Showing posts with label National Institutes of Health. Show all posts
Showing posts with label National Institutes of Health. Show all posts

Thursday, June 1, 2017

Federal Funding for Research Update

Good news! Thanks to many of you who contacted their Congressional Representatives, federal funding for research was increased through FY-2017.

The MDA Advocacy newsletter reported the following:

Congress boosts federal funding for research


This month we thank Congress for including a boost to research funding in the recently passed omnibus spending package that funds the federal government through the end of fiscal year 2017.  The budget package includes a $2 billion (6% increase) for the National Institutes of Health (NIH).  MDA appreciates every lawmaker that supports increased funding for biomedical research and thanks to all advocates who urged their members of Congress to help ensure that NIH received this critical funding increase.  As budgeting for fiscal year 2018 moves forward, we will continue to call on Congress to keep up the momentum by committing to robust and consistent funding increases to NIH in this and future budgets.  With four new drug approvals for neuromuscular disorders in the past year and with a robust drug development pipeline, we must continue the push to make NIH funding and biomedical research an ongoing bipartisan Congressional priority.

Sunday, December 20, 2015

The Annual Kennedy's Disease Conference was held in Chicago this year. The post-conference newsletter is now available for reading (PDF) online. There are several excellent articles on current research as well as plenty of conference news. I have copied a couple of the articles that might be of interest.

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Research News at the 2015 KDA Conference
Ed Meyertholen, Ph.D.
KDA Board Member, and Scientific Review Board Member
Assistant Dean, Georgetown College, Georgetown University, Washington, DC


The annual conference of the Kennedy’s Disease Association was held this past October in Chicago. We are lucky in that we have a group of researchers that not only are dedicated to finding a treatment for KD but also able to find time to present their most recent research at the meeting. In addition, our meetings also allow for the interaction between the researchers and the conference attendees. This is by far the most rewarding part of the conference for me personally.
As is typical, researchers who came to the meeting were from most of the labs in the USA and Canada that make major contributions to KD research as well as some from across the pond. The research described at the meeting is generally unpublished work and as a result, is not usually ready for broad distribution. For me, however, one of the more interesting and encouraging developments this year actually was not a part of our conference and did not even deal with KD but its close cousin, Huntington’s Disease (HD). A new clinical trial using something called anti-sense oligonucleotides (ASO) had started this summer. Without going into excruciating details, ASO’s prevent the production of the protein that causes HD and as a result, the symptoms of HD in mice were reduced with the injection of this ASO. The success of these experiments in mice led to the formation of the clinical trial to use ASO’s in humans. Experiments using ASO’s against the androgen receptor (the protein affected in KD) in mice have also shown to be effective in relieving symptoms of KD. Thus, if this treatment works in HD patients, it should work in KD as well.
The KDA Conference is also the site of the notification and presentation of the research grants funded by the KDA. This year, thanks to your donations and fund raisers two grants were awarded at the conference, one to Dr. Miltiadis Paliouras (principle investigator) and Dr. Lenore Beitel (co-applicant) who are Assistant Professors at McGill University; and the other to Dr Constanza Cortes, a post-doctoral researcher in Al La Spada’s lab at UC-San Diego. The competition for the grants was extremely fierce this year as a record number of proposals were submitted – all of them of excellent quality.
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Exercise Research 
Joseph A Shrader, PT, C.Ped 
Senior Clinical and Research Physical Therapist, Clinical Research Center, NIH

Recent evidence suggests that functional exercises aimed at improving functional tasks such as
sitting up, rolling over, sit-to-stand, and stepping up an 8-inch step were well tolerated by persons with spinal and bulbar muscular atrophy when supervised by rehabilitation and/or nursing professionals. Overall, strength, balance, function, and quality of life did not differ between those who received the exercise versus stretching (control group), however, those with relatively low baseline function improved their functional profile and those with relatively high baseline function improved their general activity level, compared with the control group. More research is needed to help optimize exercise intensity, mode, frequency and duration for individuals with KD. General recommendations for people with KD include attempting to incorporate daily physical activity into your lifestyle, along with good nutrition and sleep habits. If you experience falls, fear of falling, leg weakness, requirement of assistance or assistive devices for standing and walking, it is recommended that you first be examined by your primary doctor, neurologist, or physiatrist to discuss contraindications and exercise goals. It is also recommended that exercises be initially prescribed and monitored for appropriate post-exercise recovery by a physical therapist, until a safe and sustainable self-directed program can be assured.

NIH does not endorse or recommend any commercial products, processes, or services. The views and opinions of NIH authors do not necessarily state or reflect those of the U.S. Government, and they may not be used for advertising or product endorsement purposes.

Friday, July 10, 2015

21st Century Cures Act Passes

Back in May I asked you to show your support for the National Institutes of Health by contacting your representatives. I felt this was important for any of us living with a neuromuscular disease or any other rare disorder including Kennedy's Disease (SBMA).



Good news!  The funding bill passed; Below is the message sent out from the MDA today. Thanks to all of you who took the time to show your support for the 21st Century Cures Act.
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21st Century Cures Act Passes with Overwhelming Support

Today the U.S. House of Representatives overwhelmingly passed the bipartisan 21st Century Cures Act by a vote of 344-77. The Act includes important provisions aimed to accelerate the discovery, development and delivery of treatments and cures, including increased funding for the National Institutes of Health (NIH).

Increased support for NIH is critical, as funding levels have failed to keep up with the rising costs of medical research. This has resulted in a 22% decrease in the purchasing power of the NIH and in fewer research grants being funded. The 21st Century Cures Act makes important strides to remedy this by authorizing increased NIH funding levels and creating a NIH Innovation Fund that provides an additional $8.75 billion to the NIH over the next five years.

Thursday, June 18, 2015

A randomized controlled trial of exercise in spinal and bulbar muscular atrophy

 

The trial to determine if exercise has any beneficial or harmful effect for those of us with Kennedy’s Disease was published in Annals of Clinical and Translational Neurology.

Objective: To determine the safety and efficacy of a home-based functional exercise program in spinal and bulbar muscular atrophy (SBMA).

Kenneth Fischbeck, MD, Christopher Grunseich, MD, and Angela Kokkinis, BSN, RN of the National Institutes of Health (NIH) added the following comments to the report:

“The trial did not show a statistically significant change in the primary outcome measure, the AMAT, overall.  However, a subgroup analysis done after the study did indicate that low-functioning men with SBMA may respond better to functional exercise. We also found that functional exercise is safe and well tolerated.”

 

Saturday, May 16, 2015

Show your support for NIH

MDA's Outreach Program sent out a message this week that needs to be passed along and supported by all those living with a neuromuscular disease (ALS, SBMA, SMA, etc.).

As many of you know, NIH is currently conducting a clinical trial for a treatment for Kennedy's Disease. If this phase goes well and the treatment is determined to be safe, NIH will move to the next phase and open the trial up to a larger group of patients.

Read the message from the MDA below and consider supporting the proposed increase to NIH spending.
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Increased funding for the National Institutes of Health (NIH) is critical to finding treatments and cures for the neuromuscular diseases that affect our community. Together, with our generous donors and sponsors, MDA is working to fund groundbreaking research and bring critical support to families. Collaboration-including leveraging federal funding-is vital to speed urgently needed treatments to affected individuals as quickly as possible.

Ensuring increased NIH funding is one of MDA's top policy priorities. Through targeted efforts and strategic initiatives, MDA is urging Congress to boost funding for NIH. Increased support for NIH is critical, as funding levels have failed to keep up with the rising costs of medical research-resulting in a 22% decrease in purchasing power since 2003, when adjusted for inflation. This lack of funding has resulted in a lower grant application success rate and hinders the ability of NIH to conduct and support important biomedical research.

With many voices carrying the message that medical research is imperative to finding treatments and cures, lawmakers have placed increased NIH funding on the Congressional agenda in both the Senate and the House of Representatives.

One example is the 21st Century Cures Act draft released May 13, 2015, by the House Energy &
Commerce Committee. This draft would authorize an increase in NIH funding and would create an NIH Innovation Fund that would increase NIH funding by $10 billion over five years. MDA applauds the bipartisan efforts of the Energy & Commerce Committee for making NIH funding a priority and appreciates the efforts of Chairman Fred Upton (R-MI-06), and Rep. Diana DeGette (D-CO-01), Frank Pallone (D-NJ-06), Joe Pitts (R-PA-16) and Gene Green (D-TX-29) to ensure that increased NIH funding is included in the draft legislation.

In addition to the 21st Century Cures Act, several pieces of stand-alone legislation in the House and Senate support increased NIH funding at various levels. MDA appreciates the efforts of every lawmaker who takes action to increase funding for medical research.

Please click the button below to urge your Congressional leaders to support increased NIH funding. 


Sunday, March 2, 2014

Clinical Trial; Additional info on NIH

On Saturday morning, Dr. Kenneth Fischbeck from the National Institutes of Health was the guest for the KDA chat room. Dr. Fischbeck is a leading researcher, professor and educator on the subject of Kennedy's Disease. The chat focused on two current NIH research projects for finding a treatment for Kennedy’s Disease. Below are some excerpts from the chat. The entire chat can be found on the KDA website.


  • We are just starting an NIH trial with the drug from Novartis. Our trial is with a compound called BVS857 that Novartris has under development that activates the IGF-1 pathway. It fits with studies in our group at the NIH that have shown a benefit of IGF-1 in mouse versions of KD. It's pretty exciting for us to get to this stage, the result of several years of work with the mice in our lab and over a year and a half of working on it with the folks at Novartis. The BVS trial will also include several sites in Europe , in Italy, Germany, and Denmark.
  • BVS is a version of IGF-1 that should work on the muscles and also should help to protect motor neurons. IGF-1 (and we expect BVS) helps to stimulate muscle growth. It also should help by increasing the breakdown of the mutant androgen receptor protein. BVS is a new drug that has not yet been approved by the FDA.
  • We are starting with 2 KD patients from this area to make sure it's safe. The first is due to get the first dose on Tuesday. We'll be recruiting 6 more in July (if all goes well) and another 30 next January. The trial has 2 parts. Part A tests increasing doses for safety & tolerability. Part B tests the highest tolerated dose for efficacy over a 12-week period. The idea is that BVS would be given by injection, like insulin. We are planning on weekly injections (our best guess at present). We'll have to see how long the drug stays in the bloodstream in this trial. We may wind up giving it more or less often than weekly if it works.
  • In Part A the patients will get injections with gradually increasing doses every 2 weeks. We currently plan to give injections once a week for Part B. We will randomize Part B patients: 2:1, that is, 20 on drug and 10 on a placebo. The placebo is needed for comparison to test whether the drug is really working. Part B, with the 30 patients, will involve 12 weeks of treatment. It is our hope that we will see a benefit in 3 months. Our time frame is to finish Part A (which is just starting now) by the end of this year, and part B by the end of 2015.
  • Possible side effects are low blood sugar (like with insulin) at high doses. Also, IGF-1 (and BVS) at high doses have caused facial weakness (Bell's palsy). These are two things we are trying to be careful about by keeping the doses low and advancing slowly. Also, we are only giving the drug to people with low IGF-1 to begin with. Most KD patients have low IGF-1.
  • In Part B we will be using thigh muscle MRI as a way to confirm that the drug is increasing muscle growth. We'll also be testing muscle strength and function, and having patients fill out questionnaires to see how strong they feel.
  • For the BVS study, we are taking patients who have some weakness and are still able to walk for at least 2 minutes, with or without a cane. We decided to test BVS first in the range of patients who are weak but still able to walk, but the hope is that it would also help patients who are weaker and perhaps those who do not yet have muscle weakness (to slow or prevent the onset). Our hope is that BVS will also help patients who are wheelchair bound, but we'll have to see whether it works in patients who are able to walk first. For safety reasons, we are having the patients in the US come to the NIH weekly for the injections and follow-up (we cover the travel expenses). To see if you are eligible, you can contact Angela Kokkinis at the NIH: AKokkinis@cc.nih.gov or by telephone: 1-301-451-8146. We have only selected the first two subjects for the BVS trial. There will be plenty of opportunity for patients to join in later this year and next, for those who are able to get to the NIH or one of the European sites on a weekly basis. If you live outside the US, the best bet is to contact one of the sites in Europe, which should be coming online in the next few months. For those interested in participating, but are currently taking Avodart (dutasteride): The rules of the trial require that the patients be off androgens & anti-androgens such as dutasteride for at least 3 months before starting. The other inclusion & exclusion criteria are listed on the clinicaltrials.gov website, or you can ask Angela.
  • If the current trial is successful, then there would probably be follow up studies in more places. There is a small chance the FDA would approve the drug if it has a strong effect in this study, but they usually like to have at least two positive studies for approval.
  • The trial has been posted publically on the clinicaltrials.gov website (you can search under "BVS857" or "Kennedy's disease") and on the NIH Clinical Center website. The company has not yet made public the details of the drugs composition, pending a patent application.
  • Reference other trials: Laura Bott and Cartlo Rinaldi in our lab have been working on ASC-JM17 and ASC-J9 in mice, and they have some interesting results. They were able to confirm that both drugs have a benefit in mice, although not as strong an effect as reported previously. They are working out the mechanism of action, which should help in developing a more potent drug.

Saturday, February 15, 2014

New clinical trial for Kennedy’s Disease

NIH

The National Institutes of Health (NIH) posted the following on their ‘Clinical Trials’ website.

Safety, Tolerability, and Efficacy of BVS857 in Patients With Spinal and Bulbar Muscular Atrophy

It appears this is a two part placebo-controlled study to determine dosage and potential safety issues as well as the any change in thigh muscle volume. The trial is to begin this month.  

I will post more information as it becomes available.