. 

 



Using printer
turns stem cells
into bone and muscle 




Stem cell division
slows in aging brains
 
  
January 2, 2007
  
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ASBMT HOME

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

  
Calendar

• January
Stem Cell Transplantation in Children: Current Results and Controversies - Meeting #9
Cincinnati Children's Hospital Medical Center
Jan. 16-18
Manchester Grand Hyatt
San Diego, California

In the Forefront of Basic and Translational Cancer Research
American Association for Cancer Research (AACR)
with Japanese Cancer Association (JCA)
Jan. 21-25
Hilton Waikoloa Village
Waikoloa, Hawaii

Phacilitate Cell & Gene Therapy Forum 2007
Jan. 22-24
Baltimore Marriott Waterfront Hotel
Baltimore, Maryland

Cell Death and Cancer: Opportunities for Intervention
Stanley J. Korsmeyer Symposium
Jan. 25-26
Conference Center at Harvard Medical School
Boston, Massachusetts

Oncogenomics 2007
American Association for Cancer Research (AACR)
Jan. 31-Feb. 4
Pointe Hilton Tapatio Cliffs
Phoenix, Arizona

• February
Chemistry in Cancer Research: A Vital Partnership
American Association for Cancer Research (AACR)
with the American Chemical Society (ACS)
Feb. 4-7
Sheraton San Diego Hotel and Marina
San Diego, California

BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)

Feb. 8-12
Keystone Conference Center
Keystone, Colorado

Making Rational Immunosuppression Decisions for the Individual Patient
American Society of Transplantation (AST)
11th Annual Winter Symposium
Feb. 15-19
Wigwam Golf Resort & Spa
Phoenix, Arizona

Translational Research at the Aging and Cancer Interface
American Association for Cancer Research (AACR)
Feb. 20-23
Omni San Diego Hotel
San Diego, California

• March
4th International Conference on Tumor Microenvironment: Progression, Therapy and Prevention
American Association for Cancer Research (AACR)
with the International Cancer Microenvironment Society (ICMS)
March 6-10
Pallazo dei Congressi
Florence, Italy

Euroconference on Biobanking
European School of Haematology (EHS)
and European Group for Blood and Marrow Transplantation (EBMT)
March 9-11
Quinta da Marinha Hotel
Cascais, Portugal

Hematopoietic Growth Factors: Use in Normal Blood and Stem Cell Donors
University of Minnesota Biomedical Engineering Institute, American Association of Blood Banks (AABB),
American Red Cross (ARC), and National Marrow Donor Program (NMDP)
March 15-16
Hyatt Regency Bethesda Hotel
Bethesda, Maryland

5th Conference on Mesenchymal and Tissue
Stem Cells

American Society for Blood and Marrow Transplantation (ASBMT),
with the International Society for Cellular Therapy (ISCT)
March 15-17
Wyndam Hotel
New Orleans, Louisiana

Canadian Society of Transplantation (CST)
Annual Scientific Meeting
March 15-18
Fairmont Banff Spring
Banff, Alberta, Canada

International Pediatric Transplant Association (IPTA)
4th World Congress
March 17-21
Gran Melia Cancun
Cancun, Mexico

Advances and Controversies in the Biology and Therapy of
Acute Myelogenous Leukemia and Myelodysplasia

Acute Leukemia Forum 2007
March 23
W Hotel
San Francisco, California

American Association of Blood Banks (AABB)
2007 Spring Conference
March 23-25
Hyatt Regency Albuquerque
Albuquerque, New Mexico

World Marrow Donor Association (WMDA)
Working Group Meetings
March 23-25
Lyon, France

Advances and Controversies in the Biology and Therapy of
Acute Myelogenous Leukemia and Myelodysplasia

Acute Leukemia Forum 2007
March 23
W Hotel
San Francisco, California

American Association of Blood Banks (AABB)
2007 Spring Conference
March 23-25
Hyatt Regency Albuquerque
Albuquerque, New Mexico

American Association of Tissue Banks
11th Annual Spring Meeting
March 25-27
Renaissance Hollywood Hotel
Hollywood, California

European Group for Blood and Marrow Transplantation (EBMT)
33rd Annual Meeting
March 25-28
Palais des Congrès of Lyon
Lyon, France

• April
Organ Transplantation: Ethical, Legal and Psychological Aspects – Towards a Common European Policy
Dutch Transplant Foundation (DTF)
April 1-4
World Trade Center
Rotterdam, The Netherlands

American Association for Cancer Research (AACR)
98th Annual Meeting
April 14-18
Los Angeles Convention Center
Los Angeles, California

2nd Annual Wisconsin Stem Cell Symposium: Heart and Blood
University of Wisconsin-Madison
April 18
BioPharmacetuical Technology Center Institute
Madison, Wisconsin

American Society for Apheresis (ASFA)
28th Annual Meeting
April 18-21
Gaylord Opryland Resort and Convention Center
Nashville, Tennessee

May
American Society of Pediatric Hematology/Oncology (ASPH/O)
20th Annual Meeting
May 3-6
Metro Toronto Convention Centre
Toronto, Canada

American Transplant Congress
American Society of Transplantation (AST)

May 5-9
San Francisco, California

5th Annual International Umbilical Cord Blood Transplantation Symposium
California Blood Bank Society and Cord Blood Forum
May 11-12
Los Angeles Airport Marriott
Los Angeles, California

2008
BMT Tandem Meetings
(Combined ASBMT and CIBMTR annual meetings)

Feb. 13-17
Manchester Grand Hyatt Hotel
San Diego, California

 
  
Top Stories
 
Stem cell harvesting method fails to capture aggressive cells
The current method of harvesting CD34+ stem cells from donated bone marrow fails to capture many of the cells that might be more vigorous in reproducing and rebuilding the immune system. According to a report in the online issue of the journal Stem Cells, in mice most of these cells are especially vigorous in multiplying and producing T lymphocytes. 
   
California set to begin awarding grants for stem cell research
The $3 billion investment by the state of California in stem cell research is reaping dividends. Over the past two years, grants and gifts from private sources to California researchers have totaled more than $200 million, and the California Institute for Regenerative Medicine is expected to begin awarding its grants in just a few weeks.
   
Using printer turns stem cells into bone and muscle
Researchers have used a custom-designed ink-jet printer to direct adult stem cells from mice to develop into bone and muscle cells. The scientists printed growth-factor solutions on the same slide, or "paper," forming a scaffold onto which stem cells can interact and differentiate into bone or muscle cells side by side.
   
Stem cells act to repair damage in brain
In mice genetically engineered to have holes in an area of their brains, stem cells moved in to repair the damage. According to a report in the Dec. 15 issue of the journal Cell, knocking out genes that help stem cells develop into neurons resulted in replacement of the missing areas of the brain with ependymal cells.  
   

A Word from President Robert Negrin, MD

Have you ever been moved to write a letter to the FDA about a proposed rule? Have I got an opportunity for you.

The agency is proposing changes to its system of National Drug Codes for labeling and bar codes for all human drugs and therapeutic agents, including biologics. Under the proposed system – clearly not written with hematopoietic progenitor cell (HPC) products in mind – the agency will issue an identifying number for every therapeutic product. Are you ready to apply to the FDA for an identifying number for each unit of stem cells collected peripherally and from umbilical cords before it is released?

The deadline for public comment is Jan. 26.

You can click here to submit a comment online, or fax a letter to (301) 827-6870. If you send a fax, mention Docket No. 2005N-0403 and RIN 0910-AA49.

ASBMT is part of a coalition of health-care associations that submitted testimony at an FDA hearing in December, seeking exemption for HPC products. The FDA now needs to hear from you.

Square Peg for a Round Hole

The stated purpose of the changes in the National Drug Code (NDC) system is to increase patient safety. The FDA would assign NDC numbers for both domestic and imported products. Here, as we view it, are a few of the problems:

• HPC products have variable active and inactive contents. Each is uniquely tailored to a patient’s needs – not mass produced like most commercial drugs. Each HPC product is a lot unto itself and would require its own NDC number.

• Due to the biological nature of HPC products, which are typically infused within hours of collection, there is no reasonable opportunity for the collection facility or processing lab to attain an identifier code within minutes of collection 24 hours a day, seven days a week.

• The integrity of the HPC products can be compromised if delayed to obtain an identifier. Particularly problematic would be products imported to the United States, which, as we all know, is very frequent.

• A useful database of HPC product information would be impossible to create for searches before product use. The HPC product would necessarily be infused before the NDC number is populated in any federally maintained database.

• Adverse reactions that occur with a patient after infusion already are required to be reported to the FDA.

• The process of obtaining an NDC number for bar coding each product would impose an undue burden on the manufacturer with no positive benefit for patient safety.

• Current cellular therapy processing and hospital laboratory computer systems are not designed to accommodate the reading and incorporation of NDC data. New computer programs would be needed by manufacturers and hospitals.

In summary, the effect of the proposed changes in the National Drug Code system would detract from, rather than enhance, current levels of patient safety in HPC transplants.

A Better, Round Peg

A much superior alternative already exists. The cellular therapy community has spent much time and effort in recent years to develop a system for accurate and complete identification and tracking of HPC and other therapeutic cell products. The ISBT 128 Standard was voluntarily created to identify and track cells from the time of collection through manufacturing, storage, transport and ultimately patient infusion.

More comprehensive that the proposed NDC scheme, the ISBT 128 labeling system offers more information for better tracking and tracing of products. The system is currently recognized by the major standard-setting organizations for cellular therapy, including ASBMT, EBMT, ISCT, NMDP, WMDA, FACT, AABB and other national and international organizations.

The creation of an inferior NDC system would be overly burdensome and, more important, could adversely affect patient safety by opening the manufacturing processes to opportunities for error and by directing resources away from processes and initiatives that can add to patient safety.

Your Voice Is Needed

A provision in the proposed rule allows the FDA to grant exemptions. You can help claim an exemption for HPC products by your communication to the FDA.

Personalize your comments by explaining why, from your perspective and experience, the proposed National Drug Code system would be troublesome to your practice and potentially harmful to your patients. Be constructive. The agency is trying to enhance patient safety but needs to understand the negative implications of the proposed coding system for HPC products.

It will be gratifying to hear that the agency received a cascade of e-mail and faxed letters from the blood and marrow transplant community.

– Rob

 
Legislation and Regulation
 
  Rule would require new codes on HPC products
The FDA is accepting public comments through Jan. 26 on a proposed rule that would require a National Drug Code label on all therapeutic products, including biologics such as hematopoietic progenitor cells collected for transplant. 

  FDA proposes expanding access to experimental drugs
The FDA has proposed regulatory changes to expand access to experimental drugs to individual patients, small patient groups and larger populations under a treatment plan when there is no satisfactory alternative therapy to diagnose, monitor or treat the disease or condition. The proposed rules are open for comment for 90 days. 
 
Clinical Research
 
 Gleevec provides long-term survival for leukemia patients
Gleevec (imatinib) from Novartis AG continues to treat chronic myeloid leukemia even after five years of use. A long-term study found that 89 percent of more than 500 volunteers who started taking the drug beginning around June 2000 remained alive. The rate of deaths related to chronic myeloid leukemia was 5 percent.

 Stem cell division slows in aging brains
Stem cells divide less frequently in aging brains, leading to a dramatic drop in the number of new nerve cells being born in the hippocampus. According to research published in the advance online issue of the journal Neurobiology of Aging, it may be possible to stimulate the brain's ability to produce new brain nerve cells in order to treat neurodegenerative diseases such as Alzheimer's, depression and dementia.

  Tykerb shows promise with early-stage breast cancer
Tykerb (lapatinib), an experimental cancer drug from GlaxoSmithKline that treats late-stage breast cancer, shows promise in treating early stages of the disease. Clinical trials of the drug in combination with Xeloda from Roche significantly slowed the progression of breast cancer and reduced the chances of death, compared to patients who took Xeloda alone.

 Two mutations improve recovery from AML
Patients suffering from acute myeloid leukemia who had a specific combination of two common genetic mutations are more likely to achieve complete remission after chemotherapy. According to findings presented at the American Society of Hematology annual meeting in December, the success of stem cell transplantation appeared to hinge on the status of combined NPM1-positive and FLT3-ITD negative mutations.

 
Association News
 

  Review addresses transplants for AML in children
A comprehensive evidence-based review of blood and marrow transplantation for acute myeloid leukemia in children appears in the January issue of Biology of Blood and Marrow Transplantation. The review, supported by a grant from the National Marrow Donor Program, is the latest in the ASBMT series of evidence-based reviews of hematopoietic stem cell transplantation for specific diseases.

  Schedule is online for BMT Tandem Meetings
Final preparations are being made for the BMT Tandem Meeting Feb. 8-12 in Keystone, Colo. The scientific program includes plenary sessions on marrow vs. peripheral blood vs. cord blood transplants, new biotechnologies and imaging, chronic GvHD, mesenchymal stem cells, regulatory T-cells, and cancer and embryonic stem cells.

  Sessions will examine mandatory outcomes reporting
Two sessions at the BMT Tandem Meetings will take up issues related to new federal requirements to report outcomes of allogeneic hematopoietic stem cell transplants. An NMDP workshop on “Measurement and Reporting Treatment Outcomes” will be at 10:30 a.m. on Thursday, Feb. 8, and an update on quality outcomes reporting will be presented at the Medical Directors Conference at 1:30 p.m. Sunday, Feb. 11.

  Travel grants awarded to 40 young investigators
The ASBMT Board of Directors has announced 40 travel grants for young clinicians and investigators who will be traveling to Keystone in February for the BMT Tandem Meetings. Grants of $1,000 each are being awarded to all young investigators who are presenting oral abstracts at the meetings.

  Faculty selected for clinical research training course
The faculty for the first ASBMT Transplant Clinical Research Training Course has been announced. Tuition, travel, housing and meal expenses will be paid for six competitively selected fellows-in-training and four junior faculty. The course will be July 18-23 in Keystone, Colo.

  2007 version of RFI forms released
The 2007 update of the ASBMT Standardized Request for Information (RFI) has been released, and the interactive forms are available online. The RFI is used for submitting transplant program data and information to third-party payers when they request it.

  Membership grows 5% to record 1,434
ASBMT membership climbed nearly 5% during 2006. Increases occurred in all categories: Member, Associate Member, Affiliate Member and In-Training Member. Health professionals outside of the United States and Canada comprise 13% of ASBMT members.

  Eleven new editorial appointments for BBMT
The ASBMT Board of Directors has appointed a new associate editor and 10 new members to the Editorial Board for Biology of Blood and Marrow Transplantation. Announcing the new appointments was Editor-in-Chief Robert Korngold, Ph.D.

  Mesenchyal conference will convene in March in New Orleans
The 5th national Conference on Mesenchymal and Tissue Stem Cells will be March 15-17 in New Orleans. The conference on mesenchymal stem cell biology, stem cell plasticity and cell therapy is co-sponsored by ASBMT, the International Society for Cellular Therapy and the Center for Gene Therapy of the Tulane University Health Sciences Center.

  150 transplant facilities now FACT accredited
Three blood and marrow transplant facilities achieved accreditation and another earned accreditation renewal during the fourth quarter of last year, as reported by the Foundation for the Accreditation of Cellular Therapy (FACT). A total of 150 transplant centers are now FACT accredited.

  Ballots for officers, directors are in the mail
The ballots for the annual election of ASBMT officers and directors were mailed last Friday. Completed ballots must be returned by Tuesday, Jan. 23.

 

Copyright © 2007 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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