Reporter: Aviva Lev-Ari, PhD, RN
Multi-Scale Study of Cancer
Friday, February 15, 2013: 8:00 AM-9:30 AM
Room 207 (Hynes Convention Center)
Despite the identification of hundreds more potential targets by genome sequencing, the pharmaceutical industry has been faced with a decline in the production of new successful drugs. Mathematical models provide a framework in which to interpret the vast amount of experimental data generated to suggest experiments necessary to test new biological theories leading to development of efficient drugs. Genetic mutations occurring at a subcellular level manifest themselves in a complex, multi-scale cancer process as functional changes at the cellular and tissue scales. Integration of mathematical modeling approaches with statistical analysis of the experimental and clinical data leads to breakthroughs in understanding of the cancer growth, which is translated into novel patient-specific therapies and development of new drugs. When applied to experimental data, statistical techniques can reveal whether a particular intervention produces a significant response or whether a correlation exists between observable phenomena. Establishing why such correlations arise requires verification of a large number of hypotheses using modeling. For example, models offer greater scope for understanding normal and diseased colorectal crypts, for testing and identifying new therapeutic targets in colon cancer, and for predicting their impacts. Speakers have been selected for their contribution to the field and their ability to communicate to audiences with diverse backgrounds and scientific interests.
Organizer:
Mark Alber, University of Notre Dame
Co-Organizer:
Jill P. Mesirov, Broad Institute of Massachusetts Institute of Technology and Harvard University
Moderator:
Mark Alber, University of Notre Dame
Discussants:
Mark Alber, University of Notre Dame
and Jeremy Gunawardena, Harvard Medical School
Speakers:
Philip Maini, University of Oxford
Hybrid Approach to Multi-Scale Modeling of Cancer
Martin Nowak, Harvard University
Dynamics of Targeted Cancer Therapy
Kathleen Wilkie, Tufts University School of Medicine
The Benefits of Randomized Experiments for Science and Society
Friday, February 15, 2013: 1:00 PM-2:30 PM
Room 206 (Hynes Convention Center)
Random experiments have allowed researchers to make advances in physical science, social science, industry, and health that have led to better policy and benefits to society. Randomized experiments use random assignment of study units to allow for learning when variation exists among the units and to estimate causal effects free of confounding by the selection of people into treatment conditions in social experiments. As a result, researchers now routinely test medical, educational, behavioral, and policy interventions with randomized experiments to identify effective interventions. This session provides examples of such uses and benefits of randomized experiments. The first paper describes applications of randomized experimentation to the study of politics, how experimentation has evolved in political science, and examples of its benefits to policy. The second paper describes examples of randomized evaluations of public health and education initiatives in developing countries. These experiments found that low-cost interventions could yield substantial health benefits, but paying teachers for performance had more mixed results. In behavioral health, treatment often follows a course of care, and determining the optimal course for a patient is challenging. The third paper describes how recent statistical advances have led to new experimental designs that allow the researcher to test for courses of care that yield optimal outcomes. It also gives an example of the use of such designs.
Organizer:
Daniel McCaffrey, RAND Corp.
Speakers:
Arthur Lupia, University of Michigan
Michael Kremer, Harvard University
Experimenting with Public Health and Education in the Developing World
Susan Murphy, University of Michigan
Experimenting To Improve Clinical Practice
Clinical Trial and Error: Beauty and the Beast
Friday, February 15, 2013: 3:00 PM-4:30 PM
Room 309 (Hynes Convention Center)
Independent clinical trials are fundamental to improving the results, safety, and cost-effectiveness of health care. Because of costs, the scope of these trials is often limited to new products. Important clinical interventions, surgery, physiotherapy, and rehabilitation are of less interest to commercial sponsors seeking primarily drug and device authorization. Whereas investigator-driven studies now find support in the United States and European Union, they cannot match the resources available for commercial clinical trials. Public and charitable funding typically backs health care–orientated trials independently of manufacturers, but is often much smaller in size. Results matter. When we do get such new evidence, it allows us to look back: how good was the preclinical research to start with? While evidence-based medicine is the health care imperative of the 21st century, it remains difficult to generate the evidence base for pressing public health challenges. This session unites key stages and world authorities in the clinical trials process to explain why and what must change. With expertise on leading animal and human studies to end products, speakers will provide new insights into how clinical trials are conducted. Their common cause will be to argue that greater international cooperation and standards are required. That said, effective communication of clinical and societal benefits must be better coordinated to citizens, patients, health-care professionals, researchers, policy-makers, and society as a whole.
Organizer:
Aidan Gilligan, SciCom–Making Sense of Science
Co-Organizer:
Thomas Hartung, Johns Hopkins University
Moderator:
Klaus Bock, Danish Ministry of Science, Technology & Innovation
Discussants:
Wilson M. Compton, U.S. Department of Health and Human Services
and Anne Glover, European Commission
Speakers:
Thomas Hartung, Johns Hopkins University
Look Back in Anger? What Clinical Trials Tell Us About Preclinical Research
Jay Siegel, Janssen Research and Development
Product-Orientated Versus Health Care–Orientated Clinical Trials
Paul J. Kenny, The Scripps Research Institute
The Latest Clinical Trial Research on Brain Reward Systems
Stroke Research: New Concepts and Innovative Solutions
Friday, February 15, 2013: 3:00 PM-4:30 PM
Room 208 (Hynes Convention Center)
Stroke has become a major challenge for medicine and health policy. It is the third largest cause of death in many countries and the largest single cause of severe disability. It is predicted that stroke will account for 6.2 percent of the total burden of illness in 2020. In the last two decades, research and new technology have brought significant advances in the diagnosis and treatment of stroke. For instance, thrombolytic drugs have revolutionized stroke care and improved recovery from the disease. New imaging techniques are used to study structural and functional changes at the cellular and molecular level in the brain. Nevertheless, improvement of reperfusion, reduction of brain damage, and induction of endogenous protection and repair deserve increased efforts to overcome the “translational roadblock“ and bring new therapies. By pooling together multidisciplinary and cross-sectorial expertise, the European Stroke Network drives the generation of new hypothesis and solutions for stroke, with a view toward developing successful strategies for brain protection and repair. The network has established important transatlantic research cooperation with the Canadian Stroke Network and other groups. The symposium will give an opportunity to exchange ideas and identify common scientific challenges that need to be solved to speed up the discovery of new treatments.
Organizer:
Virginija Dambrauskaite, European Commission, Directorate General for Research and Innovation
Co-Organizer:
Ruxandra Draghia-Akli, European Commission, Directorate General for Research and Innovation
Moderator:
Ruxandra Draghia-Akli, European Commission, Directorate General for Research and Innovation
Discussant:
Walter J. Koroshetz, National Institute of Neurological Disorders and Stroke
Speakers:
Costantino Iadecola, Weill Cornell Medical College
Great Expectations: The Promise of the Neurovascular Unit for Stroke Therapy
Molly Shoichet, University of Toronto
Engineering Meets Medicine: Innovative Strategies To Overcome Stroke
Stephen Meairs, University Medical Center Mannheim, University of Heidelberg
The European Stroke Network: A Platform for Overcoming the Translational Roadblock
Stem Cell–Based Bioartificial Tissues and Organs
Monday, February 18, 2013: 9:45 AM-11:15 AM
Room 207 (Hynes Convention Center)
Transplantations of artificial organs have become a reality. They require skills not only in surgery but also in biomaterials, bioengineering, stem cell culture and biology, tumor biology, and molecular biology. In this session, a team behind artificial trachea transplantation in a patient and the analysis thereof will talk about the efforts made to take modern medicine to the next level.
Organizer:
Sabina Bossi, Karolinska Institute
Moderator:
Ana Teixeira, Swedish Medical Nanoscience Center
Discussant:
Doris Taylor, University of Minnesota
Speakers:
Paolo Macchiarini, Karolinska Institutet
Regenerative Biotechnological Treatment
Ola Hermanson, Karolinska Institutet
Molecular and Cellular Effects of Transplanting Artificial Organs
Philipp Jungebluth, The Cardiothoracic Surgery Network and Karolinska Institutet; Paolo Macchiarini, Karolinska Institute
Clinical Transplantation of a Tissue-Engineered Airway
Engineering the Nervous System: Solutions to Restore Sight, Hearing, and Mobility
Sunday, February 17, 2013: 1:30 PM-4:30 PM
Room 302 (Hynes Convention Center)
The fields of neuroprosthetics and bioengineering offer hope for many that they may one day be able to see the world around them, walk on their own, or grasp, touch, and hear normally. To restore or enable these functions, a multitude of interfaces and approaches are necessary. This symposium highlights pioneering researchers from Europe and the United States who view the nervous system as engineerable and are working to make a new generation of bionic devices feasible. They are decoding motor commands and developing soft, flexible electronics that interface with the spinal cord and auditory brainstem; genetically engineering the human auditory and visual systems; and coming close to perfecting cortico-spinal prosthetics to reclaim voluntary locomotion after complete spinal cord injury. The scientists are optimistic for the future, yet recognize the challenges in getting these technologies out of the lab and into clinical settings. Live demonstrations at the intersection of engineering and neuroscience will show how close we are to entering a new era in the way science interfaces with the nervous system.
Organizer:
Sanna Fowler, Ecole Polytechnique Fédérale de Lausanne
Speakers:
Silvestro Micera, Ecole Polytechnique Fédérale de Lausanne
Controlling a Prosthetic Hand with Peripheral Neural Interfaces
Grégoire Courtine, Ecole Polytechnique Fédérale de Lausanne
Walking Again After Spinal Cord Injury
Konstantina M. Stankovic, Harvard Medical School
Treating Deafness with Better Vision: Cellular-Level Optical Imaging of the Inner Ear
Joan Miller, Harvard Medical School
Saving Sight in Retinal Disease
Philippe Renaud , Microsystems Lab, LMIS4
Challenges: The Electrical Neurostimulation and Recordings with Microelectrode Arrays
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