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On March 15, 2012, Stanford Hospital announced the launch of a new program, led by Dr. Steven Chang, to treat rare tumor-multiplying diseases.

Stanford's program includes a team of 12 specialists in several fields: neurosurgery, epilepsy, neuro-ophthalmology, neuro-oncology, neuro-otology, neuro-interventional radiology, urology, and general surgery. 

"The goal," Chang said, "is to give cutting-edge care for conditions like Knodel's, neurofibromatosis 2 (NF2) and others including another form of neurofibromatosis, schwannomatosis tuberous sclerosis, von Hippel-Lindau disease, Sturge Weber syndrome and hemorrhagic telangiectasia."

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The National Institutes of Health has announced a funding opportunity for the NIH Director’s Early Independence Awards for junior investigators wishing to “skip the post-doc” and immediately begin independent research. Budgets may be up to $250,000 in direct costs per year for up to five years.

Eligible candidates must be within one year of receipt of a terminal research degree (Ph.D., etc.) or completion of clinical residency.

All areas of research relevant to the mission of NIH welcome. These are highly competitive awards but I encourage young neurofibromatosis investigators to apply given the NIH's growing interest in, and support of, rare diseases research.
The deadline for submitting Early Independence Award applications is January 30, 2012 with Letters of Intent due by December 30, 2011. See the instructions in RFA-RM-11-007. Frequently Asked Questions about the Early Independence Award Program are answered at http://commonfund.nih.gov/earlyindependence/.

The Children's Tumor Foundation is delighted to announce our co-sponsorship of the third "State of the Art" International NF2 Conference to be held at the Manchester Conference Center, United Kingdom, May 21-22, 2012. The meeting will be hosted by the Manchester University NF2 Multidisciplinary Team.

The "State of the Art" meeting is a key event for the NF2 clinical and research community.  Past "State of the Art" meetings were held in Paris (2006) and Las Vegas (2010) and attracted attendance by the world leadership of NF2 clinical care, scientific and translational research, and clinical trials.  The 2012 meeting will focus on Epidemiology, Genetics and Natural History of NF2, NF2 Surgery and Radiosurgery, Auditory Rehabilitation and Animal Models and preclinical and clinical trials. 

Given the tremendous progress made in NF2 research and clinical trials in recent years we anticipate a very exciting meeting in 2012!  As with previous "State of the Art" meetings, the aim is to encourage discussion in a relaxed setting, and Manchester is sure to provide a unique venue.

For more information: http://www.nf2international2012.co.uk/

                As neurofibromatosis clinical trials increase in number, the clinicians leading them are keen to design the trials to be as effective and meaningful as possible. A key part of this effort is developing the right trial endpoints - measures and metrics that can be used to determine if a drug or intervention is effective or not.  To tackle this area, a team of neurofibromatosis clinicians and researchers has formed  a working group called Response Evaluation in Neurofibromatosis and Schwannomatosis (REiNS). Spearheaded by Dr. Scott Plotkin (MGH) and Dr. Brigitte Widemann (NCI) and first convened in June at the Children’s Tumor Foundation 2011 NF Conference, around 30 leading NF clinicans and researchers participating in the REiNS met in Boston to continue their planning and discussions.

                Past endpoints for neurofibromatosis clinical trials have included changes in maximum tumor dimension on MRI scans or changes in cognitive function on neuropsychological assessment (for learning disabilities).  Looking ahead, more advanced endpoints under discussion (and already being piloted in some cases) include volumetric tumor analysis and whole body MRIs; and the use of biomarkers – biological indicators in the blood or other body fluids to determine if a drug is working. REiNS members have organized into groups to focus on different measures and plan to meet every few months to continue advancing this project.

                The Children’s Tumor Foundation is delighted to be investing in endpoint development through our Clinical Research Awards program.  Currently our funded projects include developing a computerized test for more accurate assessment of learning disabilities trials; identifying a blood biomarker of NF1 status; and developing measures of response for optic pathway glioma trials. We will be announcing more funded awards in early 2012. 

                Clinicians or researchers interested in participating in REiNS can contact Vanessa Merker at MGH: vmerker@partners.org. 

Clinical trials are showing that drugs don’t always work on every person with a specific medical condition. This is most likely due to genetic differences that make some patients less responsive to specific drugs. Understanding an individual’s genetics is likely to be a key driver in future decision making on drug selection for individual patients. However, pharmaceutical companies have not yet fully embraced the practice of integrating genetic information into clinical trials, perhaps due to increased cost or the risk of introducing yet another variable into a trial. So if the pharma companies are not advancing this research, who will do this?

The answer may well rest with medical foundations like ours. Last week, the Multiple Myeloma Research Foundation (MMRF) launched a “Personalized Medicine Initiative” – a 1,000-patient study that will track patients from multiple myeloma diagnosis through treatment, over a minimum of five years. Sequential tissue sampling will identify how a person’s molecular profile may affect his or her clinical progression and response to treatment. This is a major undertaking for a foundation, but MMRF is addressing this need as no one else is doing this type of study.  Read more in this article.

Per our 2011 NF Strategic Plan, the Children’s Tumor Foundation will launch major new neurofibromatosis initiatives in genetics/genomics in 2012 to better understand how NF can be targeted by drug therapies. The Foundation has also recently began to fund research to identify biomarkers (e.g. blood components) that can serve as a surrogate measure and early predictor of whether or not a drug is being effective in treating NF in any one person. We will be expanding our biomarkers research in 2012.