AAA 2010

Accelerating Anticancer Agent Development and Validation Workshop

A Postgraduate Workshop for Clinical and Translational Cancer Investigations Focused on Strategic Planning to Develop and Validate New Anticancer and Cancer Prevention Agents and Pathways

June 23-25, 2010
North Bethesda, MD

Program

Wednesday, June 17
   
7:15 a.m.
Registration and Continental Breakfast
 
     
8:15 a.m.
Welcoming Remarks
H. Kim Lyerly, M.D. 
Program Chair 
     
   
Musa Mayer, M.S., M.F.A.
Program Committee Member
     
     
Session I
Phase I Trials and Pharmacology/Toxicology
Moderator:
John Leighton, Ph.D.
U.S. Food & Drug Administration
     
8:30 a.m.
When Must You Submit an IND?
Virginia Kwitkowski, MS, RN, ACNP-BC
U.S. Food & Drug Administration
     
8:55 a.m.
How to Enable a First in Human IND--Non-Clinical Requirements
Haleh Saber, Ph.D.
U.S. Food & Drug Administration
     
9:20 a.m.
Special Considerations for Cellular Therapies and Tumor Vaccine INDs
Donna Przepiorka, M.D.,  Ph.D.
U.S. Food & Drug Administration
     
9:45 a.m.
Panel Discussion
All Speakers
     
10:20 a.m.
Break
 
     
Session II
Biomarkers to Accelerate Drug Development
Moderator:
H. Kim Lyerly, M.D.
Duke University
     

10:45 a.m.

How are Biomarkers Used to Select Appropriate Patients for Your Agent?

H. Kim Lyerly, M.D.
Duke University

     
11:05 a.m.
What is the Role of Post-Trial Biomarker Analysis to Identify a Responsive (Resistant) Patient Population?
Richard Simon, D.Sc.
National Cancer Institute
     
11:25 a.m.
Panel Discussion
Laurence Baker, D.O.
Jane Perlmutter, Ph.D
.
Richard Simon, D.Sc.
     
12:00 p.m.
Lunch
 
     
Session III
What are the Signals that Lead to the Next Step in Development?
Moderator:
Renzo Canetta, M.D.
Bristol-Myers Squibb
     
1:00 p.m.
What are the Anti-Cancer Molecules Designed to Do and Are They Successful in Early Clinical Trials?
Robert Mook, Jr., Ph.D.
Duke University
     
1:20 p.m.
Is the Magnitude of the Clinical Outcome Sufficient to Perform Pivotal Phase III Studies?
Jeffrey Abrams, M.D.
National Cancer Institute
     
1:40 p.m.
Panel Discussion
Jeffrey Abrams, M.D.
Robert Hershberg, M.D., Ph.D.
Robert Mook, Jr., Ph.D.
     
2:10 p.m.
Break
 
 
   
Session IV
3:00 - 5:30 p.m.
Case Study Discussion Groups #1
Discussion groups meet concurrently.
Learners attend session of their choice.
 
 
Agent #1: Alimta (Eli Lilly & Co.)
Lilly Team:
William John, M.D.
Colleen Mockbee, R.Ph.

FDA Team:
Martin Cohen, M.D.
Shenghui Tang, Ph.D.

Patient Advocate:
Mark Gorman
 
Agent #2: Nplate (Amgen)
Amgen Team:
Monica Batra, M.S., R.A.C.
Dietmar Berger, M.D., Ph.D.

FDA Team:

R. Dwaine Rieves, M.D.
Brian Booth, Ph.D.
Claudia Karwoski, Ph.D.
Angela Men, Ph.D.

Patient Advocate:
Robert Erwin, M.S.
 
Agent #3: Sprycel (Bristol-Myers Squibb)
BMS Team:
Eric Bleickardt, M.D.
David Shapiro, M.D.

FDA Team:
Michael Brave, M.D.
Xiaoping Jiang, Ph.D.
Haleh Saber, Ph.D.

Patient Advocate:
Karl Schwartz
 
Agent #4: Taxotere (Sanofi Aventis)
Sanofi Aventis Team:
Linda Gustavson, Ph.D.
Abebe Haregewoin, M.D.
Mark Moyer, M.S.
Martin Roessner, M.Sc.
Jean-Francois Tamby, M.D.

FDA Team:
Qin Ryan, M.D.

Patient Advocate:
Musa Mayer, M.S., M.F.A.
 
Agent #5: Tarceva (OSI Pharmaceuticals)
OSI Team:
Karsten Witt, MD

FDA Team:
Patricia Cortazar, M.D.
Qi Liu, Ph.D.

Patient Advocates:
Gwen Darien
James Omel, M.D.

 
Agent #6: Tykerb (GlaxoSmithKline)
GSK Team:
Leanne Cartee, Ph.D.
Ronald Fleming, Pharm.D.
Kevin Koch, Ph.D.
Julie Maltzman, M.D.
Alaknada Preston, Ph.D.
Richard Swenson, Ph.D.

FDA Team:
Amna Ibrahim, M.D.
Gene Williams, Ph.D.

Patient Advocates:
Virginia Mason, B.S.N., R.N.
Jane Perlmutter, Ph.D.
     
5:30 p.m.
       
Reception and Dinner

Dinner Panel:  FDA Alumni Discuss their Experiences
 
Moderator:
Richard Pazdur, M.D.
U.S. Food and Drug Administration

Panelists:
Ramzi Dagher, M.D.
Pfizer Pharmaceuticals

Edwin Rock, M.D., Ph.D.
GlaxoSmithKline

Adrian Senderowicz, M.D.
AstraZeneca
     
Thursday, June 18
 8:00 a.m.
Continental Breakfast 
 
     
Session V
Peri- and Post-marketing Studies
Moderator:
Robert Justice, M.D.
U.S. Food & Drug Administration
     
8:30 a.m.
Clinical Pharmacology/QT
Julie Bullock, Pharm.D.
U.S. Food & Drug Administration
     
8:50 a.m.
What Does "Quality by Design" Bring 
to Your Drug Development Program?
Sarah Pope, Ph.D.
U.S. Food & Drug Administration
     
9:10 a.m.
Safety
Robert Kane, M.D.
U.S. Food & Drug Administration
     
9:30 a.m.
Panel Discussion
All Speakers
     
10:00 a.m.
Break
 
     

Session VI

Clinical Trials Development 
Moderator:
Patricia Keegan, M.D.
U.S. Food & Drug Administration
     
10:30 a.m.
Endpoints and Types of Approvals
Katherine Fedenko, M.S. CRNP-BC
U.S. Food & Drug Administration
     
10:50 a.m.
How Can Patient-Reported Outcomes Demonstrate Clinical Benefit?
Paivi Miskala, M.S.P.H., Ph.D.
U.S. Food & Drug Administration
     

11:10 a.m.

Providing Clinical Evidence of Effectiveness
Amna Ibrahim, M.D.
U.S. Food & Drug Administration
     
11:30 a.m.
Panel Discussion
All Speakers
     
12:00 p.m.
Lunch
 
     
Session VII
Statistical Design Challenges
Aloka Chakravarty, Ph.D.
U.S. Food & Drug Administration 
     
1:00 p.m.
Basics of Clinical Trial Design
Aloka Chakravarty, Ph.D.
     
1:20 p.m.
Possible Pitfalls When Designing Non-Inferiority Trials
David Harrington, Ph.D.
Harvard University
     
1:40 p.m.
What Have We Learned from Past Failures?
Rajeshwari Sridhara, Ph.D.
U.S. Food & Drug Administration
     
2:10 p.m.
Panel Discussion
All Speakers
     
2:30 p.m.
Break
 
     
Session VIII
2:45 - 4:15 p.m.
In-Depth Discussion Groups
Discussion groups meet concurrently. Learners attend session of their choice.
 
     
 
Discussion Group #1:
How to Avoid Going on Clinical Hold
Robert Kane, M.D.
U.S. Food and Drug Administration

Susan Krivacic, M.P.A.
Cancer Anonymous

Kevin Shannon, M.D.
U.S. Food and Drug Administration

Richard Swenson, M.D.
GlaxoSmithKline
     
 
Discussion Group #2:
a) Why Phase III Trials Fail
b) Novel Phase II Trial Designs to Avoid a 
Phase III Trial Failure
Aloka Chakravarty, Ph.D.
U.S. Food and Drug Administration

David Harrington, Ph.D.
Harvard Medical School

James Omel, M.D.
International Myeloma Foundation

Jane Perlmutter, Ph.D.
Gemini Group

Rajeshwari Sridhara, Ph.D.
U.S. Food and Drug Administration
     
 
Discussion Group #3:
Pitfall and Progress in Cancer Vaccine Development
   
Peter Bross, M.D.
U.S. Food and Drug Administration

Mark Gorman
National Coalition for Cancer Survivorship

H. Kim Lyerly, M.D.
Duke Cancer Center

Robert Hershberg, M.D., Ph.D.
VentiRx Pharmaceuticals

Jeffrey Schlom, M.D.
National Cancer Institute

Karl Schwartz
Patients Against Lymphoma
     
 
Discussion Group #4:
How to Get your Drug Through FDA
Gwen Darien
American Association for Cancer Research

William John, M.D.
Eli Lilly & Co.

Musa Mayer, M.S., M.F.A.
AdvancedBC.org

Richard Pazdur, M.D.
U.S. Food & Drug Administration
     
 
Discussion Group #5:
Pharmacology/Toxicology
       
Robert Erwin, M.S.
Marti Nelson Cancer Foundation

Ronald Fleming, Pharm.D.
GlaxoSmithKline

Anne Pilaro, Ph.D.
U.S. Food & Drug Administration

Virginia Mason, B.S.N., R.N.
Inflammatory Breast Cancer Research Foundation

Mercedes Serabian, Ph.D.
U.S. Food & Drug Administration

Leigh Verbois, Ph.D.
Food and Drug Administration
     
Session IX
What are the Social Responsibilities 
of Drug Development?
Moderator:
Robert Erwin, M.S.
Marti Nelson Cancer Foundation
     
4:30 p.m.
Why Access to Unapproved Drugs 
Must Not Alter the FDA Approval Standards
Richard Pazdur, M.D.
U.S. Food and Drug Administration
     
4:35 p.m.
Access to Unapproved Drugs
Ann Farrell, M.D.
U.S. Food and Drug Administration
     
5:00 p.m.
What Knowledge Can be Gained in Developing Drugs to Treat Rare Diseases?
 
Laurence Baker, D.O.
Southwest Oncology Group/University of Michigan
     
5:25 p.m.
Ethical Implications of Access to Unapproved Drug

Seema Shah, J.D.
National Institutes of Health

     
5:50 p.m. Why Creative Clinical Trial Designs are Necessary for Getting Agents to Children with Cancer in a Timely Fashion
Eugenie Kleinerman, M.D.
MD Anderson Cancer Center
     
6:15 p.m.
Panel Discussion
All Speakers
     
6:35 p.m.
Reception
 
     
Friday, June 19
7:30 a.m.
Continental Breakfast
 
     
Session X
 
Case Study Discussion Groups #2
Discussion groups meet concurrently. Learners attend session of their choice.
 
     
 
Agent #1: Alimta (Elil Lilly & Co.)
Lilly Team:
William John, M.D.
Colleen Mockbee, R.Ph.

FDA Team:
Martin Cohen, M.D.
Shenghui Tang, Ph.D.

Patient Advocates:
Gwen Darien
American Association for Cancer Research
Susan Krivacic, M.P.A.
Cancer Anonymous
 
Agent #2: Nplate (Amgen)
Amgen Team:
Monica Batra, M.S., R.A.C.
Dietmar Berger, M.D., Ph.D.

FDA Team:
R. Dwaine Rieves, M.D.
Brian Booth, Ph.D.
Claudia Karwoski, Ph.D.
Angela Men, Ph.D.

Patient Advocate:
Mark Gorman
National Coalition for Cancer Survivorship

 
Agent #3: Sprycel (Bristol-Myers Squibb)
BMS Team:
Eric Bleickardt, M.D.
David Shapiro, M.D.

FDA Team:
Michael Brave, M.D.
Xiaoping Jiang, Ph.D.
Haleh Saber, Ph.D.

Patient Advocates:
James Omel, M.D.
Jane Perlmutter, Ph.D.
 
Agent #4: Taxotere (Sanofi Aventis)
Sanofi Aventis Team:
Linda Gustavson, Ph.D.
Abebe Haregewoin, M.D.
Mark Moyer, M.S.
Martin Roessner, M.Sc.
Dalila Sellami, M.D.

FDA Team:
Qin Ryan, M.D.

Patient Advocates:
Virginia Mason, B.S.N., R.N.
(Inflammatory Breast Cancer Research)
Karl Schwartz
(Patients Against Lymphoma)
  Agent #5: Tykerb (GlaxoSmithKline)

GSK Team:
Leanne Cartee, Ph.D.
Ronald Fleming, Pharm.D.
Kevin Koch, Ph.D.
Julie Maltzman, M.D.
Alaknada Preston, Ph.D.
Richard Swenson, Ph.D.

FDA Team:
Amna Ibrahim, M.D.
Gene Williams, Ph.D.

Patient Advocates:
Robert Erwin, M.S.
(Marti Nelson Cancer Foundation)
Musa Mayer, M.S., M.F.A.

(AdvancedBC.org)

10:30 a.m. Break
 
     
11:00-12:00 p.m.
Comparative Effectiveness: Implications for Cancer Drug Development
William Lawrence, M.D., M.S.
Agency for Healthcare Research and Quality

Introduction by:
Renzo Canetta, M.D.
     
12:00 p.m.
Adjourn/Departure
 
12:00 p.m.
CLOSED SESSION (Faculty Only);
Summation and Course Evaluation