2:30 PM - Making Clinical Trials Faster, Better, Cheaper, Stronger
If a patient were sitting in the morning session of the Translational Research Forum, they might wonder what all the discussion of funding and private/public partnerships and basic science vs. applied science meant for them. For someone with an untreatable disease, the primary goal is getting a new cure, as soon as possible. Unfortunately, the slow pace of the clinical trial process is only outdone by its expense - as much as $500-800 million to test each drug or treatment before it is officially approved and brought to market.
The afternoon session, “From Invention to Bedside,” examined different means of streamlining this process so that promising scientific innovations are brought to the patients that need them more quickly. The real, human stakes are high - Julian Solway, director of the University of Chicago Clinical and Translational Science Award, spoke about the elevated rates of infant mortality and chronic disease such as heart failure and diabetes in the South Side Chicago community the Medical Center serves. How can the discoveries of the University of Chicago laboratories be brought quickly and efficiently to the neighborhoods surrounding campus?
One answer came from the other side of town: Lewis Smith, associate vice president for research at Northwestern University, who spoke about removing inefficient processes from the many, many clerical and application steps involved in clinical trials. Another option was suggested by Margaret Anderson, executive director of FasterCures, a non-profit organization that helps facilitate what she called “venture philanthropy.” Modeled by disease-specific advocacy groups such as the Cystic Fibrosis Foundation or the Michael J. Fox Foundation for Parkinson’s Research, the philosophy calls for a different attitude about investigating potential cures, one that prioritizes the patient.
“The bottom line is curing disease and producing treatments,” Anderson said. “Traditional measures [such as publications and shareholder value] are not what they care about.”
Anderson said these foundations are learning that the challenges faced in getting new treatments to market are often not disease-specific, but system-wide. Through collaborations like TRAIN, the groups are looking for new ways to motivate scientists and regulators to move more efficiently in clinical research and approval, in order to receive grants from the millions of dollars the groups have raised through events such as charity walks.
“Every dollar they are putting out is a dollar they had to raise,” Anderson said. “When you are walking for every dollar, you’re going to care deeply about where every dollar gets spent.”
12:30 PM - Speaking Different Languages: Academic/Industry Partnerships for Better Drugs and Treatments
(RM) While Rep. Dan Lipinski’s talk at the Translational Research Forum spoke of boom times for research funding, Stephen Kent, a professor of Biochemistry and Molecular Biology at the University of Chicago, added a healthy dose of skepticism to the proceedings in the day’s first panel. Kent pointed out that roughly 15 percent of the U.S. GDP is spent on health care, amounting to trillions of dollars, making the $32 billion wielded by the NIH appear to be the proverbial drop in a bucket.
“I think the amount of research investment is actually way too small,” Kent said. “We’re under-investing all over the place.”
Kent’s comments came as part of a panel called “From Science to Invention,” featuring speakers from the University of Illinois-Chicago, the Illinois Institute of Technology, and the pharmaceutical company Pfizer. Much of the discussion hinged on how scientists can turn a promising discovery in the lab into a patentable invention that can be brought - and sold - to the general public. In times such as these, where private biotech companies have decreased their research spending, facilitating science’s jump from campus to clinic is more important than ever.
Everyone agreed that an obvious solution was more private/public partnerships between pharmaceutical companies and research institutions. But proposing such a collaboration is one thing, and executing it is another. Kent pointed to the importance of a free exchange of information in developing new drugs; an openness that is often walled off by patents and trade secrets of private companies. Private funding for research taking place at academic centers exists, but has often run into ethical and administrative barriers. Meanwhile, an increased focus on directed research that focuses on one specific disease or problem has hurt funding for basic science - less immediately applicable research that often leads to unexpected breakthroughs. Finally, scientists must learn to better explain realistic goals to the public, said David McCormick, director of the IIT Research Institute, citing the field’s tendency to “overpromise and undercommunicate.”
11:30 AM - Report: Biotech Thrived as Economy Wobbled
(KM) The big announcement of the BIO convention’s first morning was the release of the Battelle Report, a snapshot of the state of the biotechnology industry. The report highlighted growth in the industry, reporting that 19,000 jobs were added between 2007 and 2008 despite the world’s financial struggles of the past few years.
Matt Summy, president of the Illinois Science and Technology Coalition, spoke to the benefits of the Battelle Report for use as a resource to their own organizations. Summy works in conjunction with Illinois’ state government and economic development to move state initiatives forward, and he pointed out some of the highlights of the report relevant to his efforts. For example, the data show that there is strong leadership in both large metropolitan areas in the Midwest (e.g., Chicago and Minneapolis), and in smaller areas as well (e.g., Decatur, IL and Cleveland, TN). The data also offered opportunites for convergence, such as using the supercomputing capabilities of the University of Illinois to move genomic research forward. Finally, the data showed that the midwest has opportunities for investment, for a supportive environment for entrepreneurs, and for high levels of innovation.
Vicki Loise heads the Association for University Technology Managers (AUTM), whose mission is to disseminate information for the public good. One of the main vehicles for doing this is by patenting, which Vicki stated was different from, but just as important as scientific publications. The data from the Battelle report is important for AUTM in that it helped to show the steady increases in new companies formed from university research.
Finally, Mitch Horowitz, who is the VP of the Battelle Technology Practice, spoke about the data collected in the report. Battelle primary used figures through 2008 to track trends in bioscience employment, assess the financial performance of the bioscience sector, examine state-level indicators of the recent performance of the bioscience sector, and describe trends in state policies and programs. The report first defined the bioscience sector as consisting mainly of 1) agricultural, feedstock and chemical 2) drugs and pharmaceutical 3) medical devices and equipment and 4) research, testing, and medical laboratories. Some of the reports key findings were:
- Bioscience employment growth, led by research, testing, and medical labs, outpaced national employment growth from 2001 - 2008.
- All sectors, except drugs and pharma grew between 2007 - 2008
- The total employment impact of the bioscience sector led to 8 million jobs
- The bioscience sector continues to be a source of high-wage jobs
- Bioscience employment is widely distributed with 39 states having a specialiation in at least one bioscience sector
- States continue to invest in bioscience development, despite state fiscal challenges
- Based on an analysis of 649 biosci companies (2009), each of the 4 sectors were profitable
- One key warning sign of decline was that venture capital to the bioscience companies fell 36.7% between 2008
Although Mitch emphasized the positive trends in the industry, he cautioned that the continued growth is not guaranteed, mostly because of challenges at the state level, at the level of NIH funding, with the amount of venture capital available, and with the quality of science and math education at the K-12 levels. However, he concluded that state and national policymakers have the ability to ensure that these challenges are addressed in order to allow the US to continue to be a world leader in biosciences.
10:00 AM - Making the Case for Research Funding
(RM) The slogan of the BIO convention - “Heal, Fuel, Feed the World” - describes the major global problems that biotechnology hopes to solve. But in the near term, a place where biotechnology can have a practical effect is on a less romantic, but equally concerning problem: jobs. With politicians promising to place job creation at the top of their to-do list in the coming months, it’s important to remember that a powerful indirect stimulus for lowering unemployment is the funding of research institutions such as the National Institutes of Health and the National Science Foundation.
Those organizations received a huge boost from the American Recovery and Reinvestment Act, otherwise known as the stimulus bill, in 2009. But U.S. Rep. Dan Lipinski, in his remarks to kick off the Translational Research Forum Monday, emphasized that Washington remains committed to increasing those funds and investing in science as a way to create new industries and jobs. With the NSF Reauthorization Bill he has drafted, Lipinski - who himself once received an NSF grant as a chemical engineering student - said he hopes to increase funding for the agency to $11 billion by 2015, while the Obama administration has pledged to double the NIH budget in a similar timeframe.
“There’s no question that this administration and Congress have stepped forward and shown real commitment to science and technology,” Lipinski said.
But scientists and research institutions can’t waste time celebrating these spikes of funding after years of flat budgets, Lipinski said. The case must be made to the public that scientific funding is essential for new discoveries that bolster the American economy and improve quality of life, he said. Improvements in STEM education - science, technology, engineering, and mathematics - must be made so that the U.S. can remain competitive with new research rivals such as China. And “research clusters,” such as the one made up of the universities and national laboratories in the Chicago area, must be nurtured and encouraged by federal funding.
“There’s no better place for scientific and medical frontiers to interact with biotechnology,” Lipinski said. “When you have talent in close proximity, that creates jobs.”
Marc Jacob's 2008 melanoma awareness and fundraising t-shirts featured naked celebrity photographs and clever slogans such as “protect the skin you’re in,” “protect your largest organ,” and “save your ass.” Celebrities, who posed despite the advice of agents and managers, include Winona Ryder, Rufus Wainwright, Eva Mendes, Julianne Moore, 
