review of reduced-intensity allogeneic stem cell transplants in this month’s issue of Biology of Blood and Marrow Transplantation.   

Authors of NIH-funded research may choose publication on PubMed
When authors submit manuscripts on NIH-funded research to Biology of Blood and Marrow Transplantation, they will be asked whether they want their published article forwarded to the National Library of Medicine for free public access on PubMed Central. With author agreement, articles will be forwarded 12 months after the publication date. Copyright of BBMT articles will continue to be maintained by the journal and ASBMT. The new policy responds to NIH concerns about free access to federally funded research.  

New BMT center in Russia appeals for equipment and support
Former Soviet President Mikhail Gorbachev next month will dedicate a bone marrow transplant unit in St. Petersburg to his wife, Raisa Maximovna, and in memory to Russian children suffering leukemia. His wife succumbed to leukemia in 1999, but not before raising substantial funds for children’s leukemia hospitals. The new center is appealing for help from the international BMT community for surplus equipment, “sister hospital” programs and correspondence with the program director, Prof. Lubov Fregatova.

Update on oral and gastrointestinal mucositis
Johns Hopkins University Medical School has published a CME monograph "Beyond Quality of Life: Advances in the Understanding and Treatment of Mucositis in Patients Undergoing Hematopoietic Stem Cell Transplantation." Authored by Drs. Stephen Noga and Jerry Spivak, the monograph is available online. 

ASBMT members invited to participate in strategic plan
During June, ASBMT members will be invited to participate in an online survey to provide input for a Board of Directors strategic planning retreat. The brief survey will focus on the society’s journal, annual meeting and current and future programs.

  

Copyright © 2005 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.

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