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    <title>Nature Network - Recent topics from Clinical Pharmacology &amp; Therapeutics</title>
    <description>The most recent forum topics from Clinical Pharmacology &amp; Therapeutics</description>
    <link>http://network.nature.com/forum/cpt</link>
    <language>en-us</language>
    <ttl>40</ttl>
    <item>
      <title>InnovationWell Autumn Community of Practice Meeting October 2008, Bryn Mawr, Philadelphia (0 replies)</title>
      <description>
        <![CDATA[<p>I am posting the details of an upcoming meeting.  Please note that there are travel bursaries available and there is a Call for Papers.</p>


	<p>Innovation in Life Science &#38; Healthcare Research and Product Development</p>


	<p>InnovationWell Autumn Community of Practice Meeting<br />14-17 October 2008<br />Bryn Mawr College, Bryn Mawr, Philadelphia, <span class="caps">USA</span></p>


	<p><a href="http://innovationwell.net/comty_conferences">Conference Link</a></p>


	<p>Themes: Critical Path Advances in Drug Development, Innovation &#38;<br />Knowledge Management in R&#38;D and Translational Medicine, Computational<br />Biology, Predictive <span class="caps">ADME</span>, Predictive Toxicology, Metabolomics,<br />Biomarkers, Systems Biology</p>


	<p>Program Summary<br />Systems Biology, chaired by Keith Elliston (Genstruct)<br />Computational Biology, chaired by Debraj Guhathakurta (Merck)<br />Knowledge Management in Translational Medicine, David Bousfield (Ganesha<br />Associates)<br />Applications of Metabolomics to Drug Discovery &#38; Development, chaired by<br />Bruce Kristal (Brigham and Women’s Hospital)<br />Predictive <span class="caps">ADME</span>, chaired by Anthony E. Klon (Pharmacopeia Drug Discovery)<br />Predictive Toxicology, chaired by Artem Cherkasov (University of British<br />Columbia)</p>


	<p>Pre-Conference Workshop, 13 October<br />Knowledge Management in R&#38;D<br />chaired by John Conway (Accelrys) and Frank Hollinger (FRESH Directions<br />Consulting)</p>


	<p>Speakers<br />Keith Elliston (Genstruct), Debraj GuhaThakurta (Rosetta Inpharmatics,<br />Merck &#38; Co.), Stephen W. Edwards (U.S. Environmental Protection<br />Agency), Paul McDonagh (Gene Network Sciences), Christopher M.L.S.<br />Bouton (Pfizer), James R. Brown (GlaxoSmithKline), John Wilbanks<br />(Creative Commons), Barry Bunin (Collaborative Drug Discovery), Michael<br />Liebman (Windber Research Institute), Jerry Wright (Johns Hopkins<br />Medical Institutions), Anastasia Christianson (AstraZeneca), James<br />Golden (Science Applications International Corporation), John Speakman<br />(National Cancer Institute), William Hayes (Biogen Idec), Andrew<br />McMurray (Harvard University), Eugene Clark (Partners Healthcare), Alvin<br />Berger (Metabolon), John Newman (USDA), Bruce Kristal (Brigham and<br />Women’s Hospital), Anton Hopfinger (University of New Mexico), Heidi<br />Einolf (Novartis), Yojiro Sakiyama (Pfizer), Olga Obrezanova (BioFocus<br /><span class="caps">DPI</span>, UK), Anthony E. Klon (Pharmacopeia), Artem Cherkasov (University of<br />British Columbia, Canada), Ann Richards (US <span class="caps">EPA</span>), Curt Breneman (RPI),<br />Alex Tropsha (UNC), Barry Hardy (Douglas Connect), Weida Tong (FDA)</p>


	<p><span class="caps">CFP</span><br />We invite contributed papers from members of academic, government<br />research and commercial organizations on areas of new research and<br />innovation relevant to innovation and knowledge management in the life<br />sciences. The work presented should involve innovative new method<br />development or application in the areas of systems biology,<br />translational medicine, knowledge management, computational biology,<br />metabolomics, predictive <span class="caps">ADME</span>, predictive toxicology or bioinformatics.<br />Studies including experimental work in medicinal chemistry, screening,<br />experimental toxicology, pre-clinical evaluation, lead optimisation and<br />translational medicine are welcome.</p>


	<p>Abstracts (300-500 words) should be submitted to innovationwell <del>[at]</del><br />douglasconnect.com by 31 July 2008, and be accompanied by a short<br />biography of the presenting author (300-500 words). Abstracts approved<br />by the scientific organizing committee will be selected for scheduling<br />on the conference program and in meeting poster sessions. Authors will<br />be notified of acceptance as soon as a review of submitted materials<br />takes place and at the latest by 15 August 2008.</p>


	<p>Bursary<br />Bursary Awards will be used to support the attendance of a selection of<br />academic young investigators at the meeting and workshops. Applicants<br />should be working in a relevant area of research related to life<br />science, healthcare, and drug product discovery and development at the<br />postdoctoral, graduate student and senior undergraduate levels.</p>


	<p>To apply for the bursary please send an email with a) your abstract and<br />biography (300-500 words each), b) your CV of 1-2 pages, c) a short<br />description of your interests and career motivations related to<br />R&#38;D (300-500 words) to innovationwell <del>[at]</del> douglasconnect.com by<br />31 July 2008. The recipients of the bursary awards will be selected<br />based on an evaluation of the quality and innovation of the described<br />research and the potential positive impact of attendance at the meeting<br />on their research and career progress. Authors will be notified of<br />acceptance by 15 August 2008.</p>


	<p>Poster Session<br />All InterAction Meeting registrants are eligible to present a Conference<br />Poster. The Poster Sessions will take place in the evenings in Thomas<br />Great Hall on campus, where refreshments and dinner are also served.<br />Poster Abstracts (300-500 words) with Title, Institution, Authors and<br />Contact Information should be submitted to barry.hardy [at]<br />douglasconnect.com Abstracts will be considered based on date of<br />submission and quality, and will be reviewed and accepted as they are<br />received. To be considered for the formal program, they should be<br />submitted at the very latest by 31 August 2008.</p>


	<p>Contact:<br />Program: Dr. Barry Hardy, InnovationWell Community of Practice, Douglas<br />Connect. Tel: +41 61 851 0170. barry.hardy <del>[at]</del> douglasconnect.com</p>


	<p>Registration Enquiries: Nicki Douglas, Douglas Connect, Baermeggenweg<br />14, 4314 Zeiningen, Switzerland. Tel: +41 61 851 0461. InnovationWell<br /><del>[at]</del> douglasconnect.com</p>]]>
      </description>
      <pubDate>Tue, 01 Jul 2008 14:42:47 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/1910</link>
      <dc:creator>Rob Reedijk</dc:creator>
      <guid>http://network.nature.com/forums/cpt/1910</guid>
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    <item>
      <title>Could this be a possible treatment for HIV/AIDS? (0 replies)</title>
      <description>
        <![CDATA[<p>Could this be a possible treatment for <span class="caps">HIV</span>/AIDS:</p>


	<p>Synthesize a peptide nucleic acid antisense oligonucleotide for <span class="caps">HIV</span>&#8217;s env gene&#8217;s mRNA. The reason for using <span class="caps">PNA</span> is that it is substantially more resistant to enzyme degradation by nucleases and proteases. The reason for choosing the gag gene is that it&#8217;s proteins, p24, p17, p7, and p6, code for the basic physical infrastructure of <span class="caps">HIV</span>; w/o these key proteins, there is no <span class="caps">HIV</span>. Then, encapsulate the oligonucleotides in liposomes studded w/ anti-CD4 antibodies. This will ensure 1) toxicity is limited&#8212;cf Ambisome, the liposomal preperation of amphotericin B&#8212;2) the biologic goes only where it&#8217;s needed, which is the cytoplasm of <span class="caps">CD4</span>+ T-cells. Decorating the liposome w/ anti-CD4 antibodies will trigger endocytosis, in my limited knowledge, at least. I predict low toxicity and high efficacy in reducing the patient&#8217;s viral load to 0 copies/ml.</p>


	<p>What are your thoughts? Should <span class="caps">LNA</span> instead of <span class="caps">PNA</span> be used? Cell-penetrating peptides vs. liposomes? Targeting the gag gene vs. targeting the pol gene? Are there any publications about this subject?</p>


	<p>And, just for fun, what do you think the generic name would be for this biologic? Brand name?</p>


	<p>Thanks!!!!</p>]]>
      </description>
      <pubDate>Fri, 09 May 2008 20:16:59 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/1544</link>
      <dc:creator>Douglas Pereira</dc:creator>
      <guid>http://network.nature.com/forums/cpt/1544</guid>
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    <item>
      <title>Pharmacoecology Discussion (1 reply)</title>
      <description>
        <![CDATA[<p>These questions relate pharmacoecology, which is the theme of March&#8217;s issue of <em>Clinical Pharmacology &#38; Therapeutics</em>.  Click <a href="http://www.nature.com/clpt/journal/v83/n3/index.html">here</a> to see the articles!</p>


	<p>1. What role do environmental factors, which affect pharmacokinetic and pharmacodynamic data, have in pharmacogenetic research?</p>


	<p>2. Do scientists currently have the resources to determine key factors that affect treatment outcome or does an imbalance still exist among the importance of genetic and environmental factors?</p>


	<p>3. Can concentration variability be minimized by avoiding concurrent medications and herbal supplements known to produce metabolic interactions for <span class="caps">CYP450</span> substrates?</p>


	<p>4. Should a physician prescribe a patient with a chronic condition such as <span class="caps">HIV</span> infection a less toxic, twice-daily medication such as IsentressTM, or a potentially more toxic once-daily drug such as Sustiva®?</p>


	<p>5. Should there be consistent regulation of the efficacy claims of herbal medicines and natural health products?</p>


	<p>6. Are current regulations adequate to ensure public safety and prevent deaths associated with supplements containing ephedrine?</p>


	<p>7. Should an expert panel develop and oversee a system that categorizes the severity of drug interactions to help clinicians make better decisions?</p>


	<p>8. Is the application of population-level evidence from trials to individual-level decisions too cumbersome?</p>


	<p>9. Considering the trend toward globalization within the pharmaceutical market throughout the past decade, how has the <span class="caps">FDA</span> been challenged in their pursuit to ensure the safety and quality of available drugs?</p>


	<p>10. Should drug manufacturers consider suppliers and intermediaries in addition to labeling and certification when confirming a drug’s safety?</p>]]>
      </description>
      <pubDate>Wed, 27 Feb 2008 14:56:45 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/1121</link>
      <dc:creator>Katie Young</dc:creator>
      <guid>http://network.nature.com/forums/cpt/1121</guid>
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    <item>
      <title>Breast Cancer Prevention and Treatment: Multidisciplinary Approaches (0 replies)</title>
      <description>
        <![CDATA[<p>For more information on this topic, please refer to the <a href="http://www.nature.com/clpt/journal/v83/n1/abs/6100449a.html">State of the Art</a> and <a href="http://www.nature.com/clpt/journal/v83/n1/abs/6100367a.html">Discovery</a> articles in the January 2008 issue of <em>Clinical Pharmacology &#38; Therapeutics</em>.</p>


	<p>1. Techniques such as imaging, pathology, surgery, radiation oncology, and medical oncology have decreased breast cancer mortality rates.<br />What other preventative methods, treatment techniques, and alternative therapies exist that have not been fully explored?</p>


	<p>2. Have previous studies using tamoxifen to prevent invasive breast cancer in high-risk patients effectively measured its effect on overall survival?</p>


	<p>3. Should neoadjuvant endocrine therapy for patients with locally advanced breast cancer be reserved for clinical trial use?</p>


	<p>4. Will a &#8220;personalized medicine&#8221; approach integrating gene profiles and other predictive tools shape future therapies for breast cancer?</p>]]>
      </description>
      <pubDate>Mon, 07 Jan 2008 18:25:12 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/878</link>
      <dc:creator>Katie Young</dc:creator>
      <guid>http://network.nature.com/forums/cpt/878</guid>
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    <item>
      <title>Osteoporosis: Cathepsin K inhibitors, Alternative Treatments, and Successful Studies (0 replies)</title>
      <description>
        <![CDATA[<p>For more information on this topic, please refer to the article <a href="http://www.nature.com/clpt/journal/v83/n1/abs/6100450a.html">Cathepsin K Inhibitors: A Novel Target for Osteoporosis Therapy</a> in the January 2008 issue of <em>Clinical Pharmacology &#38; Therapeutics</em>.</p>


	<p>1. What are the limitations of current osteoporosis treatments such as bisphosphonates, estrogens, selective estrogen receptor modulators, and vitamin D derivatives?</p>


	<p>2. Considering how human and mouse skeletons differ in terms of estrogen response, is the mouse model adequate for determining bone loss?</p>


	<p>3. Is the development of cathepsin K inhibitors crucial for future osteoporosis treatment?</p>]]>
      </description>
      <pubDate>Mon, 07 Jan 2008 18:11:01 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/876</link>
      <dc:creator>Katie Young</dc:creator>
      <guid>http://network.nature.com/forums/cpt/876</guid>
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    <item>
      <title>Emergency Contraception: Effectiveness, Expectations, and Accessibility (1 reply)</title>
      <description>
        <![CDATA[<p>For more information on this topic, please refer to the <a href="http://www.nature.com/clpt/journal/v83/n1/full/6100433a.html">Point</a> / <a href="http://www.nature.com/clpt/journal/v83/n1/full/6100442a.html">Counterpoint</a> and <a href="http://www.nature.com/clpt/journal/v83/n1/full/6100443a.html">Practice</a> articles in the January 2008 issue of <em>Clinical Pharmacology &#38; Therapeutics</em>.</p>


	<p>1. Is emergency contraception as effective in preventing pregnancy as studies suggest?</p>


	<p>2. What, if any, are the social implications of increased accessibility to levonorgestrel?</p>


	<p>3. How does the inability to precisely calculate efficacy affect the overall acceptability of emergency contraception?</p>


	<p>4. Does evidence exist supporting cost-saving claims associated with emergency contraception?</p>


	<p>5. What other issues related to efficacy, accessibility, and social expectations are important to consider when discussing emergency contraception?</p>]]>
      </description>
      <pubDate>Mon, 07 Jan 2008 18:05:10 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/875</link>
      <dc:creator>Katie Young</dc:creator>
      <guid>http://network.nature.com/forums/cpt/875</guid>
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    <item>
      <title>Synergism or Additivity. (2 replies)</title>
      <description>
        <![CDATA[<p>How do you dinstinguish between synergism and additivity if you have dose curves of 1. drug and 2. drug together and separately? I have looked at the article &#8220;Chou T, Theoretical Basis, Experimental Design, and Computerized Simulation of Synergism and Antagonism in Drug Combination Studies&#8221;. In this paper they give the formula, but I&#8217;m not sure I&#8217;m using it right. Any help?</p>]]>
      </description>
      <pubDate>Fri, 16 Nov 2007 11:51:18 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/718</link>
      <dc:creator>D Baunbaek</dc:creator>
      <guid>http://network.nature.com/forums/cpt/718</guid>
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    <item>
      <title>Medical marijuana (0 replies)</title>
      <description>
        <![CDATA[<p>Medical marijuana, now legal in 12 states (AK, CA, CO, HI, ME, MT, NV, NM, OR, RI, VT, and WA), remains a controversial topic in much of the United States. The Connecticut state legislature and New York State Assembly passed bills to legalize medical marijuana earlier this month. The CT bill was subsequently vetoed on June 19th by Governor Jodi Rell, who cited the bill’s failure to establish a system for distribution and regulation of marijuana as the reason for her veto. Disagreement on the best method of distribution of marijuana may also defeat the NY bill, which is currently stalled in the <span class="caps">NY </span>State Senate as a result of this point of contention. However, Governor Eliot Spitzer, who opposed medical marijuana in the past, announced his support for the therapeutic use of marijuana after the bill was passed and said that he would sign the bill provided that it is “properly structured.”</p>


	<p>Although the therapeutic potential of marijuana has been established in scientific studies, controversy remains regarding whether these benefits outweigh the harm of smoking. In 1999, the Institute of Medicine released a <a href="http://www.nap.edu/html/marimed">report</a> stating that “scientific data indicate the potential therapeutic value of cannabinoid drugs, primarily <span class="caps">THC</span>, for pain relief, control of nausea and vomiting, and appetite stimulation; smoked marijuana, however, is a crude <span class="caps">THC</span> delivery system that also delivers harmful substances.” Alternative delivery systems of <span class="caps">THC</span> could eliminate this objection to medical marijuana. A recent <a href="http://www.nature.com/clpt/journal/vaop/ncurrent/abs/6100200a.html">pilot study</a> of marijuana vaporization, published in <a href="http://www.nature.com/clpt/index.html"><em>CPT</em></a>, concluded that the “vaporization of cannabis is a safe and effective mode of delivery of <span class="caps">THC</span>.” Other smokeless modes of delivery include ingestion and the use of tinctures.</p>]]>
      </description>
      <pubDate>Wed, 20 Jun 2007 19:21:38 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/230</link>
      <dc:creator>Tali Swann-Sternberg</dc:creator>
      <guid>http://network.nature.com/forums/cpt/230</guid>
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      <title>Is model-based drug development (MBDD) the solution to the high cost and low productivity that now plagues this field?  (0 replies)</title>
      <description>
        <![CDATA[<p>Modeling and simulation are routinely used in many other industries, yet their use in drug development has been limited. In the <a href="http://www.nature.com/clpt/journal/v82/n1/index.html">July</a> issue of <a href="http://www.nature.com/clpt/index.html"><em>CPT</em></a>, Richard L Lalonde <em>et al</em>. argue that broader implementation of <span class="caps">MBDD</span> will help address the &#8220;critical path&#8221; problem in drug development. In <a href="http://www.nature.com/clpt/journal/v82/n1/fig_tab/6100235f1.html#figure-title">MBDD</a>, modeling and simulation, which help predict the results of future drug trials, are used at each decision point in the drug development process to quantitatively assess the risk of moving forward. Thus, <span class="caps">MBDD</span> can improve the efficiency and reduce the costs of clinical drug development.</p>


	<p>Read the article <a href="http://www.nature.com/clpt/journal/v82/n1/abs/6100235a.html">here</a>.</p>]]>
      </description>
      <pubDate>Fri, 15 Jun 2007 14:30:49 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/210</link>
      <dc:creator>Tali Swann-Sternberg</dc:creator>
      <guid>http://network.nature.com/forums/cpt/210</guid>
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      <title>ICMJE update: phase I clinical trial registration is mandatory (0 replies)</title>
      <description>
        <![CDATA[<p>The latest <a href="http://www.icmje.org/clin_trial07.pdf">update</a> from the <a href="http://www.icmje.org/">International Committee of Medical Journal Editors</a> on regulations for clinical trials mandates the registration of phase I clinical trials. The article includes these key summary points:</p>


	<p>-In addition to accepting registration in any of the 5 existing registries, the <span class="caps">ICMJE</span> will accept registration of clinical trials in any of the primary registers that participate in the <span class="caps">WHO ICTRP</span>. Registration in a partner register only is insufficient.</p>


	<p>-The <span class="caps">ICMJE</span> will begin to implement the <span class="caps">WHO</span> definition of clinical trials for all trials that begin enrollment on or after 1 July 2008. This definition states that a clinical trial is “any research study that prospectively assigns human participants or groups of humans to one or more health-related interventions to evaluate the effects on health outcomes.”</p>


	<p>-The <span class="caps">ICMJE</span> will not consider results posted in the same clinical trials registry in which the primary registration resides to be previous publication if the results are presented in the form of a brief, structured (less than 500 words) abstract or table.</p>


	<p>This article follows the original <a href="http://www.icmje.org/clin_trial.pdf">Sept 2004</a> ICMJE announcement on clinical trial registration and the subsequent updates in <a href="http://www.icmje.org/icmje_response.pdf">October 2004</a> and <a href="http://www.icmje.org/clin_trialup.htm">May 2005</a>.</p>


	<p><span class="caps">ICMJE</span>’s 2004 announcement sparked much controversy, and debate has been ongoing since. While many researchers have argued that phase I clinical trial registration will stem progress by stifling competition, organizations such as the World Health Organization and the Council of Science Editors have favored <span class="caps">ICMJE</span>’s decision. <span class="caps">ICMJE</span> claims that phase I clinical trial registration is necessary to counter the bias in trial reporting, which has often favored positive trials over negative or ambiguous trials.</p>]]>
      </description>
      <pubDate>Thu, 14 Jun 2007 15:43:22 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/209</link>
      <dc:creator>Tali Swann-Sternberg</dc:creator>
      <guid>http://network.nature.com/forums/cpt/209</guid>
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    <item>
      <title>The role of public policy in treating obesity (0 replies)</title>
      <description>
        <![CDATA[<p>Effective public policies may be the best weapon in the fight against obesity. A recent article in <a href="http://www.nature.com/clpt/index.html"><em>Clinical Pharmacology &#38; Therapeutics</em></a> reviews possible policy approaches including:<br />-providing information to individuals<br />-restricting the availability of unhealthy foods<br />-increasing the price of unhealthy foods<br />-regulating marketing of food to children<br />-instituting incentive programs at work and in schools<br />Read the full article <a href="http://www.nature.com/clpt/journal/v81/n5/abs/6100107a.html">here</a>.</p>


	<p><strong>What do you think? Does public policy have a place in the treatment of obesity?</strong></p>]]>
      </description>
      <pubDate>Tue, 12 Jun 2007 21:43:58 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/199</link>
      <dc:creator>Tali Swann-Sternberg</dc:creator>
      <guid>http://network.nature.com/forums/cpt/199</guid>
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    <item>
      <title>Personalized Medicine: Elusive Dream or Imminent Reality? (0 replies)</title>
      <description>
        <![CDATA[<p>&#8220;Personalized medicine is a paradigm that exists more in conceptual terms than in reality&#8230;. Nevertheless, the reality of personalized medicine has become more imminent because of the increased awareness of the shortcomings in the delivery of drugs with adequate benefit/risk to patients, a better molecular understanding of how to optimize drug selection and dosing, and an increased demand for integrating more clinically relevant genetic information into the drug development process to improve both innovation and productivity.&#8221; <a href="http://www.nature.com/clpt/journal/v81/n6/abs/6100204a.html">Click here</a> to read the full article (free) in the June issue of <a href="http://www.nature.com/clpt/index.html"><em>Clincal Pharmacology and Therapeutics</em></a>.</p>


	<p><strong>What are your thoughts? Is personalized medicine attainable?</strong></p>]]>
      </description>
      <pubDate>Tue, 12 Jun 2007 19:07:12 -0000</pubDate>
      <link>http://network.nature.com/forums/cpt/197</link>
      <dc:creator>Tali Swann-Sternberg</dc:creator>
      <guid>http://network.nature.com/forums/cpt/197</guid>
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