Showing posts with label clinical research. Show all posts
Showing posts with label clinical research. Show all posts

Thursday, June 20, 2013

First pediatric auditory brain stem implant lets child "hear"

Wow, this is quite an incredible story on CNN. 3-year-old Grayson Clamp is the nation's first child to receive an auditory brain stem implant. This boy was born without a cochlear nerve, so a cochlear implant didn't help him. He couldn't hear anything until he recently had surgery for an auditory brain stem implant.

Grayson now wears an external speech processor containing a microphone and he also has an external battery that powers the auditory brain stem implant. Doctor's aren't sure "what" he hears, but we know that he is capable of hearing sound.

Back in January, the FDA approved clinical trials for auditory brain stem implants.

Thursday, December 13, 2012

President Clinton speaking about health care at #DellWorld 2012

Today at Dell World, Bill Clinton went on stage and spoke to the audience about the evolution in technology. Roughly 20 years ago when he took office (1993 to 2001), the average cell phone weighed 5 pounds. He sent 2 emails during his presidency.

Technology has advanced considerably since then, hasn't it?

Now, at the age of 66, Clinton is busy with the Clinton Foundation - set up to improve global health, strengthen economies, promote healthier childhoods and health and wellness, and protect the environment.

Here at Dell World, Clinton spoke about the childhood obesity epidemic that is being fought through better nutrition and changes in dietary habits. He spoke about the advances in pediatric cancer research that are possible due to collaborative data sharing. He mentioned the Health Matters conference that's organized by the Clinton Foundation.

Clinton also spoke about global economic issues around inequality, the importance of non-zero-sum, and how the future depends on creative networks of cooperation. He also entertained the audience by wearing some stylish cowboy boots, thus proving that he's a real cowboy.

Bill Clinton will be speaking at HIMSS 2013, so I look forward to seeing him again in a few months.

Wednesday, June 29, 2011

Association of Clinical Researchers and Educators 2011 Meeting

The Association of Clinical Researchers and Educators (ACRE) is an organization of physicians and colleagues engaged in promoting excellence in medical service, education, and innovation. ACRE members have records of achievement in these endeavors.

ACRE is holding it's annual meeting on July 22, 2011 at the Cornell Medical Center in New York. For more information about the meeting and registration, click here.

This year’s ACRE meeting will cover a number of areas and topics and will include speakers and representatives from across the health care industry.

Monday, October 18, 2010

Sanofi-aventis Establishes Research Collaboration With Harvard University

The academic world depends on industry for medical research. Industry depends on academia for medical research. Is this a symbiotic relationship? Here's the press release:

Sanofi-aventis Establishes Research Collaboration With Harvard University

- Focused on translational biomedical research in multiple therapeutic areas such as cancer, diabetes and inflammation -

PARIS, Oct. 18 /PRNewswire/ -- Sanofi-aventis (EURONEXT: SAN and NYSE: SNY) announced today a research collaboration with Harvard University. The goal of the collaboration is to advance knowledge in the area of human health through basic and applied research and to promote scientific exchange between Harvard University and sanofi-aventis. The focus of this collaboration is translational biomedical research in multiple therapeutic areas such as cancer, diabetes and inflammation.

Thursday, September 23, 2010

U.S.–Russia Forum in Health Sciences

The Foundation for NIH and Eli Lilly Launch $1.265M US-Russia Science Partnership

Bethesda, MD (September 23, 2010) — The Foundation for the National Institutes of Health (FNIH) and Eli Lilly and Company today announced the launch of the U.S.–Russia Forum in Health Sciences to encourage collaboration on shared priorities in health related research. The joint venture was unveiled during a visit to the NIH by Russia’s deputy health minister, Dr. Veronika Skvortsova.

The U.S.–Russia Forum is being established through the Foundation for NIH, with $1,265.000 million from Eli Lilly as the founding private partner, and the Fogarty International Center and Clinical Center as the lead NIH participants. The objective of this public-private partnership is to facilitate collaboration that will improve public health by strengthening activities related to disease control and prevention, clinical and translational research, manufacturing practices and regulatory science, and emerging technologies in the field of health care.


Wednesday, September 15, 2010

Zolinza (Vorinostat) to fight HIV/AIDS?

David M. Margolis, MD at University of North Carolina is approaching the fight against HIV/AIDS using a novel approach. He's testing the Merck cancer drug Zolinza (Vorinostat). Given that Zolinza blocks HDAC, it could push out latent HIV hiding in infected cells. Sounds interesting, doesn't it? Let's wait to see what ends up happening.

Thanks to BusinessWeek for the interesting story.

Managing the Data Explosion in Life Sciences Research

There's a complimentary webcast coming up titled, "Managing the Data Explosion in Life Sciences Research"

Upcoming LIVE WEBCAST:
September 22, 2010 | 1:00 p.m. EST
Sponsored by: HP

OVERVIEW:
Whether you’re a pharmaceutical company performing drug research, a public institution searching for a cure for cancer, an agri-business searching for new and improved crops, or any other Life Sciences research organization, you are faced with rapidly exploding amounts of data. Analyzing, storing, and managing this data is becoming particularly challenging. HP’s Scalable NAS for Life Sciences solutions are tested and proven storage solutions to directly address these challenges. In this session, you will learn how these latest storage innovations from HP can help. You will also hear how MD Anderson Cancer Research Center has successfully used HP X9000 Network Storage, a critical component of the HP Scalable NAS for Life Sciences solution, to tame their data explosion.

SPEAKERS:

Krishna Sankhavaram
Director, Research Information Systems & Technology Development, University of Texas, M.D. Anderson Cancer Center

Pete Brey
Worldwide Business Development Manager within HP’s Unified Storage business

MODERATOR: Kevin Davies, Ph.D., Editor-in-Chief, Bio-IT World

Register Now

Tuesday, June 1, 2010

Suicide risk with Ultram (tramadol) and liver risk with Xenical, Alli (orlistat)

We live in a Phase IV world, don't we? What do I mean by Phase IV? Here's a brief definition from Wikipedia:
Phase IV trial is also known as Post Marketing Surveillance Trial. Phase IV trials involve the safety surveillance (pharmacovigilance) and ongoing technical support of a drug after it receives permission to be sold.
Last week, the FDA announced that Ultram and Ultracet may increase the risk of suicide. The drug tramadol is marketed as Ultram and is included in Ultracet. Tramadol is not an opioid, however it possesses weak agonist actions at the μ-opioid receptor, releases serotonin, and inhibits the reuptake of norepinephrine. Some clinicians seem to think that tramadol may be associated with abuse, misuse, and even possibly addiction. The data remains unclear about that.

The FDA also announced "Rare Cases of Liver Injury Reported with Use of Xenical, Alli." The weight-loss medication orlistat is found in these prescription and over-the-counter agents. Given that the risk of liver injury is rare, the drug is still going to be available but will have a new warning on it. You'll still have the option of buying Alli at your local drug store.

Tuesday, May 25, 2010

Abstracts for ASCO 2010 are now available

Are you attending the American Society of Clinical Oncology (ASCO) annual meeting next month?  June 4-8 in Chicago, IL. I was originally planning on being there, but some personal things came up so I had to cancel my trip.

The scientific abstracts that will be presented at the Annual Meeting are now publicly available. Included in this release are the abstract titles and author names for all Late-breaking (LBA), Clinical Review (CRA), and Plenary Abstracts; full-text versions of all other abstracts being presented at the Annual Meeting; and full-text versions of online-only abstracts published in conjunction with the Annual Meeting. All abstracts will be fully searchable.

Not going to ASCO this year? You can still access the abstracts here: http://abstract.asco.org/

You can also catch the "Best of ASCO" in either San Francisco or Boston (July).

Monday, January 18, 2010

Autism: searching for a cure

We currently have drug therapies for a wide variety of conditions. We have ways to treat diabetes and reduce the risk for heart attacks. We have medications for depression and anxiety. We even have medications for schizophrenia and bipolar disorder.

When will we find a drug treatment for autism?

If you visit ClinicalTrials.gov, you'll find almost 200 trials if you type the word "autism" into the search box. Roughly half of those studies are recruiting volunteers, but the problem is that many parents do not wish to subject their children to clinical studies. So, how will researchers conduct their research? How will the medical community find a cure or treatment for autism unless we have enough clinical studies evaluating various treatment options?

Speaking of treatments, there's a startup company based in Cambridge, MA called Seaside Therapeutics and this company is testing a compound that dampens synaptic activity by mimicking GABA (an inhibitory chemical messenger in the brain). The company is evaluating this compound in patients who have fragile X and also in those who have autism.

Monday, December 21, 2009

1 in 110 U.S. children had autism in 2006

We probably all know someone who has autism. We also probably all know a parent who has a child with autism.

According to a new report published by the Centers for Disease Control and Prevention (CDC), 1 in 110 U.S. children had autism in 2006. The Autism and Developmental Disabilities Monitoring Network has improved our ability to monitor the epidemiology of autism. Autism covers a spectrum of disorders ranging from autistic disorder, or classic autism, and the two milder forms: Asperger's syndrome and atypical autism called Pervasive Developmental Disorder - Not Otherwise Specified (NOS). That phrase NOS almost reminds me of the term "idiopathic." It doesn't have the same meaning, but these non-specific terms in the world of healthcare reminds all of us that we still have so many unanswered questions about medicine.

NOS = why shouldn't something be specified?
Idiopathic = there must be a reason, even if we don't really know what that reason may be.

When it comes to autism, things can get quite heated and emotional. There are some people who strongly believe that vaccines have contributed to the increase in autism. Others blame different environmental factors. Some simply think we're doing a better job identifying children who have autism, so the prevalence hasn't truly increased - it's just a reflection of increased recognition and diagnosis. They argue that in the past, children with autism simply weren't detected. They flew under the radar. Do you believe that?

One of the most significant gaps that prevents us from effectively answering this question is the paucity of autism research. Parents simply are not willing to allow their children to participate in research. How else will we discover what's causing autism in these young ones?

Wednesday, August 12, 2009

FDA: "Expanded Access to Investigational Drugs for Treatment Use"

FDA Issues Final Rules to Help Patients Gain Access to Investigational Drugs
The U.S. Food and Drug Administration published two rules today that seek to clarify the methods available to seriously ill patients interested in gaining access to investigational drugs and biologics when they are not eligible to participate in a clinical trial and don’t have other satisfactory treatment options.

To support the effort to help these patients, the agency also is launching a new Web site where patients and their health care professionals can learn about options for investigational drugs. In general, these options include being treated with a drug that has been approved by FDA, being given an investigational drug as part of a clinical trial, or obtaining access to an investigational drug outside of a clinical trial.

The new rule, “Expanded Access to Investigational Drugs for Treatment Use,” makes investigational drugs more widely available to patients by clarifying procedures and standards. The other rule, “Charging for Investigational Drugs Under an Investigational New Drug Application,” clarifies the specific circumstances and the types of costs for which a manufacturer can charge patients for an investigational drug when used as part of a clinical trial or when used outside the scope of a clinical trial.

“With these initiatives, patients will have the information they need to help them decide whether to seek investigational products,” said Margaret A. Hamburg, M.D., Commissioner of Food and Drugs. “For patients seeking expanded access to investigational drugs and biologics, the new rules make the process easier to understand.”

Clinical trials are studies of drugs and biologics that are still in development and have not yet been approved by the FDA. Many patients enroll in clinical trials to gain access to investigational therapies and contribute to finding out how well an investigational therapy works, and how safe it is for patients. Obtaining a drug or biologic under an expanded access program may be an option for some patients who are not able to enroll in clinical trials.

The FDA has allowed expanded access to experimental drugs and biologics since the 1970s. That access has allowed tens of thousands of patients with HIV/AIDS, cancer, and other conditions to receive promising therapies when no approved alternative is available.

“The final rules balance access to promising new therapies against the need to protect patient safety and seek to ensure that expanded access does not discourage participation in clinical trials or otherwise interfere with the drug development process,” said Janet Woodcock, M.D., director of the FDA’s Center for Drug Evaluation and Research. “Clinical trials are the most important part of the drug development process in determining whether new drugs are safe and effective, and how to best use them.”

Web site that explains the options for investigational drugs

Final Rules for Expanded Access to Investigational Drugs for Treatment Use and Charging for Investigational Drugs

So, how many of your patients should be on an investigational drug? If you're an oncologist or an HIV specialist, then you may be referring your patients to all sorts of clinical studies. There are so many new biologic agents and novel antiviral combinations that are emerging for cancer and HIV/AIDS patients.

Medical student eating tips from CNN


Well, these eating tips aren't just for medical students. Titled, " Student diet 101: Don't eat mold," this CNN story is really geared for any type of college student who is no longer living at home. I remember those days of being a hungry, starving medical student. Some of my colleagues donated their bodies to medical research to earn some extra cash to pay for meals. I don't have any muscle biopsy scars to show how I survived medical school.

The tips on CNN are simple: use common sense; don't eat expired foods that are perishable; and don't eat mold. Questions? Click here to read the CNN story.

Tuesday, August 11, 2009

Another potential way to reduce breast cancer risk: breast feeding


"Breast-feeding may protect at-risk women from breast cancer"

CNN STORY HIGHLIGHTS:
  • Study: Nursing cut the risk of breast cancer in half for high-risk women
  • Researchers followed 60,075 women for more than nine years
  • Breast-feeding's effect was similar to taking tamoxifen for five years
  • Breast-feeding didn't affect risk for women who didn't have breast cancer in family
We all probably know someone who has been affected by breast cancer. Fortunately, treatment is quite effective if the cancer is diagnosed and treated.

This new research sounds quite promising, but we probably still don't have enough evidence to make any claims about causality. We know that there is an association, but that's about it because this was a prospective cohort study. I don't think we're ever going to see any randomized controlled trials evaluating this clinical question, so this may be the best type of evidence we get.

Click here for the story on CNN.
Click here for the abstract from the Archives of Internal Medicine.

Thursday, July 30, 2009

Senate Hearing on Medical Research and Education


Yesterday, Chairman Herb Kohl (D-WI) chaired a hearing titled "Medical Research and Education: Higher Learning or Higher Earning?" The entire meeting was about the Continuing Medical Education or CME industry. You can watch the video by clicking here (This is from the Senate Special Committee on Aging). This is a long video, but make sure you view the entire clip. Otherwise, you will only hear one side of the story.

What do you think? Will industry-supported CME be a thing of the past? What's going to happen to the medical research and continuing medical education industries? Industry-supported CME has evolved dramatically over the past 10 years and I've seen some significant changes in the way industry-supported CME is developed and delivered. Without free CME, physicians may need to pay thousands of dollars each year for their CME credit. I think most physicians are able to detect potential bias when they listen to a speaker. If they can't, then they should be shielded from journal ads, television ads, and other types of drug promotion. Perhaps marketing and promotional activities need to reduce so that more focus can be spent on evidence-based education.

Wednesday, July 15, 2009

Stem cell therapy out of a James Bond movie


I'm reminded of a James Bond movie where a certain "health clinic" in Cuba offers gene therapy (among other things) that would probably never be allowed in the U.S.

According to CNN, Dr. Zannos Grekos has a company in the Dominican Republic called Regenocyte Therapeutic. He claims that he has successfully used adult stem cells to treat patients with heart and lung disease. Hmm, I wonder what else he's up to. Stem cell therapy mixed with some gene therapy to change people's faces and appearances? I wonder if he's using any special face lamps...

Here are some interesting snippets from the CNN story:
Dr. Irving Weissman, president-elect of the International Society for Stem Cell Research, told CNN, "There is no such cell. There is nothing called a 'regenocyte.' " "As a stem cell scientist who works in the field of regenerative stem cells, I am disappointed and shocked that somebody would prey on a family that has an untreatable disease with the promise of a therapy that has no scientific or medical basis," Weissman said.

Grekos (a cardiologist) has a busy practice in Bonita Springs, Florida, outside Naples, and runs a company that promotes and administers stem cell therapies in Santiago, a noisy, crowded industrial city in the central Dominican Republic.

A year ago, Barbara McKean of Naples, Florida, paid Regenocyte Therapeutic more than $54,000 for stem cell therapy in the Dominican Republic after suffering from chronic lung disease. She said she believes the therapy was worth the expense.
So, are you willing to be part of a private research project? I suppose the villains in the James Bond movie had no choice. Did you guess the James Bond movie? Die Another Day. Maybe if we start seeing some high-profile officials (drug lords) visit the Dominican Republic for "medical care," then we'll have a really interesting medical clinic to investigate. Until then, we have to wait to see what type of data can be generated from this interesting practice. To read the CNN story, click here.

Association for Clinical Researchers and Educators (ACRE)


There's a new association that combines the focus on clinical research and education. It's called the "Association for Clinical Researchers and Educators (ACRE)."
Association of Clinical Researchers and Educators (ACRE) is an organization of medical professionals dedicated to the advancement of patient care through productive collaboration with industry and its counterparts. ACRE seeks to define and promote balanced policies at academic medical centers and within government that will enhance rather than interfere with our highly valued collaboration. In addition, ACRE will identify and train next generation of researchers and educators.
To learn more about this group, visit the website: http://www.acreonline.org/

Saturday, June 6, 2009

Another Virtual Event: Clinical Trials Arena

Executives are traveling less and they are attending more webinars and "virtual" events. The upcoming HIMSS Virtual Conference & Expo is one such example. Another example is called ClinicalTrialsArena.com (which will run from June 30 to July 1).

A total of three conference streams will provide delegates with the opportunity to attend the sessions most relevant to their specific business challenges including:
  • Clinical Trial Supply
  • Outsourcing Clinical Trials
  • e-Clinical Trials

Friday, June 5, 2009

Radon Testing in Texas


Trivia Question: When did the U.S. Surgeon General recommend that every U.S. home be tested for radon?

A recent clinical study was published evaluating radon levels near the Texas-Mexico border popularly known as Paso Del Norte. Investigators found that Radon soil gas, apartment living, and the aluminum plank wall environment of mobile homes were associated with elevated indoor radon in this area.

Did you catch that? Apartment living!

The authors also comment that "Physician's attention is invited to the potential nontrivial risk from radon, as it becomes trapped inside enclosed structures." In other words, many physicians think that radon exposure is trivial. They fail to recognize the fact that radon is the second leading preventable cause of lung cancer! Smoking is #1 and radon is #2!

Answer to Trivia Question: The Surgeon General recommends every US home be tested for radon as of January 13, 2005 (that's a strange date, isn't it?).

Friday, May 29, 2009

Interested in a Degree in Clinical Research Organization/Mgmt?

Given the current economy, many people are going back to school to get a master's degree. If you have an interest in advancing your career and pursuing opportunities in clinical research, then you may want to take a look at this master's program offered by Drexel University College of Medicine: Clinical Research Organization and Management