. 

 



Antidepressants can
 reduce incidence of
 colorectal cancer 



Stem cell trial
 for heart patients
 to start in two years
 
  
May 1, 2006
  
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ASBMT HOME

 BMT Tandem Meetings
Feb. 8-12, 2007
Keystone, Colorado

  
Calendar

• May
International Society for Cellular Therapy (ISCT)
12th Annual Meeting
May 4-7
Maritim proArte Hotel
Berlin, Germany

Cell Transplant Society (CTS)
8th International Congress

May 18-20
San Raffaele Congress Centre
Milan, Italy

2nd International Symposium on Childhood, Adolescent and Young Adult Non-Hodgkin’s Lymphoma
Columbia University College of Physicians and Surgeons,
and the University of Giessen, Germany
May 18-20
Sheraton New York Hotel and Towers
New York, New York

BMT Education Forum: The New Normal for Patients, Caregivers and Health Professionals
National Bone Marrow Transplant Link (nbmtLINK)

May 20
United Way of the Texas Gulf Coast Community Resource Center
Houston, Texas

American Society for Apheresis (ASFA)
27th Annual Meeting
May 23-26
Venetian Resort Hotel
Las Vegas, Nevada

• June
Innate Immunity for the Mucosal Immune System
Society for Mucosal Immunity (SMI)
June 1
San Francisco Marriott
San Francisco, California

Federation of Clinical Immunology Societies (FOCIS)

6th Annual Conference
June 1-5
San Francisco Marriott
San Francisco, California

American Society of Clinical Oncology (ASCO)
42nd Annual Meeting
June 3-6
Georgia World Congress Center
Atlanta, Georgia

International Society for Stem Cell Research (ISSCR)
4th Annual Meeting
June 29-July 1
Metro Toronto Convention Center
Toronto, Ontario

• July
World Transplant Congress 2006
American Society of Transplant Surgeons (ASTS)

and the American Society of Transplantation (AST)
July 22-27
Hynes Convention Center
Boston, Massachusetts

Society for Cryobiology
Cryo 2006: 43rd Meeting

July 24-27
Hamburg Chamber of Commerce
Hamburg, Germany

• August
International Society of Hematology (ISH)
31st World Congress
Aug. 9-12
Puerto Rico Convention Center
San Juan, Puerto Rico

Cytokines 2006: Molecular Biology & Human Diseases
International Cytokine Society (ICS)

Aug. 27-31
Hilton Stadtpark
Vienna, Austria

• September
Molecular Diagnostics in Cancer Therapeutic Development: Maximizing Opportunities for Treatment
American Society for Cancer Research (ASCR)
Sept. 12-15
Hyatt Regency Chicago
Chicago, Illinois

German Society for Transfusion Medicine and Immunohematology (DGTI)
in collaboration with the International Society for Cellular Therapy-Europe (ISCT-Europe)
39th Annual Congress
Sept. 19-22
Congress Centre Messe
Frankfurt, Germany

American Society of Multicultural Health and Transplant Professionals (ASMHTP)
14th Annual Conference
Sept. 22-24
Hyatt Regency
Dearborn, Michigan

6th Annual Somatic Cell Therapy Symposium
International Society for Cellular Therapy (ISCT)
with AABB and the FDA
Sept. 25-27
Bethesda, Maryland

International Society for Experimental Hematology (ISEH)
35th Annual Scientific Meeting
Sept. 27-30
Hyatt Regency
Minneapolis, Minnesota

10th Biennial National Symposium on Hematopoietic Cell Transplantation
Stanford University School of Medicine
Sept. 28-30
Fairchild Auditorium
Stanford, California

• October
Tumor Immunology: An Integrated Perspective
American Society for Cancer Research (ASCR)

Oct. 4-8
InterContinental Miami
Miami, Florida

American Society for Human Genetics (ASHG)
56th Annual Meeting
Oct. 9-13
Ernest N. Morial Convent Center
New Orleans, Louisiana

American Society for Histocompatibility and Immunogenetics (ASHI)
32th Annual Meeting
Oct. 16-20
San Diego, California

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
 
Antidepressants can reduce incidence of colorectal cancer
Patients taking selective serotonin reuptake inhibitors have a 30 percent lower incidence of colorectal cancer, according to a report in the April issue of the journal Lancet Oncology. Researchers examined a database of enrollees in a prescription drug plan. The study was based on reports that serotonin, the body chemical liked to depression, promotes the growth of cancer cells.  
   
Korean stem cell center shut down
The World Stem Cell Hub in Korea has been formally closed. In March, the hub was transformed into a research center that studies adult stem cells, which are unrelated to cloning, and other developing medical technologies for clinical use.
   
Illinois awards $10 million in stem cell research grants
Illinois has announced grant recipients for $10 million in state funding for stem cell research projects, up to one-fifth of which can be used for embryonic stem cell research. Ten researchers received grants of $250,000 to nearly $2 million for research including replacing blood vessels, regenerating bone, and reversing several diseases. Gov. Rod Blagojevich said he will continue to look for ways to fund stem cell research projects, even if the state Legislature does not approve funding.
   
Two-gene marker can predict breast cancer recurrence
Researchers have identified a two-gene expression ratio that is an independent marker of early breast cancer relapse and overall survival in lymph node negative breast cancer patients. However, according to a study published in the April 2006 issue of Clinical Cancer Research, these biomarkers are not effective with lymph node positive tumors. 
   

A Word from President Robert Negrin, MD

Are you ready to report your treatment outcomes to a public database?

Not any time soon, you say? Consider this:

• The recently enacted Stem Cell Therapeutic and Research Act of 2005 will require all U.S. centers performing allogeneic transplants to begin reporting all treatment outcomes to a central registry.

• Third-party payers have expressed a desire to have more detailed outcomes information for reimbursement decisions and for designating centers of excellence. Some already are moving in this direction.

• Patients and referring physicians increasingly are seeking treatment outcomes information for making informed decisions about health care.

• Solid organ transplants already have a sophisticated system for reporting treatment center-specific outcomes. If you haven’t seen the system for recording outcomes for kidney, liver, lung and other solid organs, inspect the records of treatment centers near you at www.unos.org/data.

Should transplant center-specific outcomes for hematopoietic stem cell therapies be reported to a public registry? That question was put to a special committee appointed by the ASBMT Board of Directors. The committee’s answer is reported in a white paper on measurement of quality outcomes that is published in this month’s issue of Biology of Blood and Marrow Transplantation.

In the simplest terms, the committee takes the position that ASBMT should be involved in the development of protocol for center-specific treatment outcomes measurement and reporting. The alternative — inaction — will lead to measurement systems that are imposed by public and private entities outside the BMT community.

The committee proposes three criteria for outcomes measurement to be accurate, useful and fairly applied:

1. Recognition of Diversity of Individual Programs. The methodology for outcomes measurement and reporting should recognize that larger centers may treat high-risk patients with research objectives, and smaller centers may treat limited numbers of patients on standard protocols. But both are valuable in their contributions to health care. A meaningful, high-quality analysis must account, without penalty, for this diversity.

2. Quality Assurance and Improvement. Data derived from outcomes reporting must be accessible for program improvement. The data should enhance, not obfuscate, the ability of patients and payers to obtain appropriate transplant care. For these and other reasons, the individuals most familiar with hematopoietic cell therapy are in the best position to establish standards for outcomes.

3. Minimal Burden for Data Collection. Electronic reporting systems should be designed to easily interface with existing informatics systems in transplant centers, and also enhance and simplify data collection and analysis in centers that have fewer informatics resources. Minimization of data collection burdens is important for controlling costs and for assuring data accuracy and integrity.

The major research, donor, accreditation and health professional organizations in our field — CIBMTR, NMDP, FACT, ISCT and ASBMT — have demonstrated in recent years that they can work together effectively to achieve beneficial goals with legislators, regulatory agencies, third-party payers and industry. The measurement and reporting of treatment outcomes may be the next opportunity for their effective collaboration.

Take a few moments to review the white paper on measurement of quality outcomes. ASBMT members will have an opportunity to voice their thoughts and opinions to the Society’s leaders in an online survey that will be conducted later this month. As always, the members of the Executive Committee and I appreciate your feedback and suggestions.

– Rob

 
Legislation and Regulation
 
  Cord blood banks invited to submit proposals for national inventory
The Health Resources and Services Administration (HRSA) on Friday issued its awaited invitation to cord blood banks to submit proposals for collecting and maintaining 150,000 genetically diverse, high-quality umbilical cord blood units for the new National Cord Blood Inventory. The agency said it would award contracts totaling about $14 million this year and $8 million in FY2007. The deadline for proposals is May 30. 
 
Clinical Research
 
  Stem cell technology repairs spinal cords in rats
Rats receiving a transplant of glial precursor-derived astrocytes (GDA) after spinal cord injury had regeneration of more than 60 percent of their sensory nerve fibers, according to a report published in the April 27 issue of the Journal of Biology. The GDA cells seem to work by signaling the tissue to repair in several ways, such as by suppressing scar tissue, rescuing motor pathway neurons in the brain and aligning damaged tissue at the injured site.

  Proteins identified that help cancer cells spread
Researchers at Tufts University have identified several key proteins on the surface of cancer cells that help these cells spread. According to a presentation at the Experimental Biology meeting, scientists said that destroying these proteins greatly decreases the ability of cancer cells to invade healthy cells. 

  Stem cell trial for heart patients to start in two years
Within two years, 10 patients in Galway, Ireland, will be taking part in a human trial of stem cells on heart patients. Participants will have adult stem cells — extracted from their pelvises and grown in the laboratory — grafted onto their hearts, to determine if this helps repair the organs.   


  Researchers develop model of human medulloblastoma
By knocking out a gene called XRCC4, which produces a protein that helps aid DNA repair, researchers have created a mouse model that closely mimics human medulloblastoma. According to a report published in the online edition of the Proceedings of the National Academy of Sciences, this model should prove valuable in understanding why some genes are amplified in human tumors, as well as in testing potential treatments for medulloblastoma. 

 
Association News
 

  New diagnostic code approved for oral mucositis
A new code for oral mucositis will be added to the ICD-9-CM diagnostic codes, effective Oct. 1. The Centers for Medicare and Medicaid Services is adding oral mucositis in an expansion of the “528" stomatitis code. 

  HRSA to hold tele-hearings on cord blood bank accreditation
Two conference call hearings have been scheduled for public comment on the accreditation of cord blood banks under the National Cord Blood Inventory program. May 3 is the deadline for registration to participate in the hearings on May 9 and May 15. 

  Should treatment outcomes be measured and reported?
The question was put to a special committee created by the ASBMT Board of Directors. The committee’s answer is presented in a “white paper” that appears in this month’s issue of Biology of Blood and Marrow Transplantation. The article sifts through the issues of placing transplant center-specific outcomes data into a public registry.  

  Stanford physician wins ASBMT/Astellas new investigator award
A physician-scientist at Stanford University Medical School is the recipient of a New Investigator Award from ASBMT and Astellas Pharma US, Inc. Jing-Zhou Hou, MD, PhD, a clinical fellow in the school’s division of hematology and BMT, is conducting a preclinical study of human T regulatory cells.  

  Symposium to address cellular, molecular targeting for GvHD
ASBMT will present a symposium on “Cellular and Molecular Targeting of Graft-versus-Host Disease” at the 6th Annual Conference of the Federation of Clinical Immunology Society (FOCIS) on June 1 in San Francisco. FOCIS is a federation of 19 associations in the field of clinical immunology. 

  CME audioconference will consider pediatric AML
A CME audioconference on “Pediatric Acute Myeloid Leukemia: Advances, Evidence and the Future” will be conducted Wednesday, May 17, sponsored by the National Marrow Donor Program. Frank Smith, MD, of Cincinnati Children’s Hospital Medical Center, will discuss group stratification, options for treatment and current outcomes. He also will describe upcoming studies that will address comparative treatments.


  The graying of hematopoietic stem cell transplantation
For decades, blood and marrow transplant clinicians have used age in decisions about candidacy for a stem cell transplant. But less toxic conditioning regimens and improved post-transplant care have been pushing the perceived restrictions of age higher and higher. The current issue of Blood and Marrow Transplantation Reviews presents the proceedings of a symposium on stem cell transplants for older patients that was held at the recent American Society of Hematology annual meeting, sponsored by the National Marrow Donor Program and the Medical College of Wisconsin. CME credit is offered. 

  NMDP offers online Physician Resource Center
Visitors to the Physician Resource Center on the National Marrow Donor Program Web site have access to data and references for allogeneic and autologous transplantation. Visitors can find evidence-based information, download outcomes data slides, obtain educational materials for patients, print out referral guidelines, and find CME programs and educational resources. 

 

Copyright © 2006 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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