. 

 



Stem cells used to treat
severe skin disease



BBMT may be
referenced for
off-label therapies
 
  
December 3, 2007
  
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Top Stories
   
Clinical Research
   
Biopharmaceutical News
   
Association News
   
Calendar
   
Job & Fellowship Connections
    
Monthly Journal
   
eNews Archives
 
 

 

 

 BMT Tandem Meetings
Feb. 13-17, 2008
San Diego, C
alifornia

 

  

 
CLINICAL CHALLENGE
 

A 59-year-old man is diagnosed with MDS. He has two siblings. What would you recommend?
 

  
Last Month’s
Clinical Challenge

 
You are selecting an unrelated donor for a 40 year-old-man with AML in CR2. Which donor would you select?
 
  
Calendar

• December
American Society for Cell Biology (ASCB)
47th Annual Meeting
Dec. 1-5
Washington Convention Center
Washington, D.C.

American Society of Hematology (ASH)
49th Annual Meeting
Dec. 8-11
Georgia World Congress Center
Atlanta, Georgia

2008
• January

American Association for Cancer Research (AACR)
Jan. 22-25
Omni San Diego Hotel
San Diego, California

Innovations in Stem Cell, Biomarker, Chemistry & Novel Therapeutic R&D
International Institute for Business Information & Growth (IIBIG)
Jan. 28-29
Safety Harbor Spa & Resorts
Tampa, Florida

Phacilitate Cell & Gene Therapy Forum 2008
Jan. 28-30
The Grand Hyatt
Washington, D.C.

• February
Cytoskeletal Signaling in Cancer
American Association for Cancer Research (AACR)
Feb. 3-5
Omni San Diego Hotel
San Diego, California

New Advances in Solid Organ Transplantation
Scripps Clinic
Feb. 9
The Dana on Mission Bay
San Diego, California

The Role of Cancer Stem Cells in the Initiation and Propagation of Tumorigenesis
American Association for Cancer Research (AACR)
Feb. 12-15
Los Angeles Marriott Downtown
Los Angeles, California

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

Canadian Society of Transplantation (CST)
Annual Scientific Meeting
Feb. 28-March 2
Fairmont Tremblant
Mont-Tremblant, Québec, Canada

• March
Emergence to Convergence: Management of High Risk Donors and Recipients
American Society of Transplantation (AST)
21th Annual Winter Symposium
March 23-16
Rancho Las Palmas Resort & Spa
Palm Springs, California

American Association of Blood Banks (AABB)
2008 Spring Conference
March 28-29
Buena Vista Palace
Orlando, Florida

European Group for Blood and Marrow Transplantation (EBMT)
34th Annual Meeting
March 30-April 2
Fortezza da Basso
Florence, Italy

• April
American Society for Apheresis (ASFA)
29th Annual Meeting
April 9-12
Galveston Island Convention Center
Galveston, Texas

American Association for Cancer Research (AACR)
99th Annual Meeting
April 12 - 16, 2008
San Diego Convention Center
San Diego, California

7th International Donor Registry Conference
World Marrow Donor Association (WMDA)
April 16-19
Kursaal & Conference Centre
Bern, Switzerland

• May
American Society of Pediatric Hematology/Oncology (ASPH/O)
21st Annual Meeting
May 14-17
Duke Energy Center & Hyatt Regency
Cincinnati, Ohio


International Society for Cellular Therapy (ISCT)
Annual Meeting
May 17-20
Hyatt Regency Hotel
Miami, Florida


Cancer Epigenetics
American Association for Cancer Research (AACR)
May 28-31
Boston Park Plaza Hotel
Boston, Massachusetts

American Society of Clinical Oncology (ASCO)
44th Annual Meeting
May 30-June 3
McCormick Place
Chicago, Illinois

American Transplant Congress
American Society of Transplantation (AST)
May 31-June 4
Metropolitan Toronto Convention Center
Toronto, Ontario, Canada

• June
Federation of Clinical Immunology Societies (FOCIS)
8th Annual Meeting
June 5-9
Boston Marriott Copley Place
Boston, Massachusetts

7th Annual International Umbilical Cord Blood Transplantation Symposium
California Blood Bank Society and Cord Blood Forum
June 6-7, 2008
Los Angeles Airport Marriott
Los Angeles, California

International Society for Stem Cell Research (ISSCR)
6th Annual Meeting
June 11-14
Pennsylvania Convention Center
Philadelphia, Pennsylvania

• July
International Society for Experimental Hematology (ISEH)
37th Annual Scientific Meeting
July 9-12, 2008
Renaissance Boston Waterfront Hotel
Boston, Massachusetts

Molecular Biology in Clinical Oncology
American Association for Cancer Research (AACR)
July 11-18
Given Institute of the University of Colorado
Aspen, Colorado

Cancer Biostatistics Workshop
American Association for Cancer Research (AACR)
July 13-19
The Lodge at Sonoma
Sonoma, California

• October
International Society of Hematology (ISH)
32nd World Congress
Oct. 19-23
Bangkok Convention Centre at CentralWorld
Bangkok, Thailand

Symposium on Molecular Targets and Cancer Therapeutics
American Association for Cancer Research (AACR),
National Cancer Institute (NCI),
and European Organisation for Research and Treatment of Cancer (EORTC)
Oct. 21-24
Geneva Palexpo
Geneva, Switzerland

 

 
  
Top Stories
 

Reaction to embryo-free stem cell research muted
Despite the announced success in creating embryo-like human stem cells without the use of embryos, biotech and pharmaceutical companies are not expected to leap toward the new research findings. Many cite concern about the time it could take to perfect meaningful treatments, as well as difficulties in getting the FDA to approve a separate treatment for each patient.

AMA adopts ethical guidelines for cord blood donation
The American Medical Association has adopted new ethical guidelines regarding how physicians should talk to their pregnant patients about donating their babies’ umbilical cord blood. The new guidelines say doctors should obtain patient consent before the mother goes into labor, disclose any ties they have to a cord blood bank, and never accept fees for a referral to a cord bank.

Canada needs public umbilical cord blood bank
Establishing a national umbilical cord blood bank in Canada could save the lives of 50 or more people each year, says John Doyle, MD, head of the Blood and Marrow Transplant Program at the Hospital for Sick Children. Plans are under way to establish such a bank as early as next year, at an estimated cost of about $5 million to set up and $2 million a year to operate.

Private information compromised when mobile device lost
Private information on about 1,200 patients enrolled in a transplant program operated by Clarian Health was on a mobile device that was misplaced by a transplant coordinator. Data on the device, which has not been found, includes names, Social Security numbers, addresses and diagnosis information.

 

A Word from President Robert Soiffer, MD

I do like the way the New York Times described this month’s big news about stem cells:

“If stem cell researchers were oil prospectors, it could be said that they struck a gusher last week. But to realize the potential boundless riches, they now must figure out how to build refineries, pipelines and gas stations.”

You’re well aware, I’m sure, of the news last week from scientists in Japan and Wisconsin that they have turned human skin cells into cells that behave like embryonic stem cells, able to grow indefinitely and potentially turn into any type of tissue in the body.

You’ve probably also encountered at least one person in the cafeteria, at a reception or across the backyard fence who wants your expert opinion on the new cures that are just around the corner – and they probably didn’t like your answer. It’s almost like starting an argument to explain that we’re years away from clinical use of these newly discovered cells. That’s not what they want to hear.

But if the discovery holds up, there is a real possibility of a new route around some thorny ethical issues about embryos. That bypass can only mean more scientists, government funding and venture capital for stem cell research, which can benefit our own cellular therapies, including transplant.

The Times’ analogy to oil, refineries and pipelines was especially relevant for me because the announcement came while I was in Saudi Arabia to address an International Congress on Bone Marrow and Stem Cell Transplantation. (Your dues are safe. I was traveling at their invitation on their dollars – or more accurately, their riyals.)

Riyadh, I learned, is a remarkable city with wide highways, modern high-rise hotels and shopping gallerias, low-rise home dwellings, warm hospitality and vast areas of surrounding desert, a little reminiscent of the American Southwest.

However, sharp contrasts are evident: No Budweiser, Chardonnay or martinis. Women in shopping malls, all wearing burkas, covered from head to toe. I learned that riding a camel is not the most comfortable form of transportation, for me or probably the poor camel.

Yes, there are photos. No, you aren’t going to see them in this newsletter.

While social, ethnic and religious diversity can be a point of great fascination or, sometimes, disquieting unease, what was clearly evident at the conference was the universal desire to improve outcomes for our patients undergoing blood and marrow transplantation.

I learned of the significant accomplishments and particular challenges of transplant programs from Asia, including Southeast Asia and the subcontinent, the Middle East and North Africa. Genetic, epigenetic and environmental differences can have an effect on drug metabolism, susceptibility to chemotherapeutic and immune suppressive agents, and infectious complications, significantly influencing transplant outcome. In addition, issues of access to care can vary considerably from region to region.

Certainly we blood and marrow transplant physicians have a great deal to learn from one another. That’s why I was delighted to learn about the founding of a new Worldwide Group for Blood and Marrow Transplantation (WBMT). Its mission is to “promote excellence in stem cell transplantation worldwide through collaboration of existing transplant societies.” Now that’s something we can all get behind.

An organizational meeting took place at the European Group for Blood and Marrow Transplantation last spring in Lyon, France. The WBMT has set an agenda to develop a consensus on common data sets for patients; adopt universal patient, donor and transplant center ID numbers; facilitate registries; and establish a global survey of transplant activity.

These efforts will require an enormous amount of global cooperation, not easily accomplished in today’s fractious political climate, but hopefully achievable in our medical communities because of a common bond. That bond, of course, is a concern about our patients, be they in Wisconsin, Japan, Saudi Arabia or here in Boston.

– Rob

 
Clinical Research Clinical Research
 

bullet  Immune system can stop cancer without killing the tumor
The immune system can halt the growth of a cancerous tumor without killing the cancer. According to a report in the advance online edition of Nature, equilibrium between the cancer and the immune system both decreases the cancer's drive to replicate and kills some of the cancerous cells, but not quickly enough to eliminate or shrink the tumor.
more

bullet  Bone marrow transplant may cause secondary cancers
Patients who have undergone a bone marrow transplant can suffer from secondary cancers. According to Australian researchers, cancer-stimulating cells may travel from the bone marrow and help tumors grow in other parts of the body.
more

bullet  Stem cells used to treat severe skin disease
U.S. medical researchers have performed the first bone marrow and cord blood transplant to treat recessive dystrophic epidermolysis bullosa. Researchers determined which adult human stem cells would give rise to the development of type VII collagen, which is lacking in patients with the disease, and an 18-month-old boy was given a transplant from a perfectly matched sibling.
more

bullet  Marrow transplants could treat MS and arthritis
Bone marrow transplants may one day be used to treat common immune system disorders, such as multiple sclerosis and arthritis. According to a study in the Nov. 23 issue of Science, injecting mice with antibodies that latch on to specific proteins on the surface of blood-forming stem cells destroyed the cells. Blood-forming stem cells transplanted into the mice then were able to set up a new blood and immune system.
more

 
Biopharmaceutical News
 

  Celgene Corp. to purchase Pharmion Corp.
Celgene Corp., a maker of thalidomide-based drugs for blood cancer, is purchasing Pharmion Corp., which makes Vidaza to treat myelodysplastic syndrome. The transaction is expected to be completed in the second quarter of 2008.

bullet  Transplant drug associated with miscarriage, birth defects
Roche Holding AG’s Cellcept drug, used for patients undergoing organ transplants, has been associated with increased risk of miscarriage and birth defects. A warning has been added to the existing black-box warnings on the drug.
more

bullet  Marrow harvesting system earns FDA marketing approval
StemCor Systems, Inc., a medical device company, has received clearance from the FDA to market its MarrowMiner for the harvest of bone marrow.
more

bullet  Transplant support drug to proceed to clinical trial
Athersys Inc. has received FDA approval to proceed to a Phase I clinical trial of MultiStem to support bone marrow transplantation. MultiStem cells are proprietary adult stem cells derived from bone marrow, which have the demonstrated ability to form a wide range of cell types.
more

bullet  Manufacturer to resubmit OrBec to FDA
Dor BioPharma has begun a new Phase III clinical trial of OrBec in an effort to prove that the drug, when given with a bone marrow transplant, can prevent graft-versus-host disease in the gastrointestinal tract. FDA rejected the drug last month because of a statistical issue with the research.
more

 
Association News
 

  CIBMTR launches new data collection system
The FormsNet 2.0™ electronic data collection system is being introduced today by the Center for International Blood and Marrow Transplant Research. The new system will be used to collect information on all aspects of allogeneic and autologous transplants, including research data and treatment outcomes for the Stem Cell Therapeutics Outcomes Database (SCTOD).

  I.T. Summit will focus on required reporting of outcomes
A national conference will help transplant centers comply with new federal requirements for reporting outcomes of allogeneic stem cell transplants. The conference, Jan. 18-19 in Minneapolis, is designed specifically for transplant center information technology personnel, data managers and administrators.

  BBMT may be referenced for off-label therapies
Biology of Blood and Marrow Transplantation has been added to the list of scientific journals that Medicare recognizes for determining coverage for off-label therapies.

  Exhibit booth at ASH will focus on referring physicians
A new ASBMT exhibit booth will reach out to referring physicians and others outside the BMT community at the American Society of Hematology annual meeting this weekend in Atlanta. The new exhibit, along with those of five other BMT-related organizations all focusing on the referring physician, will be adjacent to one another, rather than scattered across several aisles.

  ASH attendees to get update on status of BMT
A report on the Blood and Marrow Transplant Clinical Trials Network (BMT CTN) 2007 State of the Science Symposium, held last June in Ann Arbor, Mich., will be presented in an ASH symposium on Friday this week in Atlanta. Sponsored by the Medical College of Wisconsin and the National Marrow Donor Program, the symposium will be from 7 a.m. to 11 a.m. in the Sidney Marcus Auditorium of the Georgia World Congress Center.

  Accurate billing urged for cell processing codes
Beginning in January, Medicare and Medicaid will begin recognizing the CPT codes for hematopoietic stem cell processing. It will be important for transplant centers and laboratories to accurately bill for these procedures, ASBMT officials say.

  Web site is resource for emergency radiation incidents
A Web site for helping BMT physicians respond to radiation incidents has been created by the Radiation Injury Treatment Network (RITN), a joint program of the ASBMT and the National Marrow Donor Program. It provides guidelines and protocols for comprehensive evaluation and treatment of victims of radiation exposure or other marrow-toxic injuries.

  Survivorship symposium available on DVD
The Celebrating a Second Chance at Life Survivorship Symposium, sponsored by the BMT InfoNet and held last April in Oakbrook, Ill., is now available on DVD.

  Gene therapy reviewed in BBMT
A review of gene therapy with hematopoietic cell transplantation for genetic and acquired disorders is presented in this month’s issue of Biology of Blood and Marrow Transplantation.

  Webcast will address HLA and disease associations
“HLA and Disease Associations: An Update” is an online CME presentation of methods for evaluating genetic effects in disease susceptibility and resistance, including issues related to testing of HLA and genetic polymorphisms and the biostatistical methods used for analysis of different sample types. The presentation by Marcelo Aníbal Fernández-Viña, PhD, of M.D. Anderson Cancer Center will be at 3 p.m. Eastern on Dec 4. Register online.

  ASBMT membership for trainees
Postdoctoral fellows and physicians-in-training for blood and marrow transplantation are eligible for free membership in the American Society for Blood and Marrow Transplantation. Annual dues are waived for new trainees who apply for membership in the Society. The program is made possible again this year by a grant from PDL BioPharma, Inc.

  Take this month’s Clinical Challenge
A 59-year-old man with MDS, a candidate for transplant, has two siblings. Decide what you would do in this month’s Clinical Challenge in the left-hand column above.


Copyright © 2007 American Society for Blood and Marrow Transplantation.
All rights reserved.

The editor for ASBMT eNews is Stephanie J. Lee, MD, MPH.
E-newsletter services provided by the medical editors at Ascend Media, LLC.

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