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Apr 08
2011

CTF Convenes International Experts to Plan NF1 Bone Dysplasia Trials

Posted by: Kim Hunter-Schaedle

Bone abnormalities can occur in NF1, including scoliosis in the spine, and  bowing of the long bones in the legs. These can have  a major impact on quality of life requiring multiple surgeries and in the case of long bone bowing can require amputation.  Today surgery is the primary treatment for NF1 bone dysplasias. The good news is that scientists are learning more about the underlying biology of bone abnormalities and figuring out what drugs might help with treating them.  CTF has funded a good bit of this research through our Young Investigator Award and Drug Discovery Initiative (DDI) Award programs leading to development of new mouse models of bone abnormalities and initial studies to test drugs including Lovastatin in these mice.  
Yesterday and today, CTF has convened in New York City an international expert summit of clinicans and scientists from Australia, the United Kingdom, Canada and the United States to plan how we can build on what we know to get drugs into clinical trials for bone dysplasia, to improve the outcome of current surgical management.  The summit is co-chaired by Dr. David Stevenson, University of Utah; and Dr. Florent Elefteriou, Vanderbilt University and a former CTF Young Investigator and DDI Award recipient.  
This is the second in a series of bone dysplasia summits convened by CTF. The last, held in February 2008, led to the publication of a state-of-the-art report in the American Journal of Medical Genetics in 2009.  

Comments (2)Add Comment
William G. Brooks
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written by William G. Brooks, April 08, 2011
Thanks, we would need these steps to be taken on any of FDA's processes for "Fast Track", Accelerated Approval" or "Priority Review" if drug related, especially if there is demostrated potential to significantly advance treatment where no reasonable alternative exists as is the case today. If this leads to new advanced spinal or leg bone surgical technique, then approvals for those must advance faster than historically done. I would like to obtain a copy of the "state of the art" report. Is it possible to let the NF Community know about these symposiums in advance or better yet, broadcast them on UStream or via webinar so the affected community could garner better understanding and hear something truly encouraging in this plight? With only two sympopsiums in three years, we need to know what can be done to step this up to advance toward successful treatments and cures more aggressively!
Kim Hunter-Schaedle
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written by Kim Hunter-Schaedle, April 08, 2011
Bill - thanks for your fast response. The state of the art was available on our website for a while, courtesy of AJMG. The abstract is here http://www.ncbi.nlm.nih.gov/pubmed/19764036 and I will be sure to send you (and anyone else who is interested) the PDF.
These small specialized workshops are invitation only and not generally open to the public as the discussions as well as being heavily technical are quite candid with the doctors debating the options. This is why CTF ensures that CONSENSUS reports - the recommendations widely agreed upon by the docs - from these meetings are published and widely shared. I am looking forward out of this meeting not only to a publication but plans for new clinical trials as well as translational collaborations between the scientists (mice) and clinicians (humans).

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