Feeds:
Posts
Comments

Archive for May, 2013

Reporter: Aviva Lev-Ari, PhD, RN

Article ID #50: A Radiologist Reflects on the Boston Marathon Bombings: NEMC – 22 Radiologists, 22 Residents with 16 Staff Members Onsite. Published on 5/16/2013

WordCloud Image Produced by Adam Tubman

A radiologist reflects on the Boston Marathon bombings

 

By Wayne Forrest, AuntMinnie.com staff writer

May 16, 2013 — Monday, April 15 — Patriots’ Day in Boston — started much like any other day for radiologist Dr. Robert Ward of Tufts Medical Center. But it turned out to be anything but normal after two bombs exploded at the end of the Boston Marathon, sending dozens of injured people to Tufts with battlefield-like injuries.

Ward is chief of musculoskeletal imaging and has been on the job at Tufts for more than five years. He’d finished his administrative duties for the day and was reading routine imaging studies when he received a text from his wife shortly before 3 p.m. A friend, who is a gastroenterology fellow at Boston University and was running in the marathon, told Mrs. Ward there had been explosions heard near the race’s finish line.

Dr. Robert Ward

Dr. Robert Ward from Tufts Medical Center.

“My first inclination was that there was some sort of minor mischief; maybe someone dropped some firecrackers or something like that into a garbage can,” Ward said. “Then a colleague poked his head into the reading room and said there were explosions, limbs were lost, and there were several people dead. At that point, it became an entirely different matter.”

Marathon bombings

Soon thereafter, Ward, the city, the nation, and the rest of world would come to learn that two homemade bombs had been detonated within seconds of each other about 200 yards apart along the path to the finish line. In the end, three people died and more than 260 bystanders and runners were injured, some hurt so severely that they lost limbs.

On a normal Boston Marathon day, most patients at Tufts present with dehydration, or a couple of days after the race, people arrive with extremity abnormalities. There are 22 radiologists and 22 residents at the medical center, with 16 or 17 staff members onsite at any given time.

Word spread quickly that bombing victims were on their way to the level I trauma center.

“I elected to go down to the ER,” Ward recalled. “Patients were starting to come in, probably five times the normal number of people who are in the emergency department [at that time of day]. That place was really in a chaotic manner.”

He estimated there were 13 marathon patients in the emergency room, most of whom were young and probably runners. Most injuries were isolated to the lower extremities; a fair number of patients had skin ripped away from their bodies. What’s more, the limbs of many patients were embedded with the “strangest foreign bodies [and] shrapnel like we have never seen before.”

Some patients had BBs lodged in their extremities, as well as what Ward described as twisted, metallic items that must have been 2 to 4 inches in size. “Generally, those [objects] don’t make it deep into tissue unless there is a substantial explosion, which was obviously the case,” he said.

Onsite care

For the marathon, medical personnel and physicians often take the day off and donate their time to treat race-related injuries and other ailments at a makeshift facility near the finish line. On this day, having that kind of medical expertise so close to the bombings “made for an extraordinary rapid response,” Ward said. “It was almost like battlefield medicine in a sense.”

Under normal circumstances, Tufts’ protocol is to acquire two right-angle x-rays of leg and ankle injuries to determine their extent and location.

“Because of the emergent nature of the injuries, we would get one x-ray and [patients] would go straight to the operating room,” Ward explained. “It is purely a time issue. With some of the bizarre shrapnel fragments that we were seeing, it was hard to believe they were actually inside people.”

Patients with injuries above the waist received a CT scan of the chest, abdomen, and pelvis.

Ward stayed in the emergency department for about 30 minutes, collaborating with a fellow radiologist in the reading room. He later joined the rest of his colleagues, all of whom stayed late into the evening to process all the image interpretations that needed to be done.

Radiology was one of several departments at Tufts that rallied additional personnel to respond to the emergency conditions. The orthopedic department, for example, called in its entire staff to assist in the operating room.

Ward described the coordination between the radiologists and the surgeons as “seamless,” adding that communication between caregivers functioned the same as during any other day at the medical center.

“We have a very well-patterned response, and we were doing our job the same way we do every day, except with a little bit more intensity, given the experience,” he added. “When consultations were necessary, the lines of communication were open.”

Lessons learned

In the wake of the Boston Marathon bombings, Tufts will likely review its emergency response to the event and modify its disaster protocol, if needed, just as it regularly assesses its preparedness through periodic drills.

Within the past 18 months, Tufts was upgraded from a level II to a level I trauma center, which included the implementation of protocols for trauma and potential disaster scenarios.

“In the global sense, we are in the business of helping people, and every day you wake up and have to be aware that you never know what’s going to come your way,” Ward reflected. “You have to be ready, and vigilance is key in every aspect, whether it’s homeland security or taking care of patients who are victims of dramatic, unforeseen events. It brings an urgency to the importance of quality care and making sure that everyone in the department is ready to go at any moment.”

A few days after the tragedy, Ward and a colleague dined at a Boston restaurant while still wearing scrubs, as they had come straight from work. At the end of their dinner, the server insisted that they allow the restaurant to pay for their meal in gratitude for their service. The server told them his friend was treated in the neuro intensive care unit at Tufts during that week and had recently been discharged.

“We were both speechless,” Ward recalled. “That’s just us doing our jobs. The real tragedy is the people who wanted to go see a race, were running in the marathon, and were victims of this tragic incident. We are in the business of helping people. Whatever we can do to help is why we went into this endeavor to begin with.”

Related Reading

Haiti after the earthquake: A radiologist’s story, January 22, 2010

Is your department prepared for disaster? You might be surprised, September 5, 2007
Copyright © 2013 AuntMinnie.com

http://www.auntminnie.com/index.aspx?sec=sup&sub=xra&pag=dis&ItemID=103440&wf=5448

Read Full Post »

CT Angiography (CCTA) Reduced Medical Resource Utilization compared to Standard Care reported in JACC

Reporter: Aviva Lev-Ari, PhD, RN

Updated on 10/24/2022

CCTA Effective in Pre-procedural Planning of Myocardial Revascularization Interventions

Image showing a co-registration of invasive coronary angiography (A), coronary CTA and straight MPR (panel B and C) with CTA cross sections (panel D), corresponding OCT cross sections and longitudinal OCT view (E).

September 13, 2022 — The latest expert consensus document from the Society of Cardiovascular Computed Tomography (SCCT), co-published with EuroIntervention, describes Coronary CT Angiography (CCTA) as an effective tool for interventional cardiologists to prepare and optimize the coronary procedure.

Pre-procedural Planning of Coronary Revascularization by Cardiac Computed Tomography,” published in Journal of Cardiovascular Computed Tomography (JCCT), states that CCTA combined with fractional flow reserve (CT-FFR) or stress CT myocardial perfusion imaging (CT-MPI) can provide a comprehensive anatomical and physiological roadmap for coronary revascularization.

The expert consensus document explains that CCT may emerge in the field of interventional cardiology as no longer “a mere diagnostic tool,” as it was when first introduced into clinical practice more than 15 years ago.

According to the writing group, led by Daniele Andreini, MD, PhD, FSCCT of Centro Cardiologico Monzino in Milan, Italy, the potential value of CCTA to plan and guide interventional procedures lies in the wide information it can provide, including its accuracy for plaque and calcium characterization.

Andreini and his co-authors explain that, with its 3-dimensional nature and physiological assessment, CCTA is the only non-invasive imaging modality to assess Syntax Score and Syntax Score II, which enable the Heart Team to select the mode of revascularization (PCI or CABG) for patients with complex disease based on long-term mortality.

Additionally, CCTA may help in identifying anatomical characteristics of chronic total occlusions (CTO) that are associated with increased complexity of CTO percutaneous coronary intervention (PCI).

Before PCI, CCTA has the potential to be used to overcome some limitations of conventional invasive coronary angiography (ICA), including vessel foreshortening and difficulties in selecting optimal projections, with particular importance in bifurcation and ostial lesions.

For more information: www.scct.org

CT Scanner Delivers Less Radiation

Faster, more sensitive scans and better image processing may reduce the risk of x-ray-related cancers.

 WHY IT MATTERS

A new CT scanner exposes patients to less radiation while providing doctors with clearer images to help with diagnoses, according to researchers at the National Institutes of Health.

“CT” stands for Computerized Tomography, which involves combining lots of x-ray images taken from different angles into a three-dimensional view of what’s inside the body. The technology can be especially useful for diagnoses in emergency situations, and the number of CT scans in recent years has increased dramatically, says Marcus Chen, a cardiovascular imager at the National Heart, Lung and Blood Institute, in Bethesda, Maryland.  But the increase in the use of CT scans raises concerns about the amount of radiation to which patients are exposed, says Chen.

The risk of developing cancer from the radiation delivered by one CT scan is low, but the large number of scans performed each year—more than 70 million—translates to a significant risk. Researchers at the National Cancer Institute estimated that the 72 million CT scans performed in the U.S. in 2007 could lead to 29,000 new cancers. On average, the organ studied in a CT scan of an adult receives around 15 millisieverts of radiation, compared with roughly 3.1 millisieverts of radiation exposurefrom natural sources each year.

This concern has led researchers to seek ways to reduce the amount of radiation exposure a patient receives in a scan. They are working to improve both hardware, to make the scans go faster and need less repetition, and software, to process the x-ray data better (see “Clear CT Scans with Less Radiation”).

The new CT scanning system, from Toshiba Medical, combines several improvements to reduce radiation exposure. The overall body of a CT scanner is shaped like a large ring. An x-ray tube and a detector spin separately in the ring, opposite one another, and a patient lies in the center.  X-rays travel through the patient as they are delivered by the tube and captured by the detectors. The new Toshiba machine has five times as many detectors as most machines, which means that more of an organ can be captured at a time, decreasing the number of passes of the scanner required.

The x-ray components in the new system also spin faster—it takes only 275 milliseconds for them to complete a rotation, instead of 350 millisesconds—which means a patient gets irradiated for less time. In cases where doctors are looking at a moving organ such as the heart, the faster spinning also reduces the number of times a doctor may need to try to get a good image. “It’s like having faster film in your camera,” says Chen.  Changes to the way the system generates x-rays and computes the images also mean patients spend less time getting hit with radiation.

Chen and colleagues at the National Heart Lung and Blood Institute used the Toshiba system to examine 107 adult patients of different ages and sizes for plaque buildup and cardiovascular problems. Patient size matters because more x-rays are required to image a larger person. “A lot of imaging centers will use one setting for all patients,” says Chen. “You get beautiful image quality on everybody, but the downside is that some patients get more radiation than they probably should.” In his study, the system takes a quick preliminary scan that uses low-dose x-rays to figure out how big a patient is and how much radiation will be needed for the diagnostic image.

Most patients who got a scan in the new Toshiba machine received 0.93 millisieverts of radiation, and almost every patient received less than 4 millisieverts. Radiation exposure was decreased by as much as 95 percent relative to other CT scanners currently in use.

http://www.linkedin.com/profile/view?id=87597&trk=tab_pro

The reader is advised to review Alternative #3 in the following article, published on 3/10/2013, including the Editorial in NEJM by Dr. Redberg, UCSF, included in the article, prior to reading the content, below — as background on this important topic having the potential to change best practice and standard of care in the ER/ED.

Acute Chest Pain/ER Admission: Three Emerging Alternatives to Angiography and PCI – Corus CAD, hs cTn, CCTA

CCTA for Chest Pain Cuts Costs, Admissions

By Eric Barnes, AuntMinnie.com staff writer

May 14, 2013 — One of the largest studies yet comparing medical resource use and outcomes among chest pain patients found that coronary CT angiography (CCTA) reduced medical resource utilization compared to standard care, generating fewer hospital admissions and shorter emergency room stays, researchers reported in the Journal of the American College of Cardiology.

The retrospective study compared matched cohorts of nearly 1,000 patients presenting with chest pain before and after implementation of routine CCTA evaluation. The study team from Stony Brook, NY, and two other institutions found that patients receiving the standard workup for chest pain — which is to say, mostly observation — were admitted to the hospital almost five times as frequently as patients receiving CT. The standard workup patients also had significantly longer stays when admitted.

The rates of invasive angiography without revascularization and recidivism were also much higher for patients receiving standard care (JACC, May 14, 2013).

“I think the take-home message is that CT done correctly by experts with the resources to do it correctly on a routine basis is not only safe and feasible, but reduces healthcare resource utilization,” said lead author Dr. Michael Poon, from Stony Brook Medical Center, in an interview with AuntMinnie.com.

More than $10 billion in costs

Caring for chest pain is an expensive proposition in the U.S., costing upward of $10 billion a year for some 6 million emergency department (ED) visits. To reduce the problem of overcrowded emergency rooms, some hospitals have implemented chest pain evaluation units, but the care isn’t comprehensive or necessarily all that helpful, Poon said.

“It has been a problem and a major dilemma for emergency rooms because for most patients, it’s a false alarm,” he said. “I would say nine out of 10 are false alarms, but how to pick out that one is very tricky and costly. So what most hospitals tend to do is a one-size-fits-all policy where everybody gets blood tests and an electrocardiogram, and they keep patients in the ED for an extended period of time. So if you come in Friday, you may stay until Monday.”

Coronary CTA has been shown to be safe and cost-effective for acute chest pain evaluation in several smaller studies and in three smaller multicenter trials, but those studies have been limited by a lack of CT availability outside of weekdays and office hours, while EDs must operate 24/7, Poon said.

“All of those studies were done in a randomized, controlled fashion and in an artificial environment,” where each patient was randomized to either a stress test or CT during weekday office hours, Poon said. “But in real life, there is no such thing; it cannot be done.”

More often, chest pain patients get a couple of tests and several hours of observation before they are sent home.

Poon and colleagues from Stony Brook, William Beaumont Hospital, and the University of Toronto wanted to do a “real-world” observational study to show that CT remained cost-effective and efficient for triaging chest pain patients.

The study sought to compare the overall impact of CT on clinical outcomes and efficacy, when comparing CCTA and the hospital’s standard evaluation for the triage of chest pain patients, with CCTA available 12 hours a day, seven days a week.

From a total of 9,308 patients with a chest pain diagnosis upon admission, the study used a matched sample of 894 patients without a history of coronary artery disease and without positive troponin or ischemic changes on an electrocardiogram.

Patients undergoing CT were scanned on a 64-detector-row scanner (LightSpeed VCT, GE Healthcare) following administration of iodinated contrast and metoprolol as a beta-blocker for those with heart rates faster than 65 beats per minute (bpm).

Those with a body mass index (BMI) less than 30 were scanned at 100 kV, while those with a BMI between 30 and 50 were scanned at 120 kV. Retrospective gating was reserved for patients whose heart rates remained above 65 bpm. Obstructive stenosis was defined as 50% or greater lumen narrowing.

CT choice faster, more efficient

The results showed a lower overall admission rate of 14% for CCTA, compared with 40% for the standard of care (p < 0.001). In fact, patients undergoing standard evaluation were 5.5 times more likely to be admitted (p < 0.001) than CCTA patients.

The length of stay in the ED was 1.6 times longer for standard care (p < 0.001) than for CCTA. For patients undergoing CCTA, the median radiation dose was 5.88 mSv.

“We also showed that the recidivism rate is higher for standard of care, meaning that they come back within one month with recurrent chest pain,” Poon said. The odds of returning to the ED within 30 days were five times greater for patients in the standard evaluation group (odds ratio, 5.06; p = 0.022).

“In the era of Obamacare, this is a penalty to the hospital; you don’t want the patient returning within one month with the same diagnosis,” he said. When that happens, “you’re not only not getting paid, you have to pay a penalty. It’s a double whammy. We also show that downstream invasive coronary angiography is significantly less in the CCTA arm.”

More invasive angiography

Patients receiving standard care were seven times more likely to undergo invasive coronary angiography without revascularization (odds ratio, 7.17; p ≤ 0.001), while neither patient group was significantly more likely to undergo revascularization.

“Many physicians use [catheterization] as a way of getting patients in and out of the hospital,” Poon said. However, the cost is more than $10,000 per procedure.

The high rate of angiography without revascularization in the standard care group was not seen in the Rule Out Myocardial Infarction/Ischemia Using Computer Assisted Tomography (ROMICAT) I and II trials, where all patients in the standard care group underwent stress testing before angiography was considered, he said.

Poon credited the ROMICAT trials’ routine use of stress tests with diminishing CT’s relative advantage in resource use. “In the real world, that is not available,” he said. The present study, in which only about 20% of the standard care patients underwent stress tests, is more realistic.

Finally, Poon and colleagues showed no difference in rates of myocardial infarction between CT and the standard of care within the first 30 days of follow up. However, that is changing as patients are followed for longer time periods, he noted.

“We see a trend starting to diverge in our next report, which follows [patients] for six months,” he said. “You see a lot more acute myocardial infarction in the standard care arm, and we’re going to extend it for a year.”

The authors concluded that using CCTA to rule out acute coronary syndromes in low-risk chest pain patients is likely to improve doctors’ ability to triage patients with the common presentation of chest pain. The result of this approach appears to be fewer hospital admissions, shorter stays, less recidivism, less invasive angiography, and better patient outcomes.

In any case, Poon said, the study method is permanent at Stony Brook University, where the standard of care now incorporates CCTA.

“We didn’t stop doing it after the study,” he said. “If you look at some of the randomized, controlled studies, they actually went back to the standard of care.” They had to because those kinds of protocols are only practical with a grant.

Related Reading

CORE 320 study evaluates CCTA and SPECT for CAD diagnosis, March 25, 2013

Study affirms CCTA’s value to rule out myocardial infarction, March 19, 2013

CCTA predicts heart attack in people without risk factors, February 19, 2013

Study: Use CCTA 1st for lower-risk chest pain patients, February 4, 2013

2010 CCTA appropriateness criteria yield mixed results, January 31, 2013
Copyright © 2013 AuntMinnie.com

http://www.auntminnie.com/index.aspx?sec=sup&sub=cto&pag=dis&ItemID=103419&wf=5447

Other related articles on this Open Access Online Scientific Journal include the following:

Economic Toll of Heart Failure in the US: Forecasting the Impact of Heart Failure in the United States – A Policy Statement From the American Heart Association

Aviva Lev-Ari, PhD, RN, 4/25/2013

http://pharmaceuticalintelligence.com/2013/04/25/economic-toll-of-heart-failure-in-the-us-forecasting-the-impact-of-heart-failure-in-the-united-states-a-policy-statement-from-the-american-heart-association/

Diagnosis of Cardiovascular Disease, Treatment and Prevention: Current & Predicted Cost of Care and the Promise of Individualized Medicine Using Clinical Decision Support Systems

Larry H Bernstein, MD, FACP and Aviva Lev-Ari, PhD, RN, Curator, 5/15/2013

http://pharmaceuticalintelligence.com/2013/05/15/diagnosis-of-cardiovascular-disease-treatment-and-prevention-current-predicted-cost-of-care-and-the-promise-of-individualized-medicine-using-clinical-decision-support-systems-2/

Read Full Post »

Reporter: Aviva Lev-Ari, PhD, RN

 

Israel Hi-Tech Firm Helped Capture Boston Bombers

Published: April 29th, 2013
Israel's BriefCam sophisticated video analysis system helped ID the Boston Marathon terrorists
Israel’s BriefCam sophisticated video analysis system helped ID the Boston Marathon terrorists
Photo Credit: FBI

An Israeli hi-tech company with an office in metropolitan Boston was instrumental in helping to identify and lead to the arrest of the Boston Marathon terrorists

BriefCam company’s technology enabled investigators to summarize an hour of surveillance video footage into only one minute and also zoom in on people and objects whose movements changed during the filming. The system then can track those movements form the beginning of the video.

“The technology used by U.S. security forces has already been installed around the world in police, HLS, intelligence entities and others, saving time and manpower and also providing a solution for the vast challenge of growing amounts of recorded video produced every hour, every day,” Israel Defense reported Monday.

The system is based on the concept of allowing the simultaneous display of several events. Once a certain movement or area is indentified, the system then tracks it during the entire film.

Amit Gavish, general manager for the Americas at BriefCam. based in Farmington, Massachusetts, told the GCN technology website, explained how it works. “If you have 10 hours to investigate on a specific camera, the software will take it to a 10-minute clip…events that occurred during those 10 hours will be presented simultaneously.”

Gavish, who is the former deputy head of security for the office of the Israeli President, said each event is “tagged” and marked with a time stamp on screen, so the viewer is watching events that happened hours apart, at the same instant.

“We are the search engine for video,” he added.

GCN reported that BriefCam and other sophisticated video systems have caught the eye of mass transit and port systems

“Most of these large cities have already been going down the path to do exactly what everybody’s wondering if they’re going to do. They’re not just putting in thousands of cameras, they’re putting in tens of thousands of cameras.” said David Gerulski, vice president of Texas-based BRS Labs, which installs artificial intelligence systems for video surveillance.

He said that the old-fashioned surveillance camera do not play a major part in helping to uncover terrorism or thwart crime and many cities simply “shut them off.”

BriefCam’s product is in use in the United States, Israel, China, Taiwan and other countries and was used after the massacre in Oslo in 2011, in which 87 people, including children, were murdered.

In the case of the Boston Marathon bombings, U.S. Park police technological service direct David Mulholland explained, “There may have been 500 people who walked in that general area, but the analytics piece will ignore that and flag anything that changed in that one specific area, such as a backpack being left behind. So instead of spending 20 minutes looking at video in which nothing happens, the investigator can hit a button and in 30 seconds go to the area of interest and then begin to dissect what actually happened.

About the Author: Tzvi Ben Gedalyahu is a graduate in journalism and economics from The George Washington University. He has worked as a cub reporter in rural Virginia and as senior copy editor for major Canadian metropolitan dailies. Tzvi wrote for Arutz Sheva for several years before joining the Jewish Press.

http://www.jewishpress.com/news/israel-hi-tech-firm-helped-capture-boston-bomber-terrorists/2013/04/29/0/?print

Israel Hi-Tech Firm Helped Capture Boston  Bombers

<http://www.jewishpress.com/news/israel-hi-tech-firm-helped-capture-boston-bomber-terrorists/2013/04/29/>

Surveillance  cameras were not enough to catch the Boston Marathon terrorists. The  Israeli-based BriefCam firm “collapsed” an hour of video and focused on  suspicious objects – and people.

By:  Tzvi  Ben-Gedalyahu <http://www.jewishpress.com/author/tbg/>

Published:  April 29th, 2013  

Israel’s  BriefCam sophisticated video analysis system helped ID the Boston Marathon  terrorists
Photo Credit: FBI

An  Israeli hi-tech company with an office in metropolitan Boston was instrumental  in helping to identify and lead to the arrest of the Boston Marathon  terrorists

BriefCam  company’s technology enabled investigators to summarize an hour of  surveillance video footage into only one minute and also zoom in on people and  objects whose movements changed during the filming. The system then can track  those movements form the beginning of the  video.

“The  technology used by U.S. security forces has already been installed around the  world in police, HLS, intelligence entities and others, saving time and  manpower and also providing a solution for the vast challenge of growing  amounts of recorded video produced every hour, every day,” Israel Defense reported  Monday.

The  system is based on the concept of allowing the simultaneous display of several  events. Once a certain movement or area is indentified, the system then tracks  it during the entire film.

Amit  Gavish, general manager for the Americas at BriefCam. based in Farmington,  Massachusetts, told the GCN technology website, explained how it works. “If  you have 10 hours to investigate on a specific camera, the software will take  it to a 10-minute clip…events that occurred during those 10 hours will be  presented simultaneously.”

Gavish,  who is the former deputy head of security for the office of the Israeli  President, said each event is “tagged” and marked with a time stamp on screen,  so the viewer is watching events that happened hours apart, at the same  instant.

“We  are the search engine for video,” he  added.

GCN  reported that BriefCam and other sophisticated video systems have caught the  eye of mass transit and port systems

“Most  of these large cities have already been going down the path to do exactly what  everybody’s wondering if they’re going to do. They’re not just putting in  thousands of cameras, they’re putting in tens of thousands of cameras.” said  David Gerulski, vice president of Texas-based BRS Labs, which installs  artificial intelligence systems for video  surveillance.

He  said that the old-fashioned surveillance camera do not play a major part in  helping to uncover terrorism or thwart crime and many cities simply “shut them  off.”

BriefCam’s  product is in use in the United States, Israel, China, Taiwan and other  countries and was used after the massacre in Oslo in 2011, in which 87 people,  including children, were murdered.

In  the case of the Boston Marathon bombings, U.S. Park police technological  service director David Mulholland explained, “There may have been 500 people who  walked in that general area, but the analytics piece will ignore that and flag  anything that changed in that one specific area, such as a backpack being left  behind. So instead of spending 20 minutes looking at video in which nothing  happens, the investigator can hit a button and in 30 seconds go to the area of  interest and then begin to dissect what actually  happened.

Read Full Post »

Reporter: Aviva Lev-Ari, PhD, RN

 

Top 5 Fastest Growing Jobs for Life Scientists

5/13/2013 3:51:54 PM

Top 5 Fastest Growing Jobs for Life ScientistsHelp employers find you! Check out all the scientist jobs and post your resume.

By BioSpace.com

At a time when many graduates are finding it difficult to land jobs, it is interesting to note that life science graduates have a few options they can depend on. This is good news, considering that the media outlets are filled with horror stories of graduates languishing at home without jobs, or having to make do with terrible part-time jobs without benefits. Life science encompasses many different jobs, but here is an overview of five that are growing very rapidly (according to the Bureau of Labor Statistics), and promise to be lucrative for job seekers in the next few years.

1. Biomedical Engineering

Biomedical engineers analyze problems in medicine and biology, and come up with the appropriate solutions. Their ultimate goal is to improve the efficiency of patient care. They work in diverse industries such as universities, medical institutions, research centers, manufacturing industries, and many others. The BLS expects demand for biomedical engineers to be approximately 62 percent for the decade ending 2020. This demand is way above the average for all jobs, and it will likely be fueled by the expected increase in public appreciation of biomedical engineering. With an annual median pay of $81,540 (May 2010), aspiring biomedical engineers should not worry about the job market.

2. Medical Science

Medical scientists are primarily concerned with researching different ways of improving human health. They use different investigative methods in their line of work, such as clinical trials. Medical scientists tend to work in teams rather than individually. They work in laboratories as well as in offices. Job openings for medical scientists are expected to increase by 36 percent for the decade ending 2020, an increase that is very much larger than the industry-wide average. Aspiring medical scientists, however, should be prepared to get PhDs in appropriate life sciences because that is what most employers need. It is totally worth it because the annual median salary is $76,700 (May 2010).

3. Biochemistry and Biophysics

Biochemists and biophysicists deal with chemical and physical properties of living things. They also study biological processes, for example, heredity, growth and cell development. The majority of biophysicists and biochemists work full time in laboratories. This field is also growing, with a growth projection of 31 percent for the period from 2010 to 2020. This high rate of growth will mainly be due to the increased demand for biological products needed to improve life standards for people across the globe. Most employers will require PhDs for advanced positions and graduates with master’s or bachelor’s degrees may start in entry-level positions. BLS indicates the median annual salary as $79, 390 (May 2010).

4. Epidemiology

Epidemiologists study diseases and different public health problems to determine their causes. Their major aim in doing this is to prevent occurrences or recurrences of diseases. Most, but not all, epidemiologists work for the government in different work environments such as laboratories, health centers, and universities, among others. The job outlook for epidemiologists is bright too, given that the industry is expected to grow by 24 percent for the decade ending 2020. A master’s degree is needed in this occupation, but some epidemiologists also hold PhDs. According to the BLS, the median salary for epidemiologists in 2010 was $63,010.

5. Microbiology

Microbiologists are concerned with the study of microscopic organisms, such as fungi and algae. They do most of their work in laboratories. Although it is be possible to get an entry level microbiology job with a bachelor’s degree, most microbiologists have PhDs. The industry is expected to grow by approximately 13 percent for the decade ending 2020, which is as fast as the average for all occupations. Microbiologists command a nice annual average salary of $65, 920 (May 2010).

It is clear from the above discussions that careers in life sciences are going to hold some of the best job opportunities in the next decade. Most of the fast growing occupations may be considered non-traditional, but they are fast becoming mainstream occupations. An examination of the Bright Outlook Occupations section of U.S. Department of Labor’s Occupational Information Network (O*Net) website reveals that most of them are in life science.

Help employers find you! Check out all the scientist jobs and post your resume.

Check out the latest Career Insider eNewsletter – May 16, 2013.

Sign up for the free weekly Career Insider eNewsletter.

Related Articles
Top 10 Best Cities for Research Scientist Jobs
What is the Starting Salary for a Job in Biochemistry?
Should You Relocate for a New Job?

http://www.biospace.com/news_story.aspx?NewsEntityId=296465&source=news-email

Read at BioSpace.com

 

Read Full Post »

Immunomodulatory Therapeutic Antibodies for Cancer, August 13-15, 2013 – Boston, MA – Final Agenda

Reporter: Aviva Lev-Ari, PhD, RN

Article ID #49: Immunomodulatory Therapeutic Antibodies for Cancer, August 13-15, 2013 – Boston, MA – Final Agenda. Published on 5/16/2013

WordCloud Image Produced by Adam Tubman

Immunomodulatory Therapeutic Antibodies for Cancer

 

 http://www.immunotherapiescongress.com/Conferences_Overview.aspx?id=124174

ImmunotherapiesCongress.com

August 13-15, 2013 • Hilton Boston Back Bay Hotel • Boston, MA Final Agenda

Register by May 17 and Save up to $300!

Organized by:

Cambridge Healthtech Institute

Inaugural Immunomodulator Antibodies for Cancer

August 14-15

Inaugural Emerging Cancer Immunotherapies and Vaccines

August 13-14

Sessions Include:

Cancer Biology and Biomarkers

• Emerging Cancer

Immunotherapies & Vaccines

• Clinical Development of

Immunomodulatory Antibodies

• Bispecific Immunomodulatory

Antibodies

Keynote Presentations:

The Promise of T-Cell Engineering

Michel Sadelain, M.D., Ph.D., Director, Center

for Cell Engineering & Gene Transfer and

Gene Expression Laboratory, Memorial Sloan-

Kettering Cancer Center

Immune Monitoring on

Pre-Surgical Clinical Trials with

a Novel Checkpoint Blockade

Agent, Anti-CTLA-4

Padmanee Sharma, M.D., Associate Professor,

Genitourinary Medical Oncology, University of

Texas MD Anderson Cancer Center

Co-Located Event

Eighth Annual

Novel Vaccines:

Innovations & Adjuvants

To Advance the Science of Vaccines

Immuno The

Congress

herapies Immune System Modulation

for Novel Cancer Treatments

ImmunotherapiesCongress.com

Short Courses:

Melanoma Biology and Immunotherapies

Monday, August 12

Manufacturing Vaccines:

New Approaches, New Technologies

Wednesday, August 14

ImmunotherapiesCongress.com 2

Pre-Conference Short Course *

Monday, August 12 • 2:00-5:00PM

Melanoma Biology and

Immunotherapies

Significant advances have been made in the understanding of the molecular

underpinnings of melanoma development and progression and in elucidating

the mechanisms by which these tumors escape immune surveillance. This

session will address the current understanding of somatic genetic alterations

that serve as the fundamental building blocks for malignant transformation

in melanoma and as the basis for the first generation of molecular targeted

therapies. Immune recognition of melanoma has been long recognized and

underlies melanoma’s relatively unique responsiveness to cytokine-based

immunotherapy. However, understanding of the negative immunomodulatory

regulators that prevent elimination of melanoma has led to novel therapeutic

approaches that manipulate effector antitumor T cell function.

Instructors:

Keith T. Flaherty, M.D., Associate Professor, Department of Medicine, Harvard Medical

School; Director, Termeer Center for Targeted Therapy, Cancer Center, Massachusetts

General Hospital

Jennifer Wargo, M.D., Surgical Oncologist, Massachusetts General Hospital; Instructor,

Harvard Medical School

Dinner Short Course*

Wednesday, August 14 • 6:30-9:30pm

Manufacturing Vaccines:

New Approaches, New Technologies

Novel vaccine production platforms are changing vaccines, affecting efficacy,

and steering manufacturing away from egg-based production. This course will

look at how vaccine production is being innovated, and how these innovations

are affecting the way vaccines work. New technologies, such as cell culturebased

production and using the BEVS (Baculovirus Expression Vector System),

are opening the door to improved vaccines. Join us for this intimate discussion

of how vaccine production is being revolutionized.

Instructors:

Sue Behrens, Ph.D., Consultant, Biologic, Vaccine & Sterile Products Manufacturing

Technology, SB Executive Consulting, LLC (former Senior Director of Biological Sciences

& Strategy, Vaccine & Sterile Operations at Merck)

Todd Talarico, Ph.D., Vice President, Manufacturing, Medicago-USA

*Separate registration required

Conference Hotel:

Hilton Boston Back Bay Hotel

40 Dalton Street

Boston, MA 02115

Phone: 617-236-1100

Discounted Room Rate: $195 s/d

Discounted Room Rate Cut-off Date: July 15, 2013

Please visit our conference website to make your

reservations online or call the hotel directly to

reserve your sleeping accommodations. Identify

yourself as a Cambridge Healthtech Institute

conference attendee to receive the reduced room

rate. Reservations made after the cut-off date

or after the group room block has been filled

(whichever comes first) will be accepted on a

space- and rate-availability basis. Rooms are

limited, so please book early.

HOTEL & TRAVEL INFORMATION

Flight Discounts:

To receive a 5% or greater discount on all American Airline flights please use one of the following

methods:

• Call 1-800-433-1790 use Conference code (8283BJ)

• Go online http://www.aa.com enter Conference code (8283BJ) in promotion

discount box

• Contact Rona Meizler, Great International Travel 1-617-559-3735

Car Rental Discounts:

Special discount rentals have been established with Hertz for this conference. Please use one of the

following methods:

• Call HERTZ, 800-654-3131 use our Hertz Convention Number (CV): 04KL0002

• Go online http://www.hertz.com use our Hertz Convention Number (CV): 04KL0002

3 ImmunotherapiesCongress.com

Inaugural

Emerging Cancer Immunotherapies and Vaccines

Next-Generation Targets and Strategies

August 13-14

Using lessons learned from early cancer vaccines and immunotherapeutics, a new wave of programs are underway that promise improved efficacy and

safety over a wider range of cancers. Emerging Cancer Immunotherapies and Vaccines will examine new targets and strategies in this space, along with

important studies in preclinical development associated with developing these programs into successful drug products. Speakers will offer approaches to

resolve the most challenging steps in the transition of these programs from research into clinical development.

TUESDAY , AUGUST 13, 2013

7:30 am Main Conference Registration and Morning Coffee

8:05 Chairperson’s Opening Remarks

T Cell Immunotherapy Strategies

»»8:15 Op ening Keynote Presentation

The Promise of T Cell Engineering

Michel Sadelain, M.D., Ph.D., Director, Center for Cell Engineering & Gene Transfer and

Gene Expression Laboratory, Memorial Sloan-Kettering Cancer Center

T cell engineering offers a unique means to overcome the immune escape

stratagems used by tumors to elude immune rejection. The genetic

reprogramming of patient T cells can thus be used to enforce tumor

recognition, improve T cell survival, augment T cell expansion, generate

memory lymphocytes and offset T cell anergy and immune suppression.

Using “second-generation chimeric antigen receptors” (CARs), recent clinical

studies support the merit of this novel immunotherapy.

9:00 It Takes Two to Tango: Fine Tuning of Tumor Cells and T

Lymphocytes for Maximized Anti-Tumor Activity

Daniel J. Powell, Jr., M.D., Assistant Professor, Pathology and Laboratory Medicine, Perelman

School of Medicine, University of Pennsylvania

Genetic engineering with chimeric immune receptors now allows for rapid

de novo generation of autologous T cells with potent anti-tumor activity for

adoptive cell transfer therapy for cancer. Still, low target antigen expression

by tumor cells and antigen expression on normal tissues may render therapy

ineffective or potentially toxic. We have identified agents that sensitize tumor

cells to immune attack and made advances in T cell engineering strategies to

better direct T cells to tumor antigen and confine T cell activity to tumor.

9:30 Improved Cancer Immunotherapy through CD134 plus

CD137 Dual Co-Stimulation

Adam J. Adler, Ph.D., Associate Professor of Immunology, University of Connecticut

T cell-mediated anti-tumor immunity is dampened by tolerance mechanisms

that evolved to prevent autoimmunity. Since tolerance largely results as

a consequence of insufficient co-stimulation during antigenic priming, costimulatory

receptor agonists can program tumor-specific T cell expansion and

effector differentiation. In particular, dual administration of agonists to CD134 plus

CD137 activates multiple immune cells with tumoricidal potential including NK

cells, cytotoxic CD8+ T cells, and surprisingly, cytotoxic CD4+ T cells.

10:00 Refreshment Break

Cancer Biology and Biomarkers

10:30 Vascular Normalization as an Emerging Strategy to

Enhance Cancer Immunotherapy

Rakesh K. Jain, Ph.D., Andrew Werk Cook Professor of Tumor Biology, Harvard Medical

School; Director, E.L. Steele Laboratory of Tumor Biology, Department of Radiation Oncology,

Massachusetts General Hospital

The immunosuppressive tumor microenvironment remains a limiting factor

for anti-cancer vaccine therapies. In addition, tumors systemically alter

immune cells’ function via secretion of cytokines such as VEGF, a major proangiogenic

cytokine. Hence, anti-angiogenic treatment may be an effective

modality to potentiate immunotherapy. I will discuss the effects of VEGF

on anti-tumor immune responses, and propose a potentially translatable

strategy to re-engineer the tumor immune microenvironment and improve

cancer immunotherapy.

11:00 Advances in Biomarker Validation and Trial Design for

Antitumor Immunotherapy

Susan R. Slovin, M.D., Ph.D., Genitourinary Oncology Service, Sidney Kimmel Center for Prostate

and Urologic Cancers, Memorial Sloan–Kettering Cancer Center

Conventional imaging modalities have been the mainstay of assessing

treatment response. Recent data suggests that evaluating circulating tumor

cells may provide insight regarding changes in the tumor cells’ overall

behavior. Immunologic treatments often do not impact the cancer with

immediacy; a means of determining whether an immunologic target is hit

and whether it impacts the tumor’s biology remains a challenge. Changes in

T cell populations or myeloid suppressor cells may reflect potential impact on

the intra- and extra-tumoral milieu.

11:30 Exploring Synergy between Targeted Therapy and

Immunotherapy

Zachary Cooper, Ph.D., Postdoctoral Research Associate, Surgical Oncology, Massachusetts

General Hospital

Recent advances in the treatment of melanoma include the use of BRAFtargeted

therapy and immune checkpoint inhibitors, though each of

these treatments alone has its limitation. There is increasing evidence

for synergy between these modalities. Treatment with a BRAF inhibitor

results in enhanced melanoma antigen expression and a more favorable

microenvironment. Exploring the potential synergy using mouse models is

necessary in overcoming monotherapy limitations.

12:00pm Sponsored Presentations (Opportunities Available:

Contact Suzanne Carroll at 781-972-5452 or scarroll@healthtech.com

for more information)

12:30 Luncheon Presentation (Opportunity Available)

or Lunch on Your Own

Emerging Cancer Immunotherapies

1:55 Chairperson’s Opening Remarks

2:00 Synergism Between Anti-Tumor Antibodies and PKExtended

IL-2

K. Dane Wittrup, Ph.D., Dubbs Professor, Chemical Engineering and Biological Engineering, Koch

Institute for Integrative Cancer Research, Massachusetts Institute of Technology

We have found that combination treatment with anti-tumor antibody and an

IL-2 Fc fusion exerts a significantly stronger suppression of tumor growth

than either agent alone. This effect depends on the presence of both CD8+

T cells and neutrophils, indicating a close cooperation between innate and

cellular immunity. Strong potential exists for further synergy between antitumor

antibodies and the new generation of T cell-directed immunotherapies.

ImmunotherapiesCongress.com 4

2:30 Identifying New Cancer Immunotherapy Targets for T Cells

Robert Holt, Ph.D., Senior Scientist and Head of Sequencing, British Columbia Cancer Agency,

Canada

Effective cancer immunotherapy relies on effective tumor antigens. However,

most variations that distinguish tumor cells from normal cells are sporadic,

and their immunogenicity is undetermined. High throughput genomic

analysis is a useful approach for evaluating the potential immunogenicity

of individual tumors and identifying new candidate antigens for follow-on

validation. We are using two methods for T cell antigen discovery that will be

described, including tumor genome sequencing and computational epitope

prediction, plus deep TCR sequencing of tumor-associated T cells.

3:00 Immunomodulatory Antibody-Fusion Proteins for Cancer

Immunotherapy

Dafne Müller, Ph.D., Researcher, Institute of Cell Biology and Immunology, University of Stuttgart,

Germany

Cytokines of the common cytokine receptor γ-chain family and costimulatory

members of the B7- and TNF-family have shown great potential

to support the generation and development of an antitumor immune

response. In order to improve the efficacy of such molecules at the tumor

site we designed antibody fusion proteins for therapeutic approaches,

focusing either on optimized presentation or a combined mode of action.

3:30 Refreshment Break

4:00 TIM (T Cell Immunoglobulin and Mucin)-3 as a Potential

Target for Cancer Immunotherapy

Ana Carrizosa Anderson, Ph.D., Assistant Professor, Neurology, Harvard Medical School

TIM-3 marks both “exhausted” CD8+ T cells and regulatory T cells (Treg) present

in solid tumors. TIM-3/PD-1 co-blockade down-modulates Treg suppressor

function in Tim-3+ Treg, restores function to exhausted CD8+ T cells, and is highly

effective in controlling tumor growth. Thus, TIM-3/PD-1 blockade down-modulates

two major mechanisms of immune suppression that are active in tumor-bearing

hosts, namely exhausted CD8+ T cells and Treg.

4:30 Allovectin: In vivo Studies and Potential Synergy with

other Advanced Melanoma Immunotherapeutics

John Doukas, Ph.D., Senior Director, Preclinical Safety and Efficacy, Vical, Inc.

Allovectin® is a cancer immunotherapeutic currently completing

evaluation in a pivotal Phase 3 metastatic melanoma study. Designed

for direct intratumoral administration, it is intended to induce antitumor

immune responses against both treated and distal lesions by stimulating

innate and adaptive immune responses. This presentation will review

Allovectin’s proposed mechanisms of action and potential synergy with

other immunotherapies, drawing supporting data from preclinical and

clinical studies.

5:00 Clinical Update of IL2 Adjunctive Co-Therapy for

Suppression of Solid Tumors with Designer T Cells

Richard P. Junghans, M.D., Professor, Department of Medicine, Boston University School of

Medicine; Roger Williams Medical Center

IL2, an essential adjunct in therapies with tumor-infiltrating lymphocytes, has

not been widely applied in designer T cell interventions, although rationales

for supplementation would seem to bridge both settings. This discrepancy

may reflect the restricted set of investigators with IL2 experience rather than

a biologically motivated choice. Preclinical data establishesthe need for IL2

to eliminate established tumors with dTc, and early clinical data in prostate

cancer targeting may be interpreted similarly.

5:30-6:30 Reception in Exhibit Hall with Poster Viewing

WEDNESDAY , AUGUST 14, 2013

8:55am Chairperson’s Opening Remarks

Emerging Cancer Vaccines

9:00 Challenges in Vaccine Therapy for Hematological

Malignancies

David E. Avigan, M.D., Associate Professor, Medicine, Harvard Medical School; Director,

Hematologic Malignancy/Bone Marrow Transplant Program, Beth Israel Deaconess Medical

Center

We have developed a tumor vaccine in which patient-derived tumor cells

are fused with autologous dendritic cells. We have demonstrated that

vaccination during post-transplant lymphopoietic reconstitution results in the

significant expansion of myeloma-specific T cells. We are now integrating

vaccination with reversing critical elements of tumor-mediated immune

suppression. This includes vaccination in the context of blockade of the

PD-1/PDL-1 pathway.

9:30 Biomarkers Correlative of Clinical Response to Sipuleucel-T

James Trager, Ph.D., Vice President, Research, Dendreon

Sipuleucel-T is an autologous cellular immunotherapy approved in the

United States for the treatment of asymptomatic or minimally symptomatic

metastatic castrate resistant prostate cancer. A variety of biomarkers,

both baseline and pharmacodynamic, are correlative of clinical response to

sipuleucel-T. We will discuss the biological interpretations of these markers

and in particular their implications in understanding the mechanism of action

for sipuleucel-T.

10:00 Partnering Therapeutic Vaccines with Large Pharma

Kevin Heller, Global Lead Oncology; Search, Evaluation and Diligence, Bristol-Myers Squibb

10:30 Refreshment Break in Exhibit Hall with Poster Viewing

11:15 Clinical Results of Pexa-Vec (JX-594): Multi-Mechanistic

Oncolytic Viruses as a Strategy for Cancer Immunotherapy

Anne Moon, Ph.D., Vice President, Product Development, Jennerex

Oncolytic immunotherapy is an emerging therapeutic approach designed

to induce acute tumor debulking as well as chronic suppression of tumor

outgrowth. Pexa-Vec (JX-594) is an oncolytic vaccinia virus engineered for

enhanced cancer targeting and immune stimulation. Recent preclinical and

clinical results demonstrate a multi-pronged MOA, including induction of

tumor-specific immunity, demonstrating the potential for Pexa-Vec to serve

as an active immunotherapy that is “personalized” yet “off-the-shelf.”

11:45 Clinical Update on PROSTVAC, a Therapeutic Vaccine

Candidate for Advanced Prostate Cancer

Alain Delcayre, Ph.D., Vice President, R&D, BN Immunotherapeutics

PROSTVAC® is a candidate cancer vaccine that demonstrated a statistically

significant overall survival benefit while displaying a favorable side effect

profile in patients with asymptomatic-to-minimally-symptomatic metastatic

castrate-resistant prostate cancer in a randomized, placebo-controlled Phase

II trial. A Phase III clinical trial is underway to confirm clinical benefit, as well

as expand our understanding of immune responses to cancer vaccines.

12:15 pm Close of Conference

Sponsoring Pubs

5 ImmunotherapiesCongress.com

The recent approval of BMS’s Yervoy (ipilumumab) and a succession of related programs advancing through clinical trials has generated increased interest

in the development of antibody-based immunomodulators for cancer. Immunomodulatory Therapeutic Antibodies for Cancer will provide updates of

clinical stage programs, and examine how these novel therapeutics influence trial design and the selection of clinical endpoints. Strategies for immune

modulation that are most appropriate for targeting with antibodies will be considered, along with where combination regimens and new therapeutic formats

can be effectively applied.

Inaugural

Immunomodulatory Antibodies for Cancer

Clinical Progress and Challenges in Drug Product Development

August 14-15

WEDNESDAY , AUGUST 14, 2013

1:40 pm Chairperson’s Opening Remarks

»»1:45 Keynote Presentation:

Immune Monitoring on Pre-Surgical Clinical Trials with a Novel

Checkpoint Blockade Agent, Anti-CTLA-4

Padmanee Sharma, M.D., Associate Professor, Genitourinary Medical Oncology, The University

of Texas MD Anderson Cancer Center

Biomarker studies for immunotherapies have typically involved monitoring

immunologic changes within the systemic circulation; however, recent

data indicates that immunological changes within tumor tissues are more

likely to predict clinical responses. We conducted a pre-surgical clinical trial

with anti-CTLA-4 (ipilimumab) in patients with localized bladder cancer, and

identified ICOS as the marker of a subset of effector T cells that is increased

in frequency after anti-CTLA-4 therapy. ICOS+ T cells are being explored

as pharmacodynamic markers for treatment with anti-CTLA-4 and as novel

targets to improve the efficacy of anti-CTLA-4 therapy.

Immune Checkpoint Blockades

2:30 Preliminary Clinical Efficacy and Safety of MK-3475

(Anti-PD-1 Monoclonal Antibody) in Patients with Advanced

Melanoma

Omid Hamid, M.D., Director, Melanoma Center, Angeles Clinic and Research Institute

The programmed death-1 (PD-1) pathway has emerged as an important

tumor-evasion mechanism. When PD-1 and PDL-1 join together, the T cell’s

ability to target the tumor cell is disarmed. Targeting either PD-1 or PDL-1

can stimulate the immune system and enhance T cells’ ability to lyse tumor

cells. Similar to, but distinct from cytotoxic T lymphocyte antigen 4 (CTLA-4)

this pathway hold promise for many solid tumors.

3:00 Sponsored Presentations (Opportunities Available: Contact

Suzanne Carroll at 781-972-5452 or scarroll@healthtech.com for

more information)

3:30 Refreshment Break in the Exhibit Hall with Poster Viewing

4:15 Development of Immunomodulatory PD-1 Antibodies in

Renal Cell Carcinoma

Lauren Harshman, M.D., Assistant Professor, Dana-Farber Cancer Institute

Targeting the immunosuppressive PD-1 pathway is an area of intense

investigation. RCC tumor cells may innately express the ligand of PD-1 or

they may acquire it from adaptive immunity. Expression has been associated

with worse outcomes. Attempts at countering this host immune system

evasion technique are underway with a variety of monoclonal antibodies

against PD-1 and its ligands.

4:45 Anti-PD-1 Antibody Therapy for B-Cell Lymphoma

Sattva S. Neelapu, M.D., Associate Professor, Department of Lymphoma and Myeloma, Division

of Cancer Medicine, The University of Texas MD Anderson Cancer Center

In a phase II trial, the combination of pidilizumab, a humanized anti-PD-1

monoclonal antibody, and rituximab was active and non-toxic in patients with

relapsed follicular lymphoma. Activation of T and NK cells was observed in

both peripheral blood and tumor microenvironment after pidilizumab therapy

and predictors of clinical outcome based on the molecular features of tumorinfiltrating

immune cells at baseline were identified.

5:15 AMP-224, A Fusion Protein with Potential to Modulate

the PD-1 Pathway

Solomon Langermann, Ph.D., CSO, Amplimmune

AMP-224 is the first recombinant B7-DC-Fc fusion protein tested in patients

that binds to and modulates the PD-1 axis through a unique MOA. The

MOA hypothesis for AMP-224 is depletion of PD-1 high expressing T-cells

representing exhausted effector cells. The pharmacodynamic readouts

obtained to date demonstrate that AMP-224 is biologically active in its

target patient population. Data from the trial has been used to establish

hypotheses regarding the characteristics of patients most likely to respond

clinically to AMP-224 treatment.

5:45 Close of Sessions

THURSDAY , AUGUST 15, 2013

Emerging Targets

8:25 am Chairperson’s Opening Remarks

8:30 Immunocytokines: A Novel Potent Class of Armed Antibodies

Catherine Hutchinson, Ph.D., Research Scientist, Philochem, Switzerland

The severe toxicity of recombinant cytokines even at low doses limits

their therapeutic potential, but this can be mitigated by using monoclonal

antibodies to target their delivery. This talk will cover the latest advanced

preclinical and clinical data of the Philogen group, detailing the discovery and

development of armed antibodies against angiogenesis-specific markers,

which are attractive targets relevant to many angioproliferative diseases.

9:00 Mechanism of Action and Progress Update for MGA271:

An Fc-Enhanced mAb Targeting B7-H3 in Solid Tumors

Paul Moore, Ph.D., Vice President, Cell Biology & Immunology, Macrogenics

Characterization of murine monoclonal antibodies generated from cancer

cell and/or stem cell-based immunizations identified a panel targeting the

immunoregulatory protein B7-H3 displaying broad tumor reactivity but

limited binding to normal tissue. Preclinical evaluation of MGA271, an Fcenhanced

anti-B7H3 mAb, revealed strong ADCC activity against a broad

range of tumor cell types, potent antitumor activity in xenograft models

employing human FcR transgenic mice and a favorable safety profile in nonhuman

primate toxicology studies. A phase I/IIa clinical study of MGA271

in patients with B7-H3-positive metastatic or recurrent adenocarcinoma is

currently recruiting patients.

ImmunotherapiesCongress.com 6

9:30 Preclinical Update: Development of a Human Anti-CD27

Monoclonal Antibody as a Potential Cancer Therapy

Lawrence J. Thomas, Ph.D., DABT, CMAR, Senior Director, Preclinical Research and

Development, Celldex Therapeutics, Inc.

Agonist antibodies binding the co-stimulatory molecule CD27 have potent

antitumor activity in murine tumor models through boosting of durable T

cell antitumor immunity. Anti-CD27 antibodies have also been shown to

mediate the direct killing of CD27-expressing tumors. Such preclinical data

supports the therapeutic potential of this anti-CD27 monoclonal antibody as

a cancer immunotherapy.

10:00 Sponsored Presentation (Opportunity Available)

10:15 Refreshment Break in the Exhibit Hall with Poster Viewing

11:00 Targeting CD47-SIRPα Interactions for Potentiating

Antibody Therapy in Cancer

Timo van den Berg, Ph.D., Head, Blood Cell Research, Sanquin Blood Supply Foundation,

The Netherlands

We will present findings demonstrating that interactions between CD47

expressed on cancer cells and the myeloid inhibitory immunoreceptor SIRPα

form a barrier for the antibody-mediated destruction of cancer cells. These

findings identify the CD47-SIRPα interaction as a potential generic target for

improving the efficacy of cancer antibody therapeutics.

11:30 Presentation to be Announced

12:00 Sponsored Presentations (Opportunities Available)

12:30 Luncheon Presentation (Opportunity Available)

or Lunch on Your Own

Clinical Development of

Immunomodulatory Antibodies

1:55 Chairperson’s Opening Remarks

2:00 Clinical Trials Design for Cancer Immune Therapies

Harriet Kluger M.D., Associate Professor, Yale Cancer Center

Clinical development of immune therapies is challenging; standard drug

development paradigms are often not applicable. Modifications are

necessary in regard to dose escalation, management and definition of

toxicities, within-patient dose reduction, and radiographic assessment of

response to therapy. In later stage trials new definitions of study endpoints

are needed. Correlative biomarker studies are complex, and require

assessment of baseline immune function and tumor characteristics.

2:30 Characteristics and Management of Immune-Related

Adverse Effects Associated with Ipilimumab, a New

Immunotherapy for Metastatic Melanoma

Stephanie Andrews, Oncology Nurse Practitioner, Moffitt Cancer Center

Immune-Related Adverse Effects are a new phenomenon related to

advances in the use of the first FDA approved monoclonal antibody

Ipilimumab for metastatic melanoma. These side effects are different

than side effects of traditional cytotoxic regimens. These immunemediated

side effects include enterocolitis, hepatitis, dermatitis,

neuropathy andendocrinopathy.

Bispecific Immunomodulatory Antibodies

3:00 Safety Challenges to Development of Immune System

Activating Antibodies

Rakesh Dixit, Ph.D., DABT, Vice President, Research & Development, Global Head, Biologics

Safety Assessment, Pathology & LAR, MedImmune (AstraZeneca Biologics)

Immune system activating antibodies with abilities to harness and enhance

an individual patient’s immune system and target tumors are revolutionizing

the treatment of many deadly cancers. However, many immune-activating

biologics have serious dose-limiting toxicities, including cytokine stormassociated

critical toxicities and serious autoimmune diseases in multiple

key organs that may limit their long-term use. Nonclinical and clinical safety

challenges and risk mitigation opportunities will be discussed in the context

of immune activating antibodies, including bispecific BiTE antibodies.

3:30 Refreshment Break

3:45 MCLA-117: ABiclonics – ENGAGE Bispecific IgG Product

Lead Targeting CLEC12A and CD3 in AML

Lex Bakker, Ph.D., Chief Development Officer, Merus, The Netherlands

MCLA-117, a common light chain T cell-engaging full-length human bispecific

antibody (Biclonics – ENGAGE) was discovered that targets CD3 on T cells

and CLEC12A on acute myeloid leukemia (AML) blasts and leukemic stem

cells. Co-incubation of resting patient T cells and AML cells with MCLA-

117 results in efficient tumor cell lysis. Clinical application of MCLA-117

potentially provides a therapy in AML that more efficiently eradicates the

cancer cells and prevents relapse.

4:15 Bispecific Antibody Targeting CD47 Aiming at Increasing

Phagocytosis of Cancer Cells

Krzysztof Masternak, Ph.D., Head of Biology, Novimmune SA, Switzerland

CD47 is a ubiquitously expressed transmembrane receptor with multiple

functions in cell-to-cell communication. Its interaction with SIRPα expressed

in macrophages and DCs inhibits their phagocytic function. Overexpression

of CD47 in cancer cells is often observed and it is believed to help cancer

cells escape immune surveillance. We have generated bispecific antibodies

(BsAbs) that preferentially neutralize CD47-SIRPα interaction on cancer cells.

4:45 Close of Conference

7 ImmunotherapiesCongress.com

CHI offers comprehensive sponsorship packages which include presentation

opportunities, exhibit space and branding, as well as the use of the pre and

post-show delegate lists. Customizable sponsorship packages allow you to

achieve your objectives before, during, and long after the event. Signing on

early will allow you to maximize exposure to hard-to-reach decision makers!

Agenda Presentations

Showcase your solutions to a guaranteed, highly-targeted audience. Package

includes a 15 or 30-minute podium presentation within the scientific agenda, exhibit

space, on-site branding, and access to cooperative marketing efforts by CHI.

Breakfast & Luncheon Presentations

Opportunity includes a 30-minute podium presentation. Boxed lunches are

delivered into the main session room, which guarantees audience attendance

and participation. A limited number of presentations are available for

sponsorship and they will sell out quickly. Sign on early to secure your talk!

Invitation-Only VIP Dinner/Hospitality Suite

Sponsors will select their top prospects from the conference pre-registration

list for an evening of networking at the hotel or at a choice local venue. CHI

will extend invitations and deliver prospects. Evening will be customized

according to sponsor’s objectives:

• Purely social

• Focus group

• Reception style

• Plated dinner with specific conversation focus

Exhibit

Exhibitors will enjoy facilitated networking opportunities with high-level

conference delegates. Speak face-to-face with prospective clients and

showcase your latest product, service, or solution.

*Inquire about additional branding opportunities!

Looking for aditional ways to drive

leads to your sales team?

CHI can help!

We offer clients numerous options for custom lead generation programs to

address their marketing and sales needs, including:

Custom Lead Generation Programs:

• Targeted campaign promotion to unparalleled database of

800,000+ individuals in the life sciences

• Experienced marketing team promotes campaign, increasing

awareness and leads

Live Webinars:

• Assistance in procuring speakers

• Experienced moderators

• Dedicated operations team to coordinate all efforts

White Papers:

• Industry recognized authors, with vast editorial experience, available

to help write your white paper

CHI also offers market surveys, podcasts, and more!

To customize your participation at this event, please contact:

Suzanne Carroll – Senior Business Development Manager

781-972-5452 | scarroll@healthtech.com

Sponsorship, Exhibit, and Lead Generation Opportunities

Co-Located Event

August 13-15, 2013 • Hilton Boston Back Bay Hotel • Boston, MA

Eighth Annual

Novel Vaccines:

Innovations & Adjuvants

To Advance the Science of Vaccines

Additional registration details

Each registration includes all conference

sessions, posters and exhibits, food

functions, and access to the conference

proceedings link.

Handicapped Equal Access: In accordance

with the ADA, Cambridge Healthtech

Institute is pleased to arrange special

accommodations for attendees with

special needs. All requests for such

assistance must be submitted in writing

to CHI at least 30 days prior to the start

of the meeting.

To view our Substitutions/

Cancellations Policy, go to

http://www.healthtech.com/regdetails

Video and or audio recording of any kind

is prohibited onsite at all CHI events.

Receive a FREE eNewsletter by signing up

at chimediagroup.com

The latest industry news, commentary

and highlights from Bio-IT World

Innovative management in clinical trials

A series of diverse reports designed to

keep life science professionals informed

of the salient trends in pharmaceutical

technology, business, clinical development,

and therapeutic disease markets.

For a detailed list of reports, visit

InsightPharmaReports.com, or contact

Rose LaRaia, rlaraia@healthtech.com,

+1-781-972-5444.

Barnett is a recognized leader in clinical

education, training, and reference guides

for life science professionals involved in

the drug development process. For more

information, visit barnettinternational.com.

Cambridge Healthtech Associates™

(CHA™) leverages its extensive network

and unique collaborative model in

consulting, technology evaluations

and community-based communication

services to help clients in the life

sciences industry commercialize and

penetrate the marketplace to increase

revenue. Visit http://www.chacorporate.com.

Cambridge Healthtech Institute, 250 First Avenue, Suite 300, Needham, MA 02494 • http://www.healthtech.com • Fax: 781-972-5425

Pricing and Registration Information

short courses

Academic, Government,

(Includes access to short courses only) Commercial H ospital-affiliated

Single Short Course $699 $399

Two Short Courses $999 $699

Monday, August 12 • 2:00-5:00pm Wednesday, August 14 • 6:30-9:30pm

Melanoma Biology and Immunotherapies Manufacturing Vaccines: New Approaches, New Technologies

3 Day Pricing • August 13-15 Please Choose Package A or B

(Excludes short courses)

Package A – Novel Vaccines: Innovations & Adjuvants August 13-15

Early Registration Deadline until May 17, 2013 $2049 $1025

Advance Registration Deadline until July 19, 2013 $2199 $1099

Registrations after July 19, 2013 and on-site $2399 $1149

Package B – Emerging Cancer Immunotherapies and Vaccines August 13-14 + Immunomodulatory Antibodies for Cancer August 15-15

Early Registration Deadline until May 17, 2013 $2049 $1025

Advance Registration Deadline until July 19, 2013 $2199 $1099

Registrations after July 19, 2013 and on-site $2399 $1149

1.5 Day Pricing Please Choose Package C or D

(Excludes short courses)

Package C – Emerging Cancer Immunotherapies and Vaccines • August 13-14

Early Registration Deadline until May 17, 2013 $1399 $649

Advance Registration Deadline until July 19, 2013 $1599 $729

Registrations after July 19, 2013 and on-site $1799 $799

Package D – Immunomodulatory Antibodies for Cancer • August 14-15

Early Registration Deadline until May 17, 2013 $1399 $649

Advance Registration Deadline until July 19, 2013 $1599 $729

Registrations after July 19, 2013 and on-site $1799 $799

Conference Discounts

Poster Submission-Discount ($50 Off)

Poster abstracts are due by July 19, 2013. Once your registration has been fully processed, we will send an email containing a unique link allowing

you to submit your poster abstract. If you do not receive your link within 5 business days, please contact jring@healthtech.com. *CHI reserves the

right to publish your poster title and abstract in various marketing materials and products.

Alumni Discount-Discount (SAVE 20%)

Cambridge Healthtech Institute (CHI) appreciates your past participation at the ImVacS & the Immunotherapies Congress. As a result of the great

loyalty you have shown us, we are pleased to extend to you the exclusive opportunity to save an additional 20% off the registration rate.

REGI STER 3 –

4th IS FREE: Individuals must register for the same conference or conference combination and submit completed registration form together for

discount to apply.

Additional discounts are available for multiple attendees from the same organization. For more information on group rates contact

David Cunningham at +1-781-972-5472

If you are unable to attend but would like to purchase the ImVacS & the Immunotherapies Congress CD for $750 (plus shipping),

please visit ImVacS.com. Massachusetts delivery will include sales tax.

How to Register: ImmunotherapiesCongress.com

reg@healthtech.com • P: 781.972.5400 or Toll-free in the U.S. 888.999.6288

Please use keycode

IMT F

when registering!

(Alumni and Register 3 – 4th is free discounts cannot be combined)

Immuno The

Congress

herapies

August 13-15, 2013

Boston, MA

 

Immune Checkpoint Blockades

Keynote Presentation: Immune Monitoring on Pre-Surgical Clinical Trials with a Novel Checkpoint Blockade Agent, Anti-CTLA-4

Padmanee Sharma, M.D., Associate Professor, Genitourinary Medical Oncology, The University of Texas MD Anderson Cancer Center

 

Biomarker studies for immunotherapies have typically involved monitoring immunologic changes within the systemic circulation; however, recent data indicates that immunological changes within tumor tissues are more likely to predict clinical responses. We conducted a pre-surgical clinical trial with anti-CTLA-4 (ipilimumab) in patients with localized bladder cancer, and identified ICOS as the marker of a subset of effector T cells that is increased in frequency after anti-CTLA-4 therapy. ICOS+ T cells are being explored as pharmacodynamic markers for treatment with anti-CTLA-4 and as novel targets to improve the efficacy of anti-CTLA-4 therapy.

 

Preliminary Clinical Efficacy and Safety of MK-3475 (Anti-PD-1 Monoclonal Antibody) in Patients with Advanced Melanoma

Omid Hamid, M.D., Director, Melanoma Center, Angeles Clinic and Research Institute

 

Sponsored Presentations (Opportunities Available: Contact Jason Gerardi at 781-972-5452 or jgerardi@healthtech.com for more information)

 

Development of Immunomodulatory PD-1 Antibodies in Renal Cell Carcinoma

Lauren Harshman, M.D., Assistant Professor, Dana-Farber Cancer Institute

 

Anti-PD-1 Antibody Therapy for B-Cell Lymphoma

Sattva S. Neelapu, M.D., Associate Professor, Department of Lymphoma and Myeloma, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center

 

AMP-224, A Fusion Protein with Potential to Modulate the PD-1 Pathway

Solomon Langermann, Ph.D., CSO, Amplimmune

 

Emerging Targets

 

Immunocytokines: A Novel Potent Class of Armed Antibodies

Catherine Hutchinson, Ph.D., Research Scientist, Philochem, Switzerland

 

Mechanism of Action and Progress Update for MGA271: An Fc-Enhanced mAb Targeting B7-H3 in Solid Tumors

Paul Moore, Ph.D., Vice President, Cell Biology & Immunology, Macrogenics

 

Preclinical Update: Development of a Human Anti-CD27 Monoclonal Antibody as a Potential Cancer Therapy

Lawrence J. Thomas, Ph.D., DABT, CMAR, Senior Director, Preclinical Research and Development, Celldex Therapeutics, Inc.

 

Targeting CD47-SIRPa Interactions for Potentiating Antibody Therapy in Cancer

Timo van den Berg, Ph.D., Head, Blood Cell Research, Sanquin Blood Supply Foundation, The Netherlands

 

Clinical Development of Immunomodulatory Antibodies

 

Clinical Trials Design for Cancer Immune Therapies

Harriet Kluger M.D., Associate Professor, Yale Cancer Center

 

Characteristics and Management of Immune-Related Adverse Effects Associated with Ipilimumab, a New Immunotherapy for Metastatic Melanoma

Stephanie Andrews, Oncology Nurse Practitioner, Moffitt Cancer Center

 

Bispecific Immunomodulatory Antibodies

 

Safety Challenges to Development of Immune System Activating Antibodies

Rakesh Dixit, Ph.D., DABT, Vice President, Research & Development, Global Head, Biologics Safety Assessment, Pathology & LAR, MedImmune (AstraZeneca Biologics)

 

MCLA-117: ABiclonics – ENGAGE Bispecific IgG Product Lead Targeting CLEC12A and CD3 in AML

Lex Bakker, Ph.D., Chief Development Officer, Merus, The Netherlands

 

Bispecific Antibody Targeting CD47 Aiming at Increasing Phagocytosis of Cancer Cells

Krzysztof Masternak, Ph.D., Head of Biology, Novimmune SA, Switzerland

 

View FInal Agenda | Pricing & Registration Details

 

Sponsorship & Exhibit Information

 

CHI offers comprehensive sponsorship packages which include presentation opportunities, exhibit space and branding, as well as the use of the pre and post show delegate list. Sponsorship allows you to achieve your objectives before, during, and long after the event. Any sponsorship can be customized to meet your company’s needs and budget. Signing on earlier will allow you to maximize exposure to hard-to-reach decision makers.

 

For sponsor & exhibitor information, please contact:

 

Jason Gerardi- Manager, Business Development

781-972-5452 | jgerardi@healthtech.com

 

ImmunotherapiesCongress.com/Immunomodulatory-Antibodies-Cancer

 

Cambridge Healthtech Institute, 250 First Avenue, Suite 300,  Needham, MA 02494 healthtech.com

http://www.immunotherapiescongress.com/Conferences_Overview.aspx?id=124174 

Read Full Post »

See on Scoop.itCardiovascular and vascular imaging

When less is more: New protocol limits use of SPECT MPI – Medical Xpress Medical Xpress Single-photon emission computed tomography (SPECT) myocardial perfusion imaging (MPI) has been used for over 30 years to detect ischemia in patients with…

See on medicalxpress.com

Read Full Post »

See on Scoop.itCardiovascular and vascular imaging

Educating referring physicians about radiation dose and the cost of imaging (more)

See on www.auntminnie.com

Read Full Post »

See on Scoop.itCardiovascular and vascular imaging

The authors evaluated the ability of resting single–phase 64–slice CCTA to detect the presence of myocardial infarction (MI) compared with nuclear myocardial perfusion imaging (MPI). Resting single–phase CCTA is highly …

See on www.mdlinx.com

Read Full Post »

See on Scoop.itCardiovascular and vascular imaging

Your Health: Gut problems can have multiple causes
Richmond Times Dispatch
“The older we get the more likely we are to have hardening of our arteries, so the greater the possibility for mesenteric ischemia,” he said.

See on www.timesdispatch.com

Read Full Post »

See on Scoop.itCardiovascular and vascular imaging

ANN ARBOR: New program at UM will help cancer patients deal with heart …

See on www.heritage.com

Read Full Post »

« Newer Posts - Older Posts »